Bernadette Fanella

Bernadette Fanella wishes to obtain a position in a healthcare facility utilizing her professional skills as a medical coding and billing specialist, with a focus on providing accurate, high quality reimbursement services. She strives to provide a positive and evolving role model in her profession. The ability to motivate and inspire others and possesses good problem-solving aptitude. Has an outstanding communication, organizational, and interpersonal skill. The ability to achieve immediate and long-term goals and meet .deadlines                                          

Skills:

• Payment Classifications (APCs), National & Local
• Coverage Determinations (NCD/LCD) for medical necessity               
• Chart auditing and compliance
• Comply with National Correct Coding Initiative
• Methodology and validation of Medicare Severity              
• Diagnosis Related Groups (MS-DRGs), Ambulatory
• Use of computer to ensure data collection, storage, analysis, information reporting, protection of data integrity and validity using software and hardware technology
• Skilled in verbal and nonverbal communication
• Knowledgeable in cultural diversity
• Successful in communicating with difficult/noncompliant patients
• Perform all aspects of risk management including HIPAA standards, practices and provisions
• Familiar with all types of federal, state, and private health insurance plans
• Proficient in insurance claims submissions, medical billing & collections
• Medical practice management software, Medi-Soft Version 14, Alta Point Utilization of electronic applications to support clinical classification and coding (e.g. encoders) Encoder Pro 2009, Medical Spring Charts
• Apply ethical standards of practice including the AHIMA and AAPC Code of Ethics
• Proficient in medical terminology, pharmacology, anatomy & physiology
• Collection, maintenance and analysis of health data & documentation
• Assignment of CPT principal and secondary procedure codes using official coding guidelines
• Assignment of ICD-9-CM principle and secondary diagnosis codes including complications & co morbidities (CC) using official coding guidelines for all medical specialties    
• Assignment of appropriate HCPCS codes     
• Microsoft Office 2003, Word, Excel, Access, Power Point

Experience:

• Working with individuals in each department to gain experience in medical coding & billing, receptionist, patients’ insurance and Medicare claims, PQRD codes, monthly auditing, filing electronic claims and accounts receivables.
• Creating merchandising signs as a marketing aid in selling store merchandise on a daily basis. Working directly with the public
• Promoting sale items to convince customers to buy merchandise or goods.
• Record patients’ medical history, vital statistics, or information such attest results in medical records.
• Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.
• Interview patients to obtain medical information and measure their vital signs, weight and height.
• Authorize drug refills and provide prescription information to pharmacies.                          
• Clean and sterilize instruments and dispose of contaminated supplies.                  
• Show patients to examination rooms and prepare them for the physician.          
• Explain treatment procedures, medications, diets or physicians instructions to patients.
• Help physician examine and treat patients, handing them instruments or materials.
• Collect tissue or other laboratory specimens, log the specimens and prepare them for collection pick up.             

Education:

• Certificate, AHIMA Approved Medical Coding &Billing Program 
• Certificate, Professional Medical Coding, AAPC
• American Academy of Professional Coders (AAPC)
• American Health Information Management Assoc. (AHIMA)      
• Professional Medical Billers Association, (PMBA)
• Certified Professional Medical Biller (CPMB)
• Certified Professional Coder (CPC-A)                     
• Certified Coding Associate (CCA)