Summary
Overview
Work History
Education
Skills
Timeline
Generic
Shelly M Dunn

Shelly M Dunn

Inpatient Coder IV
Canton,MI

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. I am a polished professional with history of managing multiple tasks, utilizing electronic medical record systems, and provided excellent customer service to health care providers and staff. I also have a track record of effectively troubleshooting issues as the majority of tasks are independent with little supervision. Kept accuracy standards beyond the required 95% throughout my 13 year employment at Ascension.

Overview

34
34
years of professional experience

Work History

Inpatient Clinical Coding Analyst

Ascension Health/R1RCM
05.2009 - 07.2022
  • Facilitated timely and accurate claims processing by maintaining a high level of expertise in ICD-10-CM and ICD-10-PCS coding systems in order to capture appropriate diagnostic and procedural codes with the goal to optimize revenue through the correct DRG assignment applied via official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services in the assignment of diagnostic and procedure codes.
  • Maintained RHIT credential 27 years.
  • Played an integral role in achieving compliance with regulatory requirements through consistent adherence to established coding guidelines.
  • Resolved complex coding issues through effective communication with physicians and other healthcare professionals.
  • Contributed to the ongoing success of the organization by consistently delivering high-quality work and maintaining a strong commitment to continuous improvement
  • Supported departmental goals by consistently meeting or exceeding performance metrics related to accuracy, productivity, and timeliness,
  • Improved coding accuracy by conducting thorough research and staying up-to-date with industry standards
  • Actively participated in professional development opportunities to maintain proficiency in industry changes and advancements affecting medical coding practices.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Followed up with medical staff regarding missing information in patient records.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
  • Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
  • Verified accuracy of patient information in medical records
  • Streamlined workflow processes by collaborating with other coders, physicians, and healthcare professionals to ensure accurate documentation.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.

Inpatient Coder III

Kforce
03.2007 - 04.2009
  • Contracted inpatient coder for which duties necessitated US travel, use of my ability to quickly adapt to site specific coding software and EMR. Site assignment included multi week contract to Cleveland Clinic.
  • Contributed to revenue optimization through diligent assignment of appropriate inpatient diagnostic and procedural codes.
  • Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each inpatient encounter.
  • Demonstrated expertise in ICD-9-CM/PCS codes as an inpatient coder while maintaining RHIT credential.
  • Interacted with physicians to answer questions regarding queries of inpatient services to ensure adherence to coding guidelines regarding acceptable physician queries,
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-9-CM/PCS codes and Coding Clinic guidance
  • Ability to manually code through coding books, procedure manuals, and site specific resources.
  • Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.

Inpatient Claims Review Specialist

Blue Care Network Of Michigan
05.1999 - 04.2003
  • Followed all company policies and procedures to deliver quality work in review of hospital inpatient coding.
  • Developed strong client relationships through consistent communication and attentive service.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
  • Interpreted clients' needs and introduced services to fit specific requirements.
  • Listened and responded to customer requests and forwarded necessary information to superiors.
  • Gathered, organized and input information into digital database.

Secondary DRG Coordinator

Southern Regional Medical Center
05.1997 - 04.1999
  • Primary duties included secondary review of inpatient charts for assignment of diagnoses and procedure codes to ensure accuracy in DRG assignment. Entered data, generated reports, and produced tracking documents.
  • Developed comprehensive reports for senior management, enabling informed decision-making based on data-driven insights.
  • Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
  • Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
  • Set priorities and problem-solved workflow issues to maintain rapport with providers, other health professionals and managers.
  • Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
  • Gathered and organized materials to support operations.
  • Kept high average of performance evaluations.
  • Maintained RHIT credential through continuing education standards set per AHIMA.

Inpatient Coder I

University Of Michigan Medical Center
03.1995 - 04.1997
  • Entry level inpatient coder with duties including revenue optimization through medical record review with diligent assignment of appropriate diagnostic and procedural ICD-9-CM/PC codes.
  • The University of Michigan is a designated Level I trauma center including a renowned Burn Center. Gained experience in trauma and burn coding from this entry level position.
  • Enhanced the accuracy of medical coding by reviewing inpatient medical records and interpreted documentation to identify diagnoses and procedures for optimal DRG reimbursement.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Streamlined workflow processes by collaborating with physicians and other healthcare professionals to ensure accurate documentation.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Applied official coding conventions and rules from agencies such as Centers for Medicare and Medicaid Services to assign diagnostic and procedure codes.
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-9-CM/PCS codes and Coding Clinic guidance.
  • Maintenance of RHIT credential through continuing education offered by AHIMA.

Medical Transcriptionist

University Of Michigan Medical Center
01.1989 - 02.1995
  • Transcribed and edited physician reports from use of word processing, dictation and transcription software and equipment.
  • Corrected grammar, spelling, and syntax mistakes from physician dictation.
  • Reduced errors in medical reports by reviewing, editing, and proofreading transcripts for clarity and consistency.
  • Ensured consistent formatting across all documents, adhering to established templates and style guides for report presentation.
  • Increased efficiency through mastery of transcription software tools, optimizing their use for maximum productivity.
  • Applied medical terminology related to provider-specific treatments and techniques.
  • Demonstrated excellent skills to understand diverse accents and dialects
  • Translated medical jargon into correct terminology
  • Referred to variety of medical sources to prevent mistakes in medical terms
  • Improved turnaround time for report generation by efficiently managing transcription tasks.
  • Contributed to a professional work environment by consistently meeting deadlines and maintaining open communication with supervisors and colleagues.
  • Demonstrated adaptability when faced with Expedited urgent document requests, ensuring prompt delivery of critical information to healthcare providers.
  • Produced and delivered transcripts within anticipated timeframes to meet tight deadlines
  • Conducted research to clarify dictated information and resolve discrepancies.
  • Maintained high levels of confidentiality with sensitive patient information following HIPAA guidelines.
  • Stayed up-to-date with medical terminology and industry trends to maintain accuracy in transcriptions.
  • Attended continuing education workshops to maintain professional standards and stay up-to-date with new developments.

Education

Associate of Science - Health Information Management

Henry Ford College
Dearborn, MI
05.1993

Skills

  • ICD-10-CM/PCS Coding
  • DRG Validator/ MS-DRG classification
  • Clinical Documentation Improvement
  • Medical Record Review/Medical Record Abstraction
  • Medical Record Auditor
  • Healthcare Reimbursement
  • Medicare Regulations
  • Inpatient coding guidelines
  • Revenue Cycle Management
  • Encoder software/3M Encoder
  • Doctor Communication
  • Workflow Management

Timeline

Inpatient Clinical Coding Analyst

Ascension Health/R1RCM
05.2009 - 07.2022

Inpatient Coder III

Kforce
03.2007 - 04.2009

Inpatient Claims Review Specialist

Blue Care Network Of Michigan
05.1999 - 04.2003

Secondary DRG Coordinator

Southern Regional Medical Center
05.1997 - 04.1999

Inpatient Coder I

University Of Michigan Medical Center
03.1995 - 04.1997

Medical Transcriptionist

University Of Michigan Medical Center
01.1989 - 02.1995

Associate of Science - Health Information Management

Henry Ford College

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Shelly M DunnInpatient Coder IV