Carolina Mathews
Medical Coding and Billing
Conifer Health Solutions/Tenant
|
Hi! My name is Carolina Mathews and I have worked in the medical field since 2006. I have experience from office manager in a doctor’s office to AR follow-up for 19 hospitals. I have worked directly with patients, insurance carriers including CMS and Tricare, and physicians.
I currently work remotely for a company who has training available to extend my knowledge concerning the revenue reimbursement for hospitals and physicians.
I am also a full-time student and in my last semester at Bryant and Stratton. I will be graduating in December of this year with my Associates of Arts degree in Medical Coding and Reimbursement and my Bachelors degree in Medical Management.
I have a diverse background in the medical field and hope to utilize and grow it for many more years to come.
241102122138_Carolina_Mathews_Resume_6_27_24.pdf (.pdf) 0.55mb 230522075916_Dean_s_List_Certificate_Winter_2023.docx (.docx) 2.18mb 230522075846_Dean_s_List_Certificate_Fall_2022.docx (.docx) 2.18mb Dean's List Certificate Spring 2022 (.docx) 2.17mb Applied Life Christian College Associates Degree (.pdf) 0.41mb Christian Liberty Academy High School Transcript (._Franks_high_school) 0.86mb I completed this 10 hour certification from CareerSafe in 2018.
Career Safe OSHA 10 Construction Industry Certification (.pdf) 0.47mb AVAILITY CERTIFICATION ELIGIBLITY AND BENEFITS INQUIRY (.pdf) 0.39mb 230522084720_AVAILITY_CERTIFICATION_PATIENT_CARE_SUMMARY_TRAINING.pdf (.pdf) 0.39mb AVAILITY CERTIFICATION MESSAGING A PAYER TRAINING PROGRAM (.pdf) 0.40mb AVAILITY CERTIFICATION AUTHORIZATION SUBMISSION AND FOLLOWUP TRAINING (.pdf) 0.41mb AVAILITY CERTIFICATION AUTH REFERRAL INQUIRY TRAINING (.pdf) 0.39mb Boost Your Cash Flow Maximizing Patient Collections with Elizabeth Woodcock On Demand (.pdf) 0.43mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH EPIC Upgrade Hospital Billing 2022 7-23-22 (.PNG) 0.07mb EPIC Billing and Follow-Up Vendor (.pdf) 0.09mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH EPIC Upgrade Professional Billing 2022 7-23-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Epic Curriculum - PB Billing and Follow Up Vendor 7-23-22 (.PNG) 0.07mb 230522080403_HIPPA_certificate_728655.pdf (.pdf) 1.00mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Compliance-HIPAA Training FY22 - All Employees FY22 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION Commercial Insurances Phase I 7-23-22 (.PNG) 0.07mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH EPIC Do Not Bill Insurance 7-23-22 (.PNG) 0.08mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Patient Safety - All Employees FY22 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION Commercial Insurances Phase II 7-23-22 (.PNG) 0.07mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH OSHA COVID-19 Healthcare Emergency Temporary Standard 2021 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Phishing - What is Phishing with Quiz 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH IT Security Awareness Training 2021 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH HR Course Anti-Harassment Policy 2020 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Resuscitation Training 2022 - All Employees Clinical and Nonclinical 7-23-22 (.PNG) 0.04mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Risk Management - All Employees FY22 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Provision of Care - All Employees FY22 7-16-22 (.PNG) 0.06mb I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Infection Prevention and Control - All Employees FY22 7-16-22 (.PNG) 0.07mb I completed this certification from MyTowerLearningHub in 2022.
I completed this certification from MyTowerLearningHub in 2022.
EPIC CERTIFICATION TH Annual Mandatory Education - Clinical Module - All Employees FY22 7-16-22 (.PNG) 0.06mb CMS Training in Chiropractic Services 2010 (.pdf) 0.07mb 230613015705_certificate_12_29_22.pdf (.pdf) 0.55mb Through the structured approach of the WHO procurement process and the emphasis on ethical and legal considerations, I have learned to locate and evaluate relevant information using current technology and resources. This has enabled me to develop comprehensive proposals and communicate findings clearly in written formats. Additionally, the focus on patient safety, informed consent, and e-prescribing trends has honed my ability to present information visually and orally, ensuring that all stakeholders are well-informed and aligned with the clinic's goals.
241102111349_HTHS302_Portfolio_Project_CAROLINA_MATHEWS_week_6.docx (.docx) 0.03mb By understanding the intricacies of clinical documentation, the importance of accurate coding, and the impact of these on the Case Mix Index (CMI), I can now identify and address documentation deficiencies. The course emphasized the importance of regulatory compliance, high-quality documentation, and the audit process, which are crucial for ensuring accurate patient records and optimal reimbursement. These learnings enable me to apply best practices in clinical documentation improvement (CDI) and adapt to various healthcare settings, ensuring continuous improvement and compliance.
241102111600_MCCG210_Portfolio_Project_CAROLINA_MATHEWS.docx (.docx) 0.03mb The HTHS110 course and the assessments provided have equipped me with essential Knowledge, Skills, and Behaviors (KSBs) to effectively employ strategies for reflection on learning and practice. Through analyzing various ethical and legal scenarios, I have learned to critically evaluate complex situations, identify key issues, and develop well-rounded recommendations. This process has honed my ability to reflect on my learning experiences, recognize areas for improvement, and adapt my strategies accordingly. The structured approach to problem-solving and the emphasis on ethical and legal considerations have reinforced the importance of continual improvement in my professional practice.
