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Hayner
2064 Maryland Dr.
Xenia, OH 45385
937.825.7844
Current: I will graduate in May 2016 from Sinclair Community College with an Associates
Degree in HIM (Health Information Management) and be taking the certification exam for the
RHIT. I will finish my Reimbursement Specialist Practicum in the fall of 2016 then sit for my
certification exam for CMRS and CCS soon after.
Objective: Im goal driven and looking to obtain an Auditing position in the H.I.M. department
where I can apply my coding experience and positive communication skills and education. My
entire college career was online classes demonstrating my ability to be disciplined and focused
with a job that is detailed.
Education:
- Associates degree in Health Information Management (expected May 2016)
- Reimbursement Specialist Certificate (expected Dec 2016)
- Medical Billing and Coding Specialist Certificate- 2014
- Xenia High School - Ohio - Graduated - May 1988
Job History:
April 2015- Present
Kettering Health Network
1 Prestige Place
Miamisburg OH, 45342
Manager: Laura Caroots
Position: Pro Fee Coding Specialist
Responsibilities: Coding for professional inpatient rounding. Work Denials on Claims. Send
appeals with patient records to the insurance companies on disputed non-paid claims. Responsible
for reviewing, analyzing, and coding diagnostic and procedural information in multiple
specialties for over 300 practices e.g., neurology, cardiology, orthopedics. Interprets and verifies
E&M codes and other CPT procedure codes according to the physicians documentation e.g.,
hospital notes, orders, and other pertinent physician documentation loaded in the medical records.
Code concurrent services according to coding guidelines and apply correct modifiers. Verifies
Transitional Care Management charges in coordination with the medical practice and guidelines
enforced by CMS.
Using coded data to produce and submit claims to insurance companies working directly with the
insurance company and healthcare provider to get a claim processed and paid. Discern when an
account needs voided, wrote-off, or adjusted due to the denial from a third party and take proper
action accordingly. Proficiently work EPIC programming.
Job History:
July 2010- April 2015
KPN/Oakcreek OBGYN
6438 Wilmington Pike
Suite 300
Centerville, OH 45459
Practice Manager, Lisa Geloff
Physicians: Dr. William McCullough, Dr. David Doucette, Dr. Robert Little, Dr. Mary Ellen