Portfolio

MEDICAL CODING
PORTFOLIO
ABSTRACT
If you reallywantsomething,goafterit. Don’tlet
someone stopyoufromachievingyourdreams.
Heather Elkins
HS292-01 BillingandCodingPracticum

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TABLE OF CONTENTS
Reference Page…………………………………………………. 2
Cover Page …………………………………………………….. 4
Resume…………………………………………………………. 5
Professional References………………………………………… 7
Research Page…………………………………………………... 10
Job Search Resources Page……………………………………… 19
Mock Interview Questions………………………………………. 20
Summary of Mock Interview Questions………………………… 21

2
References
Career Opportunities. (n.d.). Retrieved from
https://career4.successfactors.com/career?company=GHS
Explore millions of jobs… with just one search. (n.d.). Retrieved from
http://www.simplyhired.com/
Find the right job. Right now. (n.d). Retrieved from http://www.careerbuilder.com/
Get Found. (n.d.). Retrieved from http://www.monster.com/
Greenville jobs – craigslist. (n.d.). Retrieved from https://greenville.craigslist.org/search/jjj
Hire great hourly employees. (n.d.). Retrieved from http://www.snagajob.com/
Jobseekes. (n.d.). Retrieved from - http://www.sces.org/jobs-land.asp
Job Search – Job.com. (n.d.). Retrieved from http://www.job.com/
Job Search – one search. all jobs. Indeed.com. (n.d.) Retrieved from http://www.indeed.com/
LinkedIn Jobs. (.n.d.). Retrieved from https://www.linkedin.com/job/home
Medical Certification Overview. (n.d.) Retrieved from https://www.aapc.com/certification/
SC Works – Bringing Employers and Job Seekers Together. (n.d.). Retrieved from
https://scworks.org/

3
Types of Certifications. (n.d.) Retrieved from
http://www.ahima.org/certification/exams?tabid=him

4
Heather Elkins
105 Carlissa Court
Easley, SC 29640
hmelkins1977@gmail.com
May 18, 2016
Mike Castill
Human Resources Manager
Greenville Health System
300 E McBee Street
Greenville, SC 29605
Dear Mike Castill,
I am contacting you regarding the open Certified Coding Specialist position with the Greenville
Health System. My educational background in Medical Billing and Coding, along with my
professional experience, makes me an excellent candidate for this position.
As you will see from the enclosed resume, I have about a year of experience in the field of
Medical Billing and Coding but have been with Greenville Health System for 6 years. My
resume shows that I have been consistently rewarded for hard work with promotions and
increased responsibilities. These rewards are a direct result of my expertise in the medical health
field, my commitment to personal and professional excellence, and my excellent written and oral
communication skills.
I would very much like to discuss opportunities with Greenville Health System. To schedule an
interview, please call me at 864-720-9010. The best time to reach me is between 8:00 a.m. and
6:00 p.m., but you can leave a voice message at any time, and I will return your call.
Thank you for taking the time to review my resume. I look forward to talking with you.
Sincerely,
Heather M. Elkins
Enclosure

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105 Carlissa Ct, Easley, SC 29640(864) 720-7010hmelkins1977@gmail.com
Heather M. Elkins
Objective
Inpatient and outpatient records coding specialist with ICD-10, CPT and HCPCS Codes,
and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a
position of increased responsibility and authority.
Experience
June 2012 - Present Patewood Memorial Hospital Greenville, SC
Material Specialist
 Prepared case carts for next day surgeries.
 Ordered supplies for the OR.
 Prepared repair orders and sent off damaged instruments.
 Received receipts in for supplies.
 Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately
handling patient information.
Oct 2010 – June 2012 Greenville Memorial Hospital Greenville, SC
Materials ATS System Specialist
 Responsible for movement of case carts, supplies, instruments, detent, etc to and from
the ORand all nursing areas in Greenville Memorial Medical Campus.
 Responsible for all ATS computers and equipment.
 Coordinates activities of employees performing AGV functions.
 Dispatching of AGV computer system as well as data entry, ordering, receiving,
restocking, distribution functions for ORcase cases, supplies, equipment, and linen.
 Controls inventory processes, inclusive of but not limited to stock additions, changes,
deletes, pick confirmations, issue corrections, replenishment verifications.
Oct 2007 – July 2010 Langenscheidt Publishing Group Duncan, SC
Administrative Assistant/Order Processor
 Data entry and processing of domestic and international orders from customer service
division.
 Run reports for supervisor (Inventory, Order Status Reports and Smart List).
 Tracking international shipments from Expeditors.
 Record daily meeting notes.
 Arrange domestic and international shipments.
 Invoicing and billing.
 FEDEX and UPS call tags and return requests.