241102112213_HTHS110_Week_6_Report_CAROLINA_MATHEWS.docx (.docx) 0.04mb The course and assessment have provided me with the essential knowledge, skills, and behaviors (KSBs) to effectively utilize quantitative and scientific reasoning in the workplace. By developing a detailed budget and financial plan for the fundraiser, I learned to apply mathematical reasoning to ensure accurate financial reporting and resource allocation. The structured approach to data collection, such as estimating attendee numbers and calculating volunteer needs, emphasized the importance of following established methods of inquiry. This systematic approach enabled me to form well-informed conclusions and make strategic decisions, ensuring the event's success and financial goals were met.
241102111928_Portfolio_Project_CAROLINA_MATHEWS_week_6.docx (.docx) 0.03mb By exploring various financing options for healthcare projects, I have learned the importance of community involvement and the impact of philanthropy and fundraising. This understanding enables me to engage with community members and stakeholders, fostering relationships that support organizational goals. Additionally, the course has emphasized the value of continuous learning and professional development, encouraging me to stay informed about industry trends and best practices. This holistic approach ensures that I can contribute meaningfully to my professional community and advance my career.
HTHS230 - W6 Financing Capital Projects (.docx) 0.03mb The course and assessment have equipped me with the knowledge, skills, and behaviors (KSBs) necessary to effectively recognize the multifaceted impact of healthcare economics, policy regulation, risk management, ethics, and legal responsibilities on the medical services continuum. Through detailed analysis of real-world scenarios, I have learned to identify and address issues related to patient care, documentation, and compliance. The emphasis on understanding financial implications, patient satisfaction, and regulatory requirements has prepared me to manage and mitigate risks while ensuring ethical and legal standards are upheld. This comprehensive approach ensures that I can contribute to the delivery of high-quality, cost-effective healthcare services.
241102113315_HTHS301_Portfolio_Project_CAROLINA_MATHEWS_WK_6.docx (.docx) 0.03mb Through detailed analysis of compliance scenarios, I gained a deep understanding of legal and ethical principles, such as patient autonomy, informed consent, and confidentiality. These scenarios emphasized the importance of clear communication, cultural sensitivity, and adherence to legal standards, which are crucial for providing unbiased medical services. The course also highlighted the significance of teamwork and interdisciplinary collaboration in healthcare settings. By understanding the legal implications of medical decisions and the necessity of respecting diverse patient backgrounds, I am better prepared to work harmoniously with colleagues from various disciplines, ensuring high-quality, equitable care for all patients.
241102113537_project_CAROLINA_MATHEWS_legal_wk_6_COMBINED.docx (.docx) 0.03mb Through the detailed analysis of Martin Shkreli's leadership at Turing Pharmaceuticals, I have gained insights into the critical importance of ethical leadership and aligning actions with the organization's mission. The course emphasized the need for authentic leadership, which fosters trust, sets high ethical standards, and prioritizes patient welfare. These principles are vital for effective project management in medical services, ensuring that all initiatives are patient-centered and ethically sound. Additionally, the assessment highlighted the importance of clear communication, stakeholder engagement, and accountability, which are crucial for coordinating complex medical projects and improving operational efficacy. This holistic approach to leadership and project management will enable me to drive positive outcomes in the healthcare sector.
241102113813_Project_CAROLINA_MATHEWS.docx (.docx) 0.03mb Through detailed instruction on CPT codes, medical decision-making, and the nuances of billing and reimbursement, I learned to identify discrepancies and inefficiencies in medical coding practices. The practical examples and case studies provided hands-on experience in analyzing patient records and determining appropriate codes, which is critical for accurate billing and compliance. This training also emphasized the importance of thorough documentation and the impact of coding on patient care and financial outcomes. By understanding these elements, I am now capable of creating strategic plans to resolve coding issues, enhance compliance, and improve overall healthcare delivery. This comprehensive approach ensures that I can contribute to more efficient operations and better patient outcomes in my workplace.
241102114029_eval_project_CAROLINA_MATHEWS_week_6.docx (.docx) 0.60mb My professional goals as a Medical and health services manager is to set and carry out policies, goals, and procedures for my department or facility. This would include hiring, scheduling, and evaluating staff; monitoring compliance with state and federal guidelines; and developing reports and budgets.
My short-term personal goals are to graduate college and spend more time with my family. My long-term retirement personal goals are to build a home in the wooded mountains anywhere and spend the day outside with my husband enjoying nature.
230522092143_INDEED_ASSESSMENT_SCORES_MEDICAL_BILLING_TEST.JPG (.JPG) 0.06mb 230522092120_INDEED_ASSESSMENT_SCORES_TEST_MEDICAL_TERMINOLOGY.JPG (.JPG) 0.06mb 230522092053_INDEED_ASSESSMENT_SCORES_TEST_PROTECTING_PATIENT_PRIVACY.JPG (.JPG) 0.05mb INDEED ASSESSMENT SCORES TEST Management & leadership skills Impact & influence (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST SUPERVISORY SKILLS MOTIVATING AND ASSESSING EMPLOYEES (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST MICROSOFT EXCEL (.JPG) 0.05mb INDEED ASSESSMENT SCORES TEST ANALYZING DATA (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST ATTENTION TO DETAIL (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST CUSTOMER FOCUS AND ORIENTATION (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST WRITTEN COMMUNICATION (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST CUSTOMER SERVICE (.JPG) 0.06mb INDEED ASSESSMENT SCORES TEST RELIABILITY (.JPG) 0.06mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
Dean's List Certificate Spring 2022 (.pdf) 0.49mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
Dean's List Certificate Fall 2022 (.pdf) 0.48mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
BRYANT AND STRATTON Dean's List Certificate Spring 2023 (.pdf) 0.46mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
BRYANT AND STRATTON Dean's List Certificate Winter 2023 (.pdf) 0.50mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
BRYANT AND STRATTON Dean's List Certificate 2nd Spring 2024 (.pdf) 0.50mb - Successful completion of at least 12 semester credit hours.
