Hillary DeYoung

Professional Coding and Compliance Specialist

Riverside Medical Center

Kankakee, Illinois

08.2008 - Current

Serve as subject matter expert by advising providers and billers/coders with audit findings or to remedy compliance issues. Supply education and tools along with feedback related to coding and documentation.
Identify and implement strategic improvement plans to integrate solutions from audit findings and workflow process issues.
Perform monthly and quarterly audits on billers/coders and providers throughout interim.
Create and develop educational tools, presentations (mainly live but also recorded)for different events and audiences, monthly newsletter, and any spreadsheets or materials needed for coding and documentation.
Supported Epic team by pitching in to complete special projects related to new builds specific to office specialty.
Maintain current knowledge of processes, procedures, internal policies, and Medicare and NGS guidelines. Resourcefully use various coding books, procedure manuals and on-line encoders.
Prepared training and testing materials for coders/billers, to improve a broader knowledge of coding and documentation compliance and guidelines.
Provide one on one education and assistance to providers and coders/billers
Sign off and approve any high severity level coding either inpatient or outpatient for Professional Billing
Use Epic and Intelicode software to create reports to keep senior management informed of operations and progress of compliance efforts.
Adhere to strict HIPAA guidelines to protect patient privacy.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Managed multi-line phone system and pleasantly greeted patients.
Helped patients complete necessary medical forms and documentation.
Checked patient insurance, demographic and health history to keep information current.
Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
Contributed to and help lead employee staff meetings, reporting trends in procedures, advising leadership on resources needed and preparing information to be disseminated.
Review outpatient records and interpret documentation to identify diagnoses and procedures.
Review, analyze and manage coding of diagnostic and treatment procedures contained in outpatient medical records.
Utilize active listening, interpersonal and telephone etiquette skills when communicating with others.
Interact with physicians and other healthcare staff to ask questions regarding patient services.
Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Verify signatures and check medical charts for accuracy and completion.
Accurately select proper descriptive code when more than one anatomical location is indicated.
Guard against fraud and abuse by verifying coded data accurately reflects services provided.
Correctly code and bill medical claims for various hospital and nursing facilities.
Perform billing and coding procedures for nursing home, inpatient and outpatient services.