Results-driven Edit Correction Coordinator with a strong background in Clinical Coding and Denial Management. Skilled in facilitating communication across departments and mentoring teams to optimize workflows. Dedicated to improving efficiency and accuracy in coding processes.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Edit Correction Coordinator
AdventHealth
Altamonte Springs, Florida
04.2023 - Current
Facilitate communication amongst departments to effectively tackle and resolve issues.
Offer guidance and mentoring on tasks concerning APC assignments and work queues.
Continuously assess and refine APC workflows.
Participate in Coding Denial meetings for reviewing and analyzing payer denials.
Identify account/workflow issues and aid in solution implementation.
Validate work queues, routing logic, and system changes within practice/test environments prior to production deployment.
Manage Grouper Report to ensure correct DRG assignment on IP encounters weekly.
Assist in maintaining new and up-to-date information regarding Clinical Trials.
Oversee Watch List for PTO coverage.
Led training sessions focused on implementation of new coding system for Coders and APCs.
APC Coordinator Virtual
AdventHealth
Altamonte Springs, Florida
01.2005 - 04.2023
Executed daily tasks, ensuring adherence to high quality standards.
Coordinated communication among departments to expedite issue resolution.
Supported coworkers in managing complex edits, enhancing overall team efficiency.
Coding Operations Manager
AdventHealth
Orlando, Florida
01.2002 - 01.2005
Managed team of IP and OP Medical Coders to secure accurate and timely coding of medical records for billing and compliance.
Oversaw daily operations to ensure DNFC metrics were achieved.
Established work schedules while assessing daily productivity and administering performance evaluations.
Coder IIII
AdventHealth
Altamonte Springs, Florida
11.2001 - 01.2002
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for correct assignment of IP and OP diagnoses and procedural codes.
Collaborated with healthcare personnel including practitioners to ensure precise coding assignment.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Coder II
AdventHealth
Altamonte Springs, Florida
07.2000 - 11.2001
Reviewed clinical data from medical records, ensuring accurate assignment of ICD, CPT, and HCPCS codes to support proper billing and compliance.
Consulted with physician offices to verify availability of diagnosis codes for LCD and NCD coverage, ensuring compliance with coding guidelines.
Maintained up-to-date knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements to ensure compliance and accuracy.
Education
Bachelor of Science - Health Information Management
University of Central Florida
Orlando, FL
08-2000
Skills
Clinical coding
Denial management
Workflow optimization
Interdepartmental collaboration
Team leadership
Attention to detail
Conflict resolution
Certification
Registered Health Information Administrator (RHIA) Certification
Timeline
Edit Correction Coordinator
AdventHealth
04.2023 - Current
APC Coordinator Virtual
AdventHealth
01.2005 - 04.2023
Coding Operations Manager
AdventHealth
01.2002 - 01.2005
Coder IIII
AdventHealth
11.2001 - 01.2002
Coder II
AdventHealth
07.2000 - 11.2001
Bachelor of Science - Health Information Management