- Term grade point average (GPA) is 3.30-4.0.
- Earned grades of “C” or better in each course.
- Did not earn any grade of D+, F, I, NP, U in the semester just ended.
- Student is in Good Academic standing for the semester just ended (academic dismissal or probation exclude student from Dean’s List).
BRYANT AND STRATTON Dean's List Certificate 2nd Winter 2024 (.pdf) 0.47mb |
· ACE · Microsoft TEAMS Meetings · Medical Billing and Collections · Microsoft Office Word, Excel, PowerPoint Expertise · CUBS · EPIC · AVAILITY · PEAR · UNITED · NPI NPPES · NAVINET NAVIGATION · UB-04 AND CMS1500 · Medicare / Medicaid |
· One Note · Customer Service · Claims Processing · ICD-10 ICD-9 Coding · Medical History Recording · Electronic Medical Records Maintenance · Medical Billing Processing · Medical Terminology · Billing Dispute Resolution · Verifying Data Accuracy · Error Verification · Coding Proficiency |
% Completed Grade (Overall)
Instructor - W. Harding
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ AHIMA vLab Verification
☐ Portfolio Project Directions Given
Week 2
☐ Lecture
☐ Discussion
☐ Portfolio Project
Week 3
☐ Lecture
☐ Discussion
☐ Case Scenarios - Mock Exam Training 1
☐ Portfolio Project
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Case Scenarios - Mock Exam Training 2
☐ Portfolio Project
Week 5
☐ Lecture
☐ Discussion
☐ Coding Scenario Mock Audit Training 3
☐ Portfolio Project
Week 6
☐ Lecture
☐ Discussion
☐ Essay
☐ Coding Scenario Mock Surgery Training 4
☐ Portfolio Project
Week 7
☐ Lecture
☐ Discussion
☐ Portfolio Project - Final Submission
☐ CCS-P Practice Exam
Week 7.5
☐ Lecture
☐ Discussion
☐ Portfolio Project - Reflection
☐ CCS-P Practice Exam
Course Outcomes:
- Evaluate E/M codes assigned to patient encounters in health records for accuracy and make any necessary corrections. (Met through Coding Portfolio Project)
- Select the correct E/M codes and modifiers based on the documentation provided. (Met through Coding Case Scenarios - Mock Exam Training 1 & 2)
- Abstract and apply basic coding principles regarding abbreviation, punctuation, symbols, and other coding conventions used in E/M coding. (Met through Coding Case Scenarios – Audit & Surgery Chart Training 3 & 4)
- Identify policies and strategies to achieve data integrity. (Met through Essay)
- Apply coding knowledge and skills to prepare for CCSP certification exam. (Met through CCS-P Practice Exam)
% Completed Grade (Overall)
Instructor - J. Arny
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
Week 2 – You will meet Course Outcomes 1 and 3.
☐ Lecture
☐ Discussion
☐ Career Prep & Career Plan
☐ Reflection
Week 3 – You will meet Course Outcome 4.
☐ Lecture
☐ Discussion
☐ Theorist Essay
☐ Check-In
Week 4 – You will meet Course Outcomes 1 and 2.
☐ Lecture
☐ Discussion
☐ Creating your Professional MyCred
Week 5 – You will meet Course Outcomes 1 and 5.
☐ Lecture
☐ Discussion
☐ Interview Simulation
Week 6 – You will meet Course Outcomes 1, 2, 3, and 5.
☐ Lecture
☐ Discussion
☐ Portfolio Video Presentation
Week 7 – You will meet Course Outcomes 1, 3, and 5 this week
☐ Lecture
☐ Discussion
☐ Informal Career Plan Reflection
Week 7.5
☐ Lecture
☐ Discussion – Final Week
☐ Reflection
Course Outcomes (CO):
- Enhance employment documents and complete steps to secure an internship assignment and/or employment opportunity. (Met through Week 2 Discussion, Week 2 Career Prep & Career Plan, Week 4 Discussion, Week 4 Creating your Professional MyCred, Week 5 Discussion, Week 6 Portfolio Video Presentation, and Week 7 Informal Career Plan)
- Refine and tag ePortfolio assessments for the MyCred professional portfolio. (Met through Week 4 Creating your Professional MyCred and Week 6 Portfolio Video Presentation)
- Articulate the knowledge, skills, and behaviors connected to Program Outcomes to demonstrate workplace readiness. (Met through Week 2 Career Prep & Career Plan, Week 6 Discussion, Week 7 Informal Career Plan)
- Synthesize and apply career development theories and ethics to shape employment goals and plans. (Met through Week 3 Theorist Essay)
- Evaluate interview feedback to adjust your portfolio contents and/or presentation outline. (Met through Week 5 Interview Simulation, Week 6 Portfolio Video Presentation, Week 7 Informal Career Plan)
% Completed Grade (Overall)
Instructor - M. Ruggiero
Assignments
Week 1
☐ Lecture
☐ Discussion
☐ Introductory Documents Quiz
☐ Quiz
☐ Portfolio Project Directions Given
Week 2
☐ Lecture
☐ Discussion
☐ Career Connect
☐ Quiz
Week 3
☐ Lecture
☐ Discussion
☐ Essay
☐ Check-In Reflection
Week 4
☐ Lecture
☐ Discussion
☐ Career Connect
☐ Quiz
☐ Portfolio Project
Week 5
☐ Lecture
☐ Discussion
☐ Quiz
Week 6
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project Final Submission
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
Week 7.5
☐ Lecture
☐ Discussion
☐ Portfolio Project Reflection
Course Outcomes (CO):
- Analyze health record documentation for quality and completeness of coding to identify discrepancies and make necessary corrections. (Met through the Career Connect Assessment.)
