
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Multi-Specialties: 25 years assigning codes, auditing medical records, and providing feedback to practitioners and clinical staff in a variety of specialties (eg Family Practice, Pediatrics, OB/GYN, Ophthalmology, General Surgery, Mental Health and ER, Flight Medicine, Occupational Medicine, Physical Therapy, Nutrition) that utilize ICD9&10, E&M, CPT, and HCPCS Level II codes Expert In Genesis, 3M, 3M360 Extensive Medical Coding experience in Military Treatment Facilities at US Air Force bases (eg Randolph AFB, Lackland AFB, Brooks City Base, McConnell AFB, Altus AFB, Sheppard AFB, Tinker AFB and Vance AFB, Walter Reed Medical Center, Weed Medical Center) as well as in hospitals and urgent care centers
Extensive experience in reviews and audits of medical records for appropriate supporting documentation for ICD-10, PCS, HCPCS, CPT and E & M codes Demonstrates ability to review clinical documentation and assign medical codes for multiple specialties, as well as analyze physician documentation and conduct Evaluation and Management audits Considered an ICD-10 Expert for physicians and hospitals, and a HCPCS Level II expert Performs audits of medical records for coding accuracy, coding specificity, sequencing of codes and documentation deficiencies
As a Certified Professional Coder (CPC) (CCS) possesses advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) Also possesses advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes Also has practical knowledge of billing and reimbursement systems, including Prospective Payment System (PPS); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS)
Knowledge of and proficiency in use of EMR and numerous medical coding systems and software (eg 3M Encoder, Medisoft, Infenxnet and Epermis),EPIC as well as proficiency in the use of AHLTA, CHCS Endo-Pro, Essentris, and CCE for compliance and data quality Demonstrated ability to utilize medical software programs to abstract, analyze, and/or evaluate clinical documentation and advanced proficiency with Microsoft suite (Word, Excel, PowerPoint, and Outlook)
Excellent written and oral communication skills; ability to build rapport and effectively interact with providers and healthcare staff, and collaborates closely with physicians, coding managers, Air Force personnel, clinical staff and nurses Clearly and effectively expresses instructions, training plans, feedback and evaluations to individuals or groups
More than 20 years of direct experience providing education to coding staff, billers, physicians and other Air Force personnel in a military coding environment Served as an Instructor and exam Proctor for CPC and CPC-H preparation courses Extensive Medical Coding experience in Military Treatment Facilities at US Air Force bases and Army (eg, Randolph AFB, Lackland AFB and Vance AFB, Walter Reed Medical Center) as well as in hospitals and urgent care centers