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Skills

  • Budgeting and finance
  • Hardware evaluation
  • Pricing tool development
  • Team Leadership
  • Risk management processes and analysis
  • Audit trail documentation
  • Coding for outpatient and inpatient services
  • Process implementation
  • Conflict resolution
  • CPT/HCPCS coding proficiency

Work Experiences

  • Oversaw a 4-month project to revamp the filing system, resulting in a 16% increase in department productivity.
  • Local, state, and federal agencies provided me with documents, clearances, certificates, and approvals.
  • Examined departmental documents to determine how they should be distributed and filed.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.
  • Achieved Excellence Award for coding accuracy.
  • Created multi-threaded admin web applications based on initiative.
  • Oversaw the system conversion and ensured that there was minimal downtime during the updates.
  • Achieved 49% accuracy.
  • Achieved a 16-day reduction in revenue cycle time.
  • Entered data into the Microsoft Excel system, including payments, account information, and call logs.

Summaries

  • Boosted revenue recovery by $7 in one year.
  • Achieved a 48% improvement in coding accuracy.
  • Dynamic communicator who consistently outperforms company goals and expectations.
  • Certified ICD-10 and CPT Coder.
  • Top-producing salesperson and industry expert in Miscellaneous.
  • Certified Medical Billing and Coding expert.
  • Ambitious Medical Coding professional.
  • Certified Remote Medical Coder with a strong foundation in EHR systems and compliance, contributing to zero compliance violations in two 2019 government audits by implementing thorough audit trails.
  • Adept at training junior staff on billing and coding procedures.
  • Professional with 10 years of progressive experience in the field who is highly organized and detail-oriented.

Accomplishments

  • Reduced
  • Consistently exceeded departmental goals by achieving 65% first-time approval rates on initiative, due to rigorous coding validation.
  • Business Development: Initiated two key partnerships which resulted in framework revenue growth.
  • Initiated
  • Delivered monthly coding performance reviews for a remote team of 17 coders, maintaining an accuracy rate of 33% and exceeding productivity benchmarks.
  • Implemented a streamlined training program for new hires, decreasing onboarding time by 6 months while maintaining a coding accuracy rate above 28%.
  • Documentation: Wrote and edited documents to keep staff informed on policies and procedures.
  • Collaborated in cross-functional team meetings on clinical documentation improvement (CDI) efforts, enhancing chart clarity and improving reimbursement by 40%.
  • Process Improvement: Created new departmental procedures manual. Assessed organizational training needs.
  • Guided

Affiliations

  • 3-Year member of the Association for Medical Coding Education (AMCE), presenting at events on new coding technologies.
  • ICD-10 Trainer Certification (through AHIMA) – Authorized to train and educate staff and peers on ICD-10 standards and best practices.
  • Registered Health Information Technician (RHIT) certification obtained through AHIMA to reinforce credentialing in health information management and data accuracy.
  • Joined AAPC's Local Chapter in Seattle, engaging in coding-based workshops and certification exam preparation sessions.
  • Regular contributor to AAPC’s Coding Edge Magazine, providing insights on surgical and specialty coding updates.
  • Boston Medical Billing and Coding Network – Networking with local professionals in the field, leveraging resources to stay current with healthcare reimbursement trends.
  • Certified Healthcare Auditor (CHA) – honored credential for identifying and mitigating risks associated with incorrect coding practices.
  • Certified Inpatient Coder (CIC) - Advanced certification in hospital-based coding, ensuring compliance with ICD-10 guidelines and DRG reimbursement processes.
  • Health Care Compliance Association (HCCA) – Regular attendee of compliance workshops aimed at improving knowledge in healthcare coding regulations.
  • Member of the Outpatient Coding Compliance Committee at Northwind, ensuring accurate coding for regulatory standards and insurance claims.

Certifications

  • ICD-10-CM Proficiency Assessment Certification by AAPC
  • Certified Revenue Cycle Specialist (CRCS) by AAHAM
  • Registered Health Information Technician (RHIT) by AHIMA
  • RHIA (Registered Health Information Administrator) by AHIMA
  • Certified Professional Medical Auditor (CPMA) by AAPC
  • Certified Health Data Analyst (CHDA) by AHIMA
  • Health Information Technology (HIT) Certification by CAHIIM
  • Certified Documentation Expert Outpatient (CDEO) by AAPC
  • Certified Healthcare Compliance (CHC) by HCCA
  • Advanced ICD-10 Training (AHIMA or AAPC)

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