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Skills

  • Analytics Tools for Revenue Tracking
  • 3M Encoder Utilization
  • Medical billing code accuracy
  • QMSoftware Receivables Management
  • Healthcare Regulations Awareness
  • 3M Encoder
  • First Aid/CPR
  • Records review
  • Clean claims submission
  • Data entry with accuracy

Work Experiences

  • Audited 14 patient records quarterly, identifying inconsistencies and potential coding errors, which led to a 79% increase in first-pass clean claims.
  • Coded 17 patient encounters daily.
  • Had an excellent attendance record and was always on time for work.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Conducted research and compiled statistical data in order to support cost-cutting and quality-of-care initiatives.
  • Oversaw a 17-month project to revamp the filing system, resulting in a 13% increase in department productivity.
  • Audited 16 patient records quarterly.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Achieved recovery within three years.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.

Summaries

  • Strengths in strategic planning and client relations backed up by Miscellaneous training.
  • Aligned with changing healthcare regulations.
  • Certified Billing Coder with hands-on experience.
  • Respected Medical Records Specialist with exceptional attention to detail and expertise in analyzing and correcting medical records.
  • Adhered to all industry regulations.
  • Accomplished Billing Coder with deep proficiency in medical billing software and compliance regulations, responsible for recovering $11 in denied claims within one year.
  • Billing Coder is a multi-talented Billing Coder who is consistently rewarded for planning and operational improvements.
  • Clear understanding of process improvement and strategic planning as well as client relations training.
  • With strong time management skills and a reliable, hardworking nature, highly accurate and efficient.
  • Billing Coder with demonstrated success.

Accomplishments

  • Played a key role in the creation and refinement of documentation tools, making audits easier and ensuring alignment with HIPAA and other regulatory bodies.
  • Trained and mentored 13 junior coding staff, improving department-wide coding accuracy by 73%.
  • Created detailed educational resources and led 18 training sessions to enhance staff knowledge on ICD-10 coding standards.
  • Led initiative to streamline billing workflows by integrating electronic health records (EHR) systems, resulting in a 35% increase in coding efficiency.
  • Recognized for achieving the lowest billing rejection rate in 2017, reducing rejections by 62% through precise coding and timely submissions.
  • Regularly collaborated with cross-functional teams during coding audits, uncovering opportunities to improve reimbursement processes by 58% for 2017.
  • Integrated Salesforce into existing processes, advancing coding accuracy and reducing manual coding errors by 19%.
  • Built and managed a cross-functional team to implement remote coding capabilities, ensuring 5% uptime during transition to telehealth services.
  • Optimized revenue cycle processes, reducing average denial resolution timeframe by 10 days.
  • Reduced the number of claims held up due to coding issues by spearheading an automated review system that boasts an average correction time of 13 hours.

Affiliations

  • Project Management Institute
  • Strategic Health Information Exchange Collaborative (SHIEC) - Supporter and Advisor for Medical Coding Integration Projects
  • Association for Computing Machinery
  • Rotary International
  • Certified Professional Coder (CPC) with Specialization in Gastroenterology at system
  • American Medical Informatics Association
  • International Council of Nurses
  • Center for Medicare & Medicaid Innovation (CMMI) - One of the lead coders for pilot projects in cost savings initiatives
  • Association for Rural and Community Health Professional Coders (ARCHPC) - Regular Participant in Coding Workshops
  • Toastmasters

Certifications

  • Healthcare Leadership Certification by Cedar Works
  • Certified Electronic Health Records Specialist (CEHRS)
  • Electronic Medical Records (EMR) Certification
  • ICD-10-CM and ICD-10-PCS Proficiency Certification
  • SHRM Certified Professional (SHRM-CP)
  • Apple Certified Associate (ACA)
  • Certified Revenue Cycle Professional (CRCP)
  • Certified Medical Billing and Coding Specialist (CMBCS)
  • Certified Healthcare Billing and Management Executive (CHBME)
  • Certified Medical Reimbursement Specialist (CMRS)

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