Traci Jurgensen
Abilene,KS
Summary
Health Information Management professional with 18 years of experience in healthcare data management, coding, and compliance. Seeking to leverage an extensive background in medical records, data analysis, and regulatory standards to transition into Revenue Cycle Management. Adept at collaborating with cross-functional teams, optimizing workflows, and ensuring compliance with healthcare regulations. Passionate about improving billing processes and driving revenue optimization through data-driven decision-making and operational efficiencies.
Overview
19
19
years of professional experience
Work History
Health Information Management, Manager
Memorial Health System
Abilene, KS
08.2017 - Current
- Train and mentor staff, resulting in increased team efficiency and productivity.
- Conduct audits on medical records to ensure compliance with coding, billing, and quality standards.
- Collaborate with clinical departments to resolve documentation issues efficiently and ensure compliance with payer policies.
- Analyze coding and billing data to identify trends and improve processes.
- Report to executive leadership, and the Board of Directors, on compliance performance and risk areas.
- Chair multiple committees to include: Corporate Compliance, Medical Staff Bylaws, Revenue Cycle, and Policy Development.
Medical Biller and Coder
Memorial Health System
Abilene, KS
09.2006 - 08.2017
- Accurately coded and processed medical claims using ICD-10, CPT, and HCPCS codes.
- Worked closely with physicians to clarify diagnosis and procedure codes, ensuring correct coding for accurate billing.
- Conducted insurance verifications and pre-authorizations, reducing claim denials.
- Maintained up-to-date knowledge of medical billing and coding regulations, and payer requirements, ensuring adherence to CMS guidelines.
- Managed the full billing cycle, from charge entry to final payment.
- Aided in chargemaster builds to ensure proper coding and charge amounts, to capture full reimbursement potential.
Education
Some College (No Degree) - Health Information Management
Hutchinson Community College
Hutchinson, KSAAPC
Kansas Hospital Association Leadership Institute
09-2018
Skills
- Medical Coding: ICD-10, CPT, HCPCS
- Clinical Documentation Improvement
- HIPAA/Corporate Compliance
- EHR/EMR Systems (Athenahealth, Meditech)
- Charge Capture & Auditing
- Claims Processing & Denials Management
- CMS Regulations/Payer Policies
- Policy Development & Implementation
- Attention to Detail
- Workflow Optimization
- Critical Thinking & Problem Solving
- Collaboration & Teamwork
Timeline
Health Information Management, Manager
Memorial Health System
08.2017 - Current
Medical Biller and Coder
Memorial Health System
09.2006 - 08.2017
Some College (No Degree) - Health Information Management
Hutchinson Community College
AAPC
Kansas Hospital Association Leadership Institute
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