Courtney Sanderson
Mobile,US
Summary
To obtain a rewarding position in Health Information, Medical Coding and Revenue Cycle.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Remote-Medical Coder
Cognizant
08.2022 - Current
- Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines
- Reviews Medicare Severity Diagnosis Related Groups (MS DRGs) and All Patient Refined Diagnosis Related Groups (APR DRGs) for appropriate code assignment
- Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators
- Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed
- Reviews accounts and performs needed correction for internal audits and external denials
- Formulates physician queries for validation of pathological findings
- Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up
- Seeks clarification from providers or other designated resources to ensure accurate and complete coding
- Ensure compliance with all applicable CMS Risk Adjustment Hierarchical condition category (HCC) Methodology rules and regulations related to coding and documentation guidelines for Risk Adjustment
- 3M/ Epic Experience
Instructor, Health Information Technology Program (Formerly Medical Record Technology)
Bishop State Community College
Mobile, US
01.2000 - Current
- Teach Pathology and Pharmacology, Legal and Ethical, ICD-10 Medical Coding, ICD-10-PCS Coding, CPT Medical Coding, Health Care Delivery, and Quality Assurance, HIPPA regulations
- Advise students for the Health Information Technology
- Assist in student recruitment efforts
- Implement new software to the HIT laboratory
- Instructor of Distance Learning/ Medical Coding Certificate Program
- Train faculty and staff on distance learning
- Track student attendance and post assignment feedback in a timely manner
- Deliver courses across an Canvas online Platform
- Sets clear expectations for the course through the posting of regular course announcements
- Regularly provides application-based real-life examples
- Engages with students using a variety of platforms, including web-based video, discussion threads, learning management tools, and regular communications
- Identifies students who may need additional support, and initiates contact to provide them with appropriate resources
- Provides weekly synchronous opportunities to deliver course content and support student needs
- Demonstrates consistency and fairness in grading and provides timely feedback to students
Remote Medical Coder
Medick Health Care
, Remote
11.2016 - 08.2022
- Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines
- Reviews Medicare Severity Diagnosis Related Groups (MS DRGs) and All Patient Refined Diagnosis Related Groups (APR DRGs) for appropriate code assignment
- Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators
- Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed
- Reviews accounts and performs needed correction for internal audits and external denials
- Formulates physician queries for validation of pathological findings
- Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up
- Seeks clarification from providers or other designated resources to ensure accurate and complete coding
- Ensure compliance with all applicable CMS Risk Adjustment Hierarchical condition category (HCC) Methodology rules and regulations related to coding and documentation guidelines for Risk Adjustment
- 3M/ Epic Experience
Remote Medical Coder
Parallon Health Care
Remote
01.2013 - 12.2015
- Experience working Inpatient and Emergency Department
- Experience with Medical Necessity Edits, Denied Claims, Charging Reviews, and Modifiers
- Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines
- Reviews Medicare Severity Diagnosis Related Groups (MS DRGs) and All Patient Refined Diagnosis Related Groups (APR DRGs) for appropriate code assignment
- Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators
- Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed
- Reviews accounts and performs needed correction for internal audits and external denials
- Formulates physician queries for validation of pathological findings
- Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up
- Seeks clarification from providers or other designated resources to ensure accurate and complete coding
- 3M/ Epic Experience
DRG Medical Coder
Princeton Baptist Health System
Birmingham, US
01.2000 - 12.2000
- Accurately coded inpatient records and assigned DRGs to Medicare charts, ensuring compliance with federal regulations and coding standards.
- Worked closely with case managers to ensure the accurate assignment of codes, contributing to effective patient care planning and resource utilization.
- Conducted quality assurance checks on coded data to enhance accuracy and reliability for hospital statistics and utilization review.s
Medical Record Technician
Searcy Hospital
Mt. Vernon, US
01.1999 - 12.2000
- Coded inpatient and outpatient records accurately to ensure compliance with coding standards and regulations.
- Managed patient information and medical records to ensure completeness and confidentiality.
- Assisted in the maintenance and organization of the medical record department, implementing quality assurance processes.
- Collaborated with healthcare providers to clarify documentation and resolve discrepancies in patient records.
- Participated in audits and performance improvement initiatives to enhance coding accuracy and departmental efficiency.
Evening/Night Supervisor Medical Record
Springhill Memorial Hospital
Mobile, US
01.1998 - 12.1999
- Supervised evening and night shifts, overseeing a team of inpatient, outpatient, and emergency room coders to ensure accurate and timely coding of medical records.
- Developed and presented quarterly Medical Record Committee Reports, highlighting coding accuracy, compliance metrics, and areas for improvement to hospital leadership.
- Conducted comprehensive quality assurance checks within the department to maintain high coding standards and adherence to regulatory guidelines.
- Prepared medical charts for audit processes, utilizing AQUA (Audit Quality Assessment) and facilitating peer reviews to enhance documentation integrity and coding accuracy.
- Analyzed hospital statistics and contributed to utilization review efforts, identifying trends and opportunities for operational efficiencies.
- Collaborated with interdisciplinary teams to provide insights on data analysis, enhancing patient care delivery and resource management.
Education
Masters of Science - Education
University of South Alabama
01.2006
Bachelors of Science - Health Information Management
University of Alabama at Birmingham
Birmingham, AL, US01.1998
Skills
Skills
- Medical Coding
- ICD-10-CM Proficiency
- ICD-10-PCS Proficiency
- CPT Coding
- Epic Software (Proficient)
- 3M 360 (Proficient)
- Cerner
- Medical Office Experience
- Insurance Verification
- Auditing
- Strong Knowledge of Medical Terminology
- Anatomy and Physiology (Trauma and Critical Care Specialties)
Certification
- Medical Coding Certification
- RHIA
- Certified Professional Coder (CPC)
Degrees
- MEd
- RHIA
- CCS
- CPC
Timeline
Remote-Medical Coder
Cognizant
08.2022 - Current
Remote Medical Coder
Medick Health Care
11.2016 - 08.2022
Remote Medical Coder
Parallon Health Care
01.2013 - 12.2015
Instructor, Health Information Technology Program (Formerly Medical Record Technology)
Bishop State Community College
01.2000 - Current
DRG Medical Coder
Princeton Baptist Health System
01.2000 - 12.2000
Medical Record Technician
Searcy Hospital
01.1999 - 12.2000
Evening/Night Supervisor Medical Record
Springhill Memorial Hospital
01.1998 - 12.1999
Masters of Science - Education
University of South Alabama
Bachelors of Science - Health Information Management
University of Alabama at Birmingham
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