Melissa Bucsit- Khu

Experience

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  TopTrans Company

  Oct 2012 - Jul 2013

  Medical Transcriptionist

  -Listen to, interpret, and transcribe recorded dictations of doctors and other health professionals into diagnostic test results, operative reports, and other documents.

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  Microtel Global Solutions, Inc

  Sept 2013 - Feb 2015

  Medical Transcriptionist

  QA/Auditor-Listen to, interpret, and transcribe recorded dictations of doctors and other health professionals into diagnostic test results, operative reports, and other documents.-Perform transcription audit to ensure accuracy of transcribed reports.

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  MiraMed: A Global Services Company

  Feb 2015 - Jan 2018

  Medical Coder

  QA/Auditor-Analyze medical records thoroughly and assign the appropriate ICD-10 CM and PCS codes.-Consult medical specialists/recommend physician queries for further clarification of items on patients’ charts in cases of unclear documentation or incomplete information.-Perform coding audit to ensure accuracy and provide appropriate feedback.

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  Shearwater CPO® - Home of Clinicians

  Jan 2018 - Oct 2020

  DRG and Clinical Validation Auditor

  DRG/Clinical Validation, Subject Matter Expert-Review medical records to analyze for correct DRG assignment. Ensure that the diagnoses and procedures reported in the medical claim accurately reflects the condition of the patient and the treatments provided during the inpatient encounter. This is done through utilization of official coding guidelines and clinics, client-provided validation criteria, applying critical thinking skills, and analysis of the clinical picture as a whole. In cases of a recovery opportunity, a letter is written to the provider indicating the findings, reflecting the points that were not met to support the diagnosis/procedure coded.-Provide support to auditors in analysis of gray/difficult claims.-Perform quality audits to ensure accuracy of completed claims, and provide appropriate feedback to auditors.-Identify auditors who need focus auditing, and collaborate with team lead in formulating action plans. Show less

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  UST

  Nov 2020 - now

  DRG/Clinical Validator

  -Review medical records to analyze for correct DRG assignment. Ensure that the diagnoses and procedures reported in the medical claim accurately reflects the condition of the patient and the treatments provided during the inpatient encounter. This is done through utilization of official coding guidelines and clinics, client-provided validation criteria, applying critical thinking skills, and analysis of the clinical picture as a whole. In cases of a recovery opportunity, a letter is written to the provider indicating the findings, reflecting the points that were not met to support the diagnosis/procedure coded. Show less