Highly organized individual with strong attention to detail seeking an opportunity with a company that will provide challenges and opportunities for growth and advancement, utilizing my medical auditing education and experience.
Overview
18
18
years of professional experience
Work History
Subject Matter Expert
AAPC
07.2023 - Current
Curriculum contributor reviewing material and providing relevant, updated, and current information to textbooks, presentations, lectures, exams, and test banks.
Chapter President
AAPC
01.2023 - Current
Responsible for the overall well-being of the chapter including monthly meetings and exams
Serve as a leader to the chapter officers and members, encouraging all officers as they fulfill their respective responsibilities and encouraging members as they network
Plan, build, and conduct chapter events as well as education for members to obtain CEUs
Ensure certification examinations are administered correctly by following AAPC rules and regulations
Oversee chapter bank account
Work with fellow chapter officers to maintain chapter business
Internal Compliance and Coding Educator utilizing my AAPC Licensed Education Provider materials
Internal Compliance Auditor
Oversees Professional Fee external audit operations with respect to the client's needs, contract build, and audit scope
Oversees Professional Fee internal auditors (global and domestic) providing support, work/project assignment, peer-to-peer assistance, and education
Responsible for building and writing Professional Fee Coding Guidelines for multiple hospital systems
Built strong rapport with clients through bi-weekly/monthly meetings discussing audit project progress
Facilitates monthly executive summary audit reporting and financial impact reporting to clients
Conducts provider education based on client needs, audit results, or annual coding updates
Responsible for Professional Fee/Outpatient education for coders and auditors, global and domestic through 1:1 sessions, coding round tables, client education, and workshops.
Responsible for audit escalation resolutions
Assisted with the development and current maintenance of AQuity's Q-Code E/M calculator
Assists in the build and production of AQuity's monthly external webinars with an average of 1300 attendees
Professional Fee Auditor- Remote
UASI Solutions
01.2021 - 03.2021
Profee Auditor for Mayo Clinic
Responsible for auditing documentation to coincide with the newly implemented E/M guidelines
Performs quality Profee inpatient and outpatient audit assessments for coding including summarizing audit findings and proposing recommendations.
Works in conjunction with physicians to ensure continuous feedback and re-education if necessary
Professional Fee Educator/Auditor-Remote
Harmony Solutions
02.2020 - 12.2020
Internal Compliance Educator
Internal Compliance Auditor
Profee coding educator and auditor for the largest not-for-profit 21-hospital system in Texas. Facilities include one thousand bed, teaching, and Trauma 1 hospitals.
Responsible for building and writing Profee Coding Guidelines for a hospital system
Responsible for the education of all Profee coding staff in the general coding principles and guidelines set forth by the organization as a result of audit findings, annual updates, new hire orientations, or as requested on a divisional basis
Performs quality Profee inpatient and outpatient audit assessments for coding including summarizing audit findings and proposing recommendations. Oversee implementation of audit recommendations as appropriate. Perform follow-up audits to monitor and validate ongoing compliance with applicable rules and guidelines.
Meets monthly productivity
Professional Fee Auditor-Remote
Aviacode Inc.
05.2018 - 09.2020
Performs inpatient, outpatient and critical care evaluation/management coding audits for multiple areas of medicine
Provide remote colleague educational sessions on issues identified during the audit process
Follows compliance and regulatory guidelines
Develops and provides educational material to physicians specific to their scope of practice
Meet audit productivity goals
Auditor/Physician Coder
Hackensack Meridian Health-JFK Medical Center
01.2016 - 05.2018
Audits provider documentation daily for Evaluation and Management levels to ensure proper support for coding
Provide coding expertise to department management, coding, and clinical staff
Review and interpret clinical documentation to assign accurate and complete codes and modifiers for auditing purposes.
Review, analyze, and manage coding of diagnostic and treatment procedures contained in outpatient medical records
Meticulously identify and rectify inconsistencies, deficiencies, and discrepancies in medical documentation
Certified Professional Coder
Precision Billing
05.2015 - 11.2015
Outpatient, Physician & E/M Coding for Cardiology, Physical Therapy, Chiropractic, Acupuncture and Medical Services (i.e. x-rays, injections and other various other services) for multiple medical practices in NY & NJ
Audits provider documentation daily for Evaluation and Management levels to ensure proper support for coding
Experience in Medicare billing for Physical Therapy and Chiropractic services
Assisted in the maintenance of medical charts and electronic medical record
Determined prior authorizations for medication and outpatient procedures
Interacted with providers and staff regarding billing and documentation policies, procedures
and regulations
Caregiver For Mother - Full-Time
Parent
01.2006 - 01.2014
Provided round-the-clock care for a seriously ill family member, including medication management, assistance with activities of daily living, coordinating in-home therapies and insurance services, communicating with medical professionals
Education
Coding Education -
AAPC
Salt Lake City, UT
Coding Education -
MEDICAL CODING FOR PROFESSIONALS, LLC
LINDEN, NJ
Psychology Studies -
SACRED HEART UNIVERSITY
FAIRFIELD, CT
Evaluation And Management Training Program 2017 -
AAPC
ONLINE COURSE
Skills
Proficient in EPIC, CARE4, Allscripts, Athena, Cerner, NextGen, Digichart, 3M, AAPC Codify, OPTUM360 Encoder, TruCode, AHA Coding Handbook, CPT Assist, Eclipse, CureMD, and Coding Clinic
Assesses and identifies training opportunities
Familiar with Outpatient surgery coding
Maintains current knowledge of CPT, HCPCS, and ICD-10-CM coding guidelines & compliance
Excellent problem solver
Resourceful and reliable worker
Hospital inpatient and outpatient records
Close attention to detail
Adept multi-tasker
Active AAPC Member #01341207
Active NAMAS member #16761
Proficiency in WebEX, ZOOM, and Go To Webinar
AAPC Exam Proctor
Coding Error Resolution
Medical Terminology
Critical Thinking
Proficient in Federal Registries
Accomplishments
Featured in the June 2023 issue of AAPCs Healthcare Business Monthly: Advice From a CEDC