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BRADLEY FOX
14 Hastings Way
Springfield, VA 11111
(555) 555-5555
resumepower@somedomain.com
OBJECTIVE
Dedicated health information technician (HIT) with seven years of acute-care hospital medical records coding experience. Additional four years of experience as a medical office administrative manager in a rehabilitation setting. Completed full-time HIT program in 2002. Qualifications include:
- Registered Health Information Technician (RHIT) certification
- AAS degree in Health Information Technology
- Expertise in ICD-9-CM and CPT coding
- Knowledge of licensing, reimbursement and accreditation standards
WORK EXPERIENCE
Health Information Technician
9/2002-Present, Delphi Community Hospital, Springfield, VA
Select, assign and audit diagnostic and procedure codes to patient records for a 362-bed, acute-care hospital. Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security. Work collaboratively with patient account department to ensure accurate billing and resolve claim denials and medical-necessity issues. Review medical documentation and consult with healthcare providers when documentation is inadequate/unclear for coding purposes.
Selected Contributions:
- Helped hospital pass JCAHO inspections by consistently meeting JCAHO requirements. Earned employee-recognition award in 2004 for accurate records management contributing to positive JCAHO survey.
- Maximized reimbursement by ensuring accurate ICD-9-CM and CPT coding and conducting regular quality audits of providers' selected codes compared to chart documentation.
- Ensured records met quality and risk-management requirements by participating in hospital chart review committee.
- Rapidly mastered SoftMed ClinTrac® Clinical Abstracting and 3M clinical encoders software for fast, accurate coding and abstracting.
- Provided ongoing training to staff on intricacies of insurance submissions, codes and intake procedures to minimize rejections for referral- or registration-related reasons.
Administrative Manager
8/1996-8/2000, XYZ Rehabilitation Agency, Springfield, VA
In charge of medical billing, 22-person payroll, ADR processing, patient/staff scheduling and supply inventories for agency providing outpatient rehabilitation services.
Selected Contributions:
- Collected $30,000 in bad debt from previously denied Medicaid payments through persistent follow-through and thorough ADR review. Provided Medicaid with the documentation needed to reverse prior "deny" decisions.
- Helped raise state survey to "superior" rating with zero deficiencies. Resolved issues with residents' bank accounts/funds access and ensured all personnel files met regulatory compliance.
- Marketed agency's new Alzheimer's program and unique quality-of-life features that resulted in facility tour requests and increased census by 9.2 percent.
- Assisted in the planning and implementation of new program offering physical, occupational and short-term therapeutic services for patients.
- Built mutually respectful relationships with third-party payers, HMOs, PPOs, Medicare, Medicaid, workers' compensation (WC) carriers and independent commercial carriers.
EDUCATION
9/2000-6/2002, Northern Virginia Community College, Springfield, VA
- Associate in Applied Science in Health Information Technology
- HIT Practicum: Completed 150-hour clinical practicum at Children's Hospital in Springfield, VA -- Program accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM), in association with the American Health Information Management Association (AHIMA)
Related Courses: Health Data Classification Systems I (ICD-9-CM and CPT), Medical Terminology, Health Information Systems, Human Biology, Human Pathology, Desktop Database Software, Intercultural Communication, Health Statistics, Quality Assurance/Health Care, Health Record Applications, Supervision and Management Practices for HIT, Clinical Practice, Advanced Coding and Reimbursement, Pharmacology for HIT
Registered Health Information Technician (RHIT), Chicago, IL
- Certification
- Issued by American Health Information Management Association
AFFILIATIONS
- 7/2002-present: American Health Information Management Association
SKILLS
| Skill Name | Skill Level | Last Used/Experience |
| ICD-9-CM and CPT Coding | Expert | Currently used/7 years |
| DRG & APG Assignments | Expert | Currently used/7 years |
| HIPAA Regulations | Expert | Currently used/7 years |
| Insurance Reimbursement/ Collections | Expert | Currently used/7 years |
| Medicare/Medicaid Reimbursement | Expert | Currently used/7 years |
| Hospital Information Systems | Expert | Currently used/7 years |
| Medical, Pharmacology and Anatomy Terminology | Expert | Currently used/7 years |
| Chart Control, Access and Storage | Expert | Currently used/7 years |
| Chart Status Tracking and Assembly | Expert | Currently used/7 years |
| Clinical Data Analysis and Extraction | Expert | Currently used/7 years |
| Managed Care Regulations/JCAHO Guidelines | Expert | Currently used/7 years |
| Current HIM Technologies | Expert | Currently used/7 years |
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