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 Investigation of missing, damaged, or not shipped products.
July 2007 – Oct 2007
 Administrative Assistant/Order Processor
 Data entry and processing of domestic and international orders from customer service
division.
 Run reports for supervisor (Inventory, Order Status Reports and Smart List).
 Tracking international shipments from Expeditors.
 Record daily meeting notes.
 Arrange domestic and international shipments.
 Invoicing and billing.
 FEDEX and UPS call tags and return requests.
 Investigation of missing, damaged, or not shipped products.
Education
Aug 2015 – June
2016
Kaplan University Chicago, IL
Certificate: Medical Coding and Billing
4.0 GPA
Aug 2000 – May 2001 Tri-County Technical College Pendleton, SC
NA: Criminal Justice
April 1996 – July 1998 United States Army United States
Certificate: Communications
References
References are available on request.

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Heather M Elkins
105 Carlissa Court
Easley, SC 29640
864-720-9010
hmelkins1977@gmail.com
References:
Vicki Greene, Materials Manager
Patewood Memorial Hospital
175 Patewood Dr., Greenville, SC 29615
W: (864) 797-0111
C: (864) 640-6540
Greg Garrett, Materials Coordinator
W: (864) 797-0111
C: (864) 884-2829
Susan Connelly, Materials Supervisor
Greenville Memorial Hospital
701 Grove Rd., Greenville, SC 29605
W: (864) 455-5012
C: (864) 270-4150

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Kelli Gandy, BSN, RN, Central Supply Supervisor
C: (864) 419-1692
Sandra Turner, RN, Implant Coordinator
W: (864) 797-0114
C: (864) 430-7615
Theresa K. Watt, Surgical Technician
W: (864) 797-1166
C: (864) 378-1204
Bridgette Baylor, Pharmacy Technician
W: (864) 797-0081
C: (864) 901-2986
Scott Sisk, Certified Anesthesia Technician
W: (864) 797-1162
C: (864) 373-1357

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Mark Henderson, Materials Specialist
W: (864) 455-6445
C: (864) 640-2178
Melissa Medlin, Materials Specialist
W: (864) 797-0111
C: (864) 915-8809
Steve Price, Lead Materials Specialist
W: (864) 455-6507
Chris Elkins, Electrical Engineer
BMW
1400 Highway 101 South, Greer, SC 29651
C: (864) 386-0448

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Types of Certifications
AHIMA has several certifications that are offered. In HIM credentials there are 2 types of
certifications. One is RHIA and RHIT. RHIA means Registered Health Information
Administrator. RHIA applicants must meet one of the following eligibility requirements:
*Successfully complete the academic requirements, at the baccalaureate level, of an HIM
program accredited by the Commission on Accreditation for Health Informatics and Information
Management Education (CAHIIM).
*Successfully complete the academic requirements, at the master’s level, of an HIM program
accredited by CAHIIM and following a specific set of criteria.
*Master’s level candidates must use the Master’s Program Exam Application below graduate
from an HIM program approved by a foreign association with which AHIMA has a reciprocity
agreement. The exam fees are $229 for members and $299 for non-members.
Another certification is Registered Health Information Technician (RHIT®). RHIT applicants
must meet one of the following eligibility requirements:
*Successfully complete the academic requirements, at an associate's degree level, of an HIM
program accredited by the Commission on Accreditation for Health Informatics and Information
Management Education (CAHIIM)
*Graduate from an HIM program approved by a foreign association with which AHIMA has a
reciprocity agreement. The exam fees are $229 for members and $299 for non-members.
The academic qualifications of each candidate will be verified before a candidate is deemed
eligible to take the examination. All first-time applicants must submit an official transcript from
their college or university.
There are several certifications for coding. One certification is Certified Coding Associate
(CCA®). High School Diploma or equivalent is required but here are some things that are
recommended but not required.
*6 months coding experience directly applying codes;
* completion of an AHIMA approved coding program;
*completion of other coding training program to include anatomy & physiology, medical
terminology, Basic ICD diagnostic/procedural and Basic CPT coding.

