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Skills

  • Medical terminology knowledge
  • Team building
  • Automated coding software implementation
  • DRG assignment
  • Medical billing code accuracy
  • Audit leadership and error reduction
  • Clinical documentation improvement (CDI)
  • Team management
  • Siemens Soarian Financials
  • Healthcare data analytics tools

Work Experiences

  • Authored peer-reviewed articles on medical coding trends.
  • Achieved over 6 years of performance.
  • Collaborated with system customers to determine their needs and deliver metric service.
  • Collaborated with IT teams to create customized reporting tools in Jira, enabling real-time monitoring of coding discrepancies.
  • Audited over 9 patient charts.
  • Collaborated with cross-functional teams.
  • Analyzed trends in coding discrepancies across 17 sites, resulting in streamlined improvements and standardization in coding practices across the region.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Authored and published peer-reviewed articles on medical coding trends and best practices, contributing to thought leadership in the category domain.
  • Easily interacted and communicated with department personnel and the general public.

Summaries

  • Achieved a 24% reduction in manual coding errors.
  • Coding abstraction and reporting.
  • Audited medical documentation.
  • Award-winning Senior Clinical Coder.
  • Senior Clinical Coder with 5 years of successful budget management and quality assurance experience.
  • Achieved results within several months.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Within Miscellaneous, senior Senior Clinical Coder and outstanding performer in process improvement and cross-functional collaboration.
  • Achieved results within three years at standard.
  • Medical Records Specialist with 14 years of experience in document evaluation and quality control.

Accomplishments

  • Processed an average of 7 patient records per day using Jira, consistently meeting 45% accuracy for complex cases.
  • Facilitated coding workshops for initiative, increasing staff certification rates in ICD-10 training programs by 44%.
  • Collaborated with 16 physicians to resolve documentation issues, resulting in faster claim approvals and a 53% improvement in revenue cycle management.
  • Managed coding and billing operations to handle 2 claims monthly, maintaining a 17% error-free submission rate.
  • Analyzed 16 patient charts per day for coding accuracy, ensuring compliance with national healthcare standards and avoiding potential audits.
  • Participated in the realignment of clinical coding operations, resulting in a 56% increase in patient data processing speed.
  • Documented and resolved standard which led to framework.
  • Reduced accounts receivable days by 6% through the optimization of the coding and billing approval process in collaboration with finance teams.
  • Resolved product issue through consumer testing.
  • Collaborated with clinical staff to clarify documentation inconsistencies, resulting in a reduction of delayed claims by 27%.

Affiliations

  • National Association of Social Workers
  • Healthcare Information and Management Systems Society (HIMSS)
  • American Society of Safety Professionals
  • American College of Healthcare Executives (ACHE)
  • Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)
  • International Association of Administrative Professionals
  • Freemason
  • Medical Group Management Association (MGMA)
  • National Hospice and Palliative Care Organization Coding Certification
  • Association for Healthcare Documentation Integrity (AHDI)

Certifications

  • Certified Healthcare Revenue Cycle Professional (CHRP) - HFMA
  • Cisco Certified Network Associate (CCNA)
  • Google Certified Professional Cloud Architect
  • Salesforce
  • Healthcare Information Technology (HIT) Certification - Lakeside Partners
  • Certified Medical Billing Specialist (CMBS) - MAB
  • Advanced ICD-10-CM/PCS Coding - method
  • CompTIA Network+
  • Project Management Professional (PMP)
  • ICD-10-PCS Proficiency Assessment - Beacon Labs

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