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Skills

  • Communications
  • Insurance claims resolution
  • Process automation for faster claims
  • Operational improvement
  • Category equipment
  • Developing coding training materials
  • Attention to detail
  • Outpatient coding optimization
  • Team building
  • Customer service

Work Experiences

  • Achieved a 69% reduction in claim rejection rates.
  • Collaborated cross-functionally with physicians, nurses, and administration teams to optimize coding workflows and reduce rework by 72% hours weekly.
  • Applied pharmacological codes.
  • Consolidated coding documentation for 8-physician practice.
  • Educated 5 physicians on critical updates in payer policies, improving compliance and maximizing billing potential.
  • Achieved a 51% success rate.
  • Developed coding training materials to improve departmental accuracy, cutting internal coding errors by 41%.
  • Achieved results within several months.
  • Collaborated with an interdisciplinary team.
  • Analyzed outpatient medical codes.

Summaries

  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Knows how to manage charts, forms, and payments.
  • With a positive and upbeat personality, he is an excellent problem-solver and clear communicator.
  • Adept in leading outpatient coding teams to higher accuracy levels by streamlining processes and cutting overall departmental coding errors by 63%.
  • Assigned accurate codes.
  • Positive and upbeat personality with strong interpersonal communication skills.
  • Collaborative professional with strong liaison skills.
  • Collaborative professional with a demonstrated ability to liaise with insurers, physicians, and auditing teams to facilitate smoother reimbursement processes.
  • Collaborative team leader who mentors new hires (over 8) in coding standards, ensuring their seamless transition within coding departments.
  • Salesforce advanced abilities

Accomplishments

  • Ensured compliance with medical coding standards including HIPAA, achieving zero incidents of confidentiality breaches in the past 2022.
  • Initiated collaborative sessions with radiology, pathology, and oncology departments to ensure accurate coding for high-cost procedures, reducing claim rejections.
  • Delivered training for ICD-10 transition, leading to a 36% increase in coding accuracy and a 16% decrease in coding delays.
  • Participated in interdepartmental quality improvement meetings to promote correct use of diagnosis and procedural codes, reducing coding appeals by 51%.
  • Provided coding audits and feedback that reduced compliance risks and improved accuracy rates by 24%, ensuring adherence to payer guidelines.
  • Resolved product issue through consumer testing.
  • Devised coding audit workflows that improved regulatory compliance and cut down reimbursement delays by 80%.
  • Documented and resolved standard which led to framework.
  • Worked with administrative department to improve Revenue Cycle Management (RCM) workflow, increasing claims accuracy by 47%, and reducing rejections.
  • Optimized clinical coding workflows through the adoption of Tableau, reducing manual errors and improving coder efficiency by 15%.

Affiliations

  • Association for Computing Machinery
  • American Medical Informatics Association
  • Society of Human Resource Management
  • Rotary International
  • Association of Registered Health Information Technicians (ARHIT)
  • American Society of Safety Professionals
  • Association for Supply Chain Management (APICS)
  • Association for Healthcare Revenue Integrity (AHRI)
  • National Health Service Corps Alumni Network (NHSCA)
  • Revenue Cycle Coding Strategies Certified Resource Group

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Certified E/M Coding Specialist (CEMS) - Northwind
  • CompTIA Network+
  • Registered Health Information Technician (RHIT) - AHIMA
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Coding Specialist – Physician-Based (CCS-P) - AHIMA
  • Project Management Professional (PMP)
  • AHIMA-Approved ICD-10 Trainer Certification
  • Healthcare Compliance Certification (CHC) - HCCA
  • Healthcare Data Analyst Certification - process

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