I adore dogs, find pleasure with sips of quality coffee and loves taking adventure with different cuisines
Dedicated healthcare and information system professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Enthusiastic health information software administrator eager to contribute to team success through hard work, attention to detail and excellent organizational skills.
TeleHealth Care Coordinator function
o Collects and analyzes data pertinent to the healthcare consumer's health or the situation.
o Identifies expected outcomes to develop for a plan individualized to the healthcare consumer or the situation.
o Implements the identified plan, coordinates care delivery, and employs strategies to promote health and a safe environment
o Evaluates progress toward attainment of outcomes.
o Delegates elements of care to appropriate healthcare workers in accordance with any applicable legal or policy parameters or principles.
● Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT diagnosis codes
● Identify diagnoses and procedures basis the CPT and diagnostic codes and medical record supplied by the provider
● Review medical record documentation to identify new or additional irregular billing patterns
● Interpret and analyze medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement.
● Review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices
● Identify and abstract records consistently and accurately
● Assist with other ad hoc responsibilities deemed necessary by her supervisors
I adore dogs, find pleasure with sips of quality coffee and loves taking adventure with different cuisines