MACY DIANE NORMAN
Selma,USA
Overview
10
10
years of professional experience
1
1
Certification
Work History
Coding Auditor
Ascension ST. Vincent Hospital
Indianapolis, IN
10.2023 - Current
- Job Summary: • Performs periodic and ongoing audits using ATHENA for claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation.
- Responsibilities: • Audits specified number of records per coder as defined in the system coding audit plan. • Prepares audit reports that are issued to key stakeholders, as appropriate. • Develops corrective action plans to address opportunities for coding, billing and documentation improvement. • Identifies trends and educational opportunities. Prepares and presents educational programs related to coding. • Assists in the management of the coding and billing auditing and monitoring program to address high risk compliance areas.
Complex Outpatient Coder
Reid Health Hospital
04.2021 - 01.2023
- Codes outpatient medical records using EPIC for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems.
- Accurately performs data entry/abstraction on all patients into the applicable computer system.
- Calculates the proper APC assignment.
- Assists providers with appropriate diagnosis determination as needed.
- Keeps current with coding guidelines, rules and regulations and new codes.
- Works assigned edit work queues to determine correct coding and modifier assignments on a timely basis.
- Assists with abstraction and retrieval of data for special studies.
- Assists other departments with coding functions as needed.
- Codes encounters in accordance with all productivity and quality standards established by the organization.
TEAM LEAD ASSISTANT
Smile Time Kids
01.2017 - 01.2020
- ADA Coding 5 years using Open Dental Software
- Trained new team members by relaying information on company procedures and safety requirements.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
Certified Dental Assistant
Dr. Eric Suding D.D.S
Muncie, IN
01.2016 - 01.2018
- (part-time)
- Supported dentists during procedures by providing necessary tools and materials efficiently.
- Educated patients on post-operative care and oral hygiene practices to enhance recovery outcomes.
- Managed appointment scheduling, optimizing patient flow and reducing wait times effectively.
- Conducted routine equipment checks, ensuring functionality and compliance with regulatory requirements.
- Promoted a positive environment for patients and staff through effective communication and teamwork.
- Increased patient retention by developing strong relationships and providing personalized care.
- Supported dentists during procedures, assisting dental fillings, permanent, and temporary crowns and sealants.
- Assisted dentists by passing instruments, suctioning intraoral fluids, adding water, and mixing materials for fillings, casts and impressions.
- Documented patient dental health information, medical history, and vital signs for future reference.
- Took dental images following strict patient protection rules, applying lead aprons.
- Prepared comprehensive radiological images, allowing supervisory dental staff to spot cavities, tooth decay, and areas needing treatment.
- Explained treatment procedures and instructed patients on home care guidelines.
- Managed patient emergencies calmly and efficiently, coordinating with dental team members to provide appropriate care.
- Educated patients on proper oral hygiene practices to maintain good oral health between visits.
Maxon Corporation
- 01.2014
- Summer help
Education
Certification Completed Course -
AAPC
Richmond, IN 08-2020
Associates of Science - Dental Assisting Program
Ivy Tech Community College
Muncie, IN01-2017
High School -
Wapahani High School
Selma, IN01-2014
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Muncie Area Career Center
01-2014
Associate of Science - Applied Science
Ivy Tech Community College of Indiana
Indianapolis, IN05-2017
Skills
- ICD-10 –CM
- CPT Certification
- HCPC Level III coding
- ADA Dental Coding (4 YEARS)
- Outpatient Complex Surgery Coding
- Observation Coding
- Emergency Department Coding
- Assists with abstraction and retrieval of data for special studies
- Epic Software
- Athena Software
- DataCORE
- 3M Coding Software
- Word Documents
- Excel Spreadsheets
- Pulling EFTs
- Sending Claims to insurance companies
- Checking on outstanding claims
- Verifying all types of insurance
- Medicaid Eligibility verification
- Chairside assisted with: Composite Fillings, Crown Preps, Temporary Crowns, Extractions
- Prophylaxis treatments
- Alginate impressions
- Dental Radiation
- Fluoride Treatments
- Sterilization of instruments
- Clean and breakdown treatment rooms
- Greet patients/customer service/insurance
- Open Dental Software
- Pull and file patient charts
- OSHA regulations
- Communication Skills
- Taking Patient Co pay
- Confirming Patient appointments
- Scheduling new Patients
- Decision-making
- Team collaboration
- Attention to detail
- Audit reporting
Certification
- AAPC MEMBER 01808681 March 2020 exp Aug 2026 up to date of current CEU’s
- Certified Professional Coder March 2020-present
- Certified Medical Assistant August 2021
- Associates Applied Science Degree May 2016
- Expanded Function Dental Assistant: August 2018
- CDA – updated 2022
- X-Ray Certified (expires 2026)
- First Aid, CPR and AED Certified: January 2022
- Infection Control: May 2020
- Health Safety and Radiation license: June 2023
- Coronal Polishing Certificate: May 2018
- Application of Anti-Caries Agent Certificate: May 2018
- General Chair Side Assistant: December 2018
Timeline
Coding Auditor
Ascension ST. Vincent Hospital
10.2023 - Current
Complex Outpatient Coder
Reid Health Hospital
04.2021 - 01.2023
TEAM LEAD ASSISTANT
Smile Time Kids
01.2017 - 01.2020
Certified Dental Assistant
Dr. Eric Suding D.D.S
01.2016 - 01.2018
Maxon Corporation
- 01.2014
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Muncie Area Career Center
Certification Completed Course -
AAPC
Associates of Science - Dental Assisting Program
Ivy Tech Community College
High School -
Wapahani High School
Associate of Science - Applied Science
Ivy Tech Community College of Indiana