We provide IT Staff Augmentation Services!

Coding Specialist-remote Resume

Arlington, Virginia

PROFESSIONAL SUMMARY:

A Certified Professional Coder with 25+ years’ experience in diagnosis, procedures, physician, outpatient, and inpatient facility coding that is also affiliated and an approved AHIMA ICD - 10-CM/PCS trainer, Recognized for quality coding and auditing, going above and beyond what is expected and having a strong work ethic.

EXPERIENCE;

Confidential, Arlington, Virginia 

Coding Specialist-Remote

Audited medical records for physicians for various hospital systems in various states to ensure the document support charges billed. Verify that the documentation met internal, AMA, and CMS standards and guidelines for compliance.

Confidential

Coding Specialist-Remote

Consultant for the law firm to conduct compliance audits on medical records for physicians and hospitals. Verify that the documentation met internal, AMA, and CMS standards and guidelines for compliance.

Confidential, Ashville, North Carolina

Senior Healthcare Consultant - Remote

Provided support on specific client engagements, which may include financial and strategic planning and chart assessments. Performed research on guidelines and regulations for specific clients in various states, assessments for client’s coding and documentation to ensure compliance billing and internal standards are met.

Confidential, Medina, Ohio

Online Instructor

Instructor for online courses such as ICD-10-10-CM/PCS, Prep for CCS, CCA, CPC/CCS-P exams, Certified Healthcare Auditor, and Certified Outpatient Billing Specialist with a 98% pass rate. Assist students with lessons via conference calls, emails etc. to ensure a better understanding of course material.

Confidential, Taylors, SC

Instructor and Consulting

Assist with medical coding and billing along with education to providers and staff. Instruct students with medical coding knowledge and assist with preparing them to set for their exams.

Confidential, Columbia, SC

Coding Specialist

Medicare Part A Appeals department. Reviewed and validated coding (DRG, ICD-9, CPT, HCPCS), MUE’s and documentation before nurse review and determination for provider appeals from Medicare, CERT, RAC under multiple lines of business under J1, J11, and J15 MACs. Provided coding education to customer and provider service departments, nursing staff and providers.

Confidential, Salisbury, NC

Manager of Auditing Dept.

Managed team of certified coders in the auditing process and accuracy of medical charts to ensure appropriate documentation, coding, and billing according to regulations and guidelines. Ensured team met deadlines and client needs. Provided education to the providers and staff based on findings in audit.

Confidential, Akron, Ohio

HIM & Credentialing Manager

Manager for a LTAC Health Information department and staff. Credentialed physicians at LTAC facility.

Confidential, Akron, Ohio

Director of Compliance

Responsible for ensuring all staff followed coding and billing regulations and guidelines. Wrote policies and procedures for all departments. Formed a compliance committee within the organization which reviewed and audited all departments. Provided education to staff and clients on compliance issues.

Confidential, Barberton Ohio

Coding Manager

Supervised the department of inpatient and outpatient coders to ensure coding accuracy according to coding regulations and guidelines. Preformed audits on coders for accuracy and reports.

Confidential, Akron, Ohio

Coding Coordinator

Provided education (one on one and group) to the residents on coding and billing along with coding regulations and guidelines. Audited the residents on a quarterly bases and provided one on one education.

Hire Now