Sha Maxwell, RHIA, CCS
Gulfport,MS
Summary
Dynamic leader in quality management with a focus on team development and operational excellence. Skilled in performance monitoring and quality reporting, driving significant improvements in coding processes and outcomes. Committed to fostering collaboration and enhancing service delivery.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Quality Manager - Coding
Parallon Business Performance Group
Nashville, Tennessee
06.2022 - Current
- Provided managerial oversight to coding quality team, ensuring adherence to quality processes for pre and post billing reviews.
- Prepared coding benchmarking and quality monitoring reports to inform decision-making at multiple leadership levels.
- Selected, evaluated, and trained reporting staff, fostering leadership development and team cohesion.
- Coached team members to resolve behavioral issues and foster a collaborative work environment.
- Monitored productivity, delivering consistent feedback to employees and relevant directors.
- Ensured employee schedules aligned with coding quality monitoring requirements, including onboarding for new hires.
- Coordinated work assignments to meet operational objectives effectively.
- Executed HIM initiatives and implemented quality control processes to improve service delivery.
Inpatient Coder - PRN
Wellington Regional Medical Center
Wellington, Florida
06.2023 - 11.2025
- Reviewed inpatient medical records to ensure accurate coding and compliance.
- Assigned ICD-10-CM and PCS codes to diagnoses and procedures following accepted principles.
- Collaborated with physicians through queries to obtain necessary information for code assignment.
- Maintained knowledge of coding regulations and updates from CMS.
Coding Manager - Operations
Parallon Business Performance Group
Orange Park, Florida
06.2018 - 06.2022
- Provided direct managerial oversight to team lead and coders for inpatient rehab and outpatient coding functions.
- Ensured accurate, timely coding in compliance with established guidelines and internal policies.
- Managed operational activities to improve coding accuracy and enhance medical record documentation.
- Proactively addressed significant coding issues, including communication and escalation of project barriers.
- Monitored coding and medical record documentation processes to meet productivity and quality standards.
- Coached team members, resolved dysfunctional behaviors, and administered disciplinary actions as needed.
- Selected, evaluated, and trained staff while providing leadership and direction to reporting personnel.
- Prepared coding benchmarking reports on productivity and quality for various leadership levels.
Coding Team Lead Mentor - SME
Parallon Business Performance Group
Orange Park, Florida
01.2017 - 06.2018
- Responded to coding-related inquiries from HSC coding staff.
- Responsible for completing the monthly and quarterly Quality Toolkit from Corporate.
- Entered changes resulting from appeals into the appropriate abstracting system.
- Provided skilled coding support during scheduled meetings and as needed.
- Collaborated with coding education manager to design educational plans and materials.
- Communicated available global education coursework to relevant staff members.
- Analyzed data for actionable insights and compiled trends in CAC precision and recall data.
- Monitored QA results to assist coding leadership in root cause analysis.
- Researched external sources for common coding trends and escalated findings to management.
- Create department newsletter and education monthly.
Assistant Coding Director
Parallon Business Performance Group
Orange Park, Florida
08.2015 - 12.2016
- Assisted coding director in planning, developing, and implementing HSC coding operations.
- Monitored daily unbilled metrics to meet department and corporate objectives.
- Ensured accurate, timely coding in compliance with established guidelines and policies.
- Monitored daily unbilled metrics, ensuring alignment with department and corporate objectives.
- Provided direct oversight to management team, including coding managers and team leads.
- Coached team members, resolving conflicts and providing necessary discipline.
- Facilitated collaboration among multidisciplinary teams to address coding improvement issues.
- Prepared productivity and performance reports for leadership review.
Coding Manager (CDI/Concurrent Coding Department)
Mountain States Health Alliance
Johnson City, Tennessee
12.2013 - 07.2015
- Managed day-to-day operations of CDI/concurrent coding department across eight facilities.
- Oversaw performance of 15 onsite employees to ensure productivity and quality standards.
- Completed monthly statistics for CDI department to assess operational efficiency.
- Accountable for retro query process, ensuring compliance and timely resolution by physicians.
- Maintained productive relationships with CFOs, CMOs, and physicians to foster collaboration.
- Resolved DRG discrepancies between CDI staff and discharge coders through effective communication.
- Monitored employee accuracy and productivity scores to drive improvements in performance.
- Developed coding policies, procedures, and guidelines to standardize CDI practices.
Clinical Documentation Improvement Specialist
Mountain States Health Alliance
Abingdon, Virginia
07.2011 - 12.2013
- Collaborated with physicians to improve documentation accuracy, resulting in enhanced quality of patient records.
- Educated physicians on documentation standards and coding requirements.
- Conducted concurrent reviews of patient admissions to ensure compliance with documentation standards.
- Captured CC and MCC codes to optimize facility’s case mix index.
- Partnered with discharge coders for accurate DRG assignments prior to billing.
- Monitored reports to identify and resolve missing data and pending review accounts efficiently.
- Presented concurrent coding outcomes during utilization review meetings.
- Coordinated with case management and CFO regarding length of stay issues.
Education
Master of Health Informatics and Information Management -
University of Mississippi
Oxford, MS08-2014
Bachelor of Science - Health Informatics And Information Management
University of Mississippi
Oxford, MS05-2011
Skills
Coding compliance and guidelines
ICD-10 CM/PCS Coding
Data analysis
Quality monitoring
Root cause analysis
Multitasking capacity
Quality management
3M CAC, Meditech, HPF, Epic, Cerner Systems
Operational improvements
Performance monitoring
Stakeholder engagement
Team leadership
Attention to detail
Quality metrics
Certification
- RHIA
- CCS
- Lean Six Sigma Green Belt
Timeline
Inpatient Coder - PRN
Wellington Regional Medical Center
06.2023 - 11.2025
Quality Manager - Coding
Parallon Business Performance Group
06.2022 - Current
Coding Manager - Operations
Parallon Business Performance Group
06.2018 - 06.2022
Coding Team Lead Mentor - SME
Parallon Business Performance Group
01.2017 - 06.2018
Assistant Coding Director
Parallon Business Performance Group
08.2015 - 12.2016
Coding Manager (CDI/Concurrent Coding Department)
Mountain States Health Alliance
12.2013 - 07.2015
Clinical Documentation Improvement Specialist
Mountain States Health Alliance
07.2011 - 12.2013
Master of Health Informatics and Information Management -
University of Mississippi
Bachelor of Science - Health Informatics And Information Management
University of Mississippi