Tanya Bair
Coding Quality Manager
Lake Wylie,SC
Summary
Medical coding professional with 14 years managing remote coding staff. Proficient in Risk Adjustment coding including hierarchical condition categories (HCCs) and CDPS model codes. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
17
17
years of professional experience
6
6
years of post-secondary education
3
3
Certifications
Work History
Quality Assurance Coding Manger
Change Healthcare
1 2016 - Current
- Responsible for the day-to-day operations of the remote auditing department which consists of 30 team members.
- Auditing of internally coded Medicare, ACA, and Medicaid charts as well as third party vendor coded charts.
- Perform coding quality reviews and tracked, trended and managed coding quality performance.
- Ensure production goals are met by monitoring chart volumes, making necessary auditing assignments, and allocating staff to different projects.
- Lead regular code review sessions to maintain high-quality output and identify areas for further development.
- Conduct thorough audits of coding practices, identifying opportunities for optimization and streamlining processes.
- Implement ongoing training initiatives to keep staff up-to-date on industry trends and best practices in medical coding.
Senior Coding Manager
Peak Health Solutions
01.2009 - 01.2015
- Responsible for the day-to-day operations in both the production and auditing departments in a remote vendor setting.
- Monitored daily, weekly, and monthly production goals for both the coding and auditing staff.
- LOBs included risk adjustment, ER, pro-fee, and inpatient coding.
- Met with clients on a weekly and or monthly basis to ensure coding quality was maintained.
- Experienced in RADV audits.
- Implemented coding Tips of the Day to promote employment engagement.
- Trained staff for new projects.
- Helped develop internal coding policies and procedures.
Coding Auditor
Peak Health Solutions
01.2007 - 01.2009
- Audited coded charts to verify correct assignments of CPT, ICD and HCPCS codes.
- Coding types include ER, and outpatient coding.
- Maintained quality accuracy rate while exceeding production goals.
- Collaborated with the coding manager to create additional education material for both internal staff and external clients.
Education
Certificate Program - Health Information Management
Seminole State College
05.2001 - 05.2003
Bachelor of Arts - Psychology
University of Central Florida
05.1995 - 05.1999
Skills
Certification
Certified Risk Adjustment Coder (CRC), AAPC, 2015-01-01
Timeline
Senior Coding Manager
Peak Health Solutions
01.2009 - 01.2015
Coding Auditor
Peak Health Solutions
01.2007 - 01.2009
Certificate Program - Health Information Management
Seminole State College
05.2001 - 05.2003
Bachelor of Arts - Psychology
University of Central Florida
05.1995 - 05.1999
Quality Assurance Coding Manger
Change Healthcare
1 2016 - Current
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