Summary
Overview
Work History
Education
Skills
Certification
Skills
Timeline
Generic

Edina Green

Altamonte Springs,FL

Summary

Talented Medical Records Manager seeking senior role with advanced responsibilities in leadership, training and records management. Organized and resourceful with strong planning and time management abilities. Looking to improve department productivity through effective process improvements.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Health Information Manager

Central Health Care
02.2012 - Current
  • Management duties including budget control, leadership, and supervising staff of 6
  • Implementation of new Electronic Health Record (EHR) and ICD-10 upgrade
  • Create training materials for new EHR system and provide training as needed
  • Meet with new clinical staff to review coding requirements and provide training
  • Review State Regulations and write agency Policies and Procedures
  • Inpatient Behavioral Health and Crisis Diagnosis Coding and Entry
  • HIPAA Privacy Officer and HIPAA Committee Chair
  • Committee member on Joint Commission Readiness and Medical Staff Committees.

Corporate Compliance Code

Central Health Care
02.2010 - 02.2012
  • Perform Inpatient Behavioral Health chart audits to ensure consistency, accuracy and completion of documentation within and services billed
  • Investigate the cause of chart errors, report on the findings and educate staff accordingly to prevent future errors
  • Perform billing audits to ensure proper coding of services submitted for reimbursement
  • Create spreadsheets to report audit findings on a monthly, quarterly and yearly basis
  • Plan, organize and provide training to clinical staff on CPT coding and help to prepare for the implementation of ICD-10-CM
  • Collaborate with Health Information staff to ensure organization of client charts
  • Active participant: HIPAA Committee, Inpatient Administration Task Force, Outpatient Registration LEAN Processing Committee and the Electronic Health Record Task Force
  • Meet with newly hired employees and provide orientation on HIPAA-Privacy rules and Corporate Compliance guidelines within the facility
  • Perform chart audits to ensure state and federal regulations are met for each of the many services provided to the community
  • Perform Evaluation & Management audits to ensure proper coding of services billed
  • Document and report audit variances on a monthly, quarterly and yearly basis
  • Update audit tools used to create more effective means of completing audits due to the various types of services reviewed each month
  • Update spreadsheets used for monthly, quarterly and annual reports to create uniformity among the various types of services audited
  • Create efficiency by using available computer software to merge documents and spreadsheets in order to prepare tools for audit

Audit/Coding Specialist

Clinics Care
01.2006 - 01.2012
  • Provide ongoing assistance to all staff for any code application related inquiry
  • Report significant coding/reimbursement issues for resolution through contract negotiations
  • Solve claim errors related to improper coding and provide feedback for correction/follow-up
  • Analyze third-party reimbursement levels relative to appropriateness of procedures and/or diagnosis codes used
  • Perform and compile results of audits and provide additional training as needed
  • Create manuals and tools for job duties to ensure proper and effective cross training

Additional Positions and Experience

Central Health Care
07.2000 - 02.2006
  • Corporate Compliance Specialist (Sept 2005-Jan 2006)
  • Payroll Assistant (
  • Employee Health Assistant (
  • Medical Transcriptionist (
  • Client Registration Specialist (Mar 2001-May 2001)
  • Nursing Home Billing and Accounts Specialist (July 2000-Sept 2005)

Create and update the training manuals for all positions held.

Education

ICD-10-CM Proficiency Certificate / American Academy of Professional Coders Dec -

2015

Certified Professional Coder /American Acadamy of Professional Coders Nov 2007 Certificate of Medical Transcription/At-Home Professions Apr -

2003

BS - Health Information Management

University of Central Florida
Orlando, Fl
05-1999

Skills

  • HIPAA Compliance
  • Evaluation & Management Audits
  • Coaching/Training
  • Customer Service
  • Time Management
  • CPT, Coding
  • Medical Transcription
  • Computer Proficiency

Certification

Certified Professional Coder (CPC)

Skills

behavioral health, billing, budget, charts, coaching, computer experience, contract negotiations, CPT coding, CPT, client, clients, customer service,  diagnosis, documentation, medical billing, medical transcription, microsoft excel, microsoft office '97, 97, outlook express, powerpoint, windows 98, windows xp, word, policies, coding, speaking, quickbooks pro, reporting, spreadsheets, Supervisor, supervising, trainer, training materials, training manuals, upgrade, vision, annual reports.

Timeline

Health Information Manager

Central Health Care
02.2012 - Current

Corporate Compliance Code

Central Health Care
02.2010 - 02.2012

Audit/Coding Specialist

Clinics Care
01.2006 - 01.2012

Additional Positions and Experience

Central Health Care
07.2000 - 02.2006

Certified Professional Coder /American Acadamy of Professional Coders Nov 2007 Certificate of Medical Transcription/At-Home Professions Apr -

ICD-10-CM Proficiency Certificate / American Academy of Professional Coders Dec -

BS - Health Information Management

University of Central Florida
Edina Green