Darlene J. Williams, RHIT
*** ******* ***. ******* **** Il. 60409
Home Phone 708-***-**** Cell Phone 708-***-****
*********@*****.***
Education:
• Bachelor in Health Information Management Administration Present
DeVry University, Chicago, IL. - Online
• Certificate in Implementation Suppor t Specialists
Moraine Valley Community College, Palos Hills, IL. 2012
• Associates in Health Information Technology 2009
RHIT Certified
Northwestern Business College, Hickory Hills, IL.
• Certificate in Medical Office Assistance 2001
College of Office Technology, Chicago, IL
Experience:
Advocate Medical Group Oak Brook, IL 2010-Present
MRA Auditor
• Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
• Interpret documents in EMR such as, encounter forms, medical records, physician documentation, lab reports, dictated reports, and operation instruction to identify all appropriate coding based on CMS HCC categories
• Knowledge of medical and insurance reimbursement, HCC, ICD-9-CM, CPT coding, disease processes, and medical terminology
• Demonstrate analytical and problem solving ability regarding barriers to receiving and validating accurate HCC information
• Provide group and physician education regarding HCC documentation and coding guide lines
• Work independently as well as meet deadlines and goals
• Maintain effective and professional communication skills
• Support and participate in process and quality improvement initiatives
• Interview people to obtain basic information, write correspondence proficiently, and ability to interact with all levels of health care team professionally
St. Joseph Hospital Chicago, IL
Outpatient Coder(PRN) 2009-2011
• Coding/ Abstracting of outpatient ancillary testing, clinic visit, APC Assignment
• Ensure all codes are assigned to patients on the unbilled (A/R) list
• Use of Star Application
• Use of Physician Portal
• Use of 3M Encoder
Advocate Ravenswood Medical Group Chicago, IL
Revenue Cycle Lead 2007-2010
• Coordinates and ensures that all charges for assigned practices are posted to IDX in a timely
manner
• Reconciliation of patient accounts on a daily basis in an efficient and accurate manner
• Reports compliance matters to practice manager, medical director, and the supervisor of the revenue cycle department
• Follows up with provider for assurance of accurate code assignment and documentation
• Ensures accurate data entry of all ICD-9-CM, CPT and HCPC codes and modifiers in IDX
• Use of Encoder Pro
• PCS work file
• Insurance Verification
Advocate Health Center, Burbank, IL.
Patient Service Representative Coordinator 2004-2007
• Coordinates the technical functions of the PSR/HIM department to ensure daily processes are completed
• Follows up with provider for assurance of accurate code assignment and documentation
• Conducts Medical Record audits to ensure that charts are adequately prepared for the doctors appointments
• Conducts monthly PSR audits to regulate each associates work file and maintain accurate charge entry
• Maintain edits in PSR's work files
• Maintain weekly cash control for the center
• Provide leadership to department staff and assist the supervisor as needed
Patient Service Representative 2003-2004
• Systematically organized incoming patients documentation to ensure doctor accessibility
• Inputed patient demographic information in to customized medical database(IDX)
• Answered incoming calls to resolve questions regarding patients appointments
• Notated messages from patients to ensure all needed information is submitted
• Inputed charges and diagnosis in computer from encounter forms
• Collected co-pay or balances from patients during check-in
• Prepared deposits for each PSR for the day
Advocate Health Center-Irving &Western, Chicago, IL
Health Information Associate 2002-2003
• Ensured patient confidentiality is maintained at all times
• Maintained and updated patient records to adequately prepare doctors for appointments
• Systematically organized incoming patients documentation to ensure doctor accessibility
• Inputed patient demographic information in to customized medical database(IDX)
• Answered incoming calls to resolve questions regarding patient medical records
• Reviewed messages from patients to ensure all needed information is submitted
Intern/Externship:
Infant Wellfare Society, Chicago, IL
Intern/Externship 2007
• Created and maintained medical and lab charts
• Data entry in medical database
• Medical billing and coding
• Chart and billing audits
Family Health Society, Chicago Heights, IL
Intern/Externship 2001
• Created and maintained medical and lab charts
• Admitted patients for appointments
• Assisted lab when needed
• Data entry in medical database
• Medical billing and coding
Accredits:
• RHIT Certified
• Certificate in Implementation Suppor t Specialists
• Certificate in Medical Office Assistance
Skills: Charge entry; EMR, Computer literate in IDX system, Encoder Pro, Cache system, Star System, 3M Encoder, Physician Portal, Windows 98, Office XP, Access, Power Point, Excel, and Internet;