Thorough Quality Assurance auditor with 20-year track record of performing accurate audits, inspections and evaluations of products and processes. Smart analytical thinker adhering to all standards and regulations. Flexible and responsible and able to work in a fast paced environment.
Overview
20
20
years of professional experience
Work History
Remote Quality Assurance
Healthcare Administrative Partners
10.2017 - 07.2024
Remote inpatient coding auditing for 8-12 hospital and physicians groups. Audited work for 10 coders.
Conducted regular quality assurance audits of completed coding for accuracy and completeness.
Trained coders, physicians and quality assurance team members in coding of surgical cases and processes.
Completed multiple projects simultaneously while maintaining focus on quality assurance and meeting deadlines.
Served as a valuable resource for peers seeking assistance with particularly challenging or complex coding issues encountered during their daily tasks.
Remote IP Coder
Peak Health Solutions
04.2017 - 08.2017
Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Correctly coded and billed medical claims for various hospital and physian groups..
Remote Coder/Biller
Beaumont Health
12.2015 - 04.2017
Correctly coded and billed medical claims for multiple providers.
Thoroughly researched newly identified diagnoses and /or medical procedures to expand skills and knowledge.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
researched questions and concerns from providers and provided detailed education.
Medical Coder/Biller
Marshall Medley, D.O., P.C.
09.2015 - 04.2017
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Posting insurance payments and invoices to patients.
Confidently and adeptly handled claim denials and/or appeals.