Marla Phillips
Medical Coding Auditor
Summary
Resourceful Compliance Auditor offering13-year background conducting medical audits and thoroughly reviewing records to verify compliance to state and federal regulations. Systematic and moral professional with expertise identifying and documenting internal strengths and weaknesses and developing recommendations and corrective action plans. Strong communicator possessing clear, concise writing skills and proficiency in Microsoft Suite. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Compliance Coding Auditor
Genesiscare USA
Fort Myers, FL
07.2020 - 07.2022
- Prepared reports for templates and maintained compliance database.
- Analyzed all audit results and resolved all compliance issues.
- Participated in various training and development programs.
- Performed over [Number] compliance audits per month.
- Established and monitored compliance procedures to provide consistent implementation across departments.
- Managed full life cycle of assigned audits in alignment with departmental procedures, delivering progress as well as closing reports to senior management and clients.
Coding Manager
Northwest Medical Center
Tucson, AZ
03.2019 - 11.2019
- Evaluated team and updated training curriculum based on feedback.
- Performed coding quality reviews and tracked, trended and managed coding quality performance.
- Conducted credible research to supply current, relevant, reliable and factual detail.
- Attended facility meetings and reported on performance.
- Participated in hiring and training coding team.
- Developed policies and procedures for effective pharmacy management.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Compliance Specialist
Arizona Community Physicians
Tucson, AZ
11.2015 - 03.2019
- Served as subject matter expert by advising staff and customers and working directly with external agencies throughout audits or to remedy compliance issues.
- Performed quality reviews to uncover workflow and communication issues..
- Reviewed, revised and updated compliance policies and procedures to confirm continual compliance with applicable laws.
- Maintained up-to-date knowledge of current and emerging compliance regulations.
- Assisted with internal and external audits to confirm compliance with applicable laws and regulations.
- Responded to employee inquiries regarding compliance regulations and procedures.
- Identified, investigated and documented compliance violations and recommended corrective measures.
- Developed and maintained system for tracking and reporting compliance violations.
- Investigated and documented all violations of compliance regulations to determine necessary improvements.
- Collaborated with internal and external stakeholders, auditors and legal counsel to confirm compliance with applicable laws and regulations.
- Managed quality programs to reduce overdue compliance activities.
HIMS Auditor
James E. Van Zandt Veterans Healthcare Administrat
Altoona, PA
04.2013 - 10.2015
- Retrieved medical data for physicians and patients.
- Upheld HIPAA regulations and standards for protecting patient information.
- Secured confidential patient information from unauthorized access.
- Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
- Studied and researched various medical terms as well as software and coding systems.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Identified issues, analyzed information and provided solutions to problems.
- Gained extensive knowledge in data entry, analysis and reporting.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Cultivated interpersonal skills by building positive relationships with others.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
Education
Master of Science - Health Information Management
The College of St. Scholastica
Duluth, MN 07.2014 - 2016.07
Bachelor of Science - Health Services Administration
State College of Florida, Manatee-Sarasota
Bradenton, FL 09.2010 - 2012.12
Skills
Proficiency in eclinicsworks
undefinedTimeline
Compliance Coding Auditor
Genesiscare USA
07.2020 - 07.2022
Coding Manager
Northwest Medical Center
03.2019 - 11.2019
Compliance Specialist
Arizona Community Physicians
11.2015 - 03.2019
Master of Science - Health Information Management
The College of St. Scholastica
07.2014 - 2016.07
HIMS Auditor
James E. Van Zandt Veterans Healthcare Administrat
04.2013 - 10.2015
Bachelor of Science - Health Services Administration
State College of Florida, Manatee-Sarasota
09.2010 - 2012.12
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