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Certified Coding Specialist (CCS®)
Candidates must meet one of the following eligibility requirements:
 By Credential: RHIA®, RHIT®, or CCS-P® OR
 By Education: The following courses MUST be completed; anatomy & physiology,
pathophysiology, pharmacology, medical terminology, reimbursement methodology,
intermediate/advanced ICD diagnostic/procedural and CPT coding; OR
 By Experience: Minimum of two (2) years of related coding experience directly applying codes;
OR
 By Credential with Experience: CCA® plus one (1) year of coding experience directly applying
codes; OR
 Other Coding credential from other certifying organization plus one (1) year coding experience
directly applying codes.
 Member Price: $299
Non-member price: $399
Certified Coding Specialist- Physician-based(CCS-P®)-Explore Further Coding Opportunities
through Professional Certification
Candidates must meet one of the following eligibility requirements:
 By Credential: RHIA®, RHIT®, or CCS® OR
 By Education: The following courses MUST be completed; anatomy & physiology,
pathophysiology, pharmacology, medical terminology, reimbursement methodology,
intermediate/advanced ICD diagnostic/procedural and CPT coding; OR
 By Experience: Minimum of two (2) years of related coding experience directly applying codes;
OR
 By Credential with Experience: CCA® plus one (1) year of coding experience directly applying
codes; OR
 Other Coding credential from other certifying organization plus one (1) year coding experience
directly applying codes.
Speciality
Certified Health Data Analyst (CHDA®)
Candidates must meet one of the following eligibility requirements to sit for the CHDA
examination:
 Healthcare information management credential (RHIT®) and minimum of three (3) years of
healthcare data experience
 Baccalaureate degree and a minimum of three (3) years of healthcare data experience
 Healthcare information management credential (RHIA®)

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 Master’s in Heath Information Management (HIM) or Health Informatics from an accredited
school
 Master's or higher degree and one (1) year of healthcare data experience
Certified in Healthcare Privacy and Security (CHPS®)
Candidates must meet one of the following eligibility requirements for the CHPS examination
 Associate’s degree and six (6) years’ experience in healthcare privacy or security management
 Healthcare information management credential (RHIT®) and minimum of four (4) years of
experience in healthcare privacy or security management.
 Baccalaureate degree and a minimum of four (4) years’ experience in healthcare privacy or
security management
 Healthcare information management credential (RHIA®) and minimum of two (2) years of
experience in healthcare privacy or security management
 Master's or related degree (JD, MD, or PhD) and two (2) years of experience in healthcare
privacy or security management
Certified Documentation Improvement Practitioner (CDIP®)
Candidates who would like to sit for the CDIP exam must meet one of the eligibility
requirements below:
 An RHIA®, RHIT®, CCS®, CCS-P®, RN, MD or DO and two (2) years’ experience in clinical
documentation improvement
 An Associate’s degree or higher and three (3) years of experience in clinical documentation
improvement (candidates must also have completed coursework in Medical Terminology and
Anatomy and Physiology)
Certified Healthcare Technology Specialist (CHTS)
Recommended (not required):
Training and Recommendations
 Individuals trained through short-duration (typically six months) non-degree health IT workforce
development programs, OR
 Members of the workforce with relevant experience or other types of training.
(Types of Certifications. (n.d.))

