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ACCURATE MEDICAL CODER

Diane Gajda
North Carolina, USA
(908) 912-6337 (908) 91-CODER

About Ahima


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My Skills and qualifications match the requirements for the job responsibilities of an Assistant Team Lead / QA Specialist:

 
 
I am a Certified Coding Specialist (CCS) with AHIMA and I have an Associate of Science degree in Dental Hygiene. I Presently work for Amphion Solutions as an Assistant Team Lead and QA Specialist. I provide quality audit reviews on the coders on my team in ED/OP/IP/Ancillary and Acute coding. I provide guidance and feedback for any inconsistencies and inaccuracies in their daily coding. I assign all client work for my team and handle PTO and time card issues. I maintain a high level of professionalism and work ethics with my team and the clients I handle. I also presently work at Accretive Health as a QA Specialist ED/OP/IP/Ancillary and Acute coding. I also worked for the years 2010-2012 at E.J. Maxx Billing Consultants. I did remote medical coding for ED/ IP, OP, utilizing ICD-9, CPT, and HCPCS. I was efficient at coding all medical cases. My facility demographic includes Acute care Level 1 Trauma with 1,167 beds.

 

 
Highlights:

 
 
  • 2012 ICD10 Certified
  • Proficient in Microsoft Office, Trucode, Themis, Epic, Star, 3M, 3M60, Invision and Meditech
  • Willing to show my expertise with an assessment test
  • 2012 Certified Coding Specialist CCS
  • American Health Information Management Association (AHIMA)
  • 2011 Medical Billing & Coding Certificate (GPA 4.0)
  • Westchester Dental Hygienists' Association Inc
  • Dental Hygienist, R.D.H 1989
  • 1989 A.S. - Dental Hygiene, State University of New York - (GPA 4.0)
  • Farmingdale University National Honor Society, President's List, Dean's List
 
   

 
Personality Characteristics:

 
 
  • Strong organizational Skills*
  • Analytical with facts and figures
  • Accurate and detailed
  • Responsible work ethics
 
 
*Assessed by an internationally-recognized instrument for determining personality, character and temperament

 
   

 
Experience:

 
 
07/2013-Present Accretive Health
 
 
  • QA Specialist ED/OP/IP/Ancillary and Acute Coding
 
 
04/2012-Present Amphion Solutions
 
 
  • Assistant Team Lead conduct audit reviews in ED/OP/IP/Ancillary and Acute coding/assign all client work/responsible for PTO and time card issues
  • QA Specialist ED/OP/IP/Ancillary and Acute Coding
  • Proficient in Trucode and Themis software, Epic, Star, 3M, 3M60, Invision and Meditech
 
 
07/2012-07/2013 Altegra Health
 
 
  • HCC Coding
 
 
08/1993-04/2002 Dr. Saul
 
 
  • Dental Hygienist / Coder and Biller
  • Proficient at using DentalWriter software for ADA CDT Codes
  • Performed infection control procedures resulting in 100% compliance with OSHA regulations
 
   

 
Education:

 
 
2012 Advanced Hospital Coding & CCS Prep Bronx Community College (GPA 4.0)
 
 
2011 Medical Billing & Coding Certificate Allen School Jamaica New York (GPA 4.0)
 
 
  • Knowledge of medical business office procedures and billing/collection practices
  • Utilization of Medisoft, CPT, and ICD-9-CM coding books to code medical services utilizing ICD9-CM, HCPCS and CPT coding system
  • AudiUresearch coding discrepancies for compliance, reimbursement and accuracy
  • Insurance Pre-authorization/Pre-certification; Knowledge of third party operating procedures and practices
  • Prepare information for collection agency
  • Process outbound 837 electronic bill submissions
  • Knowledge of AHIMA Code of Ethics and/or AHIMA's Code of Ethical Coding
 
 
1989 A.S . - Dental Hygiene State University of New York (GPA 4.0)
 
 
  • Knowledge of dental clinical procedures and classifications of oral disease
  • Utilization of dental instruments as pertains to dentistry
  • Infection control practices and compliance
 
   

 
Seminars and Workshops:

 
 
  • 2012 Diagnostic Coding for Hospital Outpatient Ancillary Services
  • 2012 ICD-10-PCS Body System or Body Part webinar
  • 2012 ICD-10 Training Session
  • 2012 HIPPA Security & HITECH
  • 2012 Injections and Infusions, AHIMA Distance Education Course
  • 2012 Injections and Infusions webinar given at Amphion
  • 2012 Diabetes Mellitus and Its Many Manifestations from a Clinician's Perspective webinar given at Amphion
  • 2012 Wound Therapy webinar given at Amphion
  • 2012 Evaluation and Management webinar given at Amphion
  • 2012 Trucode May Refresher Course
  • 2011 Cardiology Procedure Coding, AHIMA Distance Education Course
  • 1995 Orofacial Cancer, University of Detroit Mercy School of Dentistry, Cold Spring , New York
  • 1994 Infection Control, Dental Society of the State of New York, New York, New York
  • 1994 Local Anesthetics, University of Detroit Mercy School of Dentistry, Cold Spring , New York
  • 1994 Nutrition Education, University of Detroit Mercy School of Dentistry, Cold Spring , New York
  • 1990 Periodontal Instrumentation, College of Technology at Farmingdale, Farmingdale, New York
  • 1990 Pharmacology Update, College of Technology at Farmingdale, Farmingdale, New York
 
     
   

Diane Gajda
North Carolina, USA
(908) 912-6337 (908) 91-CODER


 
I am confident that it would be time well spent for you to permit me the consideration of an in-person meeting or preferable phone conference in order for me to demonstrate my potential value to your organization. I can be reached at (908) 91-CODER or by email at diane@accuratemedicalcoder.com
 

 

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