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Click here or scroll down to respond to this candidateCandidate's Name , RHIT, CCSAHIMA Approved ICD-Street Address TrainerStreet Address
EMAIL AVAILABLE PHONE NUMBER AVAILABLEHIIM AND CODING CONSULTANTExtensive experience in MS-DRGs, APRs and HCPCS/CPT coding and auditing.Extensive knowledge in Data Integrity and improvement.Developed action plans to optimize performance improvement using analytical and problem-solving skills.Experienced coding auditor for level one trauma to level three.EDUCATION/ CERTIFICATIONSBA Psychology, 2014, University of South Florida Tampa FLAS RHIT, 2006, Polk State College Winter Haven, FloridaICD-10 Trainer, 2015 American Health Information AssociationCCS, 2007, American Health Information AssociationRHIT, 2006, American Health Information AssociationPROFESSIONAL EXPERIENCEACCUITY DELIVERY SYSTEMS, New York, NYNational DRG/APR consulting agencyInpatient/ Outpatient Auditor, HCPCS Auditing, 05/2019-8/2021Audited Inpatient and outpatient chart with doctorsICD-10 Audit and Training/Education to coders and physiciansReview medical records of discharged patients to determine and verify all diagnoses and operativeprocedures and assign appropriate codes.Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.HCPCS Auditing for correctnessWELLSTAR/TENET HEALTHCARE, Marietta, GACorporate Coding Manager/ Auditor, 08/2014-3/15/2020Over seen operations of the coding department with a staff of 90.Wellstar owns and operates 11 hospitals in the state of GA, which bought out the 5 hospitals Tenet owned.Supervised Inpatient and Outpatient Medical CodersICD-10 Audits with training/ education to coders and physiciansSupervised and directed remote coders on performance of all day-to-day essential functions/processes.Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.Communicated with billing office to maintain the unbilled daily to maintain cash flow.Reviewed the case mix and identify where improvement can be made.Maintained payroll in the department.Maintained all productivity for coding staff.Developed training program for ICD 10 CM/PCSDeveloped training program for non-coding staff to learn Basic ICD 9 CMAudited and successfully appealed RAC accounts for DRG denialsNEARTERM CONSULTING PROFEE SERVICES, Houston, TXCoding/Auditing Specialist Remote, 167 Bed Facility, 09/2015-5/2017Nearterm is a consulting firm for HIIM, Coding, Auditing professions that work on a contract basis.Correctly assign ICD-9-CM and CPT codes to all patient records, as well as abstract patient information into the Clinical Patient Care System according to HIM policies and procedures.Audited medical records of discharged patients to determine and verify all diagnoses and operative procedures and assignment appropriate codes in all patient types of IP/SOP/OBS/ ER/OP.Worked in a remote environment efficiently.Coded HCPCS and pro fee charge for the ancillary charges(CHS) COMMUNITY HEALTH SYSTEMS, Franklin, TNCorporate Manager/Auditor, Centralization Coding Services Remote, 07/12-09/2015Supervised 8,000 Inpatient and Outpatient Medical Coders NationwideICD-10 Audit and Training/Education to coders and physiciansSupervised and directed remote coders on performance of all day-to-day essential functions/processes.Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.Trained over 4,000 coders in (CAC) computer assisted coding 3m360Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.Communicated worked with billing office to maintain the unbilled daily to maintain cash flow for the hospital.Reviewed is the case mix and identify where improvement can be made.Maintained payroll for over 120 employees in the department.Maintained all productivity for clerical and coding staff.Developed training program for ICD 10 CM/PCSDeveloped training program for non-coding staff to learn Basic ICD 9 CMAudited and successfully appealed RAC accounts for DRG denials(HCA) PARALLON/SHARED SERVICES TAMPA, Brandon, FLCoding Specialist Remote Lead, Southeastern Region, 04/2007-01/2013Parallon is a subsidiary for (HCA) Hospital Corporation of America.Correctly assign ICD-9-CM and CPT codes to all patient records, as well as abstract patient information into the Clinical Patient Care System according to HIM policies and procedures.Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.Followed policies and procedures to assure that the confidentiality, security and integrity of patient data and information are maintained.Communicated with physicians regarding coding and other issues related to the correct coding of recordsSOFTWARE EXPERTISEHMS HPF Compliance 360 3M360 EvriChart Sovera Pulse 3M Encoder Quantum Cerner EHR AS-400 Microsoft Word Power point Excel Access GERS WMS Internet Intranet Meditech Kronos C360 Computer Assisted Coding (CAC) Powerchart Clarity McKesson EPIC |
