Glenda Johnstone, RHIT
Summary
Professional auditor with extensive experience at Vanderbilt University Medical Center, excelling in inpatient coding audits and compliance. Proven expertise in strategic audit planning and effective communication, enhancing operational efficiency. Recognized for maintaining 97% and above accuracy standard.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Lead Inpatient Coding Auditor
Vanderbilt University Medical Center
Nashville, TN
08.2014 - Current
- Conducted comprehensive audits to ensure compliance with healthcare regulations and financial standards.
- Developed audit plans based on risk assessments, prioritizing high-impact areas for review and analysis.
- Mentored junior auditors, providing guidance on auditing techniques and best practices to foster professional growth.
- Utilized auditing software tools to automate workflows, increasing efficiency in data collection and analysis tasks.
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Planned and executed follow-up audits at appropriate intervals.
- Followed established auditing processes to meet internal and regulatory requirements.
- Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality.
- Adapted plans and schedules to meet changing priorities of work objectives, resources and workload demands.
Senior Inpatient Coding Specialist
Vanderbilt University Medical Center
Nashville, TN
05.2012 - 08.2014
- Analyzed and coded Inpatient medical documentation in all specialties in Level 1 Trauma setting utilizing ICD-10-CM and PCS to ensure compliance with federal regulations.
- Collaborated with healthcare providers to clarify and improve coding practices.
Coding Specialist III
Ascension Health Care
Nashville, TN
11.1998 - 05.2012
- Analyzed and coded Emergency Room patient medical records utilizing ICD-9-CM for Diagnosis and Procedure coding for accuracy and compliance with regulations.
- Performed charge verification on Emergency Room accounts.
- Analyzed and coded Inpatient medical records utilizing ICD-9-CM for all specialties
Education
Health Information Management
Volunteer State Community College
Gallatin, TN06-1985
Skills
- Strong attention to detail
- Collaborative teamwork
- Comprehensive audit documentation
- Strategic decision-making
- Effective communication
- Knowledge of official coding guidelines
- Strategic audit planning
- Analytical reasoning
- Healthcare vocabulary expertise
- Proficient in Epic, 3M 360 and MD Audit software
- Experienced with Patient Safety Indicator (PSI) reviews
- DRG downgrade denial reviews and appeals
Certification
Registered Health Information Technologist
Timeline
Lead Inpatient Coding Auditor
Vanderbilt University Medical Center
08.2014 - Current
Senior Inpatient Coding Specialist
Vanderbilt University Medical Center
05.2012 - 08.2014
Coding Specialist III
Ascension Health Care
11.1998 - 05.2012
Health Information Management
Volunteer State Community College