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TONILE ROSALES
431 ROGERS ROAD, APT. F10, LEXINGTON, KY 40505
PHONE: 859.294.8377 EMAIL: tonile.rosales@gmail.com

HIGHLIGHTS & RELEVANT SKILL SET
• Driven individual with an insatiable focus on details
• Team player with limitless focus on customer service
• Comprehensive communication skills as well as proven organizational skills
• Uses systematic approach to investigate issues
• Proficient in Electronic Health Records Software/Clinical Software
• MS Excel/Access/PowerPoint


EDUCATION
Spencerian College
• Medical Coding Diploma December 2011

EXTERNSHIP
Marshall Emergency Services Associates, PPLC
Extern November 2011

• Provided billing services so that the health provider gets paid for medical services rendered
• Read charts and entered codes to define diagnostics, treatments and procedures into a database
• Worked closely with healthcare providers to gather and provide accurate billing information

RELEVANT COURSEWORK

Spencerian College

Advanced ICD-9, CPT, & HCPCS Coding
• Understand the importance of physician documentation and signature requirements in the coding process. Identify the components of the medical record and to develop a monitoring process to correct and prevent documentation deficiencies.
• Identify key elements/words in documentation to be used for coding purposes and recognize the difference between signs, symptoms, and diagnoses, and to determine the correct diagnostic code order.
• Gained a working knowledge of the CPT, HCPCS,and ICD-9 code books to understand the importance of properly matching the descriptions for what services were performed with those explaining why they were performed.
• Establish protocol for medical record management and chart auditing.
• Demonstrate knowledge of coding, third-party reimbursement, and collections.
• Use problem-solving skills in working within legal and ethical boundaries.
• Demonstrate skill in implementing government-regulated compliance plans, employee handbook, and policy and procedure manuals.

CERTIFICATIONS

• HIPAA Completion July, 2010
• CMS Form 1500 Completion July, 2011
• CMS Tier I Training April, 2007
• AAPC CPC-A October, 2011

Thanks and have a wonderful day, Toni.
 
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