Melissa Gilgen
Stansbury Park,UT
Summary
Team Leader experienced in directing activities of workgroups. Self motivated, develops strategies, provides training, sets goals and obtains team feedback. Excellent interpersonal and communication skills. Big picture focus with excellence in communicating goals and vision to succeed. Problem solver, networker and consensus builder. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules, with 15 years of experience in various areas of the medical field.
Overview
4
4
years of professional experience
2
2
Certification
Work History
Senior Team Lead and Project Manager
CSI Companies
05.2023 - Current
- Enhanced team performance by implementing effective communication strategies and regular feedback sessions.
- Streamlined project workflow for increased efficiency by identifying bottlenecks and optimizing processes.
- Increased overall productivity with consistent monitoring of team progress, adjusting priorities as needed.
- Developed high-performing team members through targeted training programs and one-on-one coaching.
- Managed both Risk Adjustment and Science coding project by successfully working with clients.
- Lead and managed 4 team leads and 98 medical coders within assigned project to ensure successful outcomes and a continued successful relationship with the client.
Risk Adjustment Coding Team Lead
CSI Companies
02.2023 - 05.2023
- Improved team productivity by implementing efficient project management strategies and streamlining communication channels.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Led cross-functional teams for successful project execution while maintaining strong collaboration among team members.
- Increased customer satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
- Lead and managed a team of coders ranging from 12 - 35 coders at a given time.
Risk Adjustment Coder
CSI Companies
11.2022 - 02.2023
- Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Maintained an accuracy of 97%, and exceeded speed requirements for each project worked on.
Lead Medical Coder
Bristol Hospice
11.2020 - Current
- Manage and track workload of other medical coders on team
- Work closely with manager to achieve managerial duties
- Develop educational material to be used toward CEU credits of coders
- Work remotely while maintaining appropriate deadlines and support for fellow coders
- Review new admission charts and extract diagnosis information to assign codes
- Run admission reports and email medical billers regarding status of codes on a chart.
Coder Abstracter (HCC and Risk adjustment)
Inovalon
04.2022 - 11.2022
- Review charts and abstract ICD 10 and HCC codes
- Follow risk adjustment and HCC rules that apply to the project that I am working on
- Maintain a 90% accuracy on codes abstracted.
Lead Orthopedic Support Tech
SALT REGIONAL MEDICAL CENTER
03.2015 - 03.2020
- Assist in Orthopedic surgeries, as well as take care of the rooms set up and clean up need, Clean out room after surgery and order labs
- Maintained updated knowledge of medical terminology and nomenclature
- Acted professionally with all parties, including patients, families, and medical staff
- Adhered to company policies and compliance regulations to protect patient confidentiality.
At Home Interviewer
PINNACLE QUALITY INSIGHT
11.2018 - 03.2019
- Remotely conducted structured interviews and recorded audio
- Communicated clearly and listened attentively throughout the interview process to facilitate the exchange of information.
Education
Some College (No Degree) - Exercise Physiology
University of Utah
Salt Lake City, UTCERTIFICATION IN MEDICAL CODING - Medical Coding
U.S. Career Institute
Online08.2020
High School Diploma -
Lyman High School
Lyman, WY05.2005
Skills
- CPT and ICD 10 Coding
- Highly proficient in Microsoft Office
- High proficiency in understanding and using medical terminology
- Familiar with electronic medical records
- Coaching and Mentoring
- Production Coordination
- Customer Service Management
- Leading Team Meetings
- Teamwork and Collaboration
- Daily workflow improvement
- Analytical Thinking
- Problem-Solving
- Attention to Detail
- Professionalism
Certification
CPC
CRC
Timeline
Senior Team Lead and Project Manager
CSI Companies
05.2023 - Current
Risk Adjustment Coding Team Lead
CSI Companies
02.2023 - 05.2023
Risk Adjustment Coder
CSI Companies
11.2022 - 02.2023
Coder Abstracter (HCC and Risk adjustment)
Inovalon
04.2022 - 11.2022
Lead Medical Coder
Bristol Hospice
11.2020 - Current
At Home Interviewer
PINNACLE QUALITY INSIGHT
11.2018 - 03.2019
Lead Orthopedic Support Tech
SALT REGIONAL MEDICAL CENTER
03.2015 - 03.2020
Some College (No Degree) - Exercise Physiology
University of Utah
CERTIFICATION IN MEDICAL CODING - Medical Coding
U.S. Career Institute
High School Diploma -
Lyman High School