Asha Thomas, MBA-HCM, RHIA, CPC
Summary
Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals. Highly knowledgeable in all areas of compliance and auditing, including HIPPA laws and Medicare/Medicaid guidelines. A solid understanding of health informatics and multiple healthcare applications. Proficient in inpatient and outpatient coding guidelines. Proficient in CPT, ICD-10-CM, ICD-10-PCS, HCPCS, DRG, anatomy, physiology, and medical terminology. P
Overview
16
16
years of professional experience
1
1
Certification
Work History
Supervisor, Surgical Coding and Reimbursement
Summa Health Medical Group
03.2022 - Current
- Manages department staff including hiring, training, performance evaluations, and career development to ensure alignment with defined goals
- Monitors daily operations of surgical coding department workflow
- Oversees testing and implementation of system changes related to coding
- Develops tools, processes, and methodologies to streamline and enhance workflows
- Collaborates with other business unit leaders to understand requirements and to ensure all proper processes are in place
- Analyzes department data to identify coding and compliance issues
- Serves as SME for questions regarding coding and compliance
- Sets benchmarks and monitors staff performance for quality and productivity
- Creates monthly scorecards to ensure coders stay consistent with meeting their benchmarks
- Performs monthly audits on surgical coding staff's inpatient and outpatient charts (ICD-10, CPT, DRG, etc.)
- Creates weekly analysis reports
- Supervises coders for the following specialties- Urology, OBGYN, Plastics, ENT, Trauma, Ortho, Osteo, Vascular, Bariatric, Gyn Onc, and Urogyn
- Ensures department is meeting budget regularly
- Payer portal administrator
- Provides training and education for newly hired coders
- Stays up to date on coding guidelines
- Creates audit reports to educate coders and providers on any discrepancies that were found.
Coding Auditor
Summa Health Medical Group
10.2020 - 03.2022
- Audited inpatient and outpatient charts to ensure that the documentation supported the code levels that were billed out
- Performed audits using Intelicode auditing software and knowledge of coding and billing guidelines
- Met with and educated doctors and nurse practitioners about any discrepancies that were found in their documentation
- Met with and educated coders when needed about any coding related issues
- Researched coding related problems that coders had
- Worked Medicaid pending workqueue
- Assisted in developing coding and training resources for coding team (scenarios, tip sheets, coder's forums)
- Emptied audit workqueues for the department at the end of the workday
- Payer portal administrator.
Corporate Coding Specialist
University Hospitals of Cleveland
11.2017 - 10.2020
- Coded inpatient and outpatient claims for Adult ED, Trauma/Critical Care, Urgent Care, and Radiology
- Reviewed and abstracted all accurate health record information to ensure that charts were coded to the highest level of specificity
- Assigned Evaluation and Management levels, CPT codes, diagnosis codes, HCPCS, and modifiers to encounters
- Coding and billing systems used include 3M, Coderyte, Optum, Encoder, Superbill, and E-Charms
- Coded critical care and trauma situations
- Coded endotracheal intubations (with and without imaging), central and peripheral line insertions, as well as cannulations
- Coded incision and drainage procedures, laceration repairs, fracture reductions, splint applications, sedation, nerve blocks, and ultrasounds
- Made sure codes were sequenced correctly based off coding guidelines
- Was responsible for maintaining 100% productivity and a minimum of 95% accuracy on audits
- Maintained updated knowledge of guidelines and regulations pertaining to the coding field
- Made sure clinical documentation was complete and could be coded
- Paid attention to and notified supervisor of any trends in coding.
Physician Coding Specialist
University Hospitals of Cleveland
03.2016 - 11.2017
- Coded claims for Cardiology, Infectious Disease, Hematology, Gastroenterology, and Family Medicine
- Thoroughly reviewed physician's notes and abstracted information to appropriately assign CPT and diagnosis codes
- Filed appeals to insurance carriers on denied claims
- Maintained 100% productivity and a minimum of 95% accuracy on audits.
Medical Billing, Insurance Follow Up, and Medical Collections Representative
The Revenue Group
03.2008 - 03.2016
- Billed hospital and physicians claims to health insurance companies
- Communicated with health insurance companies regarding billing and coding issues on claims in order to get claim denials fixed and paid in a timely manner
- Communicated with attorneys regarding motor vehicle accidents and personal injury claims
- Earned Employee of the month February 2013 and March 2015.
Education
MBA - Healthcare Management
Southern New Hampshire University
Hooksett, NH01.2024
Bachelor of Science - Health Information Administration
University of Toledo
Toledo, OH12.2023
No Degree - Medical Billing And Coding Certificate
Cuyahoga Community College
Cleveland, OH05.2016
High School Diploma -
Cleveland Heights High School
University Heights, OH05.2003
Skills
- Process Improvement
- Operations Management
- Schedule development
- Strategic Planning
- Staff Management
- Data Analytics
- Business Development
- Expectation setting
- Staff Discipline
- Process Monitoring and Improvement
- Training and mentoring
- Financial Management
- Business Administration
- Audit reporting
- Issue Research
Certification
- RHIA - Registered Health Information Administrator
- CPC - Certified Professional Coder
Technical Skills/Systems
· Outlook
· Excel
· PowerPoint
· Word
· Access
· Teams
· Power BI
· Tableau
· Epic
· Soarian
· Athena
· 3M
· Optum Encoder Pro
· Coderyte
· Superbill
Timeline
Supervisor, Surgical Coding and Reimbursement
Summa Health Medical Group
03.2022 - Current
Coding Auditor
Summa Health Medical Group
10.2020 - 03.2022
Corporate Coding Specialist
University Hospitals of Cleveland
11.2017 - 10.2020
Physician Coding Specialist
University Hospitals of Cleveland
03.2016 - 11.2017
Medical Billing, Insurance Follow Up, and Medical Collections Representative
The Revenue Group
03.2008 - 03.2016
MBA - Healthcare Management
Southern New Hampshire University
Bachelor of Science - Health Information Administration
University of Toledo
No Degree - Medical Billing And Coding Certificate
Cuyahoga Community College
High School Diploma -
Cleveland Heights High School
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