Mary Georgiou, RHIA
Grapevine,Texas
Summary
As a detail-oriented Medical Coding Auditor with over 10 years coding/auditing experience and 20 years in Health Information, I have a successful track record of meeting and exceeding audit accuracy and production goals. With transparency and accountability, I provide coding auditing, instruction, and reporting by utilizing extensive knowledge of ICD 10 CM Guidelines and Conventions, CPT and HCPCS guidelines, and other approved resources. My focus is outpatient facility and professional billing (profee) auditing.
Overview
14
14
years of professional experience
Work History
Senior Consultant
UASI Solutions
07.2023 - 03.2024
- Provided coding audits for various clients and projects including non-profits and for-profit health organizations, university hospitals, and state mental health organizations. Reviewed documentation from outpatient clinics, same day surgery, observation, emergency departments and mental health records and various other outpatient clinics.
- Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality.
- Performed both facility and profee (professional billing) audits.
- Used various software platforms (Meditech, Epic, Power Chart) to ensure coding accuracy per ICD 10 CM and CPT guidelines and conventions as well internal and external resources such as Coding Clinic, CPT Assistant, CMS guidelines, and client policy and procedures. Resolves edit errors to ensure accurate billing and coding.
- Made concise recommendations and reporting citing approved coding sources and references as above. Supported reports with explanations of coding concepts and guidelines in a professional yet user friendly manner with the goal of education for clients.
- Ran all required reports and performed rebuttals to coders as needed.
Coding Quality Review Auditor
Parkland Hospital
08.2017 - 06.2023
- Conducted monthly audits for 30+ coders with a accuracy rate of 95 to 98% while maintaining production goals. Provided detailed documentation on audit findings for 20+ outpatient clinics including OB/GYN, oncology, primary care, pediatric, burn, stroke, orthopedic and geriatric care clinics.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Mentored junior auditors, sharing knowledge and best practices to foster their professional growth within the team.
- Attends weekly, monthly meetings to provide guidance on coding issues.
- Established educational guide for new coders.
Coding Editor
Parkland Hospital
09.2016 - 07.2017
- Investigated and resolved coding edit issues relating to NCCI and MUE edits. Responsible for modifying and completing moderate to high complexity coding and charging edits/errors using ICD 10 CM, CPT, HCPCS guidelines in accordance with coding rules and regulations.
- Utilized approved software such as Vital Ware and CMS.gov websites for billing/coding guidance.
- Very familiar with MUE/PTP edits and medical necessity denial processes to assist in revenue cycle and compliance issues.
- Served as liaison to educate coders / management on NCCI subjects.
Coding Specialist / Coder II
Parkland Hospital
11.2014 - 09.2016
- Assigned ICD 9 and ICD 10 CM and CPT codes for variety of outpatient clinic practices by reviewing records and interpreted documentation.
- Ensured accuracy in coding, consistently meeting departmental quality goals of 95% and daily production goals.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Coder 1 - Outpatient Coding
Parkland Hospital
01.2014 - 11.2014
- Performed all coding duties as instructed.
- Consistently met and exceeded expectations for quality and production. Was promoted to Coder 2 within a year.
Quality Analyst - Clinical Documentation Specialis
Parkland Hospital
09.2012 - 01.2014
- Performed analysis for regulatory and legal purposes focusing on accuracy and quality of documentation and privacy issues for ROI (Release of Information).
- Served as official Custodian of Record for Parkland Hospital for subpoenas, attorney requests, regulatory (CMS, DARS audits). Attended court proceedings to testify as to accuracy of record.
- Analyzed authorizations for release of information.
- Worked collaboratively with HIM department to implement processes and develop quality guidelines and worked with Record Correction when indicated.
- Created and revised procedures, checklists and job aids to reduce errors.
- Developed and maintained quality assurance procedure documentation.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Administered monthly internal quality audits and assessed results to inform corrective action measures.
Health Information Coordinator
Kindred Hospital
07.2010 - 10.2012
- Responsible for overseeing and performing all duties in the Health Information Department for Kindred Hospital - a long term, acute care institution.
- Duties included coding, data abstraction, analysis and documentation of medical record deficiencies. Responsible for release of information and record requests, train providers on EMR. Assisted in development of transcription platform.
- Calculated daily and monthly hospital statistics and reporting related to HIM.
- Participated in Joint Commission meetings and other regulatory agency duties including DARS audits. requirements by preparing reports for accreditation surveys and external audits.
- Organized over 500+ medical records through diverse systems of classification, storage retrieval, and indexing.
Education
Bachelor of Science - Health Informatics
Western Governors University
Salt Lake City, UT03.2017
Affiliations
- AAPC
- AHIMA
Timeline
Senior Consultant
UASI Solutions
07.2023 - 03.2024
Coding Quality Review Auditor
Parkland Hospital
08.2017 - 06.2023
Coding Editor
Parkland Hospital
09.2016 - 07.2017
Coding Specialist / Coder II
Parkland Hospital
11.2014 - 09.2016
Coder 1 - Outpatient Coding
Parkland Hospital
01.2014 - 11.2014
Quality Analyst - Clinical Documentation Specialis
Parkland Hospital
09.2012 - 01.2014
Health Information Coordinator
Kindred Hospital
07.2010 - 10.2012
Bachelor of Science - Health Informatics
Western Governors University
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