Candace Mcgovern Email & Phone Number

United States

•Provide retrospective chart review to determine all supported HCC diagnoses in accordance with CMS standards•Use MEAT and TAMPER physician support requirements to determine relevance of diagnoses found in patient record to current physician encounter•Abstract all relevant ICD-10-CM codes from outpatient and inpatient patient encounters at a rate of 60 charts per hour while maintaining a 98% accuracy and completeness standard•Use of ICD-10-CM eBook, Optum EncoderPro, Advantasure Medical Record Review, Microsoft Outlook, Excel, Word and Teams in all daily tasks

• Use of various data systems to assign codes and retrieve data in reviewing medical records including Optum Medical Record Manager, HCC Coder and NPI Lookup Tool• Utilize knowledge of medical terminology, procedures, anatomy, physiology, and disease processes to properly document support for code selection of current acute and chronic conditions• Code medical diagnoses utilizing current coding guidelines including ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and Optum specific guidelines• Regularly and consistently achieve over 95% quality accuracy and code at a rate of 4.5 charts per hour while working in a remote home office setting• Maintain compliance with HIPAA privacy standards in working with and digitally transmitting protected health information

Vancouver, British Columbia, Canada (Remote)

· Analyze and provide feedback on text, web pages, images, and other types of information for leading search engines· Provide quality control review to enhance Search Engine Optimization efforts of multiple search engine companies to meet their specifications· Review and implement changing standards of quality for search engine review on a continual basis· Utilize exceptional organizational and time-management skills to maintain a consistent quality and production quota while working under self-direction

Kansas City, Missouri, United States

· Provided customer service to patient by analyzing and solving customer problems· Educated customers about determination of payments and claims from third-party payers related to medical equipment· Multi-tasked using a variety of computer software programs such as Microsoft Office Suite and third-party claims submission websites· Coordinated with multiple departments to provide comprehensive financial resolutions to patient billing accounts using written and oral communication skills

Overland Park, Kansas, United States

• Process confidential customer files in data entry role to prepare an accurate background check investigation while maintaining an average 95%+ quality score through careful attention to detail• Reference SOP Guidelines and supplemental procedural guides to ensure compliance with all applicable laws and regulations• Maintain mandatory SF-85P Public Trust through positive personal behavior and financial reliability• Promoted to General Clerk II to work expanded types of customer files for meeting high quality, production, and attendance standards

Overland Park, Kansas, United States

• Process confidential customer files in data entry role to prepare an accurate background check investigation while maintaining an average 95%+ quality score through careful attention to detail• Reference SOP Guidelines and supplemental procedural guides to ensure compliance with all applicable laws and regulations• Maintain mandatory SF-85P Public Trust through positive personal behavior and financial reliability• Promoted to General Clerk II to work expanded types of customer files for meeting high quality, production, and attendance standards

Crestview, Florida, United States

• Provided customer service and technical support for satellite software and hardware in busy call-center environment• Recommended additional services provided by Asurion based on customer needs• Referenced technical documentation and procedures for all troubleshooting issues as required• Completed computerized work tickets before the close of each call to ensure accurate incident records

Excelsior Springs, Missouri, United States

• Communicated to exchange confidential medication information between patient, pharmacist, third party payors and physicians in person and over the phone• Input prescriptions into computer record system, verified accurate demographic and financial information, communicating health benefit information and financial obligations• Billed patient insurance companies for medication and resolved rejected claims over the phone• Provided customer service to all patients while filling precise medication orders without error

Associate Of Arts - Aa, General Studies, 3.6

Certificate, Professional Medical Billing And Coding