A Medical Documentation Specialist is a professional medical documentation editor or transcriptionist who listens to the voice recording made by healthcare professionals and transcribes the information as an electronic record and using relevant software to document such matters. The nature of the job determines the actual job description, however, certain core and common work activities are mentioned on the Medical Documentation Specialist Resume as – ensuring the medical documents contain enough amount of needed information; assessing medical documents for accuracy, checking the documents comply with laws, and interpreting reports to identify health-related patterns and address the health problems among patients.
Typically employers require an associate’s degree, several years of work experience, and the following abilities – the ability to identify problems and trends; good attention to details; excellent interpersonal and communication skills, critical thinking skills, high level of confidentiality, and the ability to teach other new staff. The minimum requirement to become one includes an associate’s degree in health information technology.
Headline : To obtain a Medical Documentation Specialist position that will allow me to take the next step in my career, while I continue to develop new skills within the health care industry.
Skills : Event Coordination, Public Relations.
Description :
Nominated by management to be a CARES Ambassador committee member.
Facilitates outstanding customer service and company culture.
Selected to be on the Medicare team where specialized in Medicare requirements for DME supplies.
Forced was successful in significantly reducing the number of audits by improving our compliance with Medicare regulations.
Selected to be on the special projects team.
Main purposed was to provide support to various segments of the company including ICD-10 exclusions for insurance and billing purposes.
Corrected and updated prescription expiry periods and obtained current documentation in order to be compliant with current Medicare standards.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Science
Medical Documentation Specialist Resume
Objective : Excellent communication skills with public, fellow employees, and supervisors. Proficient in Microsoft Office programs including Word, Excel, and Outlook. Desire to learn and grow professionally. Excellent work ethic. Outstanding customer service and follow-up. Desire and ability to work in a fast-paced environment and grow professionally. Self-directed as well as a cooperative team member.
Skills : Event Coordination, Public Relations.
Description :
Communicated with nurses, assistants, and patients' to verify the status of physician orders, medical records, patients' information, and prescriptions.
Averaged 40 outbound calls per hour.
Accepted inbound calls.
Updated patients' and doctors' information.
Faxed physician orders.
Attended meetings and provide input regarding solutions.
Set personal goals for achievements.
Experience
2-5 Years
Level
Executive
Education
Associate In Applied Science
Medical Documentation Specialist Resume
Summary : Primary strengths lie in effective written and oral communications, creative team management and development, innovative problem solving, extensive networking, a generous sense of humor and a work ethic that has me running 24/7. I thrive in fast-paced environments involving diverse groups of people and cross functional teams.
Skills : Microsoft, Interpersonal , Computer , Positive Attitude, Outgoing, Outlook, Citrix, Sales, Receptionist, Phone Etiquette, Compassionate, Energetic, Faxing, Medical Terminology, Medicare, Medical Records, Time Management, Social Networking, Fast Learner, Lotus Notes, Sharepoint.
Description :
Faxed and collected Medicare documentation for durable medical equipment.
Called doctor's offices and educate regarding Medicare guidelines.
Transformed from calling to initial submittals to the Gold Star team in my short time with the company.
Asked to perform.
Reviewed and released orders to Medicare.
Increased typing skills.
Followed Medicare guidelines.
Experience
10+ Years
Level
Senior
Education
MS
Medical Documentation Specialist Resume
Headline : To utilize my superior customer service skills to help achieve the goals of your company while expanding my knowledge base and growing within your company.
Skills : Powerpoint, Documentation Skills.
Description :
Contacted both patients and doctors to verify internal data was correct for billing purposes.
Verified correct use of ICD-9 codes and that the necessity of the product was listed in medical records to receive equipment ordered.
Constanted inbound and outbound calls from patients and doctors' offices.
Responded to emails from sponsoring companies in a timely manner to ensure corrections were made when needed.
Additional received onsite training at one of our sponsored companies in California.
Maintained a leadership role within the office helping to train and coach new hires.
Managed and ensured billable placement for durable medical equipment.
Experience
5-7 Years
Level
Executive
Education
Associates In Communications
Medical Documentation Specialist Resume
Summary : Medical Documentation Specialist will be responsible for handling, processing, and tracking medical records. This includes receiving, storing, organizing, and maintaining medical records from patients, insurance companies, and others. Also includes billing, collecting patient payments, and fulfilling administrative tasks.
Skills : General Office, Quality Control.
Description :
Assigned Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.
Assigned working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software.
Maintained competency and accuracy in the use of Clinical Documentation Excellence software programs.
Maintained and upheld all clinical documentation regulatory guidelines.
Formulated and submitted timely, well-prepared appeals for reconsideration by third-party administrators (payors). Including supporting documented clinical evidence, Coding/CDE Guidelines, and other regulatory standards/guidelines as appropriate.
Worked collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
Collaborated with care coordination, nursing staff, and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science In Sociology
Medical Documentation Specialist Resume
Headline : A Medical Documentation Specialist and Administrative Assistant who has worked in numerous fields such as construction, public school administration, transportation, local government, and healthcare. Include Efficiency in Microsoft Office Excel, Word, Outlook, PowerPoint, Access. Online, Face -to- Face, and Call Center Customer Service. Multi-Tasker. Ability to perform in fast-paced environment with minimal supervision.
