Elizabeth Kupoluyi

Elizabeth Kupoluyi is seeking a Medical Billing/Coding Specialist, Medical Record Specialist, Administrative Manager or related position where she can apply my strengths in ICD-9-CM and CPT/HCPCS, medical terminology, and software applications.

Skills:

• ICD-9-CM/ ICD-10           
• 3M Encoder Problem Resolution              
• HIPAA Healthcare Laws                  
• CPT/HCPCS
• JCAHO
• Public Speaking                
• Medication Distribution
• Team Work             
• E-Charting          
• EHR/EMR
• Microsoft Office A/P and A/R    
• Care Pathway                   
• Code of Ethics
• Medisoft
• Customer Service           
• Medical Terminology     
• Accuracy   
• Flexibility                                   
• Detailed Oriented           
• Organization Communication                            
• Reimbursement Methods     
• Pharmacology              
• Analytical                                            
• Initiative             

Experience:

• Verifies patients insurance coverage for allergy testing and treatment[50+ per day]
• Accurately answers phones in a professional and consistent manner; transfer calls to appropriate others.
• Inputs patient billing information into the Medisoft EHR/EMR software.
• Created patients charts with appropriate forms and input patient information into database correctly.
• Schedule patients for allergy testing and treatment; responded to questions regarding the testing procedure.
• Obtained pre- authorizations or letter of Medical Necessity.
• Accurately files patient charts in alphabetical order and requested clinical information from doctor’s office.
• Sends billing information to the billing office and meet with new office clinics to discuss contracts and agreement for allergy testing.
• Hires new employees (Nurses)
• Assigned ICD-9-CM or HCPCS codes, created DRG group assignments.
• Assigned sequence codes based on medical record documentation and appropriate discharge disposition.
• Communicated documentation improvement opportunities and coding issues to appropriate personnel for
• Follow-up and resolution
• Reviewed medical records for determination/accurate assignment of all documented diagnoses and procedures.
• Provided wide range of care / instruction to disabled / mentally challenged population with ADL support
• Distributed medication; obtained and recorded vital signs in patients’ charts

Practicum Experience

• Evaluated and revised the Retention of Record policies and procedures.
• Researched federal/state law regarding retention of medical records related to infants and adolescent females.
• Drafted/implemented policies and procedures to bring the clinic into full compliance with current federal/state laws and regulations.
• Reviewed 2000+ Medical records to confirm compliance; organized into alpha order and purged out dated records to be destroyed. 
• Enforced coding compliance strategies, auditing, and reporting (such as CCI, OIG Work Plans).
• Conducted data monitoring and compliance reportingof retention of medical records.
• Incorporated principles and applications of coding systems (such as ICD, CPT, DSM, HCPCS, etc.).
• Recommended and defended diagnostic and procedural groupings (such as DRGs, APCs, RUGs, etc.) and severity of illness systems.

Education:

• Bachelor of Science- Health Information Management                
• Dean’s List RHIT, RHIA, CCS, CCS-P, CPC, CPC-H Eligible