Bradley Fox
14 Hastings Way
Springfield, VA 11111
(555) 555-5555
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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