Jen M. Email & Phone Number

• Oversee all quality for both domestic and global partners.• Review and advise on denials and appeals for multiple payers. Denial reviews for trending opportunities for improvement and or education, thus resulting in cost savings for facilities to reduce denials. Created payer and denial specific templates to improve appeals process for facilities. • Responsible for creating e-learning, in person training and coding updates for all employees to include coding staff, auditors, management and client contacts• Inpatient and Outpatient professional and facility advisor for coding and compliance.

• Responsible for ensuring charges from Multi-specialty groups were coded appropriately and in a timely manner • Oversee domestic & global coding & auditing team (100+coding FTE’s & 25 auditors)• Responsible for monitoring DNFB; running reports and assigning work based on volumes• Oversee coder and auditor production, ensuring 95% accuracy• Responsible for client inquiries regarding employee performance to include key performance indicators • Reviewed Chargemaster and completed coding profile based on facility policies • Payroll for coders• Monthly Client invoicing

• Outpatient chart reviews including:• Compliance audits• CDI for outpatient facility and professional• Chargemaster reviews and updates

• Responsible for internal new hire training• Responsible for traveling to facilities Nationwide and training on coding platform software• Educate Healthcare specialists (LPN’s, RN’s, Billers) to become certified coders through AAPC• Provide education to employees as well as facilities and providers regarding CMS and coding guidelines• Create processes and documents to assist in companywide standardization

• Daily auditing of remote coding staff to ensure 95% or above accuracy rates on codes • Perform a minimum number of pre-billing chart reviews daily with a 72 hour turn around for the facilities • Conduct ongoing training of coding staff • Audit Emergency Room and Urgent Care visits for multiple hospitals, including trauma centers

Perform new client assessments and special reporting as needed for pre/post sales

• Daily auditing of remote coding staff to ensure 95% or above accuracy rates on codes• Perform a minimum number of pre-billing chart reviews daily with a 72 hour turn around for the facilities• Conduct ongoing training of coding staff • Audit Emergency Room and Urgent Care visits for multiple hospitals, including trauma centers

Tulsa

• Conduct internal coding audits per request of administration• Coordinate and prepare records for external physician audits • Maintain schedule of all physician auditing for over 400 physicians • Educate the physicians and coding staff of audit results and trends • Member of the ICD-10 preparation team and AHIMA training

Remote

Working and clearing NCCI edits, E/M, facility and professional fees, ED, Rad, Lab, peds, general practice as well as various other departments and specialties. QA percentage maintained at 95% and higher

Tulsa, Oklahoma

Responsible for all professional and facility coding, handled denials from medicaid as well as commercial payers. Physician education and documentation improvement advisor.

Hcc and rxhcc coding. Audit and review medical records from multiple facets. I.e. E/M, ER, PT/OT, Lab, Rad, etc. QA percentage maintained at 95% or higher.