Los Angeles County, California, United States
Hello, Healthcare Revenue Recruiters. I'm a Healthcare Revenue Cycle Specialist seeking a position that is 100% Remote (work-from-home) in the Healthcare Revenue Cycle industry as a: -Remote Prior Authorization/Certification Specialist -Remote Financial Clearance Unit Associate -Remote Medical Biller (Inpatient or Outpatient) -Remote Patient Registration Associate -Remote Medical Call Center Associate I am an EPIC content/module specialist. I must continue to learn, build, and develop my skill set as a Health Information Revenue Cycle Specialist while providing In-Home Care to my physically disabled sibling. Thank you for your time and consideration. I am available for a phone interview on weekdays between 8 a.m. and 5 p.m. With Gratitude, Tabatha L. Samuel-Bruce 818-299-7492
UCLA Nuclear Medicine and PET/CT Diagnostics, Therapies, & Research 200 Medical Plaza, B-114 Los Angeles, CA 90095 As Health Information Coder II, my skill set was in HOD Coding (inpatient, outpatient, and research diagnostic/therapy studies) for Facility and Professional services rendered. I am proficient in utilizing ICD-10-CM, AMA CPT, HCPCS, SNMI NUCLEAR MEDICINE & PET CODER (MED-LEARN), ICD-10-PCS, WWW.ICD10DATA.COM.; MULTIPLE INSURANCE WEBSITES AND BULLETINS FOR CMS, MEDI-CAL, AND ALL PRIVATE INSURERS. Health Information Revenue Collections Specialist: -I collected patient DOS payments. -I posted payments to the (EPIC) CareConnect Cash Drawer, the credit card machine. -I ensured every patient received a completed receipt and private insurance reimbursement instructions. -I was responsible for the EOD/closing (EPIC) CareConnect Cash Drawer and the credit card machine. Health Information Coder: -I review and analyze the content of medical records to assign ICD 10 CM codes (diagnoses) and AMA CPT procedure codes and modifiers accurately according to national coding guidelines. -I can answer coding and abstracting questions from peers, doctors, hospital employees, etc. -I maintain a coding accuracy rate. -I accurately identify and enter data elements for abstracting. -I meet coding productivity standards. -I adhere to UCLA Health System coding compliance rules for Inpatient and Outpatient cases. -I identify documentation trends and topics for education/feedback to physicians, department leadership, and other UCLA revenue departments. -I keep current with coding and industry changes through participation in educational opportunities. -I performed authorization audits during the coding process. -I performed level one audits and deferments, with notes, on the (EPIC) CareConnect HB work queue for open facility charges.
UCLA ROI [Release of Information]: -I process images and study reports. -I burned CDs for patient images utilizing the DATACARD PACS CUBE -I processed labels for medical mailings using the WWW.UPS.COM website. -I documented all ROI activities in the (EPIC) CareConnect Patient Release platform. -I Uploaded (CDs Direct and Encrypted) outside diagnostic images to the UCLA PACS Film Library teams through the LIFE-IMAGE platform. -I scheduled and coordinated {Outside Film Reviews} requested for professional second opinions. UCLA e-HIMS: -I was responsible for breaking down patient jackets -I sorted all documents by specific document descriptions for e-HIMS courier pick-up. -I followed the compliance rules for all document submissions. -As the UCLA ICAP archivist, I scanned and indexed patient documents and financial records to (EPIC) CareConnect electronic chart and the UCLA ICAP platform. -I prepared NM REST/STRESS EKG tracings for upload to the NM CARDIAC CASE drive for the Ronald Reagan Medical Center Cardiac team's review and interpretation for revenue processing. Patient Care Coordination: -I managed ordering the Y-90 isotope for Y-90 Therapy sessions. -I scheduled NM scan times for Y-90 Therapy patients. -I facilitated prior authorization clearance and CDI for authorization codes. -I facilitated the coordination of care for returning I-131 Therapy patient scans. -I assisted in returning patient belongings from I-131 Therapy [inpatient cases] released from the UCLA Radiation Safety Department.
I was the recognized (EPIC) CareConnect Super-User for UCLA Nuclear Medicine & PET/CT in 200 Medical Plaza for (EPIC) updates and go-lives. (EPIC) UCLA CareConnect Contractor: I provided end-user support and training for all clinical and non-clinical providers. I specialized in Direct and Remote support for EPIC CareConnect systems build implementations. I supported Hospital Outpatient Departments: *The Bowyer Hematology and Oncology Infusion Treatment Center* -Beacon Protocols for Infusion Nursing workflows -Beacon Protocols for the Provider (MD) workflows -Utilizing Blood Transfusion Protocols with Forms Portal *Supported Ambulatory Neuropsychiatric Specialties* -Dual Diagnosis Outpatient Treatment Program -Neuropsychiatry & Bio-behavioral Health Services, Private Practice -Brentwood Family Behavioral Health Services, Private Practice -Santa Monica Family Behavioral Health Services, Residency Program *Supported Ambulatory Cardiac Specialties* -General Cardiology -Adult Congenital Heart Disease -Cardiomyopathy Clinic -Aortic (Vascular) Center Clinic -Adult Cardio-Thoracic Surgery Clinic -Post Heart Transplant Clinic
***Independent Internship*** | I was taught, trained, and educated through practicum (pending all charts for review submissions). -I learned inpatient coding, sequencing, conventions, guidelines, and MS-DRG/DRG principles. -I practiced abstracting for revenue (pending charts) processing. -I developed my skills with utilizing ICD-9-CM/PCS and ICD-10-CM/PCS code sets. -I learned and practiced (pending charts) for hospital billing using UB-04 electronically. -I learned and practiced coding for ER/ED and Surgical supplies used.
***Independent-Internship*** | I learned and practiced (Pending charts) the principles of HCC coding. -I learned the history of HCC (Hierarchal Condition Category). -I learned the universal use of (EO) Errors and Omissions. -I reviewed and abstracted assigned charts (pending) for HCC coding. -I developed my skill set for HCC Coding for CMS only.
***AHIMA Certified Medical Billing & Coding Program*** Eagle Rock College (formerly Career Consultants, Inc.) Glendale, CA *Academic-Internship* -I (pended) abstracted and audited patient chart documentation for accurate coding for TC and 26 of all diagnoses, procedures, and services using the appropriate code sets (ICD-9-CM 2013, CPT, HCPCS Level II, and Super Bills). -I (pended) billing submissions using CMS 1500 software. -I trained in auditing authorizations. -I updated data and established new patients’ electronic medical records (Cerner and Meditech). -I was taught and trained to work remotely (from home) via secured server access while maintaining strict PHI confidentiality, Cyber security, HIPPA, and Joint Commission compliance.
***I RELOCATED FROM JERSEY CITY, NEW JERSEY, USA, TO VAN NUYS, CALIFORNIA, USA.*** ONCE HERE (LA), I CHANGED MY CAREER JOURNEY TO "HEALTH INFORMATION REVENUE CYCLE."