Heidi Emmons
Certified Coding Specialist
Summary
Detail oriented Inpatient Coding Coordinator with an excellent track record of dependability and leadership. Knowledgeable in quality, education and training with an emphasis on error reduction and maximizing reimbursement within the parameters of Official Coding Guidelines and clinical criteria. Proven skills in educating team of coders in utilizing coding updates, coding tips, coding clinics and CDI references.
Overview
21
21
years of professional experience
13
13
years of post-secondary education
1
1
Certification
Work History
Quality Analyst and Educator, Revenue Integrity and Centralized Coding
Change Healthcare
- Audit inpatient, outpatient, ancillary, ED, SDS,OBS Systems used on a daily basis include Meditech, MPF, Epic Consistently auditing for 4 facilities utilizing Excel spreadsheets
Inpatient Coding Coordinator
Tenet Healthcare
1 2023 - Current
- New coder training on systems: PBAR, Cerner, EPIC, HDM, HPF
- Audit new coder prebills. Manage team of 8 coders, answer questions regarding PDX, queries, ensure query responses are placed on abstract in a timely manner, request rebills
- Review CARDS edits throughout the day, reviewing coding, CC/MCC opportunities, recommend queries, clear edits on a supervisor level
- Review the patient's medical record to determine accuracy of clinical denials. Apply both ICD 10 coding guidelines as well as clinical criteria fund within the record in order to write an effective appeal.
- Run DNFB reports daily, track down missing documentation, assign accounts back to coders and resolve outstanding issues where possible
- Assign working DRG's to all in-house accounts at month end
- Assist in coding when needed
- Auditing Supervisor - Work Excel tracker daily for all inpatient coders across the Alabama market from all outside auditing companies including Accuity, Iodine, MARSI, GLOS Outlier, Cloudmed, Waystar
- Run reports and prepare presentation for monthly MOR meeting with the Director of Operations and HIM upper management team. This includes data collaboration for 3 rolling months. Data consists of quality findings across the market compared to the previous rolling quarter showing improvements in the areas of DRG changes due to queries, PDX, PCS, CC, MCC, etc. Must have a detailed plan and explanation on what education and changes will be implemented to improve these numbers in the future
- Provide education and feedback to coders regarding their audit recommendations daily
Local business owner
Emmons Auto Brokers, INC
01.2004 - Current
- My husband and I own/operate 2 businesses here in the town where we reside
- Celebrity 1 Limousine and Emmons Auto Brokers, Inc
- Keep all licenses current; dealers license, insurance, dealers bond, department of agriculture mechanic license
- Continuing education for licensed dealers
- Revenue management Hiring of employees I handle all of the accounting and bookkeeping, payroll, taxes, etc Utilizing quickbooks
- Previous sole owner of APerfect Tan from 2004-2010
- Hiring of all employees Purchasing of all equipment, maintenance on equipment
- Monthly meetings with staff to review sales and procedures in accordance with the Department of Health
- Maintain good standing with Florida Department of Health, fire marshall, sterilization guidelines, etc
- Handle all revenue management, monthly reports, sales tax
- Marketing, social media
DRG Coach
Accuity Healthcare
08.2022 - 01.2023
- Work on the phone with a physician reviewing accounts for optimal reimbursement
- Identifying opportunities for queries, ensuring coding guidelines are followed and all coding is compliant.
Remote Inpatient/Outpatient Coder III
CHS – Community Health Systems
01.2017 - 01.2022
- Review patient charts and assign all diagnosis/procedure codes according to coding Guidelines
- Maintain accuracy and productivity standards according to company policy
- I code full time for 5 facilities, with access to over 100 facilities and can assist any Facility at any time
- Multiple patient types including, Inpatient, ED, ancillary, OBS, SDS, WCC, Clinic, ROP Training new hires on all systems from ground level
- Assist manager in reviewing edits, running reports, daily staffing, audit Accounts Stay current on education and compliance.
