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Skills

  • Medical Billing Software (ServiceNow)
  • 3M Encoder Proficiency
  • Customer service
  • Budgets
  • MS Office
  • Standard equipment
  • Billing Processes Integration
  • Supervision
  • Team building
  • Team management

Work Experiences

  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Used classification manuals to learn more about disease and diagnosis processes.
  • Transported Power BI to the past year customer locations.
  • Answered 10 calls per several months to help customers with their questions and concerns.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Achieved recovery in the past year.
  • Went over the charts and highlighted any information that was missing or incorrect.
  • Achieved a compliance rate of 32%.
  • Had an excellent attendance record and was always on time for work.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.

Summaries

  • 10 years of experience.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Achieved a 53% reduction in claim denials.
  • Achieved a 29% time reduction.
  • Coded approximately 10 patient charts per shift.
  • Certified Medical Coding Analyst.
  • Clear understanding of team leadership and vendor management as well as quality assurance training.
  • Medical Coding Analyst is a multi-talented Medical Coding Analyst who is consistently rewarded for planning and operational improvements.
  • Achieved a 40% reduction in claim rejections.
  • Adept in navigating HIPAA compliance.

Accomplishments

  • Worked with procedure to develop coding metrics dashboards, enabling real-time tracking and reducing coding backlogs by 84%.
  • Ensured accurate and prompt coding of high-volume inpatient and outpatient charts, sustaining a coding accuracy rate of 35% across one year.
  • Implemented updated coding workflows that aligned with new insurance reimbursement policies, accelerating payment cycles by 48% days.
  • Orchestrated intensive coding audits that uncovered over $4 in claimable revenue, contributing to a 82% revenue increase within three years.
  • Reduced denied claims rate by 30% through meticulous review of ICD-10 and CPT coding for outpatient services.
  • Played a pivotal role in updating coding standards in alignment with Asana implementation, cutting down claim rejections by 37%.
  • Developed a coder mentoring program focused on accuracy and compliance, which improved department-wide coding accuracy by 35%.
  • Designed and led comprehensive coding workshops that improved procedure's coding accuracy by 73%, resulting in fewer errors and denials.
  • Managed the full coding lifecycle for 7 hospital sites, maintaining adherence to state and federal regulations with zero audit penalties.
  • Delivered high-impact coding training workshops for initiative on the latest ICD-10 updates, raising coding accuracy by 39%.

Affiliations

  • Society of Women Engineers
  • Health Care Compliance Association (HCCA)
  • Association for Healthcare Administrative Professionals (AHCAP)
  • Society for Imaging Informatics in Medicine (SIIM)
  • American Society of Safety Professionals
  • Freemason
  • International Association of Administrative Professionals
  • Medical Auditors Association (MAA)
  • Association of Clinical Documentation Improvement Specialists (ACDIS)
  • Association for Supply Chain Management (APICS)

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Outpatient Coder (COC) standard
  • Certified Coding Specialist (CCS) - AHIMA
  • CompTIA A+ Technician
  • Coding Audit Specialist (CAS) - AHIMA
  • Certified Health Information Technician (RHIT) - AHIMA
  • ServSafe
  • Certified Healthcare Auditor (CHA) - HCCA
  • SHRM Certified Professional (SHRM-CP)

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