Skills : Ability To Take Patients Vital Signs, Knowledge Of Phlebotomy, ICD 10 Coding, Diagnosis Coding, Knowledge Of Medical Terminology, Experience With Medicare And Medicaid Billing Processes.
Description :
Verified if doctors are PECOS certified and registered with EMedNY before billing Medicare and Medicaid.
Updated doctor's files including license, NPI, UPIN, Taxonomy number, address, phone, and fax numbers.
Reviewed and verified patient's eligibility, as well as updated patient's file.
Checked the A/R to verify if the patient's payments have dropped.
Logged patient's prescriptions into Fastrack HealthCare System.
Assisted supervisor and management with various tasks.
Obtained written order forms from the patient's physician, as well as any other additional documentation in accordance to bill the patient's insurance company.
Experience
5-7 Years
Level
Executive
Education
Certificate In Medical Assistant
Medical Documentation Specialist Resume
Objective : Seeking a Medical Documentation Specialist profession with outstanding career opportunities that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Powerpoint, Analyzing Skills.
Description :
Performed highly accurate data entry of personally identifiable sensitive information and review other correspondence received from Healthcare Providers.
Contacted Healthcare Providers Offices using HIPPA verification process to confirm appointments, collect medical notes to be forwarded to Veterans Affairs.
Identified, analyzed, and resolved a variety of document and scheduling issues, write responses to inquiries.
Upon received completed written orders determined that the patient's medical condition render the need for the supplies being ordered.
Followed up on all outstanding written orders over 30 days to close out on the department's hold edit reports.
Conducted daily follow-ups on processed and corrected work.
Collected SOP/Clinical Documentation from physician's office and TCR from patient/caregiver and complete file for billing.
Experience
2-5 Years
Level
Executive
Education
Master Of Arts
Medical Documentation Specialist Resume
Headline : Versatile skilled Medical Documentation Specialist professional with extensive years of experience in commercial real estate, customer service, accounts payable, data entry, and assets recovery. Great communication skills, detail oriented, and a reputation for forming productive relationships with diverse individuals and a Team Player.
Skills : General Office, Quality Control.
Description :
Received the intakes daily and open up the patient in the database and answer the questions for that piece of equipment and send out the script electronically to the doctor related to that patient.
Received the scripts from the inbound faxes and review the script signed by the doctors.
Received and reviewed and is acceptable, it then gets logged and the invoice drops and gets billed to the various insurances, such as Medicare, BCBS, Private, and Medicaid.
Reviewed the pending CMN report and begin to call the doctors to inquire about the status of the signed script If the doctor states that he is no longer the doctor for that patient, pull the chart and call the patient or the contact person and find out who the patient new doctor is and resend the script.
Assisted the various departments when looking for a chart or intake for a patient.
Assisted every department throughout the company with adjustments, corrections of files and documents.
Evaluated & validated patient documents for multiple insurances.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Science In Sociology
Medical Documentation Specialist Resume
Objective : Medical Documentation Specialist with 3+ years of experience in Facilitating improved quality, education, and completeness, and accuracy of clinical documentation within the patient's health record through interaction with clinical staff and HIMS coding staff to capture patient care services rendered and workload.
Skills : Microsoft Office, Cash Register, Telecommunications, Customer Service, Data Entry, Faxing, Medical Terminology, Money Handling.
Description :
Prepared and archived customer case files both digitally and physically, as well as keeping our complex archival system up to date in accordance with our retention policy.
Maintained the integrity of our Customer Relationship Management (CRM) platform by accurately entering customer data as well as notes specific to each case file.
Provided administrative and clerical support to the different teams involved in the customer experience.
Communicated directly with prospective and existing customers and institutional clients via telephone, e-mail, and, on occasion, in-person.
Utilized approved criteria and clinical judgment to evaluate requests for medical necessity of inpatient services, concurrent review for extended stay, appropriate level of care, and medical necessity for requested services.
Collaborated with physicians, case managers and patients to promote optimal utilization throughout the care continuum with a goal of utilizing the least restrictive environment for patients.
Evaluated information to make determination and refers cases not meeting criteria to a physician advisor for review.
Experience
2-5 Years
Level
Junior
Education
Associate In Business Administration
Medical Documentation Specialist Resume
Headline : Experienced, degreed professional with proven skills, abilities, and excellent communication skills with all levels of customer, colleagues, and management.
Met established a timeframe for processing utilization review of inpatient stays and medical service requests.
Documented defined data inappropriate system to justify decisions.
Provided necessary verbal and written communication within defined timeframes.
Prepared relevant utilization management information and reports for insurers and third-party payers.
Monitored opportunities for improvement including avoidable days and utilization trends to identify and promote quality improvement activities.
Attended relevant external meetings to stay current with payer requirements and ensure existing processes are aligned to meet expected utilization and quality performance results.
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