Summary
Overview
Work History
Education
Timeline
Generic

Holly Elgison

DRG Analyst
Valrico,FL

Summary

Results-oriented DRG Analyst with 30 years of DRG assignment and coding experience along with 27 years of DRG auditing and consulting experience. Thorough knowledge of Official Coding Guidelines and AHA Coding Clinics for ICD-10-CM and ICD-10-PCS.

Overview

31
31
years of professional experience

Work History

DRG Analyst III

Change Healthcare/Optum
11.2006 - Current

Perform DRG Audits remotely for numerous commerical insurance clients.

Perform on-site DRG audits.

Screen claims for potential audit selection.

Respond to provider appeals/rebuttals regarding DRG assignment.

Utilize Cerner, Epic, Medi-tech and McKesson electronic medical record systems.

Senior Coding Consultant

Health Information Associates
09.2000 - 09.2006

Performed on-site DRG audit reviews and comprehensive coding reviews.

Provided education and feedback to staff.

Provided interim coding management services for a 500 bed facility for 2 plus years.

Utilized 3M coding and abstracting systems.

Provided coding quality reports for HIM management and Administration.

Trained and supervised contract coders for 800 bed trauma hospital.

Senior Inpatient Consultant

Laguna Medical Systems
01.1996 - 09.2000

Conducted Inpatient DRG Audits

Conducted educational in-services for coding staff with DRG results and appropriate AHA Coding Clinic and Coding Guideline references.

Presented results and recommendations to management regarding DRG audit results.

Coding Specialist

Holy Cross Hospital
01.1994 - 01.1996

Performed inpatient coding and DRG assignment utilizing 3M.

Medical Coding Specialist

Jackson Memorial Hospital
01.1993 - 01.1994

Performed inpatient coding and abstracting and DRG assignment.

Education

Bachelor of Science - Health Information Management

Medical University of South Carolina
Charleston, SC
06.1993

Timeline

DRG Analyst III

Change Healthcare/Optum
11.2006 - Current

Senior Coding Consultant

Health Information Associates
09.2000 - 09.2006

Senior Inpatient Consultant

Laguna Medical Systems
01.1996 - 09.2000

Coding Specialist

Holy Cross Hospital
01.1994 - 01.1996

Medical Coding Specialist

Jackson Memorial Hospital
01.1993 - 01.1994

Bachelor of Science - Health Information Management

Medical University of South Carolina
Holly ElgisonDRG Analyst