Shawna Reeves

• Ensures compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
• Abstract, code diagnosis, and procedure information from medical record in accordance with AHA coding conventions, UHDDS and CMS guidelines and regulations.
• Identify incomplete or missing information from medical record and formulate physician queries to obtain missing documentation to complete coding process.
• Adheres to quality standards and established department benchmarks.
• Maintains a high level of productivity.
• Utilizes 3M 360 Encompass CAC encoder to assign appropriate MS-DRG/APR-DRG
• Practice adherence to HIPAA regulations when handling sensitive patient information.
• Maintains daily productivity report

• Supervises caregivers in daily operations providing support related to coding practices, compliance issues and support with 3M CAC.
• Manages staff hiring, evaluation, coaching and performance appraisals.
• Monitors caregivers and work-queues to ensure timely coding of inpatient and outpatient records.
• Assist staff with career developmental goals.
• Review DNFC report daily
• Participates in deployment of educational programs regarding elements of coding compliance.
• Collaborate with CDI on clinical validation related to DRG downgrades.
• Assist and Back-up QI Auditor.

• Abstract, code diagnosis, and procedure information from medical record in accordance with AHA coding conventions, UHDDS and CMS guidelines and regulations
• Identify incomplete or missing information from medical record and formulate physician query to obtain missing documentation to complete coding process
• Support revenue cycle by optimizing reimbursement, ensuring charge capture, and working with providers to facilitate documentation integrity and completeness
• Utilize 3M 360 Encompass CAC encoder to assign appropriate MS-
• DRG/APR-DRG
• Level II trauma unit, surgical specialties include Cardiothoracic, Neuro, Vascular, Orthopedic, Colorectal and General
• Active collaboration with Clinical Documentation Improvement, Revenue Cycle, and Health Information Management teams.
• Inter-department coordination and cooperation
• Exceeds productivity, quality standards and established department benchmarks
• Maintains flexibility to meet organizational demands for new skills and knowledge
• Act as coding resource to medical staff

Key Accomplishments:

• Developed and implemented a preceptor program and curriculum for local Community College HIM Students for hands on experience within acute healthcare setting. Managed this program for 5 years.
• Monitored and evaluated students by providing individual attention to individual student’s learning needs, and provided positive and constructive feedback regarding performance.
• Mentored students and assisted with general career advice, including formation of short-term and long-term goals, and specific job-related challenges.
• Exemplified AHIMA professional standards, core values, and ethics that are expected within the coding industry and organization.

• Promoted to Lead Coder which supported the Coding & Billing manager with monitoring work queues and delegated work to ensure completion in timely manner. Interviewed applicants and trained new hires. Practiced positive team building. Worked with staff to resolve conflicts.
• In this multi-specialty clinic; I primarily coded for the Neuroscience Center as well as Plastic Surgery, but also coded Gastrointestinal, Nephrology, Family Practice, and Geriatrics
• Assigned codes for E/M services, diagnoses, treatment, and procedures for clinical and surgical encounters. Including appending appropriate modifiers and resolving NCCI edits.
• Coordinated closely with medical providers to ensure compliance with policies of billing and documentation
• Worked in claims edit work queues and had thorough knowledge of NCD's and LCD's.
• Worked hand in hand with billers to ensure claims and corrected claims billed timely.
• Possessed good understanding of Medicare and Medicaid specific billing requirements.
• Reviewed coding denials and analyzed date for corrections.