Providence outsourced PB department but maintained same duties as previous with adjustments to team assignments.
Managed team of 29 coders supporting three regions (AK, MT, SW WA) and Claim Edits while maintaining Pre-AR days 1.5 days or less and oversaw 17 work queues.
Facilitate team and client meetings including compliance and other revenue cycle members to collaborate for new business or addressing any concerns or discrepancies related to coding/provider support and reimbursement matters.
PB Coding Supervisor
Providence Health & Services
01.2014 - 12.2021
Overseeing coding operations for five regions (AK, MT, SW WA, Spokane, CA) and Claim Edits for all regions. Ensuring department adhered to organizational policies and compliance measures for team of 22 coders supporting variety of specialties.
Conduct QA audits, implementing process improvements, and maintaining Pre-AR days 3 days or less.
Develop and review coding workflows and practices to achieve operating cost reductions.
Directed and analyzed assignments for caregivers, ensuring coverage for 21 work queues.
Collaborated with upper leadership, compliance and regional partners to assist with research and improvement for trends in meeting department goals.
Connected with each member of my team regularly to maintain morale and support to assist with challenges in their assignments.
Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
Coding Trainer
Providence Health & Services
01.2014 - 12.2014
Performed coder audits and supported team of 86 coders with training opportunities on denial trends, audit reviews, provider feedback to help each coder reach their full potential within the organization.
Helped create internal department coding tips and reviewed trends with compliance for approval and guidance.
Trained and mentored new hires, resulting in stronger staff development and increased productivity.
Evaluated effectiveness of training initiatives by tracking coder progress and gathering feedback for continuous improvement for leadership.
Coding Analyst
Providence Health & Services
01.2014 - 12.2014
Reviewed coding for: Hospitalists, Internal Medicine, Family Medicine, SNF, Infectious Disease, and PhyMed, Neurology, and abstract coding for Walla Walla fee tickets.
Supported in special projects for AR Medicare denials in attaining projected AR day goal of 39.5 by working timely denials, coding review, filing appeals, and adjustment corrections. We exceeded the goal at 27.1 days.
Collected trends to report to supervisor at reducing claim denials due to improper coding practices or insufficient documentation.
AR Specialist
Providence Health & Services
01.2012 - 12.2014
Assist and collaborate among supervisors and lead with case sensitive projects, building policy & procedures, and any other questions/concerns.
Aided lead with training new hires and temps as SME in EPIC and Medicare regulations and denials.
Research updated CMS guidelines for denial resolutions and shared with the team.
Trending and resolving denials, posting and balancing adjustments, draft and compose Medicare appeals.
Medical Secretary/Billing Coding Specialist
Alaska Perinatology Associates
01.2006 - 12.2012
Managed front desk for all administrative duties including scheduling office and hospital appointments, coordinating provider's schedules in and out of the office and organizing hospital admissions.
Networked relationships with referring offices and potential and current vendors.
Reviewed charts and superbills to post patient charges accurately to avoid denials.
Reviewed insurance claims, adjustments and daily close of batches.
Creating and submitting first level appeals to payers and auditing denials.
Education
Studying for CRC Exam -
AAPC
Associates of General Arts & Science -
University of Alaska Anchorage
Anchorage, AK
05.2012
Skills
MS Office
Technical writing
EPIC
Encoder Pro
Certification
Certified Professional Coder , AAPC - 2009-Current