- Apply legal processes impaction health information and the impact of policy on healthcare. (Met through the Essay Assessment.)
- Analyze the importance of risk management and quality assurance in clinical documentation. (Met through the Essay Assessment.)
- Outline the general process to prepare for an audit of clinical documentation. (Met through the Portfolio Project Assessment.)
The outcome will be met by completing the Portfolio Project. - Demonstrate understanding of compliance with state and federal legislation. (Met through the Career Connect Assessment.)
99.85% Completed Grade (Overall)
Instructor - R. White
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Portfolio Project Directions and Rubric
☐ Portfolio Project – Points of View Research Proposal
Week 2
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Research Questions
Week 3
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Working Bibliography
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Report
☐ Portfolio Project – Working Thesis Statement and Outline
Week 5
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Reflective Annotated Bibliography
☐ Reflection
Week 6
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Rough Draft of the Research Paper
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project Final Submission
☐ Reflection
Week 7.5
☐ Lecture
☐ Discussion
☐ Portfolio Project – Oral Presentation
☐ TATIL Assessment
Course Outcomes:
- Develop and support a thesis statement through a written academic essay that contains an introduction, multiple body paragraphs, and a conclusion. (Met through Portfolio Project)
- Locate and evaluate sources and incorporate them into a written research paper with paraphrases and quotations, while using APA format to avoid plagiarism. (Met through Portfolio Project)
- Analyze communication situations and audiences to determine proper message format and create messages appropriate to various purposes. (Met through Report)
- Evaluate the most salient points of a research paper to deliver an oral presentation, using PowerPoint or other visual mode of delivery. (Met through Portfolio Project – Oral Presentation)
- Revise and proofread their own writing to correct stylistic, structural, grammatical, and mechanical errors. (Met through Portfolio Project)
96.50% Completed Grade (Overall)
Instructor - A. Coleman
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Resume and Cover Letter Rough Draft
☐ Introductory Documents Quiz
☐ Portfolio Project Directions and Rubrics
Week 2
☐ Lecture
☐ Discussion
☐ Quiz
☐ CPT Coding Job Aid Homework Assignment
Week 3
☐ Lecture
☐ Discussion
☐ Portfolio Project – Jane’s Smith’s Physician Office Visit
☐ Resume and Cover Letter Final Draft
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Live Web Call
☐ Coding Scenarios
☐ Portfolio Project – Jane Smith’s Imaging Services
Week 5
☐ Lecture
☐ Discussion
☐ Coding Scenarios Homework Assignment
☐ Portfolio Project – Jane Smith’s Outpatient Surgery & Lab Services & EKG Services
Week 6
☐ Lecture
☐ Discussion
☐ Coding Scenarios
☐ Quality Audit
☐ Portfolio Project – Jane Smith’s Consultation and Office Procedure
Week 7
☐ Lecture
☐ Discussion
☐ Live Web Call
☐ LCD/NCD Assignment
☐ Portfolio Project Final Submission
Week 7.5
☐ Lecture
☐ Discussion
☐ CCA Practice Exam
Course Outcomes (CO):
- Utilize CPT guidelines, including abbreviations, punctuation, and symbols, to assign codes and achieve standards. (Met through Coding Scenarios)
- Identify and apply information from CPT and HCPCS II classification systems and nomenclatures to medical coding in various outpatient settings as well as physician professional services. (Met through Portfolio Project)
- Identify discrepancies between coded data and supporting documentation. (Met through Quality Audit)
- Validate medical necessity using LCD and NCD in provided scenarios. (Met through LCD/NCD Assignment)
99.46031% Completed Grade (Overall)
Instructor - D. Hartley
Week 1
☐ Lecture
☐ Discussion
☐ Introductory Documents Quiz
☐ Portfolio Project Directions
Week 2
☐ Lecture
☐ Discussion
☐ Classification Coding Scenario
☐ Portfolio Project - Body Systems Part 1
Week 3
☐ Lecture
☐ Discussion
☐ Domain Prep and Reflection – Domain 1 (CO4)
☐ Quiz – Taking the CCA Mock Exam
☐ Portfolio Project - Body Systems Part 2
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Domain Prep and Reflection – Domain 2 (CO4)
☐ Portfolio Project - ICD-10-CM Coding
☐ Synchronous Call
Week 5
☐ Lecture
☐ Discussion
☐ Domain Prep and Reflection – Domain 3 & 5 (CO4)
☐ Portfolio Project - PSC Coding Part 1
Week 6
☐ Lecture
☐ Discussion
☐ Reimbursement Case Scenario
☐ Portfolio Project - PSC Coding Part 2
☐ Domain Prep and Reflection – Domain 4 & 6 (CO4)
☐ Synchronous Call
Week 7
☐ Lecture
☐ Discussion
☐ Portfolio Project Final Submission
☐ CCA Prep Exam opens
Week 7.5
☐ Lecture
☐ Discussion
☐ Portfolio Project Reflection
☐ CCA Prep Exam closes
Course Outcomes (CO):
