CATHERINE V. COE
Kernersville ,NC
Summary
Hard-working supervisor with exceptional experience in team leadership, delivering results, and consistently exceeding expectations. A creative and motivated leadership style enables the effective utilization of exceptional design and planning strengths for the successful completion of complex quality assurance auditing projects. Skilled in teaching new concepts and implementing best practice strategies, leveraging excellent communication and listening skills. Proven track record of success in driving team performance and achieving organizational goals.
Overview
27
27
years of professional experience
Work History
SUPERVISOR REVENUE CYCLE QUALITY ASSURANCE
Novant Health Revenue Cycle Services
10.2020 - Current
- Provides comprehensive support to the auditing manager and four team leads, enhancing collaboration and operational efficiency.
- Manages timekeeping processes within theInfor Workforce Management system, ensuring accurate tracking and reporting of employee hours.
- Plays a vital role in the development and continuous improvement of the newly established Issues Audit process, enhancing accuracy and efficiency.
- Contributed to the creation of an extensive training and mentoring program for new employees, promoting their seamless onboarding into the team.
- Applies strong leadership and problem-solving skills to maintain team efficiency and organize workflows.
- Demonstrates commitment to the organization's payer-specific core values, leading by example and fostering a culture of excellence.
- Oversees daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Collaborates with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducts performance evaluations for team members, identifying areas for improvement and guiding professional development plans.
- Increases team productivity by implementing efficient workflows and setting clear expectations for team members.
- Leads a diverse team, promoting inclusive work environment that leveraged individual strengths.
TEAM LEAD REVENUE CYCLE QUALITY ASSURANCE
Novant Health Revenue Cycle Services
12.2018 - 10.2020
- Performed quality assurance audits for the coding quality assurance auditors according to the RCS audit policy and communicated the audit results via email correspondence
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Strategically coordinated team member audit assignments to provide optimal coverage and meet production goals.
- Ensured timely completion of projects and adherence to high-quality standards.
- Responsible for maintaining multiple email boxes and dispersing requests from other coding departments, including dispute resolutions, software enhancements, and specific procedural documentation reviews
- Responsible for creating, updating and maintaining multiple audit related spreadsheets, training documents, Nuggets of Knowledge presentations, and review of Standard Operating Procedure documents prior to releasing to the coding team
- Responsible Payer Alerts review and upload on a monthly basis, scheduling monthly audit team meetings, Q & A sessions and facilitating the audit assignments zoom call monthly and maintaining the Timely Filing spreadsheet on various share points
- Participating in the Onboarding process for new audit team members, coding team huddles as needed, and coordinating auditor and coder education with the coding supervisors
- Responsible for researching audit team members questions timely, joining audit review calls as needed, obtaining clarifications from the coding management team and coding analysts, coordinating with the coding team's month end work que assistance needs
- Experience in performing quality assurance audits for the RCS coding team according to the RCS audit policy, and documenting/reporting issues identified during auditing processes identifying trends regarding needed coder education
- Experience in communicating with coding team members, providing positive constructive feedback from audit results
- Proficiency in analytical and organizational skills to provide quality assurance-based data analysis
- Knowledge of reimbursement systems, federal, state, and payer specific regulations and policies pertaining to documentation, coding and billing
- Experience in EPIC, 3M, and Excel software
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
CODING QUALITY ASSURANCE AUDITOR
Novant Health Revenue Cycle Services
03.2017 - 12.2018
