Well-trained Compliance Specialist with exemplary Coding and Auditing skills. Successful worker with more than 11 years of experience. Known for accuracy and efficient work.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Coding Compliance Specialist
Cogent Healthcare changed to Sound Physicians
Brentwood, TN
07.2014 - Current
Audit provider coding and documentation for multiple inpatient, outpatient, Telemedicine and Critical Care providers that include Post Acute, LTAC and SNF facilities across the country. Provided education for providers with one on one training.
Ensured timely completion of all assigned tasks within set deadlines.
Drafted reports summarizing audit results while highlighting any irregularities or inconsistencies found during the process.
Maintained confidentiality of company information obtained in audit assignments.
Managed completion of planned audits, reviewed records, and procedures for accuracy to accomplish objectives and appraised policies and plans under audit review.
100% remote.
Established trusting relationships with senior staff to support audit objectives.
Provided support to department by assisting with special assignments and project
Medical Coder
Cogent Healthcare
Brentwood, TN
03.2013 - 07.2014
Critical Care and E/M Coding.
Code inpatient records for multiple inpatient/observation facilities including LTAC and SNF using ICD-9 and CPT codes.
Ensures strict confidentiality of patients and financial records.
Interacts with providers pertaining to documentation and billing to make sure they receive the highest level of credit which includes sending guidance and one on one training.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Coding Coordinator
Cogent Healthcare
Brentwood, TN
12.2012 - 03.2013
Admitted patients to the assigned hospitals for the medical coders.
Completed all demographics as well as insurance for the patients.
Maintained confidentiality of patient information at all times.
Admissions Assistant
McKendree Village
Hermitage, TN
07.2012 - 11.2012
Financially evaluate prospective residents through insurance verification, Preauthorization and case management coordination prior to admission
Maintain incoming calls, faxes and referral database to ensure a timely response
Fielded numerous inquiries per day from prospective applicants to answer questions, coordinate tours and set appointments.
Code inpatient records for LTAC and SNF facilities using ICD-9 and CPT codes.
Led tours for prospective residents and family members to show facilities and answer questions.
Review all official data quality standards, coding guidelines, company policies, procedures, clinical and medical resources to assure coding knowledge and skills remain current.
Maintain communication with billing staff and social services on resident bed holds and financial issues when re-admitting residents.
Associate Program Director, Internal Medicine Residency at Piedmont Medical Center / Sound PhysiciansAssociate Program Director, Internal Medicine Residency at Piedmont Medical Center / Sound Physicians