Oversees 18 full-time pro-fee coders, 2 PRN pro-fee coders and 4 pro-fee CDI specialistsMonitors staffing levels, schedules, attendance, productivity, and coder quality reviewsProvides performance evaluations and disciplineCreates and coordinates, staff education/trainingSuccessfully led the team through a transition into specialized coding teams (Surgery, Cardiology/Cardiothoracic/Pulmonology, Family Practice/Urgent Care, Other) – completed April 2022Monitors claim denial rates and identifies opportunities for pre-bill preventionReconciles month end reports and provides statistical data to include denial management, lost revenue, provider audits and coder qualityConducts oversight of coding functions including tracking daily coding completion and on-hold statisticsActs as subject-matter-expert in coding rules and guidelines to ensure regulatory compliance with payor policiesMonitors coding system functionality and assures updates are scheduled and completedCoordinates provider coding audits and initiates changes based on findingsWorks alongside Epic analyst to ensure errors and warnings are written, tested and working as expected

Assign ICD-9-CM and CPT 4 codes to medical diagnoses and procedures according to the information documented in the electronic medical record of clinic patients for billing/reimbursementInvestigate insurance denials for resubmission and subsequent reimbursementUtilizing Excel, assists management with tracking employee performance and billing statusTrain/educate medical providers (physicians, nurse practitioners, physician assistants, etc.) on proper documentation in order to support billing of appropriate level of servicePerform/document/track/provided statistical output and reports of provider documentation E/M audits

Create/Manage schedules for CS Engineering using EPM. Assists Project Engineers in gathering updates for schedules, processing updates and analyzing cost/schedule variance (SPI, CPI), staffing analysis and forecasting, and earned value reportingAssists project engineers with AR related issues such as NWAs being opened/closed, CTC/EAC reports in SAPMentors/trains new hire EPS/EPACollects/reports project metrics and track Earned Value using S-CurvesCODER IV

Developed cost and schedule plans to meet contractual/project requirements Performed analysis and prepared reports in order to ensure that projects were within negotiated and agreed upon parameters and government cost control guidelinesPrepared and submitted EAC contract estimates at completion to ensure the accuracy of the programs sales and profit forecasts and reports to customerAssisted with preparation and analysis of inputs for monthly sales, profit, and milestone billing forecasts Provided variance analysis of monthly sales, costs, profit, schedule and milestone billing forecast in comparison to prior and plan

Created/Managed schedules for CS Engineering using EPM. Trained others to use EPM. Assisted Project Engineers in gathering updates for schedules, processing updates and analyzing cost/schedule variance (SPI, CPI), staffing analysis and forecasting, and earned value reportingAssisted project engineers with AR related issues such as NWAs being opened/closed, CTC/EAC reports in SAPCoordinated FIST (Fusion Integrated Steering Team) for follow-on Fusion Programs utilizing ClearQuestPerformed analysis in EARS for staffing discrepancies and past-due demand bow wave.Mentored/trained new hire EPS/EPACollected/reported project metrics.

Various part-time positions to keep my skills “sharp” while taking time off to raise my family) Church Office Assistant, Library Assistant, Physician Office CoderAssisted with database clean up for church membership directory using ServantKeeper software (1 year)Assisted Pastor of Finance with various projects involving Quickbooks and data verification(1 year)Assisted Library patrons with checking in/out books using Spectrum software (1 year)Data entry of hospital charges and patient demographic/billing information for 