Staceyann Hall
Baldwin,NY
Summary
Skilled Certified Coding Specialist with 5+ years of combined experience and a full understanding of ICD-10CM, ICD10-PCS procedures with extensive knowledge of diseases pharmacology and general medical terminology. Excellent data entry, training skills, good interpersonal skills, and the ability to work as a team member.
Overview
12
12
years of professional experience
1
1
Certification
Work History
DRG Reviewer
NYCHSRO/MedReview
New York, NY
09.2018 - Current
- Validate ICD-10-CM coding to ensure proper DRG assignment to screen out over billed claims
- Refer cases with possible utilization and/or quality issues
- Perform on-site reviews within and outside of New York State as assigned
- Adhered to and maintained qualitative and quantitative standards
- Review and correct Physician Auditors’ rationale for denied claims
- Participated in team projects, demonstrating ability to work collaboratively and effectively
Associate Medical Records Specialist
Metropolitan Hospital Center
New York, NY
07.2015 - 03.2018
- Accurately abstracted clinical information from various areas of the medical record, to assign appropriate ICD-10 codes according to established guidelines for hospital reimbursement
- Worked with and queried physicians to facilitate completion of incomplete, ambiguous, or conflicting documentation
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Independent Contractor/Trainer
Jamaica Family Medicine
Jamaica, NY
12.2011 - 08.2012
- Scanned and uploaded paper medical chart into new electronic medical records software.
- Trained approximately 2-3 staff members on new practice management software.
- Assisted with medical coding and billing tasks.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Assisted with insurance verification
Medical Records Coder
Roosevelt Hospital
New York, NY
04.2012 - 07.2012
- Reviewed, and analyzed coding of diagnoses, diagnostic and treatment procedures contained in inpatient medical records
- Worked with physicians to facilitate the completion of incomplete, ambiguous, or conflicting documentation.
- 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
Education
Certificate - Medical Coding & Billing
The Roxbury Institute For Medical Management
Jamaica, NY06.2012
Information Systems Management -
York College
Jamaica, NY06.2004
Skills
- Customer Service
- Data Entry
- Interpersonal Skills
- HIPAA Compliance
- Analytical Skills
- Inpatient Coding
- Anatomy knowledge
- Certified Coding Specialist
- Medical Terminology
- 3M Encoder
- Microsoft Office
- Team Player
Certification
Certified Coding Specialist (CCS)
Timeline
DRG Reviewer
NYCHSRO/MedReview
09.2018 - Current
Associate Medical Records Specialist
Metropolitan Hospital Center
07.2015 - 03.2018
Medical Records Coder
Roosevelt Hospital
04.2012 - 07.2012
Independent Contractor/Trainer
Jamaica Family Medicine
12.2011 - 08.2012
Certificate - Medical Coding & Billing
The Roxbury Institute For Medical Management
Information Systems Management -
York College
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