Achieved certification through NHA for Certified Electronic Health Records (CEHR).
Achieved certification in medical coding and billing through AMCA, demonstrating expertise in healthcare documentation.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Risk Adjustment specialist
Humana
10.2018 - Current
Retrieve records according to risk adjustments and hedis guidelines, call schedule appointments to go onsite and retrieve medical records
Risk Adjustment Specialist
Change Healthcare
03.2013 - 10.2018
Retrieve medical records according to risk adjustments and hedis guidelines
Instructor: Phlebotomy
ROSE TRAINING INSTITUTE
01.2009 - 01.2013
Instruct and trained students the proper procedures for being a phlebotomist
Clinical hours
Blood draws and finger sticks Certification
Sales Associate
UNITED AMERICAN INSURANCE
01.2003 - 01.2007
Write health and life insurance on customers and small business
Obtained medical history
Explained the terms of the policy and rate
Lab Supervisor/LPN
AUGUSTA LAB
01.1996 - 01.2003
Hired and trained all new employees
Get new drug screen contracts from small business
Collect Drug screen
Collect DNA and hair Samples
Do Clinical trials for the pharmaceutical company
Collect early AM draws for the nursing homes
Travel to satellite office and drop off specimens
Prepared specimens for shipment
Education
Graduate Certificate - Medical Coding And Billing
MedCerts
Only, TN
10.2024
College Degree - CRC
Ozark
Remote
08.2020
Technical - Lpn
Swainsboro technical college
Swainsboro, GA
07.1988
Skills
Coordinated scheduling, patient records management, and insurance verification to support efficient office functionality
Performed various types of injections, maintaining compliance with medical standards and best practices
Administered blood draws with precision, adhering to safety protocols and patient comfort standards
Achieved successful execution of clinical trials by streamlining processes and enhancing participant recruitment strategies Delivered comprehensive reports that informed decision-making and improved trial outcomes Drove compliance with regulatory requirements, resulting in high-quality data collection
Developed and maintained relationships with clients to enhance customer satisfaction and retention in insurance services
Executed tasks using a range of computer technologies, ensuring effective data management and communication
Reviewed and updated patient records using ICD-10 codes to support efficient healthcare operations and reporting
Reviewed and assigned appropriate CPT codes to medical procedures, enhancing documentation accuracy and operational efficiency
Monitored patient conditions and collaborated with healthcare teams to optimize care delivery
Oversaw appointment scheduling processes, ensuring timely and accurate management of patient bookings and provider availability
Reviewed and updated patient diagnoses using ICD-9 codes to support efficient healthcare operations
Executed comprehensive medical billing tasks, including coding, invoicing, and follow-up on outstanding claims
Achieved successful project delivery by managing cross-functional teams effectively Drove project timelines and budget adherence through strategic oversight Enhanced team productivity and project quality through proactive leadership and support
Reviewed and analyzed patient records to assign appropriate codes for diagnoses and procedures, enhancing data accuracy and reporting
Achieved high standards of accuracy in medical records management, enhancing patient care quality Improved documentation processes, resulting in faster access to patient information Facilitated effective communication among healthcare providers through organized record systems
Analyzed data from clinical research studies to support evidence-based medical practices
Maintained laboratory equipment and ensured compliance with safety protocols during experiments
Analyzed market trends and consumer behavior to inform product development and positioning
Collaborated with medical staff to streamline processes and improve overall hospital efficiency
Assessed and categorized incoming requests to streamline workflow and enhance response times
Certification
Medcerts 2024
Mcbc-acma
Cehr-nha
Assessments
Data entry: Accuracy — Proficient
November 2019
Entering data quickly and accurately
Full results: Proficient
Customer focus & orientation — Highly Proficient
March 2020
Responding to customer situations with sensitivity.
Full results: Highly Proficient
Basic computer skills — Familiar
October 2020
Performing basic computer operations, navigating a Windows OS, and troubleshooting common computer problems.
Full results: Familiar
Attention to detail — Completed
Identifying differences in materials, following instructions, and detecting details among distracting information.
Full results: Completed
Medical billing — Proficient
Understanding the procedures and forms used for medical billing.
Work style: Reliability — Highly Proficient
Tendency to be dependable and come to work
Customer service — Completed
January 2021
Identifying and resolving common customer issues
Call center customer service — Completed
Applying customer service skills in a call center setting
Written communication — Completed
Best practices for writing, including grammar, style, clarity, and brevity
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.