- Experience in performing quality assurance audits for the RCS coding team according to the RCS audit policy, and documenting/reporting issues identified during auditing processes identifying trends regarding needed coder education
- Experience in communicating with coding team members, providing positive constructive feedback from audit results
- Proficiency in analytical and organizational skills to provide quality assurance-based data analysis
- Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines
- Experience in EPIC, 3M, and Excel software
- Knowledge of reimbursement systems, federal, state, and payer specific regulations and policies pertaining to documentation, coding and billing
- Experience performing special project coding audits for the NH RCS Coding Department
CERTIFIED PROFESSIONAL CODER III
Novant Health Revenue Cycle Services
06.2014 - 03.2017
- Maintaining average of 103.75 One Score combined quality and productivity score
- Maintaining an average daily revenue of 1.85% under the 2 day expectation for clinic assignments with ADR of $68,091.41
- Orthopedic Surgery and office-based procedures, Physical Therapy, Imaging, Outpatient Neurology, and Inpatient Neurology Coding and procedures
- Experience in providing education and audit feedback for 24 Specialty Providers to date
- Experience in education and training of another specialty coder and auditing encounters prior to submission to insurance
- Experience with Inpatient Evaluation and Management coding
- Experience in EPIC, 3M, and Excel software
CERTIFIED PROFESSIONAL CODER
Jennings Orthopedic Associates
01.2005 - 05.2014
- Coding and billing surgical, daily office, x-ray, and Physical Therapy charges
- Obtaining precertification for surgical procedures scheduling surgical procedures
- Coding and verifying benefits for surgical procedures and posting payments from insurance companies and daily reconciliation of charges and payments
- Coding Radiology encounters including CT, MRI, Breast Biopsies, X-rays, Dexa scan
CERTIFIED PROFESSIONAL CODER
Med Quest Associates
02.2013 - 07.2013
- Maintaining a 98% accuracy in the office and working from home auditing imaging charges Pre-AR for correct coding and LCD's
- Experience with 3M and Code Right software
CLINICAL ASSISTANT
SALEM NEUROLOGICAL CENTER
01.2002 - 01.2005
- Patient assessments, including vital signs, assistance to 2 physicians, and 1 RN
- Working directly with patients
- Completed Insurance forms and Medication Precertification forms
PATIENT SERVICES COORDINATOR III
FORSYTH PEDIATRIC ASSOCIATES
01.1998 - 01.2002
- Coding physician encounters, posting of daily physician's charges
- Created referrals and scheduled specialty appointments
- Floater for all of Forsyth Pediatrics for all clerical positions
Education
Bachelor of Science - Health Management
University of Phoenix
05.2025
Associate of Applied Science - Healthcare Management Technology
Forsyth Technical Community College
Winston-salem, NC12.2022
Skills
- Training and mentoring
- Goal-Oriented
- Complex Problem-Solving
- Process Monitoring and Improvement
- Teamwork and Collaboration
- Multitasking Abilities
- Excellent Communication
- Adaptability and Flexibility
- Organizational Skills
- Analytical Thinking
- Policy Enforcement
- Quality Assurance
Affiliations
- PTK: Phi Theta Kappa Honor Society, 2021 (Member Number: 21397403)
Credentials
- COC: AAPC Certified Outpatient Coder, 2016
- CPC: AAPC Certified Professional Coder, 2008 (Member Number: 01078055)
- CPMA: AAPC Certified Professional Medical Auditor, 2019
- CRC: AAPC Certified Risk Coder, 2017
- COSC: AAPC Certified Orthopedic Surgery Coder, 2014
Timeline
SUPERVISOR REVENUE CYCLE QUALITY ASSURANCE
Novant Health Revenue Cycle Services
10.2020 - Current
TEAM LEAD REVENUE CYCLE QUALITY ASSURANCE
Novant Health Revenue Cycle Services
12.2018 - 10.2020
CODING QUALITY ASSURANCE AUDITOR
Novant Health Revenue Cycle Services
03.2017 - 12.2018
CERTIFIED PROFESSIONAL CODER III
Novant Health Revenue Cycle Services
06.2014 - 03.2017
CERTIFIED PROFESSIONAL CODER
Med Quest Associates
02.2013 - 07.2013
CERTIFIED PROFESSIONAL CODER
Jennings Orthopedic Associates
01.2005 - 05.2014
CLINICAL ASSISTANT
SALEM NEUROLOGICAL CENTER
01.2002 - 01.2005
PATIENT SERVICES COORDINATOR III
FORSYTH PEDIATRIC ASSOCIATES
01.1998 - 01.2002
Bachelor of Science - Health Management
University of Phoenix
Associate of Applied Science - Healthcare Management Technology
Forsyth Technical Community College
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