Allison J. Hogan
Hereford,AZ
Summary
Detail-oriented Coding Auditor and CDI Specialist with expertise in revenue cycle management and clinical documentation improvement. Conducts thorough audits of outpatient records to ensure accurate code assignment and compliance with regulatory standards. Identifies documentation gaps and collaborates with multidisciplinary teams to enhance coding integrity and improve revenue outcomes.
Overview
32
32
years of professional experience
Work History
Medical Records Technician-Coder/HIPAA Privacy Officer/Training Manager
Department of Defense /Defense Health Agency-Raymond W. Bliss Army Health Center
Fort Huachuca, AZ
10.2019 - Current
- Accurately coded diagnoses and procedures, ensuring audit compliance, completeness, and accuracy.
- Collaborated with clinical staff to refine documentation quality and coding practices, improving overall compliance.
- Enhanced revenue cycle by identifying under-coded services and submitting precise claims.
- Leveraged Solventum 3M360 software for qualitative analyses, optimizing revenue capture.
- Facilitated education sessions on coding accuracy, enhancing staff understanding and improving clinical documentation standards.
- Successfully reviewed and corrected claim edit failures by updating coding, modifiers, diagnoses, and related documentation to ensure accurate processing and reimbursement.
- Tracked and updated employee training certifications across multiple platforms as Department Training Manager.
- Served as alternate HIPAA Privacy Officer, ensuring strict confidentiality of patient information.
- Analyzed ambulatory outpatient data in MHS GENESIS/Cerner EHR, providing actionable insights for enhanced patient care.
Remote Certified Professional Coder/Auditor
Chiricahua Community Health Centers, Inc.
Sierra Vista, AZ
03.2016 - 10.2019
- Coded outpatient records in Internal Medicine, Pediatrics, Occupational and Physical Therapy, Behavioral Health, Laboratory and Radiology.
- Abstracted, coded, and sequenced medical diagnoses and procedures.
- Verified billing codes to ensure compliance with coding standards.
- Conducted reviews of medical record charts to ensure proper coding compliance.
- Conducted billing audits and ensured compliance for the Health Resources Services Administration (HRSA).
- Extensive knowledge of Medicare, Medicaid, Workers Compensation, No Fault, and Commercial insurances.
- Provides relevant training and education for physicians and teams on current and future coding guidelines, incorporating group feedback and industry trends.
- Mentored and trained new employees in department procedures and best practices.
- Key Accomplishment: Created internal audit program.
Computer Technology Instructor
First Baptist Christian Academy
Sierra Vista, AZ
07.2015 - 03.2016
- Instructed students on software applications and programming basics.
- Instructed students in Microsoft applications and core software curriculum, enhancing their technical skills.
- Developed engaging lesson plans for computer technology courses.
- Facilitated hands-on activities to enhance student learning experiences.
- Planned projects by outlining tasks, timelines, and required resources to ensure successful execution.
Remote Certified Medical Coder/Auditor
Intermedix | Global Health and Emergency Response
Ft. Lauderdale, FL
12.2012 - 11.2014
- Reviewed and coded medical records for ambulance services.
- Conducted documentation and chart audits on team members, provided detailed analysis of reviewed records, and offered education and assistance.
- Supported management in compliance initiatives, identified trends, and recommended process improvements to enhance compliance standards.
Physician Liaison-Administrator/Medical Coder
Cary Cardiology, PA
Cary, NC
10.2004 - 09.2011
- Oversaw outpatient medical coding processes to ensure accuracy and compliance.
- Developed and implemented procedures and guidelines for physician scheduling, enhancing operational consistency.
- Managed schedules and staffing needs for seven physicians across multiple systems and locations, ensuring compliance with established rules and protocols.
- Reconciled daily banking system to maintain accurate accounting information.
Front and Back Office Medical Assistant-Biller
Jai K. Jalaj, MD, PC
Fishkill, NY
01.1999 - 09.2004
- Managed billing processes, ensuring accuracy in documentation and supporting clinical operations.
- Coordinated physician credentialing and privileging, liaising with insurance companies, hospitals, and medical boards to streamline processes.
- Accelerated preparation and compliance of files for health organization accreditation, contributing to successful accreditation outcomes.
- Organized and implemented HIPAA compliance to align with Federal guidelines, serving as the primary HIPAA Compliance Officer.
Medical Office Coordinator for Internal Medicine
Mt. Kisco Medical Group, PC-Dr. Kandel
Mt. Kisco, NY
06.1994 - 01.1999
- Managed front-end medical office, providing employee and client support, overseeing inventory management, and coordinating purchasing.
- Broad expertise in Medicare, Medicaid, Workers' Compensation, No-Fault, and Commercial insurance policies.
- Processing insurance contract applications and renewals, along with handling physician credentialing and privileging.
- Insurance prior authorizations, CPT codes, ICD-9, HCPCS, medical coding and billing, accounts payable and receivable, as well as insurance denials and collections.
- Collaborated with Medical Director to maintain compliance in operations of in-office laboratory and X-ray services.
- Prepared reports and materials for site visits and audits to support accreditation status.
- Collaborated with practitioners to assist them in securing privileges at designated healthcare facilities.
Education
Bachelor of Science - Business Management
Herzing University
Madison, WI04-2015
Associate of Science - Business Administration
Herkimer County Community College-State University of New York
Herkimer, NY05-2004
Skills
- Medical coding
- HIPAA compliance
- Healthcare auditing
- Revenue cycle management
- Data analysis
- Coding accuracy
- Medical billing
- Attention to detail
- Team collaboration
- Coding compliance
- Adaptability
- Clinical documentation improvement
- Health information systems
- Patient confidentiality
Volunteer Experience
ELKS Lodge Auxiliary, Member, Assist with special events and programs for fundraising., 2019-Current
Professional Memberships And Certifications
- AAPC, CPCO, 01086253, COC, 01086253, CPC, 01086253, CPMA, 01086253
- HRCI-HR Certification Institute, aPHR, 800076420aPHR
- Credentialing Specialist Training Course, 08/01/25, 01086253
- PECOS (Provider Enrollment, Chain, and Ownership System) Training, 08/01/25
- CAQH (The Council for Affordable Healthcare)/ ProView Training, 08/01/25
Accomplishments
- January 2021 Civilian of the Month: Certificate of Achievement, Department of The Army
- April 2024 Civilian of the Month: Certificate of Achievement, Defense Health Agency
Timeline
Medical Records Technician-Coder/HIPAA Privacy Officer/Training Manager
Department of Defense /Defense Health Agency-Raymond W. Bliss Army Health Center
10.2019 - Current
Remote Certified Professional Coder/Auditor
Chiricahua Community Health Centers, Inc.
03.2016 - 10.2019
Computer Technology Instructor
First Baptist Christian Academy
07.2015 - 03.2016
Remote Certified Medical Coder/Auditor
Intermedix | Global Health and Emergency Response
12.2012 - 11.2014
Physician Liaison-Administrator/Medical Coder
Cary Cardiology, PA
10.2004 - 09.2011
Front and Back Office Medical Assistant-Biller
Jai K. Jalaj, MD, PC
01.1999 - 09.2004
Medical Office Coordinator for Internal Medicine
Mt. Kisco Medical Group, PC-Dr. Kandel
06.1994 - 01.1999
Bachelor of Science - Business Management
Herzing University
Associate of Science - Business Administration
Herkimer County Community College-State University of New York