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Skills

  • QMSoftware Receivables Management
  • AHIMA member involvement
  • EHR (Electronic Health Record) system proficiency
  • Problem resolution
  • Cross-departmental communication
  • Records review
  • Knowledge of payer-specific guidelines
  • Medical billing code accuracy
  • 3M Encoder
  • First Aid/CPR

Work Experiences

  • Achieved monthly audit success rates of 69%.
  • Went over the charts and highlighted any information that was missing or incorrect.
  • Awarded President's Club for leadership in coding department.
  • Looked for industry trends on social media and through online sources.
  • Achieved a team improvement rate of 55% over three years.
  • Achieved 36% compliance with payer regulations.
  • Used email and the phone to communicate effectively with staff, patients, and insurance companies.
  • Had an excellent attendance record and was always on time for work.
  • Analyzed denials and appeals.
  • Achieved recognition as Excellence Award by Ironclad Systems.

Summaries

  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Achieved a 23% retention rate.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Accurately coded patient charts using ICD-10 and CPT standards.
  • Adept at reducing claim denials by up to 40% through proactive collaboration with physicians and payment departments, ensuring revenue cycle integrity and productivity.
  • Certified Coding Specialist is a multi-talented Certified Coding Specialist who is consistently rewarded for planning and operational improvements.
  • Medical Records Specialist with 11 years of experience in document evaluation and quality control.
  • Certified Coding Specialist with leadership experience in training coding staff on the latest standards and driving coding accuracy across the organization.
  • Achieved high levels of accuracy.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the process business.

Accomplishments

  • Documented and resolved process which led to procedure.
  • Mentored 18 new coders, providing hands-on training on EHR systems and ensuring a 16% pass rate on certification exams.
  • Integrated advanced ICD-10 updates within the coding team, resulting in 8 fewer errors related to code specificity.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Tracked and escalated 14 un-coded records within several months, reducing the average coding delay by 79%.
  • Successfully passed routine internal and external coding audits with a compliance score of 75% during 2019.
  • Achieved consistent coding accuracy of 73% or higher by cross-referencing both CPT and ICD-10 codes in patient records.
  • Monitored coder performance via SAP, enabling targeted interventions which improved compliance by 52%.
  • Developed auditing guidelines that increased coding accuracy by 34% while reducing provider documentation errors.
  • Streamlined end-to-end billing cycles by identifying and rectifying 9 coding discrepancies, expediting claims processing.

Affiliations

  • International Society of Clinical Coders (ISCC)
  • Continuing Education Programs via HIMSS
  • American Marketing Association
  • International Classification of Diseases (ICD) User Group
  • Association for Supply Chain Management (APICS)
  • National Healthcareer Association (NHA)
  • Healthcare Information and Management Systems Society (HIMSS)
  • College of Healthcare Information Management Executives (CHIME)
  • Association for Computing Machinery
  • American Medical Informatics Association

Certifications

  • Certified Clinical Documentation Specialist (CCDS) – Association of Clinical Documentation Integrity Specialists (ACDIS)
  • Google Certified Professional Cloud Architect
  • Registered Health Information Technician (RHIT) - AHIMA
  • Certified Health Data Analyst (CHDA) - metric
  • Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA)
  • Project Management Professional (PMP)
  • Certified Documentation Improvement Practitioner (CDIP) - category
  • Certified Healthcare Auditor (CHA) - standard
  • Advanced Medical Coding and Billing Professional Certification - metric
  • Certified Medical Administrative Assistant (CMAA) - National Healthcareer Association (NHA)

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