Customer Service Medical

Sandra R Smith

**** ** ***** ** ***** Gardens, FL

M: 786-***-****

Email: aczlc0@r.postjobfree.com

Professional strengths:

Radiology coding of both inpatient and outpatient diagnostic procedures

In-depth knowledge of Current Procedural Terminology (CPT), ICD-9, ICD-10, HCPCS, & PQRS Measures (Physician Quality Reporting System)

Highly proficient with Outlook,Coderyte, Meditec, Smart, Nextgen & Kareo 360 Medical Systems

Work as a member of a team as well as be a self-motivator with ability to work independently

EMR/PHR (electronic medical records and personal health medical records software)

HCC reviews apply standard diagnosis coding and documentation guidelines

Several years of auditing experience

Strong organization and multi-tasking management skills

Ability to assess and implement new medical projects

Goal oriented and ability to accomplish task within limited time

Adhere to Company policy and procedure

Team player with great interpersonal skills

Sheridan Health (Remote Radiology Coder) 2015-2017Background must include the following for consideration:

Radiology coding of both inpatient and outpatient diagnostic procedures (Ultrasound, CT, MRI, PET, Mammograms spectrum of coding guidelines and regulations) in a high production environment.

Work as a member of a team as well as be a self-motivator with ability to work independently

Assigns appropriate ICD 10 CM and/or CPT codes

Apply PQRS Measures to appropriate CPT codes

Receive assigned medical charts electronically using a computer

Reading and analyzing patient records ensure accurate coding for test

Managing detailed, specifically-coded information

Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and /or client information

Successful completion of required ICD-10 training prior to start date.

KForce Sunrise Temp. Agency (Sheridan Health Radiology Coder) 2013-2014

Analyzes and interprets documentation from medical records and completes accurate coding of diagnosis, and procedures

Proficient in using appropriate coding software as well as Microsoft, Word and Outlook

Impressive skills in knowledge of Current Procedural Terminology ICD-9, ICD-10, and CPT coding guidelines

Accurate use of PQRS Measures

Able to work additional hour as needed

Participate in continuing education activities to enhance knowledge, skills and maintain current knowledge

Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information

Successful completion of required ICD-10 training prior to start date.

South Florida Multispecialty LLC 2009-2013 ;) Billing Supervisor, MRA & Hedis Specialist:

Physican coding with in-depth knowledge of Medical Terminology, ICD-9, CPT, and HCPCS

Supervise, train, evaluate and monitor on-the-job performance of staff responsible for third party medical collections.

HCC diagnosis coding

HCC data reporting documentation

Ability to work independently

Ability to manage, prioritizes, and completes multiple projects on time.

Performed chart reviews of medical records to ensure all assigned ICD-9 codes are

accurate and supported by written clinical documentation.

Educate with providers based on findings.

Provided general education on ICD-9 codes as appropriate.

Effectively communicated the chart reviews and results to the physicians and management.

Monthly meetings with senior level staff with updates and recommendations for this process

Remained current on ICD-9 codes, CMS documentation requirements, State and

Federal regulations

Follow up and maintain month-end reports

Successful completion of required ICD-10 training p

Educational Summary and Certifications:

•Present: Schedule to take test (CPC) 06/23/2017

•Certified Physician Coder (CPC), Excelsior Technical College, Doral, Fl. Schedule 05/27/14

•2010: Bachelor’s degree in Business Management, University of Phoenix, Miramar, Fl.

•2008: WIC Program (Women, Infant, and Children) certified

•2005: Comcast Cable: 10 weeks of Customer Service Training

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