Julie Eldridge
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Recognized for championing department and hospital-wide compliance to established policies and regulations on patient medical records for accuracy, completeness, confidentiality, and quality. Possessed extensive background in digitalizing care operations and delivery that streamlined healthcare costs, technology advancement; improved patient outcomes through ICD coding, discharge analysis, and coding audits. Minimized error and enabled exceptional diagnosis with personalized treatment plans by enhancing communication among physicians via chart analysis, accurate patient records, and reporting of delinquent medical records.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Professional Rehabilitation Coder
Netsmart
04.2023 - Current
- Specialized knowledge in using UDS ProCentral.
- Speciality coding in Rehabilitation and IRF-PAI.
- Performed coding audits and appeals to determine accuracy and compliance with coding guidelines.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of ICD-10-CM, ICD-10-PCS, and CPT codes.
Regional Health Information Director
Everest Rehabilitation Hospital
12.2020 - 04.2023
- Abstract coding for multiple hospitals within the company.
- Specialty coding - Physical Rehabilitation
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Restructured operations with measurable metrics on productivity outcome via efficient management of HIM daily operations.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Recognized as the patient ambassador rounding by providing emotional support and personal care.
Director of Health Information Manangement
Rock Prairie Behavioral Health
03.2014 - 12.2020
- Reviewed, analyzed, and managed coding while keeping abreast of policy changes for coding, reimbursement, regulatory requirements, etc.
- Specialty coded - Behavioral health.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Digitalized health information activities by directing the activities of the HIM departments while restructuring Quantros Hospital Event Report System in partnership with the Director of Compliance and Risk Management.
- Verified signatures and checked medical charts for accuracy and completion.
- Promoted quality patient care and satisfactory experience by ensuring the seamless functioning of patient advocacy program in compliance with regulatory requirements, professional standards, and the facility’s policies and procedures
- Designated to lead and manage Health Information Management (HIM) Department and act as Chair of the Form Committee with responsibilities of coordinating various administrative and legal operations, including representing the hospital in court cases involving subpoena of medical records.
- Championed compliance with HIPAA policies via inter-departmental partnership within the hospital and health system to validate the completeness, confidentiality, and quality of patient records while supervising HIPAA Officers.
Education
Bachelor of Science - Health Information Management
University of Arizona
Tucson, AZ2021
Bachelor of Science - Healthcare Administration
University of Arizona
Tucson, AZ2017
Skills
- Health Information Management
- ICD 10 and 9, CPT, ICD 10 PCS coding
- Epic, Wellsky Citrix, Medic, Meditech, TruCode Encoder
- Operations Management and Streamlining
- Inter-Departmental Partnership
- Performance Improvement
- Team Building
- HIPAA Policy Implementation and Compliance
- Team Hiring, training, onboarding, supervision
- Physician communication and Patient relation
- Patient Medical Record Management
Certification
- CCA - Certified Coding Associate - AHIMA
- Certified Medical Coder ICD -9 - Practice Management Institute
- Certification in Medical Office Management - Blinn Junior College
Timeline
Professional Rehabilitation Coder
Netsmart
04.2023 - Current
Regional Health Information Director
Everest Rehabilitation Hospital
12.2020 - 04.2023
Director of Health Information Manangement
Rock Prairie Behavioral Health
03.2014 - 12.2020
Bachelor of Science - Health Information Management
University of Arizona
Bachelor of Science - Healthcare Administration
University of Arizona
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