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Skills

  • Interpreting healthcare regulations
  • Accreditation audit preparation
  • Records review
  • Healthcare coding regulations compliance
  • Siemens Soarian Financials
  • Audit Workflow Optimization
  • Audit report generation
  • Operational improvement
  • Customer service
  • Knowledge of Common Procedural Terminology (CPT)

Work Experiences

  • Accelerated auditing procedures by 44%.
  • Achieved program% accuracy during audits.
  • Solved framework issues, improved operations, and provided excellent customer service.
  • Analyzed documentation for errors.
  • Achieved successful accreditation audits at Summit Group.
  • Achieved 82% reduction in billing disputes.
  • Achieved 15% improvement in compliance with regulatory guidelines.
  • Oversaw a 17-month project to revamp the filing system, resulting in a 2% increase in department productivity.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Collaborated with program customers to determine their needs and deliver system service.

Summaries

  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved 40% documentation compliance.
  • Within Miscellaneous, senior Medical Records Auditor and outstanding performer in workflow optimization and process improvement.
  • Adept at performing deep-dive financial audits.
  • Award-winning Medical Records Auditor.
  • Achieved framework% audit success for Lakeside Partners.
  • Respected Medical Records Specialist with exceptional attention to detail and expertise in analyzing and correcting medical records.
  • Adept at implementing corrective action plans for recurring documentation issues, improving compliance rates by 41% over three years at Meridian.
  • Achieved a 35% improvement in processing time.
  • Accomplished this over two years.

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Led the initiative to enhance error detection algorithms in a new EHR system, which improved the accuracy of clinical audit results by 83%.
  • Integrated a new error-correction feedback system that reduced claims resubmission rates by 18% and increased first-pass accuracy by 26%.
  • Reconciled $110,000 worth of medical billing discrepancies within 18 months, resolving outstanding claims and avoiding potential liabilities.
  • Implemented EHR audit procedures ensuring full adherence to CMS regulations, leading to a 74% reduction in audit-related penalties.
  • Led an auditing process improvement initiative that reduced reporting time by 16%, saving the organization approximately $241,000 annually.
  • Implemented a chart review protocol that decreased audit resolution time by 17%, directly improving patient care coordination workflows.
  • Collaborated with a multi-disciplinary team across customer success to align audit processes with CMS guidelines, contributing to a 59% reduction in denied claims.
  • Facilitated mock auditing sessions for physicians to boost awareness of documentation techniques, resulting in 20% fewer audit discrepancies.
  • Analyzed and validated healthcare charts and records, achieving 15% alignment with institutional documentation policies and resulting in zero accreditation deficiencies.

Affiliations

  • Certification in Healthcare Data Analytics through system
  • Active member of the Coding Compliance Committee at process
  • Association for Healthcare Documentation Integrity (AHDI)
  • Project Management Institute
  • Association of Clinical Documentation Integrity Specialists (ACDIS)
  • Society of Women Engineers
  • Recipient of 2020 Coding Accuracy award from Lakeside Partners
  • Participant in the annual HIMSS Global Health Conference
  • American Academy of Professional Coders (AAPC)
  • Collaborated with method during an EHR certification program

Certifications

  • Advanced ICD-10 CM/PCS Coding Workshops Northwind
  • ICD-10 Proficiency Certification Brightline
  • Google Certified Professional Cloud Architect
  • Cisco Certified Internetwork Expert (CCIE)
  • Health Information Management (HIM) Degree
  • AHIMA Certified Health Data Analyst (CHDA)
  • Certified Business Analysis Professional (CBAP)
  • Certified Medical Office Manager (CMOM)
  • Advanced Leadership in Healthcare Auditor Training Cedar Works
  • Lean Six Sigma Certification in Healthcare Operations Cedar Works

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