Reviews and evaluates Inpatient accounts using Epic
Accurately assigns diagnosis codes, procedure codes, POA status using 3M 360
Identifies query opportunities and works with CDI nursing staff to ensure accurate and specific documentation
Inpatient Coder
E4 Health
Pittsburgh, PA
08.2023 - 03.2024
Reviewed and evaluates inpatient accounts using epic
Accurately assigns diagnosis codes, procedure codes, POA status using 3M 350 CAC
Clarified provider queries to strengthen documentation and support complete code assignment.
Inpatient Coding Specialist III
Mount Carmel Health Systems
Columbus, Ohio
02.2014 - 08.2023
Reviewed and evaluated inpatient medical records in Cerner Powerchart and Epic to ensure accurate identification of diagnoses and procedures
Assigned ICD-10-CM, ICD-10-PCS codes using 3M 360 CAC, validated patient information in 3M HDM abstracting system, and wrote compliant queries to physicians for clarification of inadequate documentation Worked remotely and independently
Reviewed medical records to assign accurate ICD-10-CM, CPT, and HCPCS codes for compliant billing.
Validated documentation against coding guidelines to reduce claim errors and support reimbursement accuracy.
Tracked coding discrepancies and corrected charge capture issues within revenue cycle workflows.
Cancer Registrar
Fairfield Medical Center
Lancaster, Ohio
11.1996 - 08.2014
Maintained Center monitoring system for cancer cases to support program and administrative planning, ensuring resource allocation aligns with American College of Surgeons standards
Codes cancer diagnoses utilizing ICD-9CM and ICD-O coding
Stages cases using TNM classification and staging system consistent with the Manual for Staging of Cancer (American Joint Committee on Cancer)
Maintained Center monitoring system for all types of cancer diagnosed or treated for cancer program planning and for administrative planning to allocate resources in accordance with the American College of Surgeons standards
Acted as a member on the Cancer Committee, monitoring all ACOS standards for compliance.
Gathered and organized data for the Oncology Annual Report.
Engaged in two Six Sigma projects as a yellow belt, focusing on reducing time from diagnostic mammogram to biopsy date and increasing prospective cancer cases presented at Tumor Board.
Conducted systematic follow-up on over 4,000 registry cancer patients annually to ensure ongoing care and data accuracy
Participates in community health fairs educating the public on health care statistics
Assisted as a back-up Coding Technician during periods of high workload.
Engaged in training for ICD-10 coding standards.
Project Specialist
Fairfield Medical Center
Lancaster, Ohio
11.1996 - 07.2014
Served as a resource for MIS staff, other departments, and physicians on JCAHO and HIPAA standards compliance
Ensured medical information integrity through audits evaluating data quality and accuracy while tracking departmental statistics
Conducted training sessions for Medical Information staff on departmental procedures and best practices., drafted, edited and reviewed section and/or departmental policies and procedures. Performed JCAHO Audits
Assisted with Release of Information projects, court appearances, certifications and overall resource Release of Information staff.
Coding Technician
Fairfield Medical Center
Lancaster, Ohio
11.1996 - 07.2014
Coded, sequenced, and abstracted inpatient and outpatient diagnoses and procedures using ICD-9-CM and CPT coding within 3M coding system, facilitated accurate Center reimbursement and managed coding workflow queues in EMR.
Communicated documentation discrepancies and coding questions to attending physician for clarification, collaborated with business office to ensure timely review of edits.
Monitored tracking of accounts needing coding, reviewed coding denials from external auditors, and assisted in preparing appeals.
Lead Information Specialist
Fairfield Medical Center
Lancaster, Ohio
11.1996 - 07.2014
Reviewed workflows and processes for 2nd and 3rd shifts to enhance operational efficiency
Ensured medical information integrity by identifying deficiencies and managing assembly, filing, and retrieval of patient records
Supported physicians by ensuring accurate completion of medical information with medial information completion and performed various audits to maintain data quality and accuracy.
Education
Associates Degree in Health Information Management - Health Information Management
Hocking College
Nelsonville, Ohio
Skills
Epic
3M HDM 360 System including CAC
3M HDM 360 CAC
ICD-10-cM coding
Medical record review
HIPAA compliance
Coding accuracy
Microsoft Office Suite
Remote Access Solutions
Certification
Registered Health Information Technician (RHIT), 10/1998
Timeline
Inpatient Coder
In Record Time
02.2024 - Current
Inpatient Coder
E4 Health
08.2023 - 03.2024
Inpatient Coding Specialist III
Mount Carmel Health Systems
02.2014 - 08.2023
Cancer Registrar
Fairfield Medical Center
11.1996 - 08.2014
Project Specialist
Fairfield Medical Center
11.1996 - 07.2014
Coding Technician
Fairfield Medical Center
11.1996 - 07.2014
Lead Information Specialist
Fairfield Medical Center
11.1996 - 07.2014
Associates Degree in Health Information Management - Health Information Management