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AAPC Certifications
AAPC also has several certifications for coding professionsal. Some are listed below.
CPC
Medical Coding Certification Requirements
 We recommend having an associate’s degree.
 Pay examination fee at the time of application submission.
 Maintain current membership with the AAPC.
o New members must submit membership payment with examination application.
o Renewing members must have a current membership at the time of submission and when
exam results are released.
 All exams will be reported with exact scores and areas of study (65% or less).
A CPC must have at least two years medical coding experience (members with an apprentice
designation are not required to have two years medical coding experience.) Membership is
required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted
every two years for verification and authentication of expertise.
COC
o Renewing members must have a current membership at the time of submission and when exam
results are released.
A COC (formerly CPC-H) must have at least two years medical coding experience (members
with an apprentice designation are not required to have two years medical coding experience.)
Membership is required to be renewed annually and 36 Continuing Education Units (CEU's)
must be submitted every two years for verification and authentication of expertise.
CIC

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While there is no experience requirement, we strongly recommend that the candidate have at
least two years of experience in inpatient coding or an inpatient coding course.
Please be aware that this is a difficult, high-level examination which is not meant for individuals
with little, limited or no inpatient coding experience or training.
CRC
Risk Adjustment Coding Certification Requirements
 We recommend having an associate's degree
 Pay examination fee at the time of application submission
 Maintain current membership with the AAPC
o New members must submit membership payment with examination application
exam results are released
 All exams will be reported with exact scores and areas of study (65% or less)
We strongly recommend that the candidate have at least two years of experience in risk
adjustment coding or a risk adjustment coding course. Membership is required to be renewed
annually and 36 Continuing Education Units (CEU's) must be submitted every two years for
verification and authentication of expertise.
CPC-C

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A CPC-P must have at least two years medical coding experience (members with an apprentice
designation are not required to have two years medical coding experience.) Membership is
required to be renewed annually and 36 Continuing Education Units (CEU's) must be submitted
every two years for verification and authentication of expertise.
Certified Professional Biller (CPB™)
$350 ($290 AAPC Students)
Certified Professional Medical Auditor (CPMA®)
Exam Requirements
least two years of experience in medical auditing.
with little, limited or no audit experience or training
Other requirements:
o Renewing members must be current at the time of application submission as well as when
results are sent
 Materials to bring:
o Current CPT® (AMA Standard or Professional versions only)
o ICD-10-CM

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o HCPCS Level II
Exam Recommendation
The CPMA® examination is recommended for a certified coder or medical record auditor who
has experience auditing physician services or significant coding experience and is well versed
with a variety of different types of audits including but not limited to E/M services. Auditing
involves compliance and regulatory issues in its day to day work, and the examinee will be tested
on these concepts in addition to coding, modifiers, NCCI usage, and more.
Maintaining Certification
must be submitted every two years for verification and authentication of expertise. For CEU
requirements please see our CEU Information page. The fee exam is $350.
Certified Documentation Expert Outpatient (CDEO®)
Exam Requirements
least two years of experience in clinical documentation improvement.
with little, limited or no clinical documentation improvement
Other requirements:
o Renewing members must be current at the time of application submission as well as when
results are sent
 Materials to bring:
o Current CPT® (AMA Standard or Professional versions only)
o ICD-10-CM
o HCPCS Level II
o One reference book of your choice
Exam Recommendation
The CDEO™ examination is recommended for a certified coder, medical record auditor or
clinical documentation improvement professional who has experience reviewing documentation
for outpatient services and extensive knowledge of coding and quality measure reporting.

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Clinical documentation improvement involves compliance to documentation requirements and
effective communication with providers to improve documentation.
requirements please see our CEU Information page.
Limited time Introductory price $175 ($145 AAPC Students)
Certified Professional Compliance Officer - CPCO™
Compliance Certification Requirements
least two years’ experience working with compliance programs and the associated laws and
regulations. We recommend the individual also have at least an associate's degree in healthcare.
The exam requires an understanding of a wide variety of compliance topics and issues, and
practical application of those requirements to scenarios that is often gained through years of
experience. Individuals who do not have compliance expertise or who have worked in limited
compliance roles will need to become familiar with the different topics addressed on the exam
breakdown tab on this page.
Be aware that this is a challenging, high-level examination which is not meant for individuals
with limited or no compliance experience or training.
Other requirements:
 Renewing members must have a current membership at the time of application submission as
well as when results are sent
Certification Exam Recommendation
The CPCO™ examination is recommended for individuals who have experience working in a
compliance role or in a compliance department. The individual should be extremely familiar with
the key elements required for compliance programs as well as the day-to-day operational aspects
of compliance programs. Individuals should also be very familiar with the key laws and
regulations impacting compliance programs, physician practices, and those used to address
potential fraud and abuse, including their associated penalties and fines. Individuals should also
know where to go and how to research information to identify correct practices to mitigate
compliance risks.

