Dynamic and results-driven Supervisory Medical Records Technician with over 6 years of experience at the Department of Veterans Affairs and Defense Health Agency. Proven expertise in ICD-10-CM and CPT coding, complemented by exceptional leadership and training skills. Achieved outstanding performance evaluations while enhancing coding accuracy and staff productivity.
This is a remote position.
Oversee and manage coding staff, ensuring accurate and timely coding of medical records, while also overseeing audits, training, and quality control.
Staff includes Inpatient and Outpatient Coders, Inpatient and Outpatient Auditors, and Clinical Documentation Improvement Specialists (CDIS).
Provide daily supervision, guidance, and feedback to coding staff, including performance evaluations, as well as addressing any issues or concerns.
Oversee hiring and onboarding of new coding staff.
Coordinate training programs for coders, ensuring they are up to date on the latest coding guidelines and best practices.
Monitor staff performance, identify areas for improvement, and implement corrective actions as needed.
Compile, analyze, and present data related to coding staff performance, documentation issues, and charging errors.
Advanced knowledge of ICD-10-CM, CPT, ICD-10-PCS, and HCPCS code assignments to assure all DRGs, diagnoses, and procedures are properly documented through review of medical records.
This was a remote position.
Conducted monthly Inpatient, Outpatient, and Provider audits following all coding guidelines, as well as advocacy provider audits as directed.
Coder and provider training completed monthly and as needed based on audit findings.
Distributed and balanced workload among coders in accordance with established workflow to ensure timely completion.
Coded for a wide range of outpatient clinics, ambulatory surgery, specialty clinics, emergency department, inpatients stays, and professional fee services utilizing 3M Encoder.
Assisted facility staff with documentation requirements to completely and accurate reflect patient care provided.
Directly consulted with professional staff for clarification of conflicting or ambiguous clinical data.
Worked in conjunction with CDIS to ensure proper documentation in the EHR to develop provider training.
Oversee and manage coding staff, ensuring accurate and timely coding of medical records, while also overseeing audits, training, and quality control.
Staff includes Inpatient and Outpatient Coders, Inpatient and Outpatient Auditors, and Clinical Documentation Improvement Specialists (CDIS).
Provide daily supervision, guidance, and feedback to coding staff, including performance evaluations, as well as addressing any issues or concerns.
Oversee hiring and onboarding of new coding staff.
Coordinate training programs for coders, ensuring they are up to date on the latest coding guidelines and best practices.
Monitor staff performance, identify areas for improvement, and implement corrective actions as needed.
Compile, analyze, and present data related to coding staff performance, documentation issues, and charging errors.
Advanced knowledge of ICD-10-CM, CPT, ICD-10-PCS, and HCPCS code assignments to assure all DRGs, diagnoses, and procedures are properly documented through review of medical records.
Also detailed into supervisory position with DHA at Fort Leonard Wood from September 2020 through January 2021.
Conducted monthly Inpatient, Outpatient, and Provider audits following all coding guidelines, as well as adhoc provider audits as directed.
Coder and provider training completed monthly and as needed based on audit findings.
Distributed and balanced workload among coders in accordance with established workflow to ensure timely completion.
Coded for a wide range of outpatient clinics, ambulatory surgery, specialty clinics, emergency department,
inpatients stays, and professional fee services utilizing 3M Encoder.
Assisted facility staff with documentation requirements to completely and accurate reflect patient care provided.
Directly consulted with professional staff for clarification of conflicting or ambiguous clinical data.
Worked in conjunction with CDIS to ensure proper documentation in the EHR to develop provider training.
Prior to being detailed into the supervisory position, I was also the auditor from February 2019 through September 2020.
Certified Professional Coder (CPC)
Certified Inpatient Coder (CIC)
While detailed into the coding supervisor position at General Leonard Wood Army Community Hospital at the beginning of the COVID pandemic and throughout 2020, kept up with daily updates for documentation and coding of COVID and distributed to other military treatment facilities. In addition, continued coding auditor duties and took on all of the duties of the coding supervisor.