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Connie Scott
Reimbursement Specialist - Cleveland Clinic
Brook Park, OH 44142
cscott44142@yahoo.com - 440-409-2547
Dedicated support professional offering versatile office skills and proficiency in Microsoft Office programs.
Strong planner and problem solver who readily adapts to change, works independently and exceeds
expectations. Able to juggle multiple priorities and meet tight deadlines without compromising quality.
Authorized to work in the US for any employer
WORK EXPERIENCE
Reimbursement Specialist
Cleveland Clinic - Cleveland, OH - 2001 to Present
*Responsible for policies and protocols related to coding and billing to ensure compliance. Created, revised,
and maintained departmental charge documents for professional and technical charges.
*Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas
for the purpose of reimbursement, research and compliance.
*Identifies and applies diagnosis codes, cpt codes and modifiers as appropriately supported by the medical
record in accordance with federal regulations.
*Ensures that billing discrepancies are held and corrected.
*Pre-submission audit of provider's coding/documentation, monitor Professional Fee Coders and Billing/
Charge Reconciliation Specialist activities to ensure accountability for all services performed and compliant
billing and internal standards are met.
*Conducts revenue-reporting analysis of costs associated with performing examinations and surgical/medical
procedures and recommends fee modifications.
*Assisted in practice startup, new service lines and affiliate programs to ensure corporate compliance
adherence to capture appropriate revenue, to include finance accounting and revenue mapping of billable
services.
Billing Manager
National Data Corp - Lakewood, OH - 1993 to 1998
*Oversaw 15 employees including training, reports, projects, employee satisfaction
*Payroll
*Customer service
Head Cashier
Silvermans - Cleveland, OH - 1988 to 1993
* Greet customers and assist them in finding the merchandise
* Create appealing visual displays of products to be sold
* Upsell products to meet sales targets utilizing referral base and strong customer relationships
* Arrange products or merchandise to their respective areas
* Replenish stock and clean work area
* Perform opening and closing functions, cash pulls
* Perform accurate sales transactions according to the cash control policy and procedure
EDUCATION
AAS in Business Administration
Rasmussen University
2013
SKILLS
Exceptional listener and communicator who effectively conveys information verbally and in writing,Goaldriven
leader who maintains a productive climate and confidently motivates, mobilizes, and coaches
employees to meet high performance standards, Results-driven achiever with exemplary planning and
organizational skills, along with a high degree of detail orientation, Resourceful team player who excels at
building trusting relationships with customers and colleagues.
AWARDS
Caregiver award
December 2013
Only select people out of 40,000 employees receive this award. Mine was received because I found trends
and reduced denials by $500,000. This award also was given a monatary value.
CERTIFICATIONS
CPC
October 2015
Reimbursement Specialist - Cleveland Clinic
Brook Park, OH 44142
cscott44142@yahoo.com - 440-409-2547
Dedicated support professional offering versatile office skills and proficiency in Microsoft Office programs.
Strong planner and problem solver who readily adapts to change, works independently and exceeds
expectations. Able to juggle multiple priorities and meet tight deadlines without compromising quality.
Authorized to work in the US for any employer
WORK EXPERIENCE
Reimbursement Specialist
Cleveland Clinic - Cleveland, OH - 2001 to Present
*Responsible for policies and protocols related to coding and billing to ensure compliance. Created, revised,
and maintained departmental charge documents for professional and technical charges.
*Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas
for the purpose of reimbursement, research and compliance.
*Identifies and applies diagnosis codes, cpt codes and modifiers as appropriately supported by the medical
record in accordance with federal regulations.
*Ensures that billing discrepancies are held and corrected.
*Pre-submission audit of provider's coding/documentation, monitor Professional Fee Coders and Billing/
Charge Reconciliation Specialist activities to ensure accountability for all services performed and compliant
billing and internal standards are met.
*Conducts revenue-reporting analysis of costs associated with performing examinations and surgical/medical
procedures and recommends fee modifications.
*Assisted in practice startup, new service lines and affiliate programs to ensure corporate compliance
adherence to capture appropriate revenue, to include finance accounting and revenue mapping of billable
services.
Billing Manager
National Data Corp - Lakewood, OH - 1993 to 1998
*Oversaw 15 employees including training, reports, projects, employee satisfaction
*Payroll
*Customer service
Head Cashier
Silvermans - Cleveland, OH - 1988 to 1993
* Greet customers and assist them in finding the merchandise
* Create appealing visual displays of products to be sold
* Upsell products to meet sales targets utilizing referral base and strong customer relationships
* Arrange products or merchandise to their respective areas
* Replenish stock and clean work area
* Perform opening and closing functions, cash pulls
* Perform accurate sales transactions according to the cash control policy and procedure
EDUCATION
AAS in Business Administration
Rasmussen University
2013
SKILLS
Exceptional listener and communicator who effectively conveys information verbally and in writing,Goaldriven
leader who maintains a productive climate and confidently motivates, mobilizes, and coaches
employees to meet high performance standards, Results-driven achiever with exemplary planning and
organizational skills, along with a high degree of detail orientation, Resourceful team player who excels at
building trusting relationships with customers and colleagues.
AWARDS
Caregiver award
December 2013
Only select people out of 40,000 employees receive this award. Mine was received because I found trends
and reduced denials by $500,000. This award also was given a monatary value.
CERTIFICATIONS
CPC
October 2015
