SALLY M. ROBB
Homosassa,FL
Summary
Seasoned Coder with over 40 years of extensive experience in outpatient coding, demonstrating a strong proficiency in accurately interpreting medical records and ensuring compliance with industry regulations.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Outpatient Auditing/Outpatient remote coder
Sierra7, Inc./ HMS
08.2020 - Current
- Provided outpatient auditing for 15-20 coders.
- Maintained above a minimum of 95% on all auditing scores
- Possess formal training in anatomy and physiology, medical terminology, pathology and disease processed, health record and guidelines for current classification systems (ICD, CPT, HCPCS, E&M, etc.)
- Applied all applicable modifiers to appropriate CPT codes
- Applied knowledge of current Diagnostic Coding and Reporting Guidelines for outpatient services
- Applied knowledge of CPT format, guidelines, and notes to locate the correct codes for all services and procedures performed
- Applied knowledge of procedural terminology to recognize when an unlisted procedure code must be used in CPT
- Coded in accordance with Correct Coding Initiative (CCI) Bundling Guidelines
- Used the CMS Common Procedural Coding Systems (CPCS), where appropriate
Outpatient Auditing Team Lead /Outpatient Coder/Remote
Healthcare Resolution Services
07.2015 - 07.2020
- Provides outpatient auditing and education for 20 coders.
- Assigns work to 20 coders daily using the ACM in the VA Citrix system.
- Provides outpatient External audits on HCRS’s contact sites for VISN-7 on a yearly basis including Educational Power point presentation regarding results of audit.
- Provides outpatient coding assigning ICD-10, CPT and HCPS codes with 95% accuracy.
- Developed excel audit templates and spreadsheets to capture coder workload and weekly Coding results.
- Multitasking by preparing audits, assigning work to contract coder, coding and answering coder’s Questions.
- Communicates effectively with team members regarding new coding information, General coding guidelines and giving constructive coding feedback on weekly audits.
- Knowledge of using nuance coding software, ICM.
Outpatient Coder
VA Medical Center
07.2012 - 07.2015
- Reviews outpatient records to determine diagnosis being treated and procedures performed.
- Assigns and sequences code in accordance with rules and regulations.
- Inputs data in to the Nuance coding software, i.e. CCM.
- Identifies consistently all diagnosis treated and operations/procedures performed.
- Assigns ICD-9 and CPT codes accurately while following coding conventions.
- Follows applicable regulations and instructions regarding access to computerized files, fields, releases.
Medical Record Administration Specialist/Outpatient Coder, Physician Educator
VA Medical Center
01.2008 - 07.2012
- Retrieves data utilizing Vista applications and the national software product, currently Nuance system.
- Audits provider documentation for appropriateness, and data integrity. Audits encounter code selection.
- Prepares reports and other documents demonstrating findings and recommendations for improvement of the review.
- Educates new Staff, Residents, and Medical Students on the documentation and coding guidelines and Helps with the assigning of their note titles, document titles and other information that relates to the.
- Provides written and oral educational power point presentations, and excel spreadsheets, for provider guidelines. Prepares educational materials, presents findings, and follows up on recommendations for.
Outpatient Coder/Float
Aurora Healthcare
12.2003 - 01.2008
- Coded all specialties mainly focusing on orthopedic coding.
- Coded and sequenced diagnoses and procedures utilizing the ICD-9-CM and CPT-4 coding system.
- Traveled to different Aurora Clinics, (float), filling in and assisting with coding when needed, exercising.
- Assisted with medical record reports and projects as directed.
- Adapted to frequent changes in policies and procedures in response to internal and external requirements.
- Participated in employee development programs and meetings.
- Collaborated with healthcare providers to clarify coding guidelines and ensure proper documentation.
- Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
- Followed up with medical staff regarding missing information in patient records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Mentored junior coders to enhance their skillset and productivity within the team environment.
- Supported organizational compliance efforts by reporting potential coding violations and participating in periodic audits as needed.
Medical Record Administrative Specialist/Outpatient Coder
North Chicago VA Medical Center
03.2001 - 12.2003
- Performed quantitative and qualitative review and analysis of medical records and encounter forms coded.
- Coded and sequenced diagnoses and procedures utilizing the ICD-9-CM and CPT-4 coding system.
- Reviewed medical records and encounter forms for regulatory requirements, and to ensure all diagnosis documented and accurately coded by the provider.
- Helped with the training of new coding employees.
- Worked closely with the billing staff to ensure that the encounters were accurately and timely billed to.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed filing system, entered data and completed other clerical tasks.
Outpatient Coder
The Chicago Medical School
05.1992 - 03.2001
- Coded all of the daily office visits, according to ICD-9 coding guidelines, including surgical operations on evaluation/management coding.
- Worked closely with the billing of medical claims to all commercial insurance companies, including MC.
- Created patient accounts, maintained the up-to-date ICD-9 diagnostic, and CPT procedure price files.
- Participated in continuing education opportunities to maintain professional growth and stay current with best practices in outpatient coding.
- Developed comprehensive knowledge of medical terminology, anatomy, physiology, and pharmacology necessary for accurate code assignment.
Defense Auditor/Outpatient Coder
Midwestern Medical Center
05.1990 - 05.1992
- Worked closely with nurse auditors from participating insurance companies, performing defense audits of inpatient record, against the patient bill.
- Coded out-patient and ER encounters, according to the ICD-9 coding guidelines.
- Participated in audit meetings with department heads, to insure the quality and documentation of the patient's record was sufficient and accurate, to insure our reimbursement form insurance companies.
- Developed strong relationships with clients, building trust and ensuring a high level of satisfaction during the audit process.
- Conducted comprehensive audits to ensure compliance with healthcare regulations and internal policies.
- Collaborated with departmental managers to implement best practices and enhance operational efficiency.
- 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.
Education
Bachelor of Arts - Interdisciplinary Studies, Psychology
Columbia College of Missouri
St Louis, MO01.2012
Associate of Science - Health Information Management
College of Lake County
Grayslake, IL01.1990
High School Diploma -
Woodstock High School
Woodstock, Illinois06.1975
Skills
- Attention to detail
- Problem-solving
- Adaptability
- Good work ethic
- ICD-10 and CPT Coding: Proficiency
- Computer Proficiency
- Time Management
- Continual Learning
Certification
- Registered Health Information Technician, RHIT, 1990
- Certified Coding Specialist Physician based, CCS-P, 1997
Affiliations
AHIMA- Member
Timeline
Outpatient Auditing/Outpatient remote coder
Sierra7, Inc./ HMS
08.2020 - Current
Outpatient Auditing Team Lead /Outpatient Coder/Remote
Healthcare Resolution Services
07.2015 - 07.2020
Outpatient Coder
VA Medical Center
07.2012 - 07.2015
Medical Record Administration Specialist/Outpatient Coder, Physician Educator
VA Medical Center
01.2008 - 07.2012
Outpatient Coder/Float
Aurora Healthcare
12.2003 - 01.2008
Medical Record Administrative Specialist/Outpatient Coder
North Chicago VA Medical Center
03.2001 - 12.2003
Outpatient Coder
The Chicago Medical School
05.1992 - 03.2001
Defense Auditor/Outpatient Coder
Midwestern Medical Center
05.1990 - 05.1992
High School Diploma -
Woodstock High School
Bachelor of Arts - Interdisciplinary Studies, Psychology
Columbia College of Missouri
Associate of Science - Health Information Management
College of Lake County
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