Cathy Straub Email and Phone Number
Cathy has more than 25 years of experience in Health Information Management (HIM) specializing in auditing MS-DRG and APR-DRG assignment, educating professional coders and clinicians, and teaming with Clinical Documentation Improvement (CDI) staff for coding and documentation compliance. She has deep knowledge of DRG methodology, Official Coding Guidelines, clinical criteria for payer denials and appeals, HIM operations, and regulatory requirements as it pertains to coding compliance.
Provident Management Consulting
View- Website:
- providentedge.com
- Employees:
- 7
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Senior Auditor, Senior Coding MgrProvident Management Consulting Jan 2014 - PresentPittsburgh, Pa• Performs MS-DRG and APR-DRG gap assessments to identify coding and documentation opportunities and CDI query strategies• Presents and trends assessment findings to clients• Assists with content development for a web-based clinical training tool for Coders, CDI professionals, and physician documentation and coding training• Assists clients with writing RAC appeals• Develops and delivers education for CDI nurses, Coders, and Physicians -
Remote Prn CoderIndependent Contract Coding Feb 2005 - Dec 2015Pittsburgh, Pa• Coded inpatient and outpatient medical records for various Pittsburgh area facilities
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Inpatient ConsultantSpi Healthcare, Inc Jun 2012 - Dec 2013Tinley Park, Il• Performed in-depth chart reviews of inpatient medical records to ensure quality coding and DRG assignment• Presented audit findings to the CDI staff, coders, and physicians• Monitored and trended final resolution of DRG recommendations -
Coding SupervisorVa Pgh Healthcare System Dec 2009 - Jun 2012Pittsburgh, Pa• Managed staff of 18 coders: inpatient, ambulatory surgery, clinics, and professional fee coding• Monitored quarterly census coding used for VERA (Veterans Equitable Resource Allocation)• Developed and implemented concurrent physician query process• Lead ICD-10 documentation education for physicians and clinicians• Provided monthly training on proper documentation practices to physicians and ancillary services clinicians• Audited inpatient and outpatient coders monthly and educated coding staff• Created plans of action based on audits and reported to the Compliance Committee
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Coding ManagerUpmc Mckeesport Hospital Jul 2006 - Nov 2007Mckeesport, Pa• Managed staff of seven coders and one DRG Specialist• Managed DNFB list daily• Provided coding education and training to staff• Wrote appeal letters for coding denials and managed process• Reported audit findings to Compliance Committee with corresponding plans of action
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National Compliance ManagerKforce® Mar 2004 - Nov 2004Tampa, Fl• Performed quality monitoring of K Force’s staffed coding consultants• Qualified potential candidates by producing coding exams and performing interviews• Served as lead resource for coding and compliance inquiries for internal staff and clients and was responsible for the internal coding hotline
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Sr. Coding Quality AnalystMercy Hospital Of Pittsburgh Jan 1998 - Mar 2004Pittsburgh, Pa• Provided inpatient and out-patient coding expertise to coding staff, physicians and other hospital personnel. Specialties included trauma, plastics, obstetrics and gynecology, oncology, general surgery, ophthalmology, neurology and neurosurgery• Conducted hospital-wide coding education in-services• Prepared appeal letters for coding denials for all payers• Served as the liaison between external coding auditors, coding staff and hospital leadership
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Him Department ManagerUpmc Braddock Hospital Aug 1996 - Dec 1997Braddock, Pa• Managed staff of 20 employees and was responsible for coding, release of information, record analysis, transcription, chart processing, and tumor registry• Implemented outpatient coding technology for ancillary services
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CoderMckeesport Hospital Jun 1993 - Aug 1996Mckeesport, Pa• Coded inpatient and outpatient same day surgery records
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Coding SpecialistMagee Women’S Hospital Mar 1990 - Jun 1993Pittsburgh, Pa• Coded inpatient and outpatient same day surgery records
Cathy Straub Skills
Cathy Straub Education Details
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CcacHealth Information/Medical Records Technology/Technician
Frequently Asked Questions about Cathy Straub
What company does Cathy Straub work for?
Cathy Straub works for Provident Management Consulting
What is Cathy Straub's role at the current company?
Cathy Straub's current role is Senior Auditor.
What schools did Cathy Straub attend?
Cathy Straub attended Ccac.
What are some of Cathy Straub's interests?
Cathy Straub has interest in Education.
What skills is Cathy Straub known for?
Cathy Straub has skills like Medical Coding, Healthcare, Revenue Cycle, Hipaa, Icd 9, Process Improvement, Healthcare Management, Ehr, Healthcare Consulting, Electronic Medical Record, Medicare, Healthcare Information Technology.
Who are Cathy Straub's colleagues?
Cathy Straub's colleagues are Michael T Dougherty, Ragini Sharna, Cathy Straub, Lovely Jha, Ben Sayabovorn, Rhit, Ccs, Cdip.
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