Cynthia Cahill
Leander,TX
Summary
With 36 years in the medical field, I bring a strong commitment to detail and work ethics. I have dedicated my last 26 years to specializing in Home Health, with a focus on the highest standards of accuracy and compliance in ICD-10 coding and OASIS QA review, accelerating reimbursement, and boosting Medicare star ratings. Having been a team leader these last 9 years of up to 8 other specialists at one time, I was devoted to providing a timely turnaround, while committed to providing high quality work.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Coding and OASIS Specialist QA Reviewer/Team Leader
Molinari Home Care & Hospice Coding LLC/Remote
07.2014 - Current
- Managed a team of 8, responsible for reviewing coding and OASIS reviews for accuracy and consistency.
- Collaborated with agency management to ensure timely and accurate coding and OASIS turnaround.
- Led and oversaw coding and OASIS processes for an agency with 4 branches, serving an average of 1,000+ patients.
- Ensured ICD-10 coding accuracy by cross-referencing clinician's codes, physician documentation, and discharge summaries.
- Collaborated with agency to reduce coding turnaround, streamlining agency operations and reimbursement processes.
- Adhered strictly to Medicare bylaws for accurate ICD-10 coding.
- Orchestrated quarterly performance reviews, fostering continuous improvement, and maintaining top-tier Medicare ratings.
- Instituted guidance and support to team members to improve accuracy and efficiency in coding and documentation.
Agency Coding Specialist
KC's Home Health Care
09.2009 - 05.2014
- Served as primary coding specialist for entire agency, handling all starts of care, recertification's, and resumptions of care.
- Collaborated cross-departmentally to establish centralized coding database, ensuring consistency, and reducing duplication's across 4 branches.
- Managed coding tasks for agency with 4 branches and an average of 325+ patients.
- Led intake processes, accepted referrals, and verified insurance details.
- Processed payroll for clinicians, prioritizing accuracy, and timeliness.
- Took call on night and weekends for referrals/intake, staffed and verified insurances.
- Rose through ranks from roles like office coding specialist and clinical assistant to primary agency coding specialist.
Agency Coding Specialist/Financial Coordinator
Payson Regional Medical Center / Home Health
05.1997 - 09.2009
- Agency only ICD-9 coder
- Reviewed all OASIS and submitted to state.
- Regularly reviewed and updated agency's billing protocol to match evolving requirements, ensuring optimal reimbursements for 100+ patients.
- Initiated cross-training sessions between coding and clinical teams, fostering holistic understanding of patient care documentation.
- Liaised with insurance providers to expedite authorization processes, resulting in fewer delays for patient care.
- Took charge of agency-wide tasks such as staffing, clinical assistance, scheduling, insurance contracts, and supply management.
Admitting Clerk /Imaging Receptionist
Payson Regional Medical Center
03.1987 - 05.1997
- Handled patient admissions across multiple departments: hospitalization, imaging, emergency, and outpatient.
- General reception duties
- Collaborated with imaging department to optimize scheduling, reducing overlaps and maximizing imaging equipment utilization.
- Regularly updated and maintained comprehensive database of insurance providers, ensuring swift authorization and minimizing billing discrepancies.
Education
GED -
Mesa Community College
Mesa, AZData Processing
Eastern Arizona College
Payson, AZSkills
- CD-10 Coding
- OASIS E Review
- Face to Face documentation
- Quality assurance
- Wellsky
- Allscripts
Certification
Home Care Coding Specialist - Diagnosis (HCS-D)
Timeline
Coding and OASIS Specialist QA Reviewer/Team Leader
Molinari Home Care & Hospice Coding LLC/Remote
07.2014 - Current
Agency Coding Specialist
KC's Home Health Care
09.2009 - 05.2014
Agency Coding Specialist/Financial Coordinator
Payson Regional Medical Center / Home Health
05.1997 - 09.2009
Admitting Clerk /Imaging Receptionist
Payson Regional Medical Center
03.1987 - 05.1997
GED -
Mesa Community College
Data Processing
Eastern Arizona College
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