Joyce Eggert Email & Phone Number

United States

San Diego, Ca, Us

Plano, Texas, Us

Trust-HCS Nixa, MO 2015-2020Remote Coding Auditor• Perform internal QA/MS-DRG auditing reviews as well as backup coding of records through direct client VPN for both ICD-9 and ICD-10. • Use MS-DRG and APC with modifiers for optimizing and reimbursement.• Auditing all types of accounts for both onshore and offshore coders for IP, Rehabilitation, SDS, RCR, OBS, and ANC. • Educate coders with clear and concise logic and reasoning using ICD-10 CM/PCS Coding, up to date Coding Guidelines, and Coding Clinics both I-10 and I-9, CMS, POA Guidelines, Query Guidelines, AHA Coding Handbook, CliNotes as well as Drug book and Medical Dictionaries.• Train coders on new software programs of client sites then remain the liaison for the coders if they need help on the client as needed. • Work with management on projects they require to meet deadlines.• Coding IP and OP arena for clients during staffing changes

Executive Health Resources (EHR), Newtown Square, PA 2012-2015Remote Coding Appeals Auditor • Perform audits for client based denials by the government Recovery Auditor Contractor (RAC) audits, Medicare Administrative Contractor (MAC), QIC, Medicaid and commercial audits both MS-DRG, AP-DRG, APR-DRG and APC-CPT surgical procedures and infusions on the lower levels and continued to the appeal process to the higher level depending on clients’ decision. • Training the global team for Optum 360* in coding, auditing and appeals. • Work closely with clients when cases are appealable and non- appealable for denials. • Work with management on projects they require to meet deadlines as well as DRG pre-case reviews. • Educating clients on Coding Guidelines and medical criteria for diagnoses conditions denied on based on clinical evidence. • Helping the physician advisors on medical necessity cases with the Inpatient Only List. • Working additional hours as needed to meet priority deadlines.