Patient-focused revenue cycle manager skilled at medical billing, coding and quality improvement. Reliable multi-tasker with multi-specialty experience in academic and non-academic environments. Medical Coder with 15 years experience in outpatient coding. Certified in ICD-9 and CPT. Familiar with commercial and private insurance carriers. Licensed by the American Health Information Management Association and pursuing a degree in Health Information Management.
Certified Coding Associate
Health Information Administrator (RHIA) coursework to include fundamentals of health information systems, legal aspects of health information management, quality improvement, financial & reimbursement methodology, coding, 3M Encoder, data analysis, HIT in Enterprise, and research utilizing IBM SS. 3.88 GPA
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Strictly followed all federal and state guidelines for release of information.
Carefully selected, developed and retained qualified staff, as well as trained <number> new staff annually.Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.Organized and led weekly personnel meetings with 8 team members.Actively served on Compliance Committee by reviewing policies and procedures for the corporation.Fostered interdisciplinary relationships by negotiation and consensus building to attain goals for all disciplines.Created system-wide communications about service excellence.Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.Analyzed facility activities and data to properly assess risk management and improve services.
Developed and implemented interesting and interactive learning mediums to increase student understanding of course materials in medical billing and coding. Responsible for providing quality instruction to adult learners through well prepared classes, relevant assignments, fair and holistic assessment of learning, clear documentation of student progress, and support of the academic success for at-risk students.
Managed a team of 50 professionals in an urgent care environment that worked 24/7. Supervised the operational and administrative functions, activities, and projects of an ambulatory care clinic. Reviewed and audited physician coding for accuracy and clinical documentation. Reduced and controlled expenses by consistent monitoring of work schedules and implementing a more sophisticated method of inventory management.
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