Annie Cross
Prescott Valley,AZ
Summary
Proactive Medical Coder and Compliance Officer with extensive experience in medical coding, provider training, and clinical documentation improvement. Expertise in applying official coding conventions and collaborating with physicians to enhance documentation accuracy and claim approval rates. Strong skills in compliance, risk adjustment, and interdisciplinary team collaboration.
Overview
4
4
years of professional experience
Work History
Medical Coder, Provider Trainer, Compliance
Capeside Psychiatry
2023.03 - Current
- Increase of coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Application of official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Review of outpatient records and interpreted documentation to identify diagnoses and procedures.
- Collaboration with physicians to obtain necessary documentation, improving claim approval rates.
Medical Coding, CDI, Risk Adjustment
Galileo Health
2022.12 - Current
- Implemented new strategies for communication between team members to improve efficiency within the department.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
CDI Specialist
Polara Health
2021.08 - 2023.03
- Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
- Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
- Assisted in the development of policies and procedures related to clinical documentation processes, promoting consistency across the organization.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Managed electronic clinical documentation and uploaded changes or updates using [Software].
Treasurer AAPC Prescott AZ. Chapter
AAPC
2021.11 - 2022.12
- Reconciled monthly statements, invoices and expense accounts, keeping records accurate, and current.
Compliance Officer
NAZCARE
2020.09 - 2021.08
- Promoted a culture of continuous improvement through ongoing evaluation and refinement of compliance program elements.
- Managed relationships with regulators, maintaining open lines of communication to ensure transparent operations.
- Collaborated with cross-functional teams to address compliance concerns, fostering a culture of shared responsibility.
Education
Bachelor of Science - Healthcare Compliance And Regulation
Arizona State University
Tempe, AZ05.2024
Associate of Science - Medical Billing And Coding
San Joaquin Valley College
Visalia, CA07.2021
Skills
- Medical Terminology
- Anatomy knowledge
- HIPAA Compliance
- HCPCS Coding
- Teamwork capabilities
- Clinical Documentation
- Data Entry
- Regulatory guidelines
- Proficiency in most EHRs
- Coding Error Resolution
- Record assessment
- Documentation oversight
- Medical Software Proficiency
Timeline
Medical Coder, Provider Trainer, Compliance
Capeside Psychiatry
2023.03 - Current
Medical Coding, CDI, Risk Adjustment
Galileo Health
2022.12 - Current
Treasurer AAPC Prescott AZ. Chapter
AAPC
2021.11 - 2022.12
CDI Specialist
Polara Health
2021.08 - 2023.03
Compliance Officer
NAZCARE
2020.09 - 2021.08
Bachelor of Science - Healthcare Compliance And Regulation
Arizona State University
Associate of Science - Medical Billing And Coding
San Joaquin Valley College
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