Summary
Overview
Work History
Education
Skills
Technical Programs
Certification
Timeline
Generic

Heather Geile

Boise,Idaho

Summary

An innovative health information management (HIM) Coding leader, with more than 19 years of experience in the multi-facility acute care setting, crossing the spectrum of acute care coding, professional coding, process improvement, and implementation of health care applications/systems. Strong analytical and problem-solving skills, and the ability to organize and interpret data, create, and execute policies and procedures. Experience with leading cross-functional teams in influencing and implementing change toward a common vision or goal. Service-oriented, with the ability to convey complex information clearly and effectively to a wide range of stakeholders across functional and organizational lines. Familiar with CMS/Third Party Payor requirements/standards in HIM setting.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Director of HIM Coding

St. Luke's Health System
04.2022 - Current
  • Oversight of Trauma Registry and Inpatient, Outpatient Facility, and Professional coding teams that includes coding for inpatient, professional/clinic, emergency department, ambulatory surgery, ancillary diagnostic, home health and hospice, interventional radiology, and oncology as well as charge capture for our Oncology service line.
  • Managed a cross functional team of 185 employees, including 5 direct reports, who work both onsite as well as remote. Oversaw operations and provided corrective feedback to achieve daily and long-term goals.
  • Led and prepared organization for successful implementation of 3M Encompass 360 Inpatient Computer Assisted Coding (CAC), 3M Code Audit and Prebill
  • Monitored key performance indicators (KPIs) across all functions within Outpatient coding, including Accounts receivable (AR Days), Discharged Not Final Billed (DNFB), Coding Days, Claim Edit days, etc.
  • Worked closely with organizational leadership to help guide operational strategy.

Senior Manager of HIM Coding

St. Luke's Health System
12.2012 - 04.2022
  • Oversight of Trauma Registrar and Inpatient and Outpatient Facility coding teams that includes coding for inpatient, emergency department, ambulatory surgery, ancillary diagnostic, home health and hospice, interventional radiology, and oncology as well as charge capture for our Oncology service line
  • Managed a cross functional team of 100 employees, including 14 direct reports, who work both onsite as well as remote
  • Led and prepared the organization for the Epic electronic health record (HER) implementation, including completing risk analysis, re-engineering workflows and processes, gap analysis, etc
  • Led and prepared staff for successful implementation of ICD-10
  • Monitored key performance indicators (KPIs) across all functions within Outpatient coding, including Accounts receivable (AR Days), Discharged Not Final Billed (DNFB), Coding Days, Claim Edit days, etc.
  • Provided strong leadership to enhance team productivity and morale.
  • Implemented and developed operational standards, policies and procedures.
  • Managed large-scale projects and introduced new systems, tools, and processes to achieve objectives.

Reimbursement Manager

Mountain States Tumor Institute
10.2008 - 12.2012
  • Oversight of the MSTI Charge Capture Specialists, Health Record Analysts, and Patient Financial Advocates
  • Managed 11.5 full-time employees
  • Key accomplishments during my time in this capacity include transitioning from a paper-based charge entry method to an electronic Charge capture method in which charges are captured electronically by the clinicians and reconciled against documentation
  • This drastically improved our charging compliance and eliminated our need for manual charge entry.
  • Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
  • Reviewed coding and charging process and determined improvements to streamline workflows.

HIS Coordinator

Mountain States Tumor Institute
07.2006 - 10.2008
  • My duties included evaluation and monitoring of the assignment of APCs and diagnostic and procedure codes to oncology claims
  • Trained and mentored coders to support growth and development and apply high-quality coding practices.
  • Coached employees through day-to-day work and complex problems.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Generated reports to identify coding trends and discrepancies.

Health Records Analyst

Mountain States Tumor Institute
07.2004 - 07.2006
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign ICD-9-CM diagnostic codes and CPT procedure codes.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

Distribution Clerk

Saint Luke's Regional Medical Ctr
07.2001 - 07.2004
  • My duties included taking inventory on the product carts throughout the hospital, as well as reconciling charges on the products used.
  • Completed daily cycle counts and assisted with monthly audits.
  • Captured and entered supply charges.

Education

Associate of Science in Health Information Technology -

Boise State University
Boise, Idaho
01.2004

Bachelor of Arts in Sociology and Anthropology -

Albertson College of Idaho
Caldwell, Idaho
01.2000

Skills

  • Budget Control
  • Staff Development
  • Business Development
  • Contract Management
  • Creativity and Innovation
  • Operations Management
  • Project Management
  • Team Building

Technical Programs

  • Eleven years of experience with Epic: Financial, Coding, work queues
  • Completed training for 3M HDM report writing and experienced in writing reports utilizing the 3M HDM database.
  • Experienced with 3M 360 Encompass/HDM/ARMs/CRS, 3M Audit Expert System, SMS Invision, SoftMed, Mosaiq, QuickChart, Meditech, OnBase, and SharePoint.
  • Well-developed desktop skills; proficient in navigating multiple software systems such as the Microsoft office suite.

Certification

  • RHIA (Registered Health Information Administrator), American Health information Management Association - Certified RHIT 2005, Certified RHIA 2017
  • CCS (Certified Coding Specialist), American Health information Management Association - Certified 2018
  • CRC (Certified Risk Coder), American Academy of Professional Coders - Certified 2022

Timeline

Director of HIM Coding

St. Luke's Health System
04.2022 - Current

Senior Manager of HIM Coding

St. Luke's Health System
12.2012 - 04.2022

Reimbursement Manager

Mountain States Tumor Institute
10.2008 - 12.2012

HIS Coordinator

Mountain States Tumor Institute
07.2006 - 10.2008

Health Records Analyst

Mountain States Tumor Institute
07.2004 - 07.2006

Distribution Clerk

Saint Luke's Regional Medical Ctr
07.2001 - 07.2004

Associate of Science in Health Information Technology -

Boise State University

Bachelor of Arts in Sociology and Anthropology -

Albertson College of Idaho
Heather Geile