Remote Certified Inpatient Medical Coder III
Pyramid Healthcare Solutions
01.2014 - 01.2017
- Review all documentation in patient's chart and assign principal diagnosis, all secondary diagnosis and procedures for correct DRG assignment
- Maintained an accuracy rate of 95% as well as a productivity score of 2.75-3 charts per hour at all times during my employment
- Can provide proof of this upon request
- Currently code for over 75 different facilities, work with different managers, maintain quality and productivity at all times
- Proficient in 3M encoder, 3M-360, Quantum encoder, Star abstracting system, HMS abstracting, MPF , Clinview/Medhost, Power chart, Word, Excel, Remote coder for scanned documents, Citrix Attend bi-weekly education on guideline updates and changes, coding clinics, etc
- Accrue CEU's to maintain up to date Certification through AHIMA.
Treasurer of PTO
River's Edge Elementary
01.2010 - 01.2015
- Organize fundraisers Maintain spreadsheets according to St
- Lucie County School District guidelines with deposits and withdrawals.
Health Information Management Specialist
JLW Business & Training Solutions
01.2012 - 01.2014
- Remote coding for inpatient, outpatient, surgical ICD-9 & ICD-10
Certified Surgical Technologist
Treasure Coast Center for Surgery
02.2007 - 01.2013
- Lead Scrub Tech Scrub in all cases and specialties Schedule reps for upcoming cases Pick cases for upcoming surgeries Receive and check physician orders for upcoming procedures Clean and prevac instruments for all cases Manage physician preference cards and enter inventory into HST computer system for upcoming EMR conversion
- This includes entering vendors, items, prices, counts, automatic ordering, etc
- To make this program fully functional when the system goes live
- Part time – assist billing clerk in coding outpatient cases and submitting them for auditing.
Education
CCS - Medical Coding
AHIMA Certified Coding Specialist Program
05.2001 - 05.2014
Associates of Science in Surgical Technology - undefined
Keiser University
Port St. Lucie, FLundefined
Indian River Community College
undefined
Palm Beach Community College
Certified Nurse's Assistant - undefined
Kingwood College
Skills
Proficient in Microsoft Office
Abstracting systems:
Meditech, HMS,STAR, PBAR
EMR systems:
HST Pathways (computer program for ASC’s), 3M Encoder, 3M-360, Cerner/Powerchart, HPF/McKesson, EPIC
In depth knowledge of medical terminology, anatomy and pharmacology
Proficient in Official Coding Guidelines CM/PCS
References
References Available Upon Request
Certification
CCS
Timeline
DRG Coach
Accuity Healthcare
08.2022 - 01.2023
Remote Inpatient/Outpatient Coder III
CHS – Community Health Systems
01.2017 - 01.2022
CCS
06-2015
Remote Certified Inpatient Medical Coder III
Pyramid Healthcare Solutions
01.2014 - 01.2017
Health Information Management Specialist
JLW Business & Training Solutions
01.2012 - 01.2014
Treasurer of PTO
River's Edge Elementary
01.2010 - 01.2015
Certified Surgical Technologist
Treasure Coast Center for Surgery
02.2007 - 01.2013
Local business owner
Emmons Auto Brokers, INC
01.2004 - Current
CCS - Medical Coding
AHIMA Certified Coding Specialist Program
05.2001 - 05.2014
Quality Analyst and Educator, Revenue Integrity and Centralized Coding
Change Healthcare
Inpatient Coding Coordinator
Tenet Healthcare
1 2023 - Current
Associates of Science in Surgical Technology - undefined
Keiser University
undefined
Indian River Community College
undefined
Palm Beach Community College
Certified Nurse's Assistant - undefined
Kingwood College
Similar Profiles
Ryesheia McLinRyesheia McLin
Customer Care Specialist Mgr. at Change HealthcareCustomer Care Specialist Mgr. at Change Healthcare
Michaela DanielsMichaela Daniels
Medical Billing Specialist at Change HealthcareMedical Billing Specialist at Change Healthcare
Samantha RoweSamantha Rowe
Case Coordinator at Change HealthcareCase Coordinator at Change Healthcare
Ricky GoreRicky Gore
Live Events Manager at Change HealthcareLive Events Manager at Change Healthcare
TONI R. JEFFRIESTONI R. JEFFRIES
Coding Quality Analyst- Payment Network Integrity at OptumCoding Quality Analyst- Payment Network Integrity at Optum