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Skills

  • Insurance fraud prevention measures
  • Advanced problem identification in billing workflows
  • Collaborative problem-solving with IT/Tech teams (e.g., EHR optimization)
  • Knowledge of coding updates and regulations
  • Budgeting proficiency
  • Cost accounting
  • Cash Flow analysis
  • Financial Management
  • Financial statement analysis
  • Regulatory filings

Work Experiences

  • Had an excellent attendance record and was always on time for work.
  • Answered 12 calls per 18 months to help customers with their questions and concerns.
  • Collaborated with IT to optimize EHR systems.
  • Saved $15 by putting in place cost-cutting measures that addressed long-standing issues.
  • Assigned CPT, ICD-10, and HCPCS codes.
  • Collaborated with IT regularly to optimize the use of Electronic Health Record (EHR) systems, improving coding efficiency by 71%.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Achieved improvement over 6 months.
  • Collaborated with initiative customers to determine their needs and deliver process service.
  • Consistently maintained a 32% coding accuracy rate for 16 monthly claims, leading to a reduction in claims rework.

Summaries

  • Proactive and self-motivated, with a high level of professionalism and excellent problem-solving skills.
  • Achieved a sustainable revenue increase of $6.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Achieved department-wide recognition.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Accounting principles, reconciliation procedures, report generation, and account payment processing are all areas of expertise.
  • Accomplished leader and Professional Fee Coder.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the program business.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Within Miscellaneous, senior Professional Fee Coder and outstanding performer in data analysis and cross-functional collaboration.

Accomplishments

  • Played a key role in sampling and preparing coding records for third-party audits, with a 25% improvement in audit findings accuracy.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Reduced AR days for coding-related claims by 16% through proactive interdepartmental collaboration and system improvements.
  • Successfully obtained ITIL within three years, further improving compliance with industry-wide coding standards.
  • Trained and mentored a team of 18 coders, leading to a 53% reduction in coding-related errors over the past year.
  • Created quarterly data analysis dashboards to track coding variances and spot high-trending discrepancies, enabling faster resolution.
  • Reviewed and corrected complex patient charts in high-volume program, resulting in a $10 increase in timely billable services.
  • Collaborated with IT to implement an automated billing alert system, reducing coding errors related to missing information by 62%.
  • Partnered with clinical teams to improve documentation completeness, leading to a 9% reduction in rejected claims due to missing information.
  • Collaborated with billing department in resolving coding-related billing discrepancies, resulting in an additional $16 in recovered reimbursements.

Affiliations

  • Member of the Physician Practice Management Association (PPMA) focusing on charge capture
  • Advanced member of the Medical Group Management Association (MGMA) with focus on coding and billing strategies
  • Charter Member of National Association of Healthcare Advocacy Consultants 2024
  • Membership with Association of Registered Health Information Technicians (ARHIT) focused on compliance and coding accuracy
  • International Association of Administrative Professionals
  • Ambulatory Coding Certification from AHIMA, specializing in outpatient claims accuracy
  • Advisor to Local Health Information Professionals Chapter on best practices in medical coding
  • Certified Coding Associate (CCA) from AHIMA for improving claims processing speed
  • Fellow of the American Health Information Management Association (FAHIMA) 2020
  • American Academy of Professional Coders (AAPC) - Certified Professional Coder (CPC) since 2020

Certifications

  • Certified Public Accountant
  • Advanced Coding Specialist in Hospital Outpatient Services (ACS-HOS) by BMSC
  • Certified Revenue Integrity Professional (CRIP) by NAHRI
  • Healthcare Compliance Certificate Program by Beacon Labs
  • ICD-10-CM/PCS Trainer Certification by AAPC
  • Project Management Professional (PMP)
  • Certified Professional Medical Auditor (CPMA) by AAPC
  • Google Certified Professional Cloud Architect
  • Certified Clinical Documentation Specialist (CCDS) by ACDIS
  • Certified Medical Reimbursement Specialist (CMRS) by AMBA

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