I graduated from billing and coding in 2006 and I am now going for the RHIT degree graduate in 2011. Please let me know if there is any openings in the Springfield and surrounding areas.
see Resume
Patricia M. Nelson
660 S. Lipscomb Dr.
Republic MO 65738
417-732-1567 (HM)
(417) 522-4361 (cell)
pnelso3n@att.net
OBJECTIVE: To pursue a career in which to utilize and combine the knowledge of a Medical
Coder and medical knowledge for professional advancement to RHIT.M
Terminology, ICD-9
EDUCATION:
Graduated Glendale High School
Ozark Technical Community College (OTC) Springfield, MO
Honors: Dean's List. Graduated spring 2006
AA - Associated degree in Health Information (Coding)
Major courses: Medical Terminology, Microcomputer Applications, ICD-9-CM & CPT
Coding. Health Classification System I & II, HIPAA rules and regulations, communication and
Business math. Currently going back to OTC to work on the RHIT (Registered Health Info Technician) and graduate with a degree in the year 2012. Member of AAPC # 01132671 expires Febr. 2011
EMPLOYMENT
MERCY ST. JOHN'S HEALTH PLANS
Coding Coordinator, EDI/Editing – August 25 2008 – to present
JOB SUMMARY
Responsible for educating co-workers regarding documentation/coding/compliance guidelines.
Respond to requests for other co-workers in the CBO to provide accurate coding and Compliance information. Responsible for maintaining Cirius (software) cumulative error report.
Maintain EPIC work queues for provider and master file errors. Work with Clearinghouses.
Trend errors to identify claim issues from all parts of the claims process.
Creation of new edits based upon trends found in all error pools. Remittance and work with cash accounting dept to receive payments and EOB in electronically
Software used: EPIC, EMOMED, CIRIUS, CLAIM LOGIC. FTP
o Performs related duties as assigned
o Perfect Attendance Record
Business Office Specialist, Home Care Admin. - May 2007 to August 22, 2008
o Billing and A/R mgmt for 2ndary and Primary payers
o Commercial Insurance for DME services
o Knowledge with HMO/PPO plans
o Customer service skills making calls to Insurance Co.
o HIPAA Compliant certified
o Knowledge of DME billing, HCPCS, and ICD-9 codes
o Good investigator, fact-finding and problem solving
o Excellent organizational skills and time management
o Work independently and work flexible with processes
o Software used: Dezine, Star and basic knowledge of IDX
UNIPRISE (United Health Care Insurance)
1930 W Bennett Springfield MO 829-8400 12/2003 -05/25/2007
Insurance Claims processor
o Tracr 1 refund distribution / research
o Front End Key (data entry), fast paced environment, multi task
o Filing/typing/telephone and communication skills
o Knowledge of HIPAA Regulations/Medical Terminology-codes
o Excellent attendance record
o Microsoft PC, Cosmos, Seamless, Millineum, 10 key, Topse software
Other Job experience
Lake City Craft – Quilling factory Nixa MO – Account Manager 2 years
Viatech/McBee Binders - Springfield MO– Index Supervisor 13 years
U.S. Coast Guard - Hawaii – Yeomen 3rd class petty officer 4 years
References
Vicki Jenkins Kay Engelking Diane Mitchell
St Johns- CBO Jordan Valley CHC 3634 W Kingsley
Springfield MO 65802 Springfield MO 65801 Springfield MO 65810
417-829-4264(wk) 417-831-0150 x 196 (wk) 417-820-7115 (wk)
Provider Application Medical Coder/billing Ins. Verification Clrk
see Resume
Patricia M. Nelson
660 S. Lipscomb Dr.
Republic MO 65738
417-732-1567 (HM)
(417) 522-4361 (cell)
pnelso3n@att.net
OBJECTIVE: To pursue a career in which to utilize and combine the knowledge of a Medical
Coder and medical knowledge for professional advancement to RHIT.M
Terminology, ICD-9
EDUCATION:
Graduated Glendale High School
Ozark Technical Community College (OTC) Springfield, MO
Honors: Dean's List. Graduated spring 2006
AA - Associated degree in Health Information (Coding)
Major courses: Medical Terminology, Microcomputer Applications, ICD-9-CM & CPT
Coding. Health Classification System I & II, HIPAA rules and regulations, communication and
Business math. Currently going back to OTC to work on the RHIT (Registered Health Info Technician) and graduate with a degree in the year 2012. Member of AAPC # 01132671 expires Febr. 2011
EMPLOYMENT
MERCY ST. JOHN'S HEALTH PLANS
Coding Coordinator, EDI/Editing – August 25 2008 – to present
JOB SUMMARY
Responsible for educating co-workers regarding documentation/coding/compliance guidelines.
Respond to requests for other co-workers in the CBO to provide accurate coding and Compliance information. Responsible for maintaining Cirius (software) cumulative error report.
Maintain EPIC work queues for provider and master file errors. Work with Clearinghouses.
Trend errors to identify claim issues from all parts of the claims process.
Creation of new edits based upon trends found in all error pools. Remittance and work with cash accounting dept to receive payments and EOB in electronically
Software used: EPIC, EMOMED, CIRIUS, CLAIM LOGIC. FTP
o Performs related duties as assigned
o Perfect Attendance Record
Business Office Specialist, Home Care Admin. - May 2007 to August 22, 2008
o Billing and A/R mgmt for 2ndary and Primary payers
o Commercial Insurance for DME services
o Knowledge with HMO/PPO plans
o Customer service skills making calls to Insurance Co.
o HIPAA Compliant certified
o Knowledge of DME billing, HCPCS, and ICD-9 codes
o Good investigator, fact-finding and problem solving
o Excellent organizational skills and time management
o Work independently and work flexible with processes
o Software used: Dezine, Star and basic knowledge of IDX
UNIPRISE (United Health Care Insurance)
1930 W Bennett Springfield MO 829-8400 12/2003 -05/25/2007
Insurance Claims processor
o Tracr 1 refund distribution / research
o Front End Key (data entry), fast paced environment, multi task
o Filing/typing/telephone and communication skills
o Knowledge of HIPAA Regulations/Medical Terminology-codes
o Excellent attendance record
o Microsoft PC, Cosmos, Seamless, Millineum, 10 key, Topse software
Other Job experience
Lake City Craft – Quilling factory Nixa MO – Account Manager 2 years
Viatech/McBee Binders - Springfield MO– Index Supervisor 13 years
U.S. Coast Guard - Hawaii – Yeomen 3rd class petty officer 4 years
References
Vicki Jenkins Kay Engelking Diane Mitchell
St Johns- CBO Jordan Valley CHC 3634 W Kingsley
Springfield MO 65802 Springfield MO 65801 Springfield MO 65810
417-829-4264(wk) 417-831-0150 x 196 (wk) 417-820-7115 (wk)
Provider Application Medical Coder/billing Ins. Verification Clrk