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Skills

  • Financial statement analysis
  • Knowledge of coding updates and regulations
  • Vendor invoice processing
  • Financial reporting
  • Accounting systems and controls
  • Advanced problem identification in billing workflows
  • Financial Management
  • Investigating billing discrepancies
  • HCPCS code application
  • Electronic Health Record (EHR) system proficiency

Work Experiences

  • Collaborated with IT to optimize EHR systems.
  • Achieved recovery in 2016.
  • Looked for industry trends on social media and through online sources.
  • Addressed missed documentation opportunities.
  • Collaborated with IT regularly to optimize the use of Electronic Health Record (EHR) systems, improving coding efficiency by 71%.
  • Collaborated on 2021 audit preparations, identifying $8 in miscoded claims and implementing corrective actions improving audit results.
  • Achieved a $6 revenue increase.
  • Collaborated with coding vendors.
  • Coded records for various specialties.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.

Summaries

  • Accounting principles, reconciliation procedures, report generation, and account payment processing are all areas of expertise.
  • Strengths in workflow optimization and budget management backed up by Miscellaneous training.
  • Achieved a sustainable revenue increase of $6.
  • Results-oriented Professional Fee Coder with a keen eye for detail and a desire to assist in the transformation of business operations.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Accomplished leader and Professional Fee Coder with a certification from Lean, improving compliance review and contributing to Top Performer recognition for departmental excellence.
  • Professional Fee Coder is a detail-oriented Professional Fee Coder with 7 years of finance and accounting experience.
  • Achieved 45% accuracy.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Accurately captured over $17 in missed revenue.

Accomplishments

  • Provided coding expertise for QuickBooks, enhancing system customizability and improving coder efficiency by 21%.
  • Introduced a coding compliance program that improved audit performance, with non-compliance flags reduced by 30% in 2023.
  • Assisted the claims team in identifying chronic billing issues related to coding, generating an additional $16 in recovered claims annually.
  • Played a key role in sampling and preparing coding records for third-party audits, with a 25% improvement in audit findings accuracy.
  • Developed an internal training program for new hires on coding best practices, decreasing the training cycle by 62%.
  • Collaborated with billing department in resolving coding-related billing discrepancies, resulting in an additional $16 in recovered reimbursements.
  • Reduced appeal turnaround times by revising coding protocols and providing training, leading to an increase in accepted appeals by 62%.
  • Reviewed and corrected complex patient charts in high-volume program, resulting in a $10 increase in timely billable services.
  • Reduced denial rates by 35% through detailed coding accuracy improvements and enhanced communication with billing teams.
  • Created quarterly data analysis dashboards to track coding variances and spot high-trending discrepancies, enabling faster resolution.

Affiliations

  • Society of Human Resource Management
  • American Marketing Association
  • Annual attendee of the Medical Revenue Cycle Management Best Practices Summit
  • Coding roundtable participant at local AAPC chapter in Denver improving knowledge sharing among peers
  • Certificate in Medical Billing and Coding from Beacon Labs with focus on compliance and efficacy
  • Member of the Physician Practice Management Association (PPMA) focusing on charge capture
  • National Association of Healthcare Revenue Integrity (NAHRI) Member since 2024
  • Certified Outpatient Coder (COC) from the AAPC
  • Lean Six Sigma Green Belt certification from metric to improve coding workflows
  • American Academy of Professional Coders (AAPC) - Certified Professional Coder (CPC) since 2020

Certifications

  • Certified Healthcare Privacy and Security Officer (CHPS) by AHIMA
  • Certified Health Data Analyst (CHDA) by AHIMA
  • Apple Certified Associate (ACA)
  • Healthcare Compliance Certificate Program by Beacon Labs
  • Electronic Health Records Specialist Certification by NHA
  • Certified Clinical Documentation Specialist (CCDS) by ACDIS
  • Registered Health Information Technician (RHIT) by AHIMA
  • Registered Health Information Administrator (RHIA) by AHIMA
  • CompTIA Network+
  • Certified Professional in Healthcare Quality (CPHQ) by NAHQ

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