Dynamic Coding Operations Manager with extensive experience at Nashville General Hospital, excelling in vendor management and claim resolution. Proven track record in data analysis and quality assurance, driving operational efficiency and enhancing coding compliance. Adept at leading teams and implementing strategic improvements to achieve organizational goals.
Hi, I’m
Jennifer Morgan
Maryville,IL
Summary
Overview
9
years of professional experience
Work History
Nashville General Hospital at Meharry
Profession/Facility Coding Operation Manager
12.2024 - Current
Job overview
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
- Vendor Management/Review/Trainings
- Identified areas of improvement within the organization's workflow processes.
- Reviewed and assessed denied claims for accurate resolution.
- Analyzed trends in denials to identify recurring issues.
- Worked closely with billing staff to resolve issues quickly and efficiently.
- Code Professional and Facility multi-specialty encounters daily to keep up with turn around times.
Legacy Health LLC
Manager of Client Coding Services
01.2024 - 12.2024
Job overview
- Managed client relationships to ensure satisfaction and retention.
- Coordinated communication between clients and internal teams for project alignment.
- Collaborated with coding team members to troubleshoot and resolve coding issues.
- Participated in code reviews to ensure quality and adherence to standards.
- Documented coding processes and procedures for future reference.
- Collaborated closely with offshore team members to achieve project objectives and meet deadlines.
- Facilitated team meetings to discuss quality concerns and improvement strategies.
- Trained staff on quality control procedures and best practices.
Virtex Health
Director of Coding Operation-Risk Adjustment
04.2022 - 03.2024
Job overview
- Built internal coding team of 250 coders/auditors. Recruited, trained, supervised, evaluated and mentored staff members.
- Trained and provided continued education on 4 simultaneous risk adjustment projects.
- Established and evaluated performance objectives and benchmarks.
- Analyzed operational processes to identify areas for improvement and cost reduction.
- Managed daily operations, ensuring compliance with quality standards, safety regulations, and legal requirements.
- Developed strategic plans to drive company growth and operational efficiency.
- Implemented new policies to streamline processes and improve productivity.
- Met and maintained relationships with large payor/vendors during projects.
- Analyzed client feedback to identify trends and areas for improvement.
- Stayed up to date on all risk adjustment guidelines per CMS.
- Coded and Audited encounters to keep up with production standards daily.
Edelberg & Associates
Coding Client Service Manager-ER/OBS
03.2019 - 04.2022
Job overview
- Developed and managed client relationships to ensure satisfaction with services provided.
- Coordinated with internal teams to develop strategies for addressing customer needs in a timely manner.
- Monitored progress of code development projects and provided feedback as needed.
- Prepared reports outlining overall performance of the coding department and identified areas needing improvement.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Quickly responded to staff and client inquiries regarding CPT codes. Performed quality assurance checks on coded data.
- Managed coding for multiple specialties, ensuring specific codes are accurately
Vee Technologies
Coding Operations Manager-Risk Adjustment/Profee
06.2016 - 12.2020
Job overview
- Directed operations staff by providing guidance, training, and support in order to meet company objectives.
- Analyzed data from daily reports to identify trends in production performance metrics.
- Managed staffing needs through recruitment, selection, onboarding and training, disciplinary action as necessary.
- Supervised day-to-day workflow of employees in order to maximize productivity and maintain quality standards.
- Performed quality assurance checks on coded data. Assisted with the development of coding policies and procedures.
- Managed coding for Risk Adjustment and ProFee, ensuring specific codes are accurately applied.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Participated in coding team meetings to discuss challenges and best practices.
- Utilized coding software and tools efficiently to expedite the coding process.
- Code/Audit reviews daily to keep up with production goals.
Education
Grand Canyon UniversityPhoenix, AZ
Bachelor of Science from Special Education
01-2016
University Overview
AAPC
from CPC Certification
03-2014
University Overview
Rend Lake College
Associate of Science from Education
01-2014
University Overview
Skills
- Expert in HCC Coding
- Expert in Facility and Professional Coding
- Team Building and Management
- Vendor Management
- Coding Compliance
- Claim Resolutions
- Denials and Edits
- Data Analysis
- Quality Assurance
- Project management
- Customer service
Timeline
Profession/Facility Coding Operation Manager
Nashville General Hospital at Meharry
12.2024 - Current
Manager of Client Coding Services
Legacy Health LLC
01.2024 - 12.2024
Director of Coding Operation-Risk Adjustment
Virtex Health
04.2022 - 03.2024
Coding Client Service Manager-ER/OBS
Edelberg & Associates
03.2019 - 04.2022
Coding Operations Manager-Risk Adjustment/Profee
Vee Technologies
06.2016 - 12.2020
AAPC
from CPC Certification
Rend Lake College
Associate of Science from Education
Grand Canyon University
Bachelor of Science from Special Education
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