Maranda Gilliland, RHIT, CCS
Summary
Credentialed registered health information technician (RHIT), and Certified Coding Specialist (CCS) with twelve years' experience providing administrative and patient support in hospital settings. Expertise in ICD-10-CM, CPT, HCPCS coding, and working daily alert/edit reports. Advanced knowledge of private insurance processes, CFB, and codes.
Overview
13
13
years of professional experience
Work History
Outpatient Team Lead - Operations
Comforce Health - Innova
Remote
05.2023 - Current
- Motivated and trained employees to maximize team productivity.
- Managed Coder PTO.
- Assisted with Payroll.
- Answered coder questions and assisted with finding the correct resources to retain the knowledge.
- Evaluated team member performance and productivity, provided feedback and implemented corrective actions.
- Managed internal operational standards and productivity targets.
- Performed interviews of candidates for potential hire for multiple facilities, specialties, and positions.
- Enforced regulatory and company policy compliance
- Encouraged and promoted ideas aligned to business needs and benefits.
Outpatient Coding Quality Reviewer
R1RCM
Position Eliminated Due To Company Restructuring.
05.2022 - 05.2023
- Review hospital charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)
- Understand billing and coding requirements for government and commercial payers
- Abstract statistical data from the patient record and enter information following facility guidelines
- Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services
- Follow all HIPAA regulations and uphold a higher standard around privacy requirements
- Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes
- Maintain productivity standards, tracking logs and deadlines
Outpatient Coder
Atrium Health
10.2021 - 05.2022
- I am responsible for coding labs, outpatient testing, wound care, ER records, clinic, observation, and surgeries daily.
- Assist with the alert/edit report, and CFB.
- Communicate with managers, auditors, and educators a to ensure coding accuracy.
- Maintain 95% coding accuracy
Certified Medical Coder
Community Health Systems
01.2011 - 09.2021
- I am responsible for coding labs, outpatient testing, wound care, ER records, clinic, observation, and surgeries daily.
- Assist with the alert/edit report.
- Before going remote,I helped with documentation improvement.
- I learned how to communicate with on-site hospital employees, excelled in positive working relationships with coworkers, and honed my coding skills.
- Code Observations and Surgery Services at average rate of 5-6 per hour, ancillary - 25 per hour, ER - 15 per hour
- Verified signatures and checked medical charts for accuracy and completion.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Tutored 2 new coders for compliance with classification systems and coding guidelines.
- Interacted with physicians and other healthcare staff to ask questions/query regarding patient services.
- Implemented new coding procedures that reduced mistakes and simplified processes.
Education
AAS - Health Information Technology
Wallace State Community College
Hanceville, AL7.2010
Skills
- Daily edit/alert report
- CFB
- HIPAA/ JCAHO Regulations
- Medicare/Medicaid Insurance Reimbursement/ Denials
- Documentation Improvement
- NCCI edits and BARRT edits
- Quality Improvement
- Quality Assurance
- 3M, 3M 360, and 3M 360 echarms
- EPIC, Cerner Powerchart, HPF Workstation, MPF Workstation
- Comply MD, Wound expert, Clinview, Athena
- AS400/HMS
- Fluency Workforce 360
- CAC – Computer Assisted Coding Systems
- Microsoft Office Products, including Excel
- Patient data compilation
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Timeline
Outpatient Team Lead - Operations
Comforce Health - Innova
05.2023 - Current
Outpatient Coding Quality Reviewer
R1RCM
05.2022 - 05.2023
Outpatient Coder
Atrium Health
10.2021 - 05.2022
Certified Medical Coder
Community Health Systems
01.2011 - 09.2021
AAS - Health Information Technology
Wallace State Community College