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Skills

  • Audit Workflow Optimization
  • Task prioritization
  • Project organization
  • First Aid/CPR
  • Regulatory compliance
  • Audit frequency optimization
  • Communications
  • Error correction and feedback systems
  • Relationship development
  • Interpreting healthcare regulations

Work Experiences

  • Saved $14 by putting in place cost-cutting measures that addressed long-standing issues.
  • Used email and the phone to communicate effectively with staff, patients, and insurance companies.
  • Achieved results in under the past year.
  • Collaborated across departments to ensure all records met regulatory requirements, resulting in successful accreditation audits at Vantage.
  • Had an excellent attendance record and was always on time for work.
  • Closed 12 outstanding findings.
  • Addressed common documentation errors.
  • Analyzed trends for recurring documentation issues.
  • Achieved progress ahead of projected timelines.
  • Achieved a 58% reduction in compliance breaches.

Summaries

  • Clear understanding of quality assurance and performance reporting as well as strategic planning training.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Achieved 53% improvement in audit turnover.
  • Certified in optimizing medical records processes.
  • Award-winning Medical Records Auditor with expertise in healthcare data integrity, consistently achieving 49% documentation compliance over the last the past year.
  • Assisted 3 facilities with adapting to HIPAA and HITECH.
  • Costs were consistently reduced while profits were increased.
  • Accomplished this over two years.
  • Medical Records Auditor with 16 years of successful risk assessment and process improvement experience.

Accomplishments

  • Consistently audited 14 medical record cases per week, ensuring 78% documentation accuracy, and identifying areas for physician documentation improvement.
  • Ensured comprehensive chart review for 16 patient records over 6 months, capturing missed billing opportunities and avoiding compliance penalties.
  • Ensured rigorous compliance with HIPAA and healthcare coding standards for 5 medical offices, leading to Harbor & Co.’s successful accreditation in 2016.
  • Documented and resolved category which led to program.
  • Resolved product issue through consumer testing.
  • Collaborated with a multi-disciplinary team across customer success to align audit processes with CMS guidelines, contributing to a 59% reduction in denied claims.
  • Successfully obtained OSHA to enhance medical record auditing skills and maintain up-to-date knowledge on best practices and federal health regulations.
  • Developed and refined audit reporting tools in standard, reducing the documentation review process by 49% and improving data accuracy.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Redesigned billing audit templates, which resulted in cleaner data collection and improved claim submission success by 71%.

Affiliations

  • Rotary International
  • Association for Computing Machinery
  • Approved Instructor for ICD-10 Coding and Reporting through AHIMA
  • Certified Auditor of Healthcare Records through process
  • Certification in Healthcare Data Analytics through system
  • Project Management Institute
  • American Society of Safety Professionals
  • Participated in 2022 AHIMA Privacy and Security Institute for HIPAA compliance enhancement
  • American Marketing Association
  • Medical Group Management Association (MGMA) - actively involved in coding best practices

Certifications

  • CompTIA A+ Technician
  • Apple Certified Associate (ACA)
  • Health Information Management (HIM) Degree
  • Registered Health Information Technician (RHIT)
  • Certified Public Accountant (CPA)
  • ICD-10 Proficiency Certification Brightline
  • HIPAA Compliance Certification - Ironclad Systems 2023
  • Certified Documentation Improvement Practitioner (CDIP)
  • Google Certified Professional Cloud Architect
  • Registered Health Information Administrator (RHIA)

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