Experienced HIM Director and Certified Coding Specialist with a proven track record at Adair County Health Center. Experienced in ICD-10 and CPT coding, I successfully enhanced operational efficiency and compliance, while mentoring staff to achieve excellence. Recognized for resolving complex coding issues and fostering strong interdepartmental collaboration.
Overview
23
23
years of professional experience
1
1
Certification
Work History
HIM Director, Certified Coding Specialist
Adair County Health Center, dba Memorial Hospital
Stilwell
07.2002 - Current
Coordinated resources across departments to maximize productivity levels.
Developed and implemented comprehensive strategies to improve operational processes and organizational efficiency.
Implemented systems for tracking progress on key initiatives or projects.
Assessed employee performance against established benchmarks or targets.
Prepared presentations for board meetings summarizing key developments within the company.
Established relationships with vendors and suppliers to secure favorable terms for materials or services.
Developed and implemented strategic plans to ensure organizational goals were met.
Recruited, trained, supervised, evaluated and mentored staff members.
Collaborated with senior leadership to set long-term objectives for the company.
Developed policies and procedures to ensure compliance with corporate standards.
Ensured compliance with all relevant regulations, policies and procedures.
Cultivated strong relationships with customers by responding promptly to inquiries or complaints.
Coordinated activities with other departments to expedite work and improve collaboration.
Led cross-functional teams to drive project completion within budget and deadlines.
Delegated work to staff, setting priorities and goals.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Prepared staff work schedules and assigned team members to specific duties.
Provided feedback to clinicians on quality improvement initiatives related to documentation practices.
Ensured all required documentation was obtained prior to assigning codes.
Participated in continuing education programs related to coding updates, industry changes.
Resolved complex coding issues with providers in a timely manner.
Monitored compliance with Medicare regulations, third party payor requirements and federal laws regarding reimbursement policies.
Maintained up-to-date knowledge of coding conventions, rules and regulations as well as any other relevant information pertaining to the field of medical coding.
Assisted in developing training materials for new hires or existing staff members on best practices for medical coding.
Analyzed denied claims to identify the root cause of denials and corrected errors accordingly.
Applied accurate CPT and HCPCS procedure codes for services rendered by provider.
Implemented corrective action plans when noncompliance issues were discovered.
Performed quality assurance reviews on coded data prior to submission.
Responded promptly to inquiries from internal departments such as patient accounts, health information management or utilization review.
Identified appropriate diagnosis codes based on ICD-10-CM guidelines.
Reviewed medical records to ensure accuracy and completeness of clinical documentation, coding and billing processes.
Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
Determined correct ICD-10 and CPT codes for use in medical record.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Education
High School Diploma -
Stilwell High School
Stilwell, Oklahoma
05-1989
Some College (No Degree) - General Studies
Bacone College
Muskogee, Oklahoma
Skills
Medical coding
ICD-10 coding
CPT coding
Compliance auditing
Claim analysis
Documentation review
Inpatient coding expertise
HIPAA compliance
Clinical documentation improvement
Medical terminology proficiency
Data entry and management
Records management
Insurance coding (ICD-9 and CPT)
Medical claims coding
Document management
Training and mentoring
Medical coding and abstracting
Inpatient records coding
Affiliations
Participated in fundraising activities for emergency needs for staff members.