Results-driven coding professional with extensive experience in medical coding, data analysis, and compliance. Strong focus on team collaboration and achieving organizational goals. Skilled in process improvement, quality assurance, and staff training. Highly adaptable and reliable, ensuring seamless operations and effective problem-solving.
Overview
14
14
years of professional experience
Work History
HB Outpatient Coding Supervisor
Carle Health
08.2023 - Current
Supervise Same Day, Observation, Interventional Cardiology, Radiology, Wound Care, Convenient Care, and Emergency workflows.
Monitor productivity for 20+ coders, with additional reporting of global vendor productivity
Perform quality audits quarterly and as needed
Provide Education on claim edits, trending denials, and audit findings
Responsible for training and onboarding new coders
Assisted in determining FTE’s for budget needs
Created process and standardization for global auditor onboarding, productivity tracking and audit expectations.
Collaborate with leadership from Revenue Integrity, Optime, Cupid and RadIT throughout all 8 facilities to establish workflows for all new procedures and departments
Identify roadblocks for coding, create solutions and implement new process.
Manage payroll in Kronos and Workday applications.
Participate in Epic testing
OP Coder
Carle Health
06.2021 - 08.2023
Code and Abstract outpatient medical information for data collection and hospital reimbursement using EPIC and Optum Enterprise CAC.
Consistently met productivity and quality standards for Same Day (single path coding), Observation, Convenient Care, Emergency, Code Capture, Wound Healing, Ancillary and Therapy worktypes.
Addressed Claim Edits and denials for all worktypes listed above as well as Provided Based Billing departments.
Routinely read reference materials and attend meetings to keep abreast of changes within Outpatient Coding Department
HIM Operations and Coding Supervisor
Carle BroMenn Medical Center/Carle Eureka Hospital
12.2020 - 05.2021
Same duties as Lead Coder with greater responsibilities.
Supervise 20 team members
Manage employee timecards
Assist with daily, weekly and monthly reports
Monthly rounding with team members to identify any areas of concerns
Assist with identifying EPIC go-live needs for our department
Monitor Pended accounts in WQ’s
Lead Coder
Carle BroMenn Medical Center/Carle Eureka Hospital
07.2020 - 12.2020
Same duties as Coder and Charge Capture Specialist with more emphasis of leadership functions
Supervise the day to day activities of Inpatient and Outpatient Coders to ensure daily and weekly revenue cycle goals are met
Train new outpatient hires (Observation, Same Day Surgeries, ER, Urgent Care, Ancillary and Pain Clinic accounts)
Provide education on ICD-10, CPT, Modifiers, NCCI edits and any other pertinent coding knowledge to staff
Provide audits as needed for Outpatient Coding Team.
Field all coding questions and provide reference materials to coders for future knowledge
Educate departments throughout hospital to ensure charging methods are accurate
Work with Patient Accounts to assist with Coding denials
EPIC Super-user
Train coding team on Medication Administration charging in preparation for project go-live
Met routinely with Carle leadership and EPIC team to ensure a smooth transition
Lead Coder
Advocate BroMenn Medical Center/Advocate Eureka Hospital
01.2017 - 07.2020
Same duties as Coder and Charge Capture Specialist with more emphasis of leadership functions
Supervises the day to day activities of Inpatient and Outpatient Coders to ensure daily and weekly revenue cycle goals are met
Train new outpatient hires (Observation, Same Day Surgeries, ER, Urgent Care, Ancillary and Pain Clinic accounts)
Provide education on ICD-10, CPT, Modifiers, NCCI edits and any other pertinent coding knowledge to staff
Provide audits as needed for Outpatient Coding Team.
Field all coding questions and provide reference materials to coders for future knowledge
Educate departments throughout hospital to ensure charging methods are accurate
Work with Patient Accounts to assist with Coding denials
EPIC Super-user
Train coding team on Medication Administration charging in preparation for go-live
Meets routinely with Carle leadership and EPIC team to ensure a smooth transition
Coder and Charge Capture Specialist
Advocate BroMenn Medical Center
09.2011 - 01.2017
Code and Abstract outpatient medical information for data collection and hospital reimbursement using Meditech Client Server and 3M 360 encoder
95 % or higher proficiency in ICD-10 and CPT with a primary focus on outpatient records (Observation, Same Day Surgery, ER, Urgent Care, Ancillary, Wound Clinic, Pain Clinic and Recurring Therapy accounts)
Assign E/M levels, Chemotherapy/Therapeutic Infusions, Injection and Hydration charges to qualifying accounts
Routinely read reference materials and attended meetings to keep abreast of changes within Health Information Management
Provided education and training on Injection and Infusions throughout Advocate BroMenn and Advocate Eureka facilities
Key member of Meditech Electronic Record Implementation.
Developed Electronic Chart as an Alpha-Beta site.
Built electronic chart dictionaries to promote a user-friendly product.
Re-developed our Forms Committee.
Wrote User Manuals for HIM Operations employees.
Trained and assisted with Go-live.
Education
Bachelor of Science - Health Information Management
Illinois State University
Normal, IL
01.2001
Skills
Epic
Meditech
3M 360/Solventum
Optum Enterprise CAC, CACPro, Encoder Professional
Vitalware
Kronos
Workday
Microsoft Office
Affiliations
American Health Information Management Association - Member
Central Illinois Health Information Management Association – Member
Treasurer 2023-2025
Timeline
HB Outpatient Coding Supervisor
Carle Health
08.2023 - Current
OP Coder
Carle Health
06.2021 - 08.2023
HIM Operations and Coding Supervisor
Carle BroMenn Medical Center/Carle Eureka Hospital
12.2020 - 05.2021
Lead Coder
Carle BroMenn Medical Center/Carle Eureka Hospital
07.2020 - 12.2020
Lead Coder
Advocate BroMenn Medical Center/Advocate Eureka Hospital
01.2017 - 07.2020
Coder and Charge Capture Specialist
Advocate BroMenn Medical Center
09.2011 - 01.2017
Bachelor of Science - Health Information Management