Leslie Vaughan
Nashville,Tennessee
Summary
A seasoned healthcare professional with extensive experience in coding and billing, including both professional and hospital settings. Proven track record of effectively leading teams and ensuring compliance with coding regulations. Seeking a challenging position that will leverage my skills and experience while providing opportunities for professional growth.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Coding Manager
Vanderbilt University Medical Center
05.2022 - Current
- Direct daily coding operations, overseeing accurate and timely coding and classification for Diagnostic Radiology, Interventional Radiology, and Adult Diagnostic Cardiology specialties, managing a team of five internal employees and 20+ outsource coders
- Collaborate with 3M CodeRyte Outsource team to ensure comprehensive professional coding for Diagnostic Radiology and Adult Diagnostic Cardiology, and both professional and hospital coding for Interventional Radiology
- Manage personnel administration, including hiring, training, supervising, evaluating, and coaching employees
- Work collaboratively with Radiology and Cardiology Operations weekly on new and revised Orders
- Involved in integrated testing with Health IT teams for Epic upgrades and other system changes affecting Radiology services
- Collaborate with both Professional and Hospital Billing teams, as well as the Charge Master team, regarding Professional Billing (PB) and Hospital Billing (HB) charges
- Educate and train physicians on documentation and coding guidelines for hospital and clinic services
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Promoted a positive work environment by addressing coder concerns promptly and effectively while fostering open lines of communication among team members.
- Developed strong relationships with key stakeholders, including physicians and other healthcare professionals, to foster a collaborative approach toward accurate medical coding.
- Facilitated communication among coding staff through regular team meetings, fostering an environment of collaboration and knowledge sharing.
Assistant Director
Vanderbilt University Medical Center
03.2009 - 05.2022
- Managed coding team and coordinated workflow processes for various specialties, including Orthopaedics, Ophthalmology, Otolaryngology, Adult Diagnostic Cardiology, Radiology, and Interventional Radiology
- Worked with 3M CodeRyte Outsource team to optimize workflows for specific specialties
- Analyzed and evaluated internal standard operating policies (SOP)
- Conducted physician education and training on documentation and coding guidelines
- Collaborated with Radiology and Cardiology Operations weekly on new and revised Orders
- Involved in integrated testing with Health IT teams for Epic upgrades and other system changes affecting Radiology services
- Collaborated with both Professional and Hospital Billing teams, as well as the Charge Master team, regarding PB and HB charges
- Generated reports to identify coding trends and discrepancies.
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Developed strong relationships with key stakeholders, including physicians and other healthcare professionals, to foster a collaborative approach toward accurate medical coding.
Coding Supervisor
Vanderbilt University Medical Center, Nashville
11.2008 - 03.2009
- Supervised surgical coding staff and managed workflow for Orthopaedics, Ophthalmology, Cardiac Surgery, Plastics, and Otolaryngology specialties
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Assisted in recruitment efforts for new coding staff members, interviewing candidates and providing recommendations for hiring decisions.
- Assisted in developing policies and procedures to ensure quality standards
- Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
Coding Auditor
Vanderbilt University Medical Center
10.2007 - 11.2008
- Planned and performed independent case audits of physician-based coding for all specialty areas within VMG Coding Services
- Conducted educational sessions for coders and physicians based on audit findings
- Served as a Coding Resource for all VMG Coding Department
- Coordinated, managed and implemented auditing projects and prepared for evaluation.
- Developed strong relationships with clients, building trust and ensuring a high level of satisfaction during the audit process.
Compliance Auditor
Vanderbilt University Medical Center,
06.2003 - 10.2007
- Conducted independent chart audits of coding completed by medical staff and third-party auditors
- Provided training to medical staff on coding procedures
- Presented and educated all new hire VUMC employees regarding conflict of interest
- Investigated potential areas of non-compliance and researched regulatory requirements
- Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality.
- Developed strong relationships with clients, building trust and ensuring a high level of satisfaction during the audit process.
Surgical Coding Specialist
Vanderbilt University Medical Center
04.1998 - 06.2003
- Reviewed and abstracted charts, ensuring accurate CPT, Modifier, and ICD coding for physician encounters
- Coordinated educational sessions with physicians to optimize documentation for reimbursement
- Specialized in surgical coding for Orthopedics, Trauma, Cardiothoracic, and Plastics specialties
- Extensive experience in Evaluation and Management Coding for outpatient and inpatient services in Medicine and Pediatrics departments
Education
Bachelor of Arts - Allied Health
Franklin College
Franklin, IN05.1994
Skills
- Super User Epic Implementation
- Epic
- Resolute PB Billing Workqueues
- Imagecast
- Select Coder
- Encoder Pro
- Medipac
- 3M Encoder
- 3M CodeRyte
- Microsoft Office
- 3M 360 Single Path
- 3M 360 Professional
- Process Improvement
- Data Analysis
Certification
- CPC - Certified Professional Coder
Timeline
Coding Manager
Vanderbilt University Medical Center
05.2022 - Current
Assistant Director
Vanderbilt University Medical Center
03.2009 - 05.2022
Coding Supervisor
Vanderbilt University Medical Center, Nashville
11.2008 - 03.2009
Coding Auditor
Vanderbilt University Medical Center
10.2007 - 11.2008
Compliance Auditor
Vanderbilt University Medical Center,
06.2003 - 10.2007
Surgical Coding Specialist
Vanderbilt University Medical Center
04.1998 - 06.2003
Bachelor of Arts - Allied Health
Franklin College