Laurie Laughner

• Manages daily coding operations to ensure accurate and timely coding and classification of medical records.
• Manages the administration of personnel including supervising, evaluating, counseling, coaching for 5 direct reports, as well as oversight of offshore team.
• Manages coding edits and denials team collaborating with A/R department to identify denial trends and escalate as appropriate to increase revenue.
• Client facing, meeting regularly with large high profile client to ensure efficiency of coding workflows (approximately 30 client meetings per month).

• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic and CPT codes.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Correctly coded and billed facility claims maintaining production of 30 charts per hour and 98 percent or higher QA scores.

Coded Emergency Room charts for multiple clients, maintaining 98 percent quality score with average production of 25 charts per hour.

• Served as Utilization Review Coordinator and Provider Liason for large multi-speciality clinic.
• Obtained authorizations from multiple insurance carriers for various levels of care.
• Performed prior authorization review of services requiring notification.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Provided documentation feedback to providers to support justification for specialty referrals.