Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

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, AZ

Data Processing

Eastern Arizona College
Payson, AZ

Skills

  • 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
Cynthia Cahill