EPIC
Rachel Hofmeister
Oncology Coder
Louisville,KY
Summary
Competent Medical Coder with 13 years of experience in handling wide variety of medical coding, billing and revenue cycle tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Eager to contribute to team success and motivated to grow, learn and excel coding experience to the next level. Winning attitude that easily adapts to the forever changing industry.
Overview
11
11
years of professional experience
1
1
year of post-secondary education
1
1
Certification
Work History
Oncology/Hematology Medical Coder
Norton Healthcare
Louisville, KY
06.2018 - Current
- Reviewed outpatient, observation and inpatient records to interpret documentation to identify diagnoses and professional charges
- Identified and resolved pre-bill edits, denial edits, CCI Edits, MUE's with scrubbers, 3m encoders, LCD and NCD's
- Applied official coding conventions and rules from AMA and CMS
- Queried physicians on documentation questions
- Reviewed Revenue Integrity audits for charge reconciliation and look at documentation for accurate charge capture
- Added ICD 10, CPT, HCPCS and modifiers as documented
- Implemented performance improvement strategies and plans to promote continuous improvement
Oncology and Obstetrics Medical Coder
Baptist Healthcare
Louisville, KY
05.2016 - 06.2018
- Reviewed documentation for specificity, accuracy and all components present according to compliance guidelines
- Track monthly coding and documentation trends
- Communicated with physicians and office managers to clarify what is needed in documentation for optimal compliant payment and to resolve epic issues
- Trained colleagues on EPIC for their new companywide transition into EPIC
- Used Denials Collector background to track denials and documentation trends for prevention and education
- Worked with compliance and management to identify and resolve coding documentation and education issues
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
DMU Medical Insursnce Collections
Norton Healthcare
Louisville, KY
01.2014 - 05.2016
- Identified root cause of denials to provide plans for denial resolution.
- Processed billing calls, insurance verification and answered questions from patients
- Trained and mentored new team members
- Supported physicians and office managers in improving documentation maximize reimbursement on drugs and to resolve authorization denials due to coding errors
- Tracked and resolved trends
- Mentored collectors on coding guidelines which helped reduce unnecessary appeals
- Identified and bridged gap between coding and collection departments
- Appeal coding claim denials with LCD's and supporting guidelines along with other denial types
- Created healthy office activities as department health ambassador
Denial Specialist
Fresenius Medical
Louisville, KY
08.2010 - 06.2012
- Identified root cause of denials to provide plans for denial resolution.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status
- Resubmitted claims after editing to achieve financial targets
- Kept current with dialysis specialty guidelines, billing and Medicare eligibility requirements
- Worked on account collections, billing, corrections, written appeals, address denials and insurance verification
- Setup facilities on payer websites, explain insurance benefits to patients, contact patients for insurance updates
Education
Medical Coding Diploma - Medical Coding
ATA College
Louisville, KY 08.2006 - 06.2007
Skills
Oncology/Hematology Coding
Accomplishments
- Identified HIPPA violations in chart for correction and education
- Identified coding trend that resolved payment discrepancies and resulted in $25,940.40 in monthly clean claim payments
- Resolved insufficient kidney disease documentation trend
- Found merger facility that had been out of network for 8 months. Worked with corporate to get it in-network and stop our patients from having to go to a facility 40 miles away
Software
3M Encoder
Zirmed
Meditech
Certification
CPC
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Quote
How many ideas have there been in the history of the human race that were unthinkable ten years before they appeared?
Fyodor Dostoevsky
Timeline
Oncology/Hematology Medical Coder
Norton Healthcare
06.2018 - Current
Oncology and Obstetrics Medical Coder
Baptist Healthcare
05.2016 - 06.2018
DMU Medical Insursnce Collections
Norton Healthcare
01.2014 - 05.2016
Denial Specialist
Fresenius Medical
08.2010 - 06.2012
Medical Coding Diploma - Medical Coding
ATA College
08.2006 - 06.2007
Similar Profiles
MICHELLE ANDERSONMICHELLE ANDERSON
Float Pool Staff Nurse, RN at Norton Healthcare, Norton Women's & Children'sFloat Pool Staff Nurse, RN at Norton Healthcare, Norton Women's & Children's
Christine Steinborn ADN, RNChristine Steinborn ADN, RN
RN-Norton Hospital-Cardiac Critical Unit-Telemetry at Norton HealthcareRN-Norton Hospital-Cardiac Critical Unit-Telemetry at Norton Healthcare
SUSANA MARTINEZSUSANA MARTINEZ
LPN at Norton HealthcareLPN at Norton Healthcare
Cassie SwanCassie Swan
PCA/Administrative Assistant at Norton HealthcarePCA/Administrative Assistant at Norton Healthcare
Maria GomezMaria Gomez
Lead Care Manager at Pair TeamLead Care Manager at Pair Team