Samantha Rowley
Bay City
Summary
Adept at optimizing revenue and enhancing coding accuracy, my tenure at MyMichigan Medical Group highlighted my proficiency in ICD-10 and critical thinking. Demonstrated excellence through surpassing benchmarks and conducting impactful audits, I embody professionalism with a commitment to continuous education and effective communication.
Overview
27
27
years of professional experience
1
1
Certification
Work History
HCC Coder/Auditor
MyMichigan Medical Group
11.2021 - Current
- Contributed to revenue optimization by identifying opportunities for capturing additional reimbursements through accurate HCC code assignment.
- Exceeded company benchmarks for both quality and quantity of coded records processed within specified deadlines, showcasing strong work ethic and commitment to excellence in role performance.
- Conducted regular audits on coded records to identify patterns of errors or inconsistencies, implementing corrective actions as needed.
- Served as an integral team member in departmental meetings, contributing insights based on expertise in HCC coder''s perspective toward improving operational efficiency or addressing challenges faced within the unit.
- Enhanced coding accuracy by consistently reviewing and updating knowledge of HCC guidelines and regulations.
- Stayed current with evolving industry standards, attending professional development seminars and workshops related to HCC coding advancements.
- Followed up with medical staff regarding missing information in patient records.
- Provided education to physicians for improvement of HCC documentation. Showcasing the individual audit and patient's medical records as examples.
Coding Educator
MyMichigan Medical Group
02.2016 - 10.2021
- Cultivated an environment of continuous learning by staying current on industry trends, changes in regulations, and advancements in technology related to medical coding.
- Assessed medical record documentation and captured services through quality coding.
- Improved overall accuracy in medical coding through rigorous validation, feedback, and continuous education sessions.
- Created engaging instructional content using various multimedia tools such as PowerPoint presentations, videos, podcasts, and interactive quizzes to accommodate different learning styles.
- Fostered strong relationships with medical staff by conducting regular collaboration sessions aimed at addressing coding questions or concerns.
- Performed regular audits on physicians and met with them to offer feedback and education on coding documentation guidelines.
Quality Data Specialist
Bay Special Care Hospital
03.2004 - 02.2016
- Enhanced data integrity, employing rigorous quality checks and balances.
- Conducted data audits to ensure accuracy and completeness.
- Consistently met deadlines and delivered high-quality work, demonstrating a strong commitment to excellence in data management.
- Assisted in meeting regulatory requirements by ensuring proper documentation and adherence to data governance policies.
- Maintained open lines of communication with team members, fostering a collaborative environment that facilitated mutual learning and professional growth.
- Conducted regular audits on nursing staff and physicians to ensure quality documentation in the patient's medical records.
Medical Biller
Covenant Medical Center
02.1998 - 06.2003
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
- Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
Education
No Degree - General Studies
Delta College
Bay City, MIAssociate of Science - Registered Health Information Technology
Baker College
Flint, MI06-2003
High School Diploma -
Hemlock High School
Hemlock, MI06-1989
Skills
- ICD-10 proficiency
- Critical thinking capacity
- HIPAA compliance
- Effective communication
- Professionalism and integrity
- Electronic health records
- Self motivation
- Verbal and written communication
- Reliability
- Attention to detail
- Time management
- Continuing education
Certification
- Registered Health Information Technician with AHIMA December 2003
Timeline
HCC Coder/Auditor
MyMichigan Medical Group
11.2021 - Current
Coding Educator
MyMichigan Medical Group
02.2016 - 10.2021
Quality Data Specialist
Bay Special Care Hospital
03.2004 - 02.2016
Medical Biller
Covenant Medical Center
02.1998 - 06.2003
- Registered Health Information Technician with AHIMA December 2003
No Degree - General Studies
Delta College
Associate of Science - Registered Health Information Technology
Baker College
High School Diploma -
Hemlock High School
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