Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Site Manager Coding Dept
Walter Reed National Military Medical Center
Chester, MD
05.2024 - Current
Manage team of 57 coders, coordinate with new hires for all processes including training and in-processing, ran daily production reports for the coding team, create system for full transparency among team to include production and hours, assigned tasks and coding assignments to all coders, provided support to all team members, worked with contractors to create and ensure smooth operations.
Project Manager
Gebbs Healthcare Solutions INC.
Cal
12.2023 - 04.2024
Project manager for coding team of 55+ coders for Kaiser Permanente, assign coders weekly to coding assignments based on running daily volume checks, ensure accuracy of coding schedules, approve time and production for team, relay information from client to team, assist senior management in reporting and compliance, train and onboard new coders.
Certified Medical Coder
Gebbs Healthcare Solutions INC.
Cal-Remote
02.2023 - 04.2024
Current project for Kaiser Permanente, assign CPT and ICD-10 codes to inpatient, observation, ED and consultation charts, assign CPT, ICD-10 codes and modifiers to front-end edits to ensure accuracy, correct and audit telehealth charts to ensure current and correct telehealth codes and modifiers are used per documentation, achieve production and accuracy of all charts coded.
Manager of Quality Assurance and Integrity
US Acute Care Solutions
Remote
07.2022 - 01.2023
Managed two teams, the quality assurance and corrections team, spearheaded education for physicians and coders for the 2023 CPT changes, created SOPs pertaining to all educational materials across the coding department, monitored and assessed results for onboarding all coders, provided and answered all education questions, provided ongoing education, led corrections team which included monitoring all edits and coding data for corrections, created educational tools and SOPs for all coders including specialty coders, used reports and data analytics to ensure proper functional system tools within the EMR.
Revenue Cycle Management Operations and Vendor Management
Alteon Health
Remote
10.2021 - 07.2022
Oversee all teams within the Revenue cycle, analyze operations for all teams to improve revenues, oversee operations including pre and post bill claims to ensure clean claims and lower A/R, create SOPs as directed from C-suite executives, implement fee schedules, quarterly taxonomy clean-ups, review vendor contracts, onboard any new vendors, work with AthenaNet to utilize the system based upon current company needs, assign out tasks through a help desk (Zendesk) to RCMOPS associates, calculate production metrics for all RCMOPS associates weekly, projects based on needs of company such as HRSA and HPSA, solve specified issues found within the daily operations of the revenue cycle.
Team Leader/Supervisor, Coder
Alteon Health
Germantown, MD
06.2018 - 07.2022
Assign ED coding team with daily tasks, assist with operations and effective management of daily workflows, weekly audits performed, coding daily for inpatient and emergency room including procedures, assist on various projects, monitor current workflows and adjust workflows, do all new education for coding team including training for new coders and run weekly training meeting, answer all questions daily from coding team, work escalated claims, run weekly reports, assist managers with all questions pertaining to claims, the daily system operations and continuous updates on more efficient workflows, analysis of data to implement and improve process of billing clean claims.
Coding Specialist
Loudoun Medical Group
Loudoun County, VA
10.2018 - 06.2019
Coding for family practice including pediatrics, E/M coding, injections and infusions, accounts receivable and collections for practice, coding and auditing for two ENT specialist practices with multiple doctors including coding for their inpatient and outpatient surgeries along with E/M coding, ensuring accounts receivable for these practices are lower than company standards, education to providers on proper use of codes and proper documentation.
Coding Specialist Accounts Receivable Specialist
Abeo Medical Corporation
10.2017 - 08.2018
Responsible for coding pain management medical records and auditing claims, all Medicare coding for large hospitals including anesthesia claims, accounts receivable for pain management practice and anesthesia claims, anesthesia billing for ambulatory surgery centers and hospitals.
Coding Auditor 1
Peninsula Regional Medical Center
Salisbury, MD
04.2016 - 04.2017
Responsible for accurate auditing/coding of inpatient and outpatient medical records, performed all claim edits daily using EPIC and Athena, assuring all assigned claims meet processing criteria and submission of such claims, assuring timely documentation of all account activities.
Coding and Billing Manager
Grasee Inc
California, MD
05.2014 - 04.2016
Responsible for reviewing medical records, coding all records, submitting claim, accounts receivable, insurance verification, collections.
Coding and Data Abstractor
Centers for Disease Control, National Institute of Health
Washington, DC
05.2010 - 11.2014
Abstracted medical information from medical files for the National Ambulatory Medical Care and National Hospital Ambulatory Medical Care Surveys, input specific data collected from hand written and electronic patient files, worked in various health care settings including hospitals and outpatient facilities.
Education
Bachelors of Arts in Sociology and Anthropology -
West Virginia University
05.2012
Skills
Outpatient, inpatient and ED coding (10 years)
ACCOUNTS RECEIVABLE (10 years)
CPT, ICD-10, HCPCS coding and knowledge
Medical Billing
Medicaid
Billing
Claims
Collections
Accounts Payable
CPC (10 years)
Athenahealth (4 years)
Medicare
Insurance verification
Anatomy knowledge
Medical records
Medical terminology
Root cause analysis
Organizational skills
Analysis skills
Communication skills
Data Analytics
Medical Office Experience
Analytics
Team Leadership
Quality Assurance
Problem-Solving
Staff Management
Management
Certification
Certified Professional Coder (CPC), 03/01/15, Present, Received certification through AAPC, completed all courses associated including medical terminology, completed full CPC coding course and became certified upon passing the CPC exam. Certificate 01396339
Medical Coding Certification, 03/01/15, Present
Personal Information
Willing To Relocate: Anywhere
Authorized To Work: US for any employer
Title: Medical Coding Manager
Additionalinformation
Experience coding in multiple health care settings including outpatient, inpatient and ASC's, anesthesia, excellent problem solving skills, extensive knowledge of medical terminology, and submission/processing of claims., Years of experience with auditing and coding using ICD-10, CPT, and HCPCS in outpatient and inpatient settings., Meticulous and detail oriented individual with strong leadership skills and demonstrates a positive and professional attitude., Athena, Epic, NextGen, eClinical works, Pulse, Meditech
Awards
All-Star Leadership Award, 06/01/21
Teamwork Excellence, 03/01/21
All Star Performance, 06/01/19
Timeline
Site Manager Coding Dept
Walter Reed National Military Medical Center
05.2024 - Current
Project Manager
Gebbs Healthcare Solutions INC.
12.2023 - 04.2024
Certified Medical Coder
Gebbs Healthcare Solutions INC.
02.2023 - 04.2024
Manager of Quality Assurance and Integrity
US Acute Care Solutions
07.2022 - 01.2023
Revenue Cycle Management Operations and Vendor Management
Alteon Health
10.2021 - 07.2022
Coding Specialist
Loudoun Medical Group
10.2018 - 06.2019
Team Leader/Supervisor, Coder
Alteon Health
06.2018 - 07.2022
Coding Specialist Accounts Receivable Specialist
Abeo Medical Corporation
10.2017 - 08.2018
Coding Auditor 1
Peninsula Regional Medical Center
04.2016 - 04.2017
Coding and Billing Manager
Grasee Inc
05.2014 - 04.2016
Coding and Data Abstractor
Centers for Disease Control, National Institute of Health