Hospital Billing Application Analyst Resume Ontario, CA - Hire IT People

SUMMARY:

Successful completion of all 4 components of The Confidential: USMLE Step 1, Step 2 Clinical Knowledge, Step 2 Clinical Skills and Step 3
Successful completion of all three parts of the Good Clinical Practice (GCP) training program. This training program is essential to learn the legal and ethical requirements needed to conduct a clinical/pharmaceutical trial in the USA.

TECHNICAL SKILLS:

EMR/applications: Epic, Meditech, eClinicalWorks, HPF, Dragon, eScription, EMon, 3M 360, 3M CRS.

Tools: Microsoft Office - Word, PowerPoint, Excel, Project Visio.

PROFESSIONAL EXPERIENCE:

Hospital Billing Application Analyst

Confidential, Ontario, CA

Responsibilities:

Built and maintained cash drawers, charge capture preference lists, work queues, system action queues, billing indicators, work queue and filter rules.
Built and maintained CDM, charge procedures, fee schedules, cost center assignment tables, charge router.
Created documentation and training materials for end users
Completed Application and Integrated testing prior to implementation
Coordinated and participated in revenue Integrity projects including work queue consolidation, charge handler task configuration, revenue guardian checks.
Configured jobs, batches and runs.
Served as production support post go-live for all end user issues
Monitored and resolved service desk tickets, including optimization build, end user training regarding workflow and procedural accurateness.
Analyst responsible for exporting/importing clinical data into Epic.
Communicated and worked with vendors and liaisons on insurance follow up issues
Actively worked on 2 Epic upgrades by reviewing Nova Notes and completing associated upgrade build.
Build, test, implement and train new team members in all aspects of Epic HIM and Identity such as building coding work queues, configuring CDI workflow, inbasket security and chart correction pools.
Performed “Just in Time” Testing of all HIM build, focusing on Hospital Coding aspect of inpatient account lifecycle.
Responsible for testing and implementing computer assisted coding software, 3M360 in conjunction with Epic.
Responsible for testing and implementing Nuance Transcription Services for physician documentation in conjunction with Epic. eScription and EMon administrator for transcription service including interface error resolution.
Active participation in Epic implementation of 13 hospitals over 4 go-lives.
On-site travel during go-live to oversee implementation and train end-users on all aspects of Epic HIM

Clinical Documentation Improvement Specialist

Confidential . Ontario, CA

Responsibilities:

Reviewing 30 patient charts daily in both concurrent and retrospective manner.
Reviewing clinical documentation to ensure accuracy of diagnosis codes placed.
Query physicians for potentially missed diagnoses to improve DRG and overall case mix index

Medical Case Manager

Confidential, Naperville, IL

Responsibilities:

Actively working with health and life insurance applicants to navigate the application process
Obtaining accurate medical histories, diagnoses and treatments received.
Analyzing and clinically assessing 10 -15 patient medical records per week to ensure accuracy of medical histories and treatments received.
Promotion to Legacy Resource Manager - 8/2014
Overseeing 20-40 medical case managers by delegating tasks and answering work related procedural questions.
Liaison between medical case managers and upper management.
Monitoring and keeping track of company inventory
Training and mentoring new employees by assisting them through their transition from new staff, to a full-time employee.

Contracted Clinical Research Coordinator

Confidential, Oak Brook, IL

Responsibilities:

Participation in a clinical research study to discover alternate uses of current antidepressant medications.
Organizing and assigning patients to appropriate appointment times, conduct medical interviews as part of the study.
Collecting and inputting data received utilizing spread sheets and various components of the Microsoft Office program.

Health Fair Coordinator

Confidential,Darien, IL

Responsibilities:

Organizing and helping at 10-12 community health fairs per year.
Collaborating with local healthcare providers to offer free education and counsel on the importance of healthy living as well as to offer free blood pressure and diabetes screenings in poor and underserved communities of Chicago.

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Hospital Billing Application Analyst Resume

Ontario, CA

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