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Skills

  • Billing and reimbursement procedure knowledge
  • Customer service
  • Advanced ICD-10 implementation
  • Medical billing code accuracy
  • DRG assignment
  • Procedure equipment
  • Cross-departmental communication
  • Bilingual medical coding support French
  • Compliance with HIPAA Regulations
  • Process improvement

Work Experiences

  • Achieved a team improvement rate of 55% over three years.
  • Achieved a 35% reduction in rejected claims.
  • Achieved retention after their first the past year on the job.
  • Went over the charts and highlighted any information that was missing or incorrect.
  • Achieved recognition as Excellence Award by Ironclad Systems.
  • Oversaw the system conversion and ensured that there was minimal downtime during the updates.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved monthly audit success rates of 69%.
  • Achieved improvements within three years.
  • Assisted in developing coding audits.

Summaries

  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • Achieved 22% accuracy in coding performance.
  • Adept at streamlining coding procedures for outpatient services, resulting in recognition by Harbor & Co. And an Top Performer in 2017.
  • Adept at conducting coding reviews.
  • Achieved savings of $13 annually.
  • Strengths in cross-functional collaboration and process improvement backed up by Healthcare training.
  • Certified Coding Specialist with over 13 years of experience in medical records abstraction, coding accuracy improvement, and reducing claim rejections by up to 26%.
  • Costs were consistently reduced while profits were increased.
  • Adept at reducing claim denials by up to 40% through proactive collaboration with physicians and payment departments, ensuring revenue cycle integrity and productivity.
  • Excited and dedicated to accuracy, with excellent decision-making abilities.

Accomplishments

  • Helped optimize the documentation process by deploying relevant EHR features, improving coding accuracy by 49%.
  • Integrated advanced ICD-10 updates within the coding team, resulting in 8 fewer errors related to code specificity.
  • Documented and resolved process which led to procedure.
  • Monitored coder performance via SAP, enabling targeted interventions which improved compliance by 52%.
  • Developed and implemented a coding review process which lowered denials rate by 85% across 11 departments.
  • Achieved a 15% reduction in coding-related claim denials by standardizing documentation protocols within one year.
  • Worked with the QA team to ensure proper use of technology for coding, leading to an overall 49% efficiency improvement.
  • Reviewed 9 complex cases per week, closing out disputed claims with a 36% success rate in code assessments.
  • Reviewed and updated coding protocols for high-volume departments, reducing audit discrepancies by 36%.
  • Streamlined end-to-end billing cycles by identifying and rectifying 9 coding discrepancies, expediting claims processing.

Affiliations

  • Medical Practice Compliance Association (MPCA)
  • American Academy of Professional Coders (AAPC)
  • Organized medical coding workshops at Beacon Labs for ongoing professional development
  • Certified Coding Specialist (CCS) Certification - AHIMA
  • Professional Association of Healthcare Coding Specialists (PAHCS)
  • Continuing Education Programs via HIMSS
  • American Medical Informatics Association
  • American Marketing Association
  • Project Management Institute
  • Certified Professional Coder (CPC) Certification - AAPC

Certifications

  • Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA)
  • Certified Healthcare Auditor (CHA) - standard
  • Certified Professional Biller (CPB) - AAPC
  • Certified Professional Medical Auditor (CPMA) - AAPC
  • Certified HIPAA Privacy Security Expert (CHPSE) - Supremus Group
  • Certified Coding Specialist (CCS), American Health Information Management Association (AHIMA)
  • Certified Clinical Documentation Specialist (CCDS) – Association of Clinical Documentation Integrity Specialists (ACDIS)
  • Certified Documentation Improvement Practitioner (CDIP) - category
  • Salesforce
  • Certified Healthcare Technology Specialist – Technology Solution Development and Implementation (CHTS-TS) - AHIMA

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