- Explain and apply ICD-10-PCS codes in accordance with current guidelines. (Met through the Portfolio Project)
- Analyze current regulations and apply established guidelines in clinical classification systems. (Met through the Classification Coding Scenario)
- Understand and apply the appropriate MS-DRG/APR-DRG and how it impacts reimbursement. (Met through the Reimbursement Case Scenarios)
- Demonstrate preparedness to enter the medical coding profession by preparing to take the CCA Examination. (Met through the CCA Prep Exam Completion)
97.29395% Completed Grade (Overall)
Instructor - J. Williams
Week 1
☐ Chapter Readings EDHC Appendix I, UP Chapters 1 & 2
☐ Lecture – Introduction to Pharmacology, Administering Medication, Conversion Chart and Dosage Calculations
☐ Discussion – Diagnostic Testing/Icebreaker
☐ Intro Doc Quiz (IL)
☐ Case Study
☐ Conversion Chart & Dosage Calculations
☐ Reflection
Week 2
☐ Chapter Readings EHDC Chapters 3 & 13, UP Chapter 11
☐ Lecture – Immune & Neurologic, Patient Charting
☐ Discussion – Medication Treatment for Immune & Neurologic Systems
☐ Communication & Culture Assignment (TD)
☐ Quiz
☐ Summative Assessment #1
☐ Reflection
Week 3
☐ Chapter Readings EDHC Chapters 6 & 7, UP Chapters 6, 7 & 30
☐ Lecture – Musculoskeletal & Integumentary Systems, Musculoskeletal/Neurological Pathology & Ataxia
☐ Discussion – Medication Treatment for Musculoskeletal and Integumentary Systems
☐ Neurological Evaluation Case Study (CC)
☐ Career Connect
☐ Check-In
Week 4
☐ Chapter Readings EDHC Chapters 9 & 10, UP Chapters 16-18 & 21
☐ Lecture – Respiratory & Cardiovascular Systems
☐ Discussion – Medication treatment for Respiratory and Cardiovascular Systems
☐ Hematology Case Study (CC)
☐ Summative Assessment #2 – Part 1
☐ Summative Assessment #2 – Part 2
☐ Reflection
Week 5
☐ Chapter Readings EDHC Chapter 4, UP Chapters 13 & 14
☐ Lecture – Endocrine System, Endocrine System Videos
☐ Discussion Endocrine System
☐ Medication List Case Study (CC)
☐ Endocrine Test (TD)
☐ Reflection
Week 6
☐ Chapter Readings EDHC Chapters 11 & 12, UP Chapters 15, 31 & 32
☐ Lecture – Urinary & Reproductive Systems
☐ Discussion – Medication Treatment for Urinary and reproductive Systems
☐ Urinalysis Case Study (CC)
☐ Summative Assessment #3 – Part 1
☐ Summative Assessment #3 – Part 2
☐ Reflection
Week 7
☐ Chapter Readings EDHC Chapters 8 & 14, UP Chapters 23 & 27
☐ Lecture – Gastrointestinal and Psychiatric Systems, Psychiatric Illness and Gastrointestinal Videos and Questions
☐ Discussion – Gastrointestinal and Psychiatric Illness
☐ Human Disease & Pharmacology Comprehensive Exam
☐ Reflection
Week 7.5
☐ Reflection
☐ Summative Assessment #4
Course Outcomes (CO):
- Identify signs and symptoms of diseases documented in health records.
- Explain the fundamental concepts and processes of diseases and/or conditions.
- Relate the causes and mechanisms of disease with the associated diagnosis, treatments, and medications typically prescribed.
- Categorize the laboratory/diagnostic testing and pharmacological treatments with specified disease and/or conditions.
- Summarize the importance of consumer safety and drug regulations on prescription medications.
- Identify the actions, interactions, and adverse effects of common drug classifications.
- Evaluate the accuracy of abbreviations and dosage/prescription measurements in health documentation and make necessary corrections.
98.04761% Completed Grade (Overall)
Instructor - M. McGee
Assignments
Week 1
☐ ALEKS Lesson 1-1, Lesson 2-4, Lesson 2-6, Lesson 3-1, Lesson 3-6
☐ W1: ALEKS Practice Homework
☐ W1: ALEKS Quiz
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Review Portfolio Project Directions & Rubric
Week 2
☐ ALEKS Lesson 2-4, Lesson 2-6, Lesson 3-1, Lesson 3-3, Lesson 3-6
☐ W2: ALEKS Practice Homework
☐ W2: ALEKS Quiz
☐ Discussion
☐ Portfolio Project – Part 1 – Budget Basics
Week 3
☐ ALEKS Lesson 1-1, Lesson 1-2, Lesson 1-4, Lesson 2-2, Lesson 2-6
☐ W3: ALEKS Practice Homework
☐ W3: ALEKS Quiz
☐ Discussion
☐ Assignment 1 – All About the Benjamins
☐ Check-In
Week 4
☐ ALEKS Lesson 1-5, Lesson 4-5, Lesson 4-6, Lesson 4-7
☐ W4: ALEKS Practice Homework
☐ W4: ALEKS Quiz
☐ Discussion
☐ Portfolio Project – Part 2 – Debt and Expenses
Week 5
☐ ALEKS Lesson 1-6, Lesson 1-8, Lesson 2-8
☐ W5: ALEKS Practice Homework
☐ W5: ALEKS Quiz
☐ Discussion
☐ Assignment 2 – What are the Chances?
Week 6
☐ ALEKS Lesson 1-1, Lesson 1-5, Lesson 1-9, Lesson 2-5
☐ W6: ALEKS Practice Homework
☐ W6: ALEKS Quiz
☐ Discussion
☐ Portfolio Project – Part 3 - Assets, Savings, and Analysis
Week 7
☐ ALEKS Lesson 1-5, Lesson 2-1, Lesson 2-7, Lesson 3-9
☐ W7: ALEKS Practice Homework
☐ W7: ALEKS Quiz
☐ Discussion
☐ Portfolio Project Final Submission
☐ Assignment 3 – Far from Average
Week 7.5
☐ Finish ALEKS
☐ Discussion – Final Week
☐ Portfolio Project Reflection
☐ Reflection
Course Outcomes:
- Draw conclusions and make decisions through the application and analysis of quantitative information using proportional reasoning. (Met through ALEKS and the Portfolio Project.)
