Jeannine Skropos, CPC
Covina,CA
Summary
Dynamic Coding Auditor with extensive experience at Optum, excelling in educating teams on coding updates and conducting thorough audits. Proven ability to enhance accuracy through meticulous attention to detail and clear communication. Proficient in Microsoft Office Suite, driving improvements in coding practices and ensuring compliance across multiple specialties.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Coding Auditor
Optum
01.2022 - Current
- Perform monthly audits on the coding staff. 15 claims per coder and educate on my findings.
- Perform New Provider audits. 10 encounters per provider.
- Perform annual provider audits 20 encounters per provider.
- Share my findings and recommendations on Excel spreadsheet.
- Education for QA and coders.
- Pro fee and Facility auditing.
- Micro soft Teams education sessions.
Coding Auditor
Epic Management
01.2019 - 01.2022
- Educating the coding staff on quarterly and yearly updates to Modifiers, LCD's, NCD's and NCCI Edits.
- Perform monthly audits. 15 claims per coder and educate them on my findings.
- Perform targeted audits from a denied claims report.
- Pro fee and Facility auditing.
- Interview new hire candidates along with the Coding Manager.
- Round table coder education discussions and Micro soft Teams education sessions.
Coding Specialist Lead
Epic Management
01.2018 - 01.2019
- Educating the coding staff on quarterly and yearly updates to Modifiers, LCD's, NCD's and NCCI Edits.
- Performing monthly reconciliation reports for: Anesthesia, Radiology, Open batch report, Non-Unit report, high dollar report, duplicate service line report from DSS, Coder I and Coder II worklist.
- Work hand in hand with the billing department to ensure claims are submitted correctly.
- Round table Discussions with IT analysts regarding platform issues and resolution solutions.
- Assisting with training and auditing the new hire coders.
- Sit in with the Coding Manager and Auditors during candidate interviews.
- New hire orientation coding training for the nursing staff.
- Was responsible for presenting power points on coding and documentation requirements.
Coding Specialist
Epic Management
01.2010 - 01.2018
- Coded for the following specialties: Family and Internal medicine, UCC, Pulmonology, General Surgery Hospital and Clinic, Anesthesia, Gastroenterology, Pediatrics Hospital and clinic, OB/GYN, Hospitalist, Cardiology, Radiology, Surgical Assist, Wound care, denial reports, Coder I and II worklist.
- Pro fee and Facility auditing.
Skills
- Attention to detail
- Thorough research
- Clear communication
- Electronic health records (EHR)
- Microsoft Office Suite
- Adobe Creative Suite
- Healthcare software proficiency
- Patient management systems
Certification
CPC, Certified Professional Coder, 01/01/09 - Present
Timeline
Coding Auditor
Optum
01.2022 - Current
Coding Auditor
Epic Management
01.2019 - 01.2022
Coding Specialist Lead
Epic Management
01.2018 - 01.2019
Coding Specialist
Epic Management
01.2010 - 01.2018