Microsoft Office
Athena Utley
RHIT, Medical Coder
Owens Cross Roads,AL
Summary
Focused RHIT well-versed in medical terminology, coding and compliance procedures. Proficient at answering requests quickly and delivering exceptional results. Considered a team player with exemplary multitasking skills. Trained in scheduling, patient medical records updating and insurance processes. Reliably completes accurate work and goes above and beyond to meet daily demands. Brings good computer skills and thrives under pressure. Over 9 years of experience supporting efficient department operations. Detail-oriented and enthusiastic with strong communication skills.
Overview
10
10
years of professional experience
6
6
years of post-secondary education
1
1
Certification
Work History
Inpatient Coder - Currently Remote
Encompass Health
Huntsville, AL
12.2017 - Current
- Have been remote/virtual since March 2019
- Coded diagnoses and procedures as documented in each patient medical record according to ICD-10-CM/PCS classification system in an inpatient rehabilitation setting.
- Assigned impairment and CMS group codes.
- Coded inpatient charts at rate of 2 discharges per hour or 4 admissions per hour.
- Used 3M Encoder to assign procedure and diagnostic codes to patient records for billing purposes.
- Abstracted information from medical records and entered into Patcom and UDS Proware.
- Used Cerner (Ace-It) and scanners to input information into computerized patient record system (EMR).
- Provided physician and medical staff education intermittently and presented education at various Medical Executive meetings.
- Provided education and guidance to hospital admission liaisons.
- Queried physicians when code assignments were not straightforward or documentation was inadequate, ambiguous, or unclear for coding purposes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services, including but not limited to, wound care nurses, case management, therapists, admissions, unit secretaries, hospital education, and various nurses.
- Tracked and reported data relating to CMS statuses, tiered comorbidities, and more recently Covid 19 diagnoses.
- Tracked differences in admissions according to liaison evaluations versus actual admitting diagnoses, and provided follow up education to liaisons when discrepancies arose.
- Established an accurate database all within JCAHO standards, professional and regulatory agency guidelines, UHDDS guidelines, and Encompass Health policies.
- Guarded against fraud and abuse by verifying coded data accurately.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign appropriate codes.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Scanned and filed medical records to maintain organized and up-to-date filing system.
- Used Microsoft Office including Excel, Outlook, Word, Powerpoint, OneNote, and other software tools to create documents and other communications.
Medical Staff Credentialing Coordinator
Encompass Health
Huntsville, AL
11.2014 - 12.2017
- Maintained medical staff services & all aspects of credentialing/privileging for 250+ medical staff and allied health professionals in a timely and quality based standard.
- Conducted primary source verifications such as background checks, licensure status, insurance information, and board certifications by obtaining data from required credentialing resources for credentialing and re-credentialing.
- Received and evaluated applications to look for missing and inaccurate information and prepared provider credentialing and re-credentialing files for approval processes, and contacted providers for information to comply with federal, state, and local guidelines.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Coordinated all meetings, (Performance Improvement, Medical Executive, Pharmacy, and Governing Body meetings) including agenda creation, minute taking, PowerPoint presentations, and catering.
- Spearheaded implementation of new EMR and transition from paper-based medical records by becoming a EMR super-user.
- Collaborated with medical staff to set them up in new EMR system, helped set up powerforms specific to providers, enrolled physicians in Dragon Dictation, and trained new medical staff on EMR (Cerner Ace-It) systems as needed.
- Assistant/Secretary to Medical Director and Physician Assistant, compiling patient rosters, call schedules, and billing information for his physician office.
- Assisted CEO, DCM, CNO, Director of HIM as needed with various reports and projects.
- Assisted with desktop support and technical issues hospital wide.
- Tracked data and compiled information for OPPE/FPPE, Performance Improvement, and patient Satisfaction and monitored for compliance.
- Maintained knowledge of Medical Staff policies and procedures, Bylaws, and Rules and Regulations.
- Improved organizational filing systems for confidential medical records, resulting in improved accessibility and efficiency.
- Maintained accurate files and current documentation, and requested updates for expiring information, in well-maintained databases using Microsoft Office Excel.
- Served as the company resource of information regarding the status of credentialing activities.
- Prepared records for site visits and file audits according to JCAHO standards and CMS regulations.
- Used Microsoft Office including Excel, Outlook, Word, Powerpoint, and other software tools to create documents and other communications.
Case Management Assistant
Encompass Health (formerly HealthSouth)
Huntsville, AL
07.2012 - 11.2014
- Assisted DCM & 6 case managers with work flow, communications, information tracking, report creation, and links with community resources.
- Accessed lab reports, medications, progress notes, history and physicals, discharge summaries, and radiology reports to accompany transport packets to skilled nursing facilities, primary care providers, insurance organizations, and home health agencies.
- Faxed and confirmed orders to external vendors to support continued care and discharge planning.
- Built initial Case Management file on admission.
- Thinned and expunged old files.
- Completed follow up calls to patients for status updates.
- Assisted Medical Records in determining Length of Stay information when needed by obtaining FIM scores and appropriate admission diagnosis to assign IGC codes.
- Scheduled & confirmed appointments and arranged post-discharge services.
- Reviewed patient choice letters for required signatures and provided follow up Important Message to Medicare to Medicare patients prior to discharge.
- Filed, copied, scanned, faxed, and emailed high volume of communications.
- Managed supply inventory and ordered as needed.
- Attended regularly scheduled case management and staff meetings.
- Used Microsoft Office including Excel, Outlook, Word, Powerpoint, and other software tools to create documents and other communications.
Education
Associate of Applied Science - Applied Science, Health Information Technology
Wallace State Community College
Hanceville, AL 05.2016 - 12.2017
BBA - Business Adminsitration
Faulkner University
Montgomery, AL 08.2009 - 08.2013
Skills
Proficiency in Microsoft Office
Affiliations
- American Health Information Management Association
- Alabama Association of Health Information Management: Elected President of Council in 2020-2021
Software
Adobe
Certification
RHIT - Registered Health Information Technician
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Even if you are on the right track, you’ll get run over if you just sit there.
Will Rodgers
Timeline
Inpatient Coder - Currently Remote
Encompass Health
12.2017 - Current
RHIT - Registered Health Information Technician
10-2017
Associate of Applied Science - Applied Science, Health Information Technology
Wallace State Community College
05.2016 - 12.2017
Medical Staff Credentialing Coordinator
Encompass Health
11.2014 - 12.2017
Case Management Assistant
Encompass Health (formerly HealthSouth)
07.2012 - 11.2014
BBA - Business Adminsitration
Faulkner University
08.2009 - 08.2013
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