- Draw conclusions and make decisions through the application and analysis of mathematical models utilizing Microsoft Excel software. (Met through ALEKS and Assignment 1.)
- Draw conclusions and make decisions through the application and analysis of probability. (Met through ALEKS and Assignment 2.)
- Draw conclusions and make decisions through the application and analysis of statistical information and summaries. (Met through ALEKS and Assignment 3.)
99.21666% Completed Grade (Overall)
Instructor - K. Vaccianna
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Cengage Dashboard Access Check
☐ Portfolio Project Directions
Week 2
☐ Lecture
☐ Discussion
☐ Coding Steps Homework
☐ Reflection
Week 3
☐ Lecture
☐ Discussion
☐ Portfolio Project: Inpatient & Physician Services
☐ Check-In
Week 4
☐ Live Web Call
☐ Lecture
☐ Discussion
☐ Medical Record Homework
☐ Midterm Exam
☐ Reflection
Week 5
☐ Lecture
☐ Discussion
☐ Portfolio Project: Outpatient & Physician Services
Week 6
☐ Lecture
☐ Discussion
☐ CAC Homework
☐ Reflection
Week 7
☐ Live Web Call
☐ Lecture
☐ Discussion
☐ Telehealth Homework
☐ Encoder Homework
☐ Portfolio Project: Final Submission
☐ CCA Practice Exam (Encourage to start)
Week 7.5
☐ Lecture
☐ Discussion
☐ Final Exam
☐ CCA Practice Exam
Course Outcomes (CO):
- Discuss ICD-10-CM format, symbols, punctuation, and instructional notations. (Met through Midterm, and Final Exams)
- Accurately assign and sequence ICD-10-CM diagnostic codes for inpatient, outpatient, and physician services according to the official coding guidelines. (Met through Midterm, and Final Exams)
- Identify and demonstrate understanding of electronic applications related to coding including electronic health records, computer assisted coding, encoders, and authoritative online resources such as CMS (Centers for Medicare/Medicaid Services). (Met through Homework)
- Interpret healthcare data for accurate code assignments and identify discrepancies. (Met through Midterm, and Final Exams)
99.75% Completed Grade (Overall)
Instructor - C. Ali
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Quiz
☐ Portfolio Project Directions and Rubric
Week 2
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Anatomy & Physiology, Cellular Function, Transport Mechanisms, and Tissues
Week 3
☐ Lecture
☐ Discussion
☐ Check-In
☐ Quiz
☐ Portfolio Project – Blood, Fluids, Circulatory System, Integumentary System
Week 4
☐ Lecture
☐ Discussion
☐ Labeling Assessment 1
☐ Portfolio Project – The Skeletal and Muscular Systems
☐ Midterm Exam
Week 5
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Nervous System, Endocrine System and Special Senses
Week 6
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Immune and Lymphatic Systems, Digestive System
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
☐ Labeling Assessment 2
☐ Portfolio Project – Respiratory, Urinary, Reproductive and Development
Week 7.5
☐ Lecture
☐ Portfolio Project - Final Submission to ePortfolio and Reflection
☐ Final Exam
Course Outcomes:
- Identify organs, structures, and functions of various body systems. (Met through Labeling Assessments)
- Explain cellular function and transport mechanisms. (Met through Portfolio Project)
- Apply anatomical terminology to describe body regions, cavities, planes, and directional terms. (Met through Quizzes)
- Analyze the interrelationships within and between anatomical and physiological systems of the human body. (Met through Portfolio Project)
96.40% Completed Grade (Overall)
Instructor - G. Brochin
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Quiz
☐ Portfolio Project Directions and Rubrics
Week 2
☐ Lecture
☐ Discussion
☐ Quiz
☐ Reflection
Week 3
☐ Lecture
☐ Discussion
☐ Portfolio Project – Registering Patients – Report
☐ Portfolio Project – Registering Patients – Short-Answer Questions
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Midterm Exam
☐ Portfolio Project – Deciphering Patient Information – Report
☐ Portfolio Project – Deciphering Patient Information – Reflection
Week 5
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Privacy Violations and Preforming Quality Check – Screen Shots
☐ Portfolio Project – Privacy Violations and Preforming Quality Check – Reflection
Week 6
☐ Lecture
☐ Discussion
☐ Essay
☐ Reflection
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project Final Submission
Week 7.5
☐ Lecture
☐ Discussion
☐ Final Exam
Course Outcomes (CO):
- Describe the privacy and security issues involved with EHRs and the release of information (ROI). (Met through Portfolio Project)
- Explain legal consequences and risks associated with the improper exchange of patient information and EHRs. (Met through Essay)
- Identify compliance requirements throughout the health information cycle. (Met through Midterm Exam)
- Describe concepts of managing data and EHR. (Met through Portfolio Project)
- Identify the differences between EHR and MPI. (Met through Final Exam)
- Identify stakeholders and healthcare delivery forces of the United States healthcare system. (Met through Final Exam)
99.58333% Completed Grade (Overall)
Instructor - A. McGhee
Week 1
☐ ALEKS Section 1.1, 1.2, 1.3, 1.4, 1.6, 1.7, 1.8, 10.1, 13.1
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Review Graphing Report Project Directions
Week 2
☐ ALEKS Sections 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 5.1, 5.2, 5.3, 5.4, 5.5, 5.6, 10.1, Chapter 10 Supplementary Topics, 15.5
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Reflection
Week 3
☐ ALEKS Sections 2.1, 2.2, 2.3, 2.4, Chapter 2 Supplementary Topics, 10.2, Chapter 10 Supplementary Topics
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Check-in
Week 4
☐ ALEKS Sections 2.5, 2.6, 2.7, Chapter 2 Supplementary Topics, 3.8, 5.8, 10.2, 10.3, Chapter 10 Supplementary Topics
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Reflection
Week 5
☐ ALEKS Chapter 5 Supplementary Topics, 6.1, 6.2, 6.4, 6.5, 8.1, 8.3, 8.4, 8.5, Chapter 8 Supplementary Topics
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Cognitive Math Assessment
Week 6
☐ Lecture – Graphs and Charts
☐ ALEKS Sections 9.1, Chapter 9 Supplementary Topics, 11.1
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Graphing Report Project - Rough Draft
Week 7
☐ ALEKS Sections A.1, 4.2, Chapter 4 Supplementary Topics, 6.1, 7.1, 7.2, 7.3, 7.4, 7.5 Chapter 7 Supplementary Topics, 10.3, Chapter 15 Supplementary Topics
☐ ALEKS Homework
☐ ALEKS Quiz
☐ Discussion
☐ Graphing Report Project – Final Submission
☐ Work in ALEKS
Week 7.5
☐ Finish ALEKS
☐ Discussion
☐ Reflection
Course Outcomes (CO):
- You will solve workplace related problems by using fractions, decimals, and integers. (This will be met by The Cognitive Math Assessment (ACT WorkKeys) and work in ALEKS.)
