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Click here or scroll down to respond to this candidate Candidate's Name
Brownsville, Texas Street Address
PHONE NUMBER AVAILABLE | EMAIL AVAILABLE
https://LINKEDIN LINK AVAILABLE
PROFESSIONAL SUMMARY
Experienced healthcare information professional with advanced knowledge of coding regulatory requirements,
compliance standards, HIPAA, licensing, reimbursement & accreditation standards
Strong quantitative and analytical ability with meticulous attention to detail in relation to medical records
Committed to strengthening interdepartmental collaboration and promoting high documentation standards
Bilingual in English and Spanish; excellent interpersonal communication and organizational skills
SKILLS
Healthcare: Medical Terminology, State & Managed Care Regulations, HIPAA & JCAHO Guidelines
Technical: Expert in MS Word, Excel, Outlook, PowerPoint, FACS, 3M Encoder, Adobe Dreamweaver, Acrobat,
Photoshop, QuickBooks, Peachtree, Internet, Hub Spot, Qvidian, CMS, TDH Connect
HEALTHCARE INDUSTRY EXPERIENCE
Upwork (Remote) Mountain View,
California
Medical Coder/Auditor (Freelance) 03/2015
Present
Code ER charts, same day surgery charts, and inpatient charts using ICD-10-CM, ICD-10-PCS, CPT codes
Accurately complete ICD-10-CM, and CPT code assignments, and adhere to authorized coding procedures
Accurately examine physicians prescriptions and patients medical records to establish better line of treatment
Identify faulty practices and corrective actions
Park Manor Cypress Station
Houston, Texas
File/Medical Records Clerk 04/2006
04/2007
Maintained, incorporated, and accurately accounted all medical records information on each resident
Audited and thinned medical charts, closed and filed discharged medical charts, ensured that Physicians orders,
telephone orders and other records requiring signatures were received and filed within the required time frame
Assured personal and staff compliance to Residents Rights as well as to all State and Federal regulations
including blood borne pathogens, infection control, use of hazardous materials and fire safety
Attorney Healthcare Collections, Inc.
Houston, Texas
Team Lead, MVA/Liability & Problem Claims 04/2005
03/2006
Managed claim load of 550 accounts of Denial Management, Workers Compensation, Motor Vehicle Accident
(MVA)/Liability and Problem Claims Solution
Appealed underpayment and/or no pre-certificates and authorizations
Managed payment issues with insurance companies with intent of obtaining proper payment on medical claims
Performed quantitative and analytical review of medical records for appeals
Prepared correspondence and legal documents to contact consumers and hospitals regarding past due accounts
Assembled fair payment schedules, negotiated settlements and established promise to pay
Used knowledge of true technical denials, and coordinated EOB's
Worked reports for credit balances, refunds, bad debt, and IME billing. Re-billed Inpatient/Outpatient claims,
updated insurance information
Key Achievements:
Awarded Employee of the Month for 10 consecutive months
Selected as staff trainer, and collaborated with senior management to create new hire training manual
Increased productivity 95% by implementing new training program
Reduced aged A/R under 120 days in less than three months
Astrocare Community Living Assistance & Support Service, Inc . Houston,
Texas
Executive Assistant to Chief Operations Officer 06/1993
11/2004
Recruited, hired, trained, directed, evaluated and terminated medical personnel
Managed service level agreements between suppliers and subcontractors
Met program goals and increased independence/integration within community by utilizing community resources
Procured adaptive aids and minor home modifications; negotiated terms and conditions with vendors to ensure
optimum price, competitiveness and high quality products
Tactfully resolved conflict, discreetly handling confidential and non-routine medical information
Key Contributions:
Improved program compliance 98% by regularly auditing participant's medical record
Improved compliance procedures by regularly auditing time and attendance records
Prepared and submitted accurate monthly billing exceeding $45,000 to TDHS, as well as yearly cost reports
Member of Policy & Procedure Committee and Patient Advocate for companys Board of Directors
PROFESSIONAL WORK EXPERIENCE
Conduent (Xerox Corporation) (Remote)
Chicago, IL
Proposal Development Specialist 05/2014
Present
Facilitate proposal development process and track activities and RFP cycles; meet all project planning deadlines
Capture and manage external resources to support program and services of organization
Create, update and manage administrative record for proposal development activities
Prepare proposal graphics; outline RFPs to ensure thorough compliance with requirements
Xerox Corporation (Remote)
Chicago, IL
Senior Administrative Assistant 03/2010
05/2014
Ensured timely payments of vendor invoices, negotiated favorable terms and pricing agreements with vendors
Prepared and submitted billing and office expense reimbursements
Key Contributions & Achievements:
Mentored four new employees in Administrative Assistant roles, three of which were soon promoted
Awarded Employee of the Quarter four times
Created specialized travel itinerary template which was implemented throughout entire organization
Recognized for financial acumen, successfully managing AP/AR, invoicing and vendor accounts
Received praise for multi-tasking abilities and timely issue resolution from company President
Web editor for Buck Consultants intranet website, Community Champion for Buck Monterreys
Community intranet site, Xeroxs public US and UK site
Automation International, Ltd. (Remote) Stafford,
Texas
Purchasing Agent: Central & South America 04/2007
02/2010
Reviewed and approved purchasing requests; entered purchasing information in system and generated reports
Operated companys sites effectively by providing an uninterrupted flow of materials and supplies
Negotiated contracts and acceptable prices and terms with suppliers and vendors
Coordinated material planning and material flow. Prepared quotation files to include updates with current bids
Interfaced with Sales and Technical Support teams, tracked orders to ensure timely delivery and expedite orders
when required, and maintained expediting system for purchase orders in an efficient manner
EDUCATION AND AFFILIATIONS
University of Phoenix
Phoenix, Arizona
Bachelor of Science Health Administration
2017 -2019
DeVry University, College of Business & Management
Chicago, Illinois
Bachelor of Science, Technical Management w/concentration in HIM August 2016 December
2016
GPA: 3.84/4.00, Deans List
DeVry University, College of Health Sciences
Chicago, Illinois
Associate of Applied Science with Honors, Health Information Technology August
2016
Summa Cum Laude, GPA: 3.81/4.00, Deans List
Current Member: AHIMA | ASAP | Alpha Sigma Lambda Honor Society | American Association of Notaries
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