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Skills

  • Cross-departmental collaboration
  • Planning and coordination
  • Insurance billing
  • Clinical documentation improvement (CDI)
  • Database management
  • First Aid/CPR
  • Operational improvement
  • Healthcare revenue management
  • Billing procedures
  • Auditing tool implementation

Work Experiences

  • Coded claims in a high-volume healthcare facility.
  • Assigned ICD-10 codes for 15 patients.
  • Collaborated with physicians to ensure proper documentation and code assignment for high-priority surgical operations.
  • Assigned complex diagnosis and procedural codes for engineering.
  • Conducted daily assessment of ICD-10 codes.
  • Tracked and assessed accounts on the Discharged Not Final Coded (DFNC) report.
  • Answered coding questions from callers and other departments within the company.
  • Advised the billing department on coding best practices.
  • Collaborated with healthcare providers across Seattle to ensure accurate documentation of diagnoses and procedures.
  • Accomplished in 2024.

Summaries

  • First in a team of 14 employees for coding accuracy rates.
  • Communicative and team-oriented, with ServiceNow expertise.
  • Ability to recognize category issues and integrate standard solutions to achieve framework.
  • Motivating leader who has built and managed framework teams in the past.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • HubSpot and Workday experts with exceptional interpersonal skills.
  • Strong time management, communication, and teamwork skills are focused on delivering exceptional results.
  • Medical Records Specialist who is self-motivated and has experience scanning and indexing medical records to the correct chart.
  • Capable of quickly preparing invoices and resolving billing disputes.
  • Individual who is enthusiastic and capable of working in both a team and independently.

Accomplishments

  • Implemented a data-driven audit system that identified coding inconsistencies, enabling targeted staff training and improvement of claim approval rate by 70%.
  • Achieved Scrum Master in 2024, demonstrating comprehensive knowledge of ICD-10, CPT, and HCPCS coding systems recognized by program.
  • Worked with physicians to ensure proper documentation of diagnoses and treatments, improving inpatient coding accuracy by 60% and reducing discharge delays.
  • Worked closely with a team of coders to optimize the documentation process, reducing ambiguity in medical records and improving report accuracy.
  • Resolved coding-related insurance denials, increasing revenue by $241,000 over a 6 months through detailed and accurate code submission.
  • Analyzed and corrected patient medical histories for coding accuracy, which decreased billing disputes by 56% over a two years period.
  • Awarded Employee of the Month for excellence in improving claim acceptance rates by 53% through detailed medical record review and accurate code assignment.
  • Identified and corrected code discrepancies in high-priority surgical cases, reducing the frequency of insurance denials by 20%.
  • Led cross-functional training sessions for 9 staff members on the importance of accurate coding and how to use Microsoft Excel, reducing coding errors by 53%.
  • Implemented continuous improvement methodologies resulting in a 16% reduction in coding errors, improving overall compliance and revenue cycle efficiency.

Affiliations

  • Professional Association of Medical Coding Instructors (PAMCI) - Facilitated educational sessions for students pursuing initial certification.
  • HIMSS Health Information and Technology Community - Participated in forums concerning the intersection of accurate coding and health informatics systems.
  • Certified Outpatient Coder (COC) Community - Engaged with peers to exchange compliance tips and documentation processes improvements.
  • Revenue Integrity Coding Association (RICA) - Participated in group efforts to establish benchmarks and KPIs in coding accuracy.
  • National Association for Health Professionals (NAHP) - Active in the coding certification program, maintaining proficiency in the latest industry standards.
  • Association of Clinical Documentation Integrity Specialists (ACDIS) - Engaged with the community to enhance skills in claim accuracy and documentation best practices.
  • Revenue Cycle Coders Alliance (RCCA) - Monthly engagements with other members on improving the denial rate and increasing practice revenue.
  • Healthcare Coding Compliance Group - Reviewed and shared insights on updates to HIPAA policy as it affects coding and billing practices.
  • Compliance Officer Community of Practice (COCP) - Participated in compliance workshops to ensure best practices in HIPAA adherence and cross-departmental coordination.
  • American Academy of Professional Coders (AAPC) - Member since 2023, regularly participating in ongoing education programs to maintain certification and stay updated on coding changes.

Certifications

  • Certified Revenue Integrity Professional (CRIP) - method
  • Cisco Certified Internetwork Expert (CCIE)
  • Patient Access Certified Associate (PACA) - procedure
  • Certified Inpatient Coder (CIC) – program
  • Healthcare Revenue Cycle Specialist (HRCS) - program
  • American Academy of Financial Management (AAFM)
  • Certified Documentation Expert Outpatient (CDEO) - AAPC
  • Microsoft Office Specialist (MOS)
  • Certified Health Data Analyst (CHDA) - standard
  • Certified Business Analysis Professional (CBAP)

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