Jaime Walter RHIA,CCS

• Code inpatient charts at a rate of 3-4 per hr with minimum 95% accuracy as needed per facility
• Maintain updated knowledge of coding requirements, through continuing education and certification renewal.
• Communicate directly with CDI regarding queries, documentation etc.

• Auditing records for accurate assignment of ICD-10-CM and ICD-10-PCS codes following AHA Codiguidelines from the AMAand CMS
• Perform MS-DRG validation audits
• Train new colleagues assigned to projects in the clien'EMR and Abstracting systems.
• Communicate with clients, team members, and physicians to effectively resolve issues with denials, billing edits, and documentation issues.
• Perform QA on inpatient coders and auditors
• Assist clients with coding backlogs including projects with CAC software systems.
• Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
• Maintain updated knowledge of coding requirements, through continuing education and certification renewal.
• Audit/Code high dollar and high volume complex inpatient records(Transplants, Cardiac, Interventional Radiology, Cancer, Neurology, OB, Newborn, Gastrointestinal,Trauma etc).
• C
• C

• Contract coding for inpatient and outpatient services for acute care hospitals using McKesson EMR and 3M Encoder.

Coding inpatient, outpatient, observation, emergency room, wound care, and diagnostic

• ancillary services using Quantum encoder and Meditech.
• Abstracting medical records with ICD-9-CM, CPT, and DRG coding.
• Reviewing charts for correct admit/discharge dates and entering proper surgery dates.
• Member of hospital task force for ICD 10-CM-PCS implementation
• Performing concurrent reviews of medical records in conjunction with other members of the clinical documentation team to provide over an estimated $1 million in additional reimbursement for 2011.

• Performed retrospective clinical audits of medical records to correct past coding inaccuracies for HCC risk adjustment, ensuring clients HCC-based average Risk Adjustment Factor (RAF) score matched their members' actual health risk.
• Performed quality analysis coding using ICD-9-CM diagnosis coding for physician office practices to ensure compliance and proper coding.