CPC Certified- Seeking full time employment- Gainesville, FLorida

Messages
1
Best answers
0
Jacqueline Riley
(c) (386) 546-8987 / jackee_cullen@yahoo.com / High Springs, Florida 32643

SUMMARY

Organized, detail oriented Certified Professional Coder with three years’ experience in outpatient physician coding. Certified in ICD-10, CPT and HCPCS. Familiar with commercial and private insurance carriers.

SKILLS
  • Epic
  • ICD- 10
  • HCPS
  • CPT
  • KRONOS Timekeeping
  • Allscripts
  • PeopleSoft
  • Charge Entry
  • Microsoft Office
  • Microsoft Excel
  • Microsoft Outlook
  • Microsoft Word

EXPERIENCE

Administrative Assistant, Shands Hospital, July 2019- Current
Gainesville, FL

Planned and executed meetings, lunches and special events for groups of 50 plus employees.
Tracked and submitted employee time sheets to accounting department for payroll processing.
  • Processed financial documents including contracts, expense reports and invoices.
  • Communicated with vendors to place and receive orders, request maintenance services and deliver instruction on behalf of office management.
  • Directed customer communication to appropriate department personnel, in addition to providing information to resolve inquiries and bolster customer satisfaction.
  • Controlled and managed document processes by reviewing files, records and critical information to confirm accuracy and ensure compliance with company policies and procedures.
  • Monitored and tracked project performance data with Excel spreadsheets to generate reports and keep management informed of important trends.
  • Created and maintained spreadsheets and developed administrative and logistical reports.
  • Supported departmental operations, including filing, monthly report preparation and vendor requisitions.
  • Organized and maintained filing and document management systems, coordinating archiving and purging aligned with company document policies.
  • Entered invoice data into company database and updated details, including customer contacts and delivery dates to keep information current.

Lead Financial Counselor, UF Health Physicians, August 2016-July 2019
Gainesville, FL
  • Maintained updated knowledge of coding requirements, which included continuing education.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Consistently ensured proper coding, sequencing of diagnoses and procedures.
  • Charge Entry encounters at rate of 50-100 per day and, maintaining 95% accuracy.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Resolve front-end edits, rejections and information requests within work queues
Supervise Front Staff of two employees
Tracked and submitted employee time sheets to accounting department for payroll processing.
Verify and enter insurance as well as obtaining authorizations for services.
Financial counseling of patients.



Executive Administrative Assistant & Collections Manager / Property Manager, Gainesville Real Estate Management Company, December 2006- August 2016
Gainesville, FL

  • Opened, sorted and responded to routine correspondence on behalf of business leaders to facilitate communication and streamline processes.
  • Prepared and updated office records, spreadsheets and presentations to support executive needs and enhance office efficiency.
  • Managed director's calendar and prepared meeting agenda and materials.
  • Controlled and managed document processes by reviewing files, records and critical information to confirm accuracy and ensure compliance with company policies and procedures.
  • Produced professional and error-free letters, presentations and spreadsheets.
  • Managed sensitive information with discretion while providing administrative support to executive teams.
  • Wrote and distributed executive meeting agendas and minutes to department heads and executive team members.
  • Executed special objectives and projects in response to executive team and board member requests.
  • Supervised executive and management calendars while allocating tasks to administrative support team for smooth operational flow.
  • Maintained office supplies inventory by checking stock and ordering new supplies as needed.
  • Updated and implemented administrative and executive support policy changes and monitored effects.



EDUCATION & TRAINING

CPC Certified
AAPC's 2019 Physician Coding for CPC Preparation, Gainesville, FL, August 2019
Bachelor of Arts
Criminal Justice, Saint Leo University, Gainesville, FL, December 2010
Associate of Arts
Criminal Justice, Santa Fe Community College, Gainesville, FL, December 2008
High School Diploma
Interlachen High School, Interlachen, FL, June 2004

ACCOMPLISHMENTS
  • High School Diploma
  • Associates in Art Degree
  • Bachelor's Degree in Criminal Justice
  • CPC-A Certificate
  • Certificate of Attendance- Compliance Education regarding physician billing
  • Certificate of Completion- Red Flag Rules Training
  • Emotional Intelligence Series
 
Top