Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Generic

Regina Borodach

Lakeland,FL

Summary

Dynamic Lead Coding Specialist and Inpatient Audit Professional with robust analytical skills and a comprehensive understanding of coding regulations, compliance standards, and inpatient documentation requirements. Demonstrates a dependable, team-oriented approach with a strong focus on collaboration, adaptability, and performance in fast-paced environments.

Proficient in risk assessment, data analysis, and industry-standard audit tools, with deep expertise in coding inpatient medical records according to current regulatory guidelines. Proven track record in optimizing revenue by reducing claim denials and improving coding accuracy. Recognized for effectively training and mentoring teams, enhancing productivity, and using critical thinking to resolve complex coding discrepancies.

Highly skilled in Epic and 3M coding systems, with a commitment to coding integrity, accuracy, and continuous improvement.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Lead Coding Specialist

Baptist Health South
07.2020 - Current
  • Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
  • Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
  • Provided timely feedback on coder performance metrics, helping individuals meet organizational goals related to accuracy and productivity.
  • Contributed to revenue optimization efforts by identifying under-coded services and providing recommendations for appropriate code assignments.
  • Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
  • Maintained up-to-date knowledge on industry changes, attending training sessions and workshops regularly.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Enhanced team productivity by providing guidance and support to junior coders, fostering a collaborative work environment.
  • Developed training materials to educate staff on current coding standards, best practices, and regulatory requirements.
  • Assisted in the development of policies and procedures related to coding operations, ensuring compliance with relevant governing bodies.
  • Conducted comprehensive chart reviews to identify potential areas of risk or non-compliance within the organization''s coding practices.
  • Enhanced data integrity by conducting routine quality assurance checks on coded records for accuracy and completeness.
  • Served as liaison between coders and clinical staff, addressing questions or concerns regarding proper documentation practices.
  • Participated in interdisciplinary meetings to discuss complex cases requiring specialized knowledge of coding principles and guidelines.
  • 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.
  • Generated reports to identify coding trends and discrepancies.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.

Inpatient Coder - Partime/PRN

AdventHealth Central Florida Division
11.2023 - 02.2025
  • Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Increased job satisfaction among peers by fostering a positive work environment that encouraged collaboration, support, and open communication among team members.
  • Supported the implementation of new coding software platforms, providing valuable input to streamline workflows and improve user experience for team members.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
  • Reduced claim denials by proactively resolving billing discrepancies prior to submission, working closely with billing teams when necessary.
  • Demonstrated expertise in various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS codes while maintaining certification as an Inpatient Coder.
  • Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
  • Assisted with staff development through mentoring new coders, sharing best practices, and facilitating educational workshops.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.

Coding Auditor

AdventHealth West - Tampa
05.2023 - 09.2023
  • Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
  • Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
  • Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
  • Streamlined audit processes, improving efficiency and reducing time spent on each audit engagement.
  • Planned and executed follow-up audits at appropriate intervals.
  • Followed established auditing processes to meet internal and regulatory requirements.
  • Developed strong relationships with clients, building trust and ensuring a high level of satisfaction during the audit process.
  • Mentored junior auditors, sharing knowledge and best practices to foster their professional growth within the team.
  • Performed observations and evaluated supporting documents to supplement audit findings.
  • Executed audit phases and entered data into accounting software for analysis.

Coding Supervisor/Senior Inpatient Coder

AdventHealth Central Florida Division
08.2016 - 05.2023
  • Supported continuous improvement initiatives within the department by actively participating in relevant conferences, workshops, or seminars related to medical coding best practices.
  • Maximized revenue recovery through effective management of denials related to incorrect or incomplete medical codes; collaborated with billing department to resolve issues promptly.
  • Maintained up-to-date knowledge on ICD-10-CM/PCS codes as well as CPT-4 procedural codes through ongoing education efforts and certifications renewals when applicable.
  • Prepared and maintained regular performance reports for management, identifying trends and areas for potential improvement within the department.
  • Reduced errors in medical coding by developing and maintaining a thorough understanding of current regulations, industry trends, and best practices.
  • Ensured adherence to organizational policies regarding patient privacy and confidentiality while handling sensitive medical information during the coding process.
  • Streamlined workflow processes by identifying areas of improvement and implementing necessary changes.
  • Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
  • Enhanced coding accuracy by implementing regular training sessions and performance evaluations for coding staff.
  • Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.
  • Assisted in recruitment efforts for new coding staff members, interviewing candidates and providing recommendations for hiring decisions.
  • Increased efficiency within the department by delegating tasks strategically based on coder expertise and workload capacity.
  • Collaborated with other department supervisors to develop comprehensive coding policies and guidelines, ensuring consistency across the organization.
  • Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
  • Promoted a positive work environment by addressing coder concerns promptly and effectively while fostering open lines of communication among team members.

Inpatient Auditor/ Inpatient Coder

Lee Memorial Hospital
09.2013 - 07.2016
  • Coordinated, managed and implemented auditing projects and prepared for evaluation.
  • Managed multiple concurrent audit engagements, prioritizing tasks to meet deadlines without compromising quality.
  • Maintained up-to-date knowledge of industry regulations and standards, ensuring audit practices remained compliant.
  • Enhanced effectiveness of internal audit function through strategic planning and goal setting.
  • Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
  • Ensured data integrity within electronic health record systems by routinely monitoring input quality and promptly addressing any discrepancies discovered during audits.
  • Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.
  • Demonstrated expertise in various code sets including CPT, HCPCS Level II, ICD-10-CM/PCS codes while maintaining certification as an Inpatient Coder.
  • Reduced claim denials by proactively resolving billing discrepancies prior to submission, working closely with billing teams when necessary.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
  • Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.

Education

Associate of Applied Science - Health Information Management

Indiana Buisness College
Terre Haute, IN

Skills

  • Training and mentoring
  • Medical terminology
  • Regulatory guidelines
  • Proficiency in Epic, Powerchart, HDM
  • Knowledgeable in 3M, Dolbey, Optum
  • Continuing education
  • Inpatient records coding
  • Anatomy
  • Coding error resolution
  • Medical coding and abstracting
  • Coding appeals
  • Teamwork and collaboration
  • Critical thinking

Affiliations

  • AHIMA

Certification

  • CCS - Certified Coding Specialist

Timeline

Inpatient Coder - Partime/PRN

AdventHealth Central Florida Division
11.2023 - 02.2025

Coding Auditor

AdventHealth West - Tampa
05.2023 - 09.2023

Lead Coding Specialist

Baptist Health South
07.2020 - Current

Coding Supervisor/Senior Inpatient Coder

AdventHealth Central Florida Division
08.2016 - 05.2023

Inpatient Auditor/ Inpatient Coder

Lee Memorial Hospital
09.2013 - 07.2016

Associate of Applied Science - Health Information Management

Indiana Buisness College

Similar Profiles

CREATE PROFILE
Regina Borodach