Samantha McGovern
Gray
Summary
Qualified auditor with a solid foundation in medical coding and risk adjustment. Proficient in accurately interpreting medical records to ensure proper coding, with a track record of enhancing coding accuracy and compliance. Demonstrates expertise in utilizing coding software and ensuring adherence to coding guidelines.
Overview
18
18
years of professional experience
Work History
Risk Adjustment Auditor
Martins Point Healthcare
07.2017 - Current
- Conducted thorough reviews of charts to ensure accuracy of coding and compliance with coding guidelines.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Played an active role in professional development activities, including attending webinars, workshops, and conferences to stay abreast of industry developments and best practices.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
Coder II
Northern Light Mercy Hospital
08.2006 - 07.2017
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- 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.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Education
High School Diploma -
Deering High School
Portland, MECPC Certification -
AAPC
01-2009
CRC Certification -
AAPC
01-2024
Skills
- Self-motivation and discipline
- ICD-10 proficiency
- HIPAA compliance
- Diagnostic coding accuracy
- Deadline oriented approach
- Continuous learning attitude
Timeline
Risk Adjustment Auditor
Martins Point Healthcare
07.2017 - Current
Coder II
Northern Light Mercy Hospital
08.2006 - 07.2017
High School Diploma -
Deering High School
CPC Certification -
AAPC
CRC Certification -
AAPC
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