- You will solve workplace related problems by using ratios, proportions, and percentages. (This will be met by work in ALEKS.)
- You will solve workplace related problems by converting within and between the Metric and U.S. measurement systems regarding time, distance, area, volume, and temperature. (This will be met by work in ALEKS.)
- You will solve workplace related problems by using algebraic linear equations. (This will be met by work in ALEKS.)
- You will communicate workplace information accurately in the form of a chart and graph by checking for reasonableness. (This will be met by the Graphing Report and work in ALEKS.)
100.00% Completed Grade (Overall)
Instructor - T. Stepanyan
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
Week 2
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
Week 3
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
Week 5
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
Week 6
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
Week 7
☐ Lecture
☐ Discussion
☐ Practice Activities
☐ Pronunciation of Healthcare Terms
☐ Proofreading
☐ Quiz
Week 7.5
☐ Lecture
☐ Discussion – Final Week
☐ Proofreading Final
☐ Final Exam
Course Outcomes:
- Identify the terms associated with medical abbreviations and acronyms commonly used in healthcare. (Met through Quizzes)
- Demonstrate accurate spelling, pronunciation, and use of healthcare terminology. (Met through Proofreading and Pronunciation)
- Decode word parts and roots to determine the meaning of healthcare terms. (Met through Proofreading and Quizzes)
- Differentiate the basic structures, functions, and common diseases of the body systems. (Met through Quizzes)
- Create a process for developing one’s fluency in the language of healthcare. (Met through Final Exam)
99.62499% Completed Grade (Overall)
Instructor - E. Lukic
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Reflection
Week 2
☐ Lecture
☐ Discussion
☐ Career Connect Essay
Week 3
☐ Lecture
☐ Discussion
☐ Quiz
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Report 1
Week 5
☐ Lecture
☐ Discussion
☐ Report 2
☐ Reflection
Week 6
☐ Lecture
☐ Discussion
☐ Case Scenarios
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
Week 7.5
☐ Lecture
☐ Discussion
☐ Course Reflection
Course Outcomes:
- Relate the purpose of disease and operation classification systems to claim submissions. (Met through the Case Scenarios)
- Explain compliance with regulatory requirements and reimbursement methodologies. (Met through the Career Connect Essay)
- Understand the difference between CPT, ICD, and HCPCS coding systems and identify their appropriate use in health records. (Met through Report 2)
- Identify local, state, and federal statutes and regulations surrounding the control and use of health information including HIPAA and its impact on healthcare professionals. (Met through the Report 1)
100.00% Completed Grade (Overall)
Instructor - M. Sandon
Assignments
Week 1
☐ Lecture
☐ Discussion – Icebreaker
☐ Introductory Documents Quiz
☐ Portfolio Project Directions and Rubric
☐ Portfolio Project – Points of View Research Proposal
Week 2
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Research Questions
Week 3
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Working Bibliography
☐ Check-In
Week 4
☐ Lecture
☐ Discussion
☐ Report
☐ Portfolio Project – Working Thesis Statement and Outline
Week 5
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Reflective Annotated Bibliography
☐ Reflection
Week 6
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project – Rough Draft of the Research Paper
Week 7
☐ Lecture
☐ Discussion
☐ Quiz
☐ Portfolio Project Final Submission
☐ Reflection
Week 7.5
☐ Lecture
☐ Discussion
☐ Portfolio Project – Oral Presentation
☐ TATIL Assessment
Course Outcomes:
- Develop and support a thesis statement through a written academic essay that contains an introduction, multiple body paragraphs, and a conclusion. (Met through Portfolio Project)
- Locate and evaluate sources and incorporate them into a written research paper with paraphrases and quotations, while using APA format to avoid plagiarism. (Met through Portfolio Project)
- Analyze communication situations and audiences to determine proper message format and create messages appropriate to various purposes. (Met through Report)
- Evaluate the most salient points of a research paper to deliver an oral presentation, using PowerPoint or other visual mode of delivery. (Met through Portfolio Project – Oral Presentation)
- Revise and proofread their own writing to correct stylistic, structural, grammatical, and mechanical errors. (Met through Portfolio Project)
101.00% Completed Grade (Overall)
Instructor L. Reed
Assignments
Week 1
☐ Lecture
☐ Discussion
☐ Introductory Documents Quiz
☐ Hardware Assessment
Week 2
☐ Lecture
☐ Discussion
☐ OneDrive Simulation
☐ OneDrive Simulation Quiz
☐ OneDrive Assignment
Week 3
☐ Lecture
☐ Discussion
☐ Outlook Simulation
☐ Outlook Simulation Quiz
☐ Outlook Assignment
Week 4
☐ Lecture
☐ Discussion
☐ Word Assessment
☐ Quiz
Week 5
☐ Lecture
☐ Discussion
☐ Excel Assessment
☐ Reflection
Week 6
☐ Lecture
☐ Discussion
☐ Browser Simulation
☐ Browser Simulation Quiz
☐ Quiz
Week 7
☐ Lecture
☐ Discussion
☐ PowerPoint Assessment
☐ Reflection
Week 7.5
☐ Lecture
☐ Discussion
☐ Graphic Literacy Assessment
☐ Graphic Literacy Assessment Reflection
Course Outcomes:
- Identify the basic hardware components of technology devices. (Met through Hardware Assessment)
