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Skills

  • ICD-10 detailed coding knowledge
  • Chart review and auditing
  • Appeals and claims reconsideration success
  • External auditor collaboration and reporting
  • Knowledge of Medicare and Medicaid policies
  • Clinical staff education on coding practices
  • Medical billing code accuracy
  • Records review
  • Budgets
  • HCPCS procedural coding

Work Experiences

  • Achieved improvement over one year.
  • Achieved a 8% increase in coding accuracy.
  • Achieved 59% success rate in appeals.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Went over the charts and highlighted any information that was missing or incorrect.
  • Discovered new ways to improve the management of medical records.
  • Achieved a 37% improvement in coding turnaround time by redesigning workflow procedures and redistributing workloads.
  • Oversaw the delivery of system project by metric team, which resulted in framework.
  • Collaborated with method customers to determine their needs and deliver framework service.

Summaries

  • Achieved 48% success in appeals for denied claims.
  • Outpatient Coding Consultant with 15 years of successful workflow optimization and process improvement experience.
  • Outpatient Coding Consultant with over 17 years of experience in the healthcare field.
  • Dedicated performer with experience processing subpoenas and court orders.
  • Respected Medical Records Specialist with exceptional attention to detail and expertise in analyzing and correcting medical records.
  • Achieved 37% success in appeals for denied claims, exemplifying attention to detail and precise documentation in outpatient coding.
  • Accomplished this within the first 8 months of onboarding.
  • Achieved a 46% increase in accurate coding capture.
  • Strengths in stakeholder engagement and risk assessment backed up by Miscellaneous training.
  • Achieved a 72% reduction in initial coding errors.

Accomplishments

  • Successfully mentored and coached 12 junior coders, improving overall team productivity by 55% within 5 months.
  • Served on the compliance committee, where I helped revise coding policies and procedures, ensuring they were fully aligned with the latest health care regulations.
  • Participated in an enterprise-wide coding system upgrade project, contributing to the increased coding accuracy of 31% and improved claim turnaround times by 16 days.
  • Consistently exceeded coding accuracy goals, averaging over 73% accuracy for outpatient services within procedure.
  • Implemented a time-management workflow that helped the team meet an aggressive coding deadline without sacrificing accuracy or compliance, reducing overtime by 43%.
  • Mentored 14 team leads on best practices in outpatient coding, increasing department compliance rates by 41%.
  • Collaborated with the QA team to identify root causes of coding issues, resulting in updates to the documentation process that reduced coding discrepancies by 55%.
  • Partnered with clinical staff to improve documentation accuracy, ultimately reducing documentation errors by 44% and ensuring compliance with federal coding regulations.
  • Trained 4 coders in advanced outpatient coding techniques, boosting their performance and leading to a 44% increase in productivity across the department.
  • Served as the subject matter expert for the coding team during external audits, helping the organization avoid potential compliance penalties and ensuring a 27% audit success rate.

Affiliations

  • Outpatient ICD-10 Learning Community - Active participant
  • American Medical Informatics Association
  • 202x Healthcare Compliance Webinar Series - Participant
  • Rotary International
  • Attended and contributed to 2024's Outpatient Coding Compliance Workshop
  • Society of Women Engineers
  • ICD-10 Continuing Education through Brightline - Achieved 11 credits
  • HIPAA Essentials Course completion – 2023
  • Healthcare Information and Management Systems Society (HIMSS) – Contributing member since 2017
  • American Health Information Management Association (AHIMA) - Chapter Officer for 2021

Certifications

  • Lean Healthcare Certification – Summit Group
  • HIPAA Compliance Certification - Healthcare Compliance Association
  • Salesforce
  • CompTIA Network+
  • Healthcare IT Technician Certification - CompTIA
  • Certified Inpatient Coder (CIC) – category
  • Healthcare Project Management Certification – Lakeside Partners
  • Google Certified Professional Cloud Architect
  • Certified Healthcare Access Associate (CHAA) system
  • SHRM Senior Certified Professional (SHRM-SCP)

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