Mallory Pineda

City, State, Zip Code

Home: 000-000-0000 | Cell: 000-000-0000

email@email.com

Professional Summary

Detail-focused Records Clerk with 5+ years of experience in customer and administrative services. Adept at assigning accurate medical codes and diagnoses with proficiency across a wide range of services. Sound knowledge of guidelines and regulations as well as the integration of coding and payment policy changes into the reimbursement process. Seeking a role on a team committed to cleaner claim submissions faster reimbursements and fewer denials.

Skill Highlights
  • Compliance
  • Medical necessity
  • Customer care
  • ICD-9 | CPT | HCPCS Level II
  • Bundling issues
  • Anatomy / physiology
  • Charge capture
  • Medical terminology
Professional Experience
Records Clerk
12/1/2010 – Current
Company Name
City, State
  • Gather patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians’ offices; retrieving information from automated printer
  • Organize master patient index by completing assigned portion of daily audit trail; correct and communicate problems according to established procedures
  • Initiate medical records by creating and processing the patient care record folder
  • Ensure record availability by processing charts into the department using chart mark-off procedures and facilitating chart location activities
  • Retrieve medical records by following chart-out procedures documenting reasons charts cannot be retrieved for statistical and follow-up purposes
Records Clerk
5/1/2007 – 11/1/2010
Company Name
City, State
  • Delivered charts to assigned areas of the hospital by following established routing procedures
  • Kept health care providers informed by communicating availability or unavailability of the record
  • Guaranteed continuity of work operations by documenting and communicating actions irregularities and continuing needs
  • Adhered to professional standards hospital policies and procedures federal state and local requirements
Records Clerk
3/1/2006 – 4/1/2007
Company Name
City, State
  • Processed 180 pieces daily reviewing statement of health forms for life insurance; approve and declined SOH’s
  • Maintained solid customer relationships troubleshooting customer concerns with professionalism
  • Drafted status reports on customer service issues while successfully maintaining a high call volume
Education and Training
Certified Professional Coder Apprentice
XXXX – XXXX
Company Name
City, State
Basic and Advanced Coding Certificate –
XXXX – XXXX
Company Name
City, State

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