- Utilize an operating system to access internet resources, software programs, and manage files. (Met through OneDrive Assignment)
- Utilize an information management software program to send, receive, and organize email communications. (Met through Outlook Assignment)
- Create workplace related documents, spreadsheets, and presentations using office technology software. (Met through Word Assessment, Excel Assessment, and PowerPoint Assessment)
- Recognize the similarities and differences between web browsers in order to select the most functional. (Met through Browser Simulation Quiz)
100.00% Completed Grade (Overall)
Instructor N. Sand
Lectures and Assignments
Week 1☐ Lecture 1: Learning Communities & Communication
☐ Discussion – Icebreaker
☐ Intro Doc Quiz
Week 2
☐ Lecture 2: Modern Communication
☐ Discussion –Modern communication tools and resources.
☐ Modern Electronic Communication Assessment
☐ WellConnect Reflection
Week 3
☐ Lecture 3: Time Management
☐ Discussion – Effective time management & balanced schedules
☐ Time Log Journal Assessment
☐ Check-In Reflection
Week 4
☐ Lecture 4: Goal Setting & Study Skills
☐ Discussion – SMART goals & your success
☐ SMART Goal Planning Assessment
Week 5
☐ Lecture 5: Learning Styles
☐ Discussion – The secret to great feedback
☐ Midterm
☐ APA Crediting Sources Assessment
Week 6
☐ Lecture 6: Critical Thinking & Problem Solving
☐ Discussion – Managing Miscommunication
☐ Critical Thinking & Problem-Solving Assessment
Week 7
☐ Lecture 7: Managing Stress
☐ Discussion – The cost of stress
☐ ACT Workplace Documents Assessment
☐ ACT Workplace Documents Reflection
Week 7.5
☐ Lecture 7.5: Values
☐ Discussion – Reflecting on the course & tips for future students
☐ Reflection
Course Outcomes (CO):
Identify elements of the basic communication process and select the most appropriate means to communicate a message. (Met through the Midterm)
Apply study skills, time management, and goal setting strategies through the utilization of planning tools. (Met through the SMART Goals & Time Log Journal Assessments.)
Utilize academic and professional tools and resources to communicate electronically. (Met through the Email Modern Electronic Communication Assessment.)
Utilize critical thinking skills to solve personal, academic, and workplace problems. (Met through the Critical Thinking & Problem Solving Assessment.)
Identify learning styles, values, and stress management as factors for academic and career success through self-reflection. (Met through the Value Reflection)
Patient account representative Remote 09/2022-Present
- Access payer websites for information to resolve accounts
- Interact with insurance, attorneys, patients, doctors, and team members
- Document medical records regards steps taken or needed
- Maintain department goals with quality standards
- Provide team support
- Extensive computer use with EHR and company records.
Medical Billing and Collections Specialist 05/2022 to 09/2022
- Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.
- Working knowledge of appropriate coding systems; CPT, ICD-9 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes.
- Processing, validation of payer requests and processed claims via correspondence, remittance advice and EOBs (i.e., identification of payment discrepancies, inappropriate requests)
- Investigate all denied services to determine the reason for the service denial, appeal, if appropriate. Identify, report root causes associated with denials
- Timely, effective processing of assigned appeals including development, submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes
- Perform special projects and other duties as needed/assists with special projects as assigned, documents, findings, and communicates results
- Compliant with State and Federal Laws Regulations for Managed Care and other Third-Party Payors
Personnel Manager 01/2014 to 01/2015
- Follow applicable laws and regulations for handling Associate personnel files including audits
- Advise Associates on personnel policies and procedures
- Perform all hiring requirements for applicants and coordinate orientations and trainings
- Identify Associate training needs, and track required training course attendance.
- Onboarded and trained more than 150 new employees per year.
- Identified vacancies in staff, supported recruiting process and interviewed prospective personnel.
Medical Billing and Collections Specialist 01/2006 to 01/2012
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections including Medicare.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Checked claims coding for accuracy with ICD-10 standards.
- Entered procedure codes, diagnosis codes and patient information into billing software.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Investigated and resolved issues to maintain billing accuracy.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
Secretary 01/1999 to 01/2001
- Coordinated communications, taking calls, responding to emails, and interfacing with clients.
- Drafted agendas, meeting notes and other documents to enhance collaborative process.
- Controlled and managed document processes by reviewing files, records, and critical information to confirm accuracy and comply with company policies and procedures.
- Attended meetings and took meticulous notes to disseminate to participants.
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