Sally Christiansen
Delmar,IA
Summary
Experienced Auditor/Project Manager with 25 years of expertise in the healthcare industry. Known for accuracy and forward-thinking, I bring an industrious and detail-oriented nature to ensure meticulous work. Seeking a challenging role with opportunities for advancement to leverage my skills and contribute to organizational success.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Medical Coding Specialist Supervisor
E4 Health
06.2021 - Current
- Demonstrated ability to accurately interpret medical records and apply appropriate coding guidelines to assign accurate codes for diagnosis, procedures, and services rendered
- Accurately interpreted clinical documentation from a variety of sources including electronic health records
- Performed abstracting of medical records and assigned correct codes according to established protocols
- Proficient in utilizing various coding software programs such as Encoder Pro and 3M 360 Encompass
- Conducted regular audits to ensure compliance with Medicare regulations and standards
- Identified areas where additional education is needed among healthcare professionals in regards to accurate documentation practices
- Provided guidance and direction on complex or difficult cases requiring special attention.
- Supported departmental goals by consistently meeting or exceeding productivity standards while maintaining high levels of accuracy in code selection.
- Served as a subject matter expert on medical terminology, anatomy, physiology, diagnostic tests, treatments, procedures, diseases, and conditions relevant to specific areas of specialization within the field.
- Increased reimbursement rates through meticulous attention to detail during code assignment and validation processes.
- Facilitated communication between departments, fostering collaboration and improving overall organizational efficiency related to medical billing procedures.
- Maintained professional expertise by attending industry conferences and participating in continuing education opportunities for ongoing skill development.
Auditor
Omega Healthcare
12.2017 - Current
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Ensured compliance with regulatory requirements by performing regular audits and staying up-to-date on industry standards.
- Planned and executed follow-up audits at appropriate intervals.
- Interviewed auditees to gather data needed to conduct audits.
- Collaborated closely with external auditors, providing requested documentation promptly to facilitate smooth year-end audits.
Project Manager/Auditor
The Coding Network
06.2005 - 11.2020
- Reduced financial risk by detecting and addressing errors in medical billing and coding practices.
- Led training sessions on medical coding guidelines, contributing to a knowledgeable workforce capable of upholding compliance standards.
- Improved overall compliance by conducting regular audits of coding practices and providing recommendations for improvement.
- Assessed risks associated with billing practices based on the analysis of historical trends in claim denials.
- Conducted comprehensive chart reviews to validate coding accuracy, ensuring proper reimbursement for services rendered.
- Prepared detailed reports outlining audit findings; communicated results to stakeholders promptly for prompt resolution of issues identified during audits.
- Collaborated with healthcare providers to ensure accurate documentation for improved patient care quality and safety.
- Streamlined the audit process for increased efficiency by developing and implementing standardized procedures.
- Enhanced the accuracy of medical billing by thoroughly auditing patient records and identifying discrepancies.
- Supported revenue cycle management through diligent monitoring of claims submissions, denials, and appeals.
- Maintained an up-to-date understanding of evolving healthcare regulations by engaging in continuous professional development opportunities.
- Prepared working papers, reports and supporting documentation for audit findings.
- Established effective communication among team members for enhanced collaboration and successful project completion.
- Delivered exceptional customer satisfaction by proactively addressing client concerns and meeting or exceeding expectations throughout the engagement process.
- Monitored progress against established goals, adjusting schedules and resources as needed to keep projects on track.
- Identified plans and resources required to meet project goals and objectives.
- Collaborated closely with senior management to align project objectives with strategic company initiatives, ensuring that efforts contributed to overall business growth.
- Coordinated with cross-functional teams to resolve project issues and mitigate risks.
- Monitored project performance to identify areas of improvement and make adjustments.
- Prepared detailed reports on project status for stakeholders, ensuring transparency and alignment with objectives.
Education
Bachelor of Science (B.S.) in Health Information Management Candidate - Health Administration
Indiana Tech
Fort Wayne, IN12.2025
Associate of Applied Science in Health Information Technology -
Rasmussen College
Rockford, IL09.2019
High School Diploma -
Aquin Central Catholic High School
Freeport, IL05.1993
Skills
- Hospital inpatient and outpatient records
- Outpatient surgery coding specialist
- Research and data analysis
- Expertise in [HCC] Coding
- Written and verbal communication
- Medical billing code accuracy
- Coding Error Resolution
- Protected Health Information
- Team Leadership and Training
- Multi-specialty Coding Experience
- Workflow Management
Certification
- RHIT
- CPC
- CCS-P
- CPMA
- CRC
Affiliations
- American Health Information Management Association, 1196371
- American Academy of Professional Coder, 00042458
- Association of Clinical Documentation Integrity Specialists, Member
Personal Information
Title: Medical Coding Integrity Specialist
Timeline
Senior Medical Coding Specialist Supervisor
E4 Health
06.2021 - Current
Auditor
Omega Healthcare
12.2017 - Current
Project Manager/Auditor
The Coding Network
06.2005 - 11.2020
Bachelor of Science (B.S.) in Health Information Management Candidate - Health Administration
Indiana Tech
Associate of Applied Science in Health Information Technology -
Rasmussen College
High School Diploma -
Aquin Central Catholic High School
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