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Membership is required to be renewed annually and 36 Continuing Education Units (CEUs)
requirements please see our CEU Information page. The fee for the exam is $350.
Certified Physician Practice Manager (CPPM)
Note:
Each examination is separate and distinct. To obtain all certifications, each examination must be
taken separately and passed. Continuing Education Unit (CEU) submissions are required for all
certifications. For CEU requirements please see our CEU Information page. The fee for the exam
is $350.
References:
Types of Certifications. (n.d.) Retrieved from
http://www.ahima.org/certification/exams?tabid=him
Medical Certification Overview. (n.d.) Retrieved from https://www.aapc.com/certification/

19
Job Search Resources
1. Indeed – The Number 1 Job Site http://www.indeed.com/
2. Monster – Job Search, Career Advice, and Hiring Resources - http://www.monster.com/
3. Careerbuilder - http://www.careerbuilder.com/
4. Snagajob – Search Jobs/Post Jobs - http://www.snagajob.com/
5. Greenville Health System Careers -
https://career4.successfactors.com/career?company=GHS
6. Craigslist - https://greenville.craigslist.org/search/jjj
7. LinkedIn - https://www.linkedin.com/job/home
8. SimplyHired – Explore millions of jobs with one search –
http://www.simplyhired.com/
9. SCWorks – Bringing Employers and Job Seekers
Together - https://scworks.org/
10. Job.com - http://www.job.com
11. South Carolina Department of Employment and Workforce - http://www.sces.org/jobs-
land.asp
After doing some research on some of these sites, there are pros and cons to the jobs in my area.
The Pros are:
*CPC or CCS-P coding certification
*CPC - A coding certification with coding experience
*Strong organization and process management skills
*Excellent verbal and written communication skills
There are some cons when just graduating and being a Certified Medical Coder. Here are some
cons that I have ran into when looking for coding jobs.
*Prior experience in a fast paced insurance or health care setting
*2+ years of medical coding experience
*Associates or Bachelor’s Degree
*Must live locally
*Strongly preferred LPN, RN, or medical school graduate
I have been with the health system I work for, for almost 6 years so I feel I have a better chance
at getting a coding job. When the system is looking for employees, they look at internal
candidates before external candidates.

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Mock Questions
 Tell me about the last claim you had denied. What happened, and how did you resolve
it?
 Are you familiar with Medicare and private payer regulations? If so, which payers?
 What procedures have you most often coded?
 Do you have a medical coding certification? If so, which one(s)
 How do you stay updated on policy and code changes?
 How many charts/cases do you typically code in one day?
 Which type of software have you used: Epic, Medisoft or other programs?
 How do you manage rejected or unpaid claims?
 Do you know how to submit claims to a clearinghouse? Have you ever set up a
provider with a clearinghouse or resolved claim submittal issues with them?

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Mock Interview Summary
I was supposed to interview Jody Claypool, who is over the patient’s access accounts at
Patewood Medical School but ended up passing the questions to Stephanie Brown due to being
out of town. Mrs. Brown’s certifications are CPC and CPC-I. When she has a denied claim she
makes sure it was coded correctly. If need be she will contact the insurance company for any
appeals. As a coder she determines justification regarding the denial, make changes or
corrections if applicable. Reaches out to the physician if applicable. She also audits about 25 to
30 charts a day. She charts mostly Evaluation and Management services, and Pulmonary
procedures. She is familiar with Medicare, Medicaid, BCBS, Cigna, Aetna, and many others. She
knows how to submit clearhousing claims but never has had any problems with claims. She stays
on top of updates by going to the websites AAPC, Palmetto GBA, and CMS. The main software
her company uses is EPIC.

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