Professional with thorough experience in coding quality analysis. Skilled in identifying code discrepancies, implementing quality assurance protocols, and optimizing processes. Strong focus on team collaboration, reliable and adaptable to changing needs. Expertise in coding standards, data analysis, and software testing methodologies.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Coding Quality Analyst
Outcomes/Altegra/ Change Healthcare/Optum
10.2008 - Current
Conducted comprehensive quality assessments of coding processes to ensure compliance with industry standards.
Maintained high levels of accuracy within projects by continually refining our approach to quality assurance based on feedback from colleagues, clients, or industry trends.
Enhanced overall code quality for the department by implementing best practices and maintaining up-to-date knowledge of industry standards.
Verified accuracy of patient information in medical records.
Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
Registered Nurse
Lake Cumberland Regional Hospital
06.2005 - 10.2008
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Utilized advanced monitoring systems to track patient progress and detect complications early.
Handled ventilator support, feeding tubes and central lines.
Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
Administered critical care interventions to stabilize patients in ICU settings.
Monitored vital signs and adjusted treatment plans based on patient responses.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Administered advanced life support measures for critically ill patients in high-pressure environments.
Managed multiple priorities simultaneously while maintaining focus on providing exceptional patient-centered care within a fast-paced critical care environment.
Administered medications and treatments as prescribed by physicians.
Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.