Bridget Malinowski

Experience

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  Hampton

  Mar 2007 - Jan 2012

  Front Desk Associate

  Greet and register guests/visitorsUse multi-line telephone, directing calls to the appropriate partyAnswer questions about the property/services and provide directionsMake, confirm, cancel and revise reservationsTake payment method for rooms and incidental chargesCheck and stock suppliesAct as manager on duty throughout my shiftRun audit programs to roll the business dateBalance nightly audit reports in Excel and network softwareSend/receive guest mail and faxesSet up cold foods and make coffee for breakfastFold and deliver guest receipts on check-out datesCommunicate with all departments Worked multiple shifts (1st, 2nd & 3rd) Show less

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  Humana

  Jan 2012 - Aug 2016

  -Received A North Star Award for outstanding work on several projects (2014)-Completed the sharepoint2010 site owner course-Use physician office EPIC medical record systems to review records and communicate open medicare risk gaps (Hierarchical Chronic Conditions)-Review medical records to ensure they are coded to the highest level of specificity based on documentation-Assist in physician and coder education to accurately capture the health status of Medicare patients-Develop various processes for training/tracking/translating information with Word/Excel/Sharepoint-Maintain/improve SharePoint pages, lists, calendars, libraries and webparts -Collaborate and communicate with team members to promote transparency-Remain on-site in physician offices after education sessions to act as a resource for questions about Medicare Risk Adjustment and our CaDET program-Facilitate meetings with providers/groups-Work on various special projects, such as record retrieval, creating sharepoint tools and researching questions -Train new associates on coding in the verisk workflow-Work independently as a remote employee-Act as a Humana representative in physician offices Show less -Streamlined the process of asking Leads for assistance by creating a sharpoint page-Assisted associates primarily with coding and process questions-Trained new associates on our auditing processes, showed them around the building and helped them to setup their workstation-Created process guides with instructions in Microsoft Word for the team to utilize-Communicated with other departments in daily meeting to discuss any changes needed in daily assignments and any upcoming or ongoing special projects-Monitored and updated daily productivity reports in Microsoft Excel and distributed to managers by email-Acted as a representative for my department during meetings-Presented segments in staff meetings-Researched coding questions and consulted with other leads when needed to provide the most accurate answer-Resolved a time and training need by creating a set of internal coding guidelines where the changes from previous year were highlighted and sent one guideline to my team a day to review. The other 3 coding teams heard about this and utilized the same one-a-day method of distribution.-Lead daily team meetings during HEDIS season-Manually distributed our team’s volume of HEDIS calls daily so that they were spread out evenly and we were able to complete our portion of the project 3 weeks earlier than other teams-Creatively motivated team members during HEDIS season by coming up with a daily recognition system and a weekly drawing Show less -Audited records of Medicare patients in Mediconnect/Verisk to ensure all risk adjusted conditions were captured for timeframes in which they were documented (outpatient & inpatient)-Verifed accuracy of codes on and to be added to claims in CAS-Captured ICD-9 codes to be added to claims and submitted to CMS-Verified member coverage dates in Customer Care Portal, Estar and CAS-Created “Eureka!” emails and distributed to team. These were tips and tricks where I utilized Microsoft word and Outlook to create step by step guides with screenshots-Maintained a daily production average above 6.5 records per hour-Maintained a 100% audit quality score above the departmental 95% goal Show less

  • CaDET coding Liason

    Mar 2016 - Aug 2016

  • Embedded coder

    May 2014 - Mar 2016

  • Team Lead

    Jun 2013 - May 2014

  • Auditing Coder Specialist

    Jan 2012 - Jun 2013
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  Optum

  Mar 2016 - May 2017

  Remote HCC Coder

  -Contracted through Insight Global as a temporary employee -Perform retrospective reviews on medical records -Abstract and translate hierarchical conditions into ICD codes-Work with both ICD 9 and ICD 10 coding sets-Utilize RSA secure token logins

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  Cincinnati Children's

  May 2017 - now

  • Patient Access Representative

    Jun 2023 - now

  • Emergency services representative

    Mar 2020 - Jun 2023

  • Medical Coder

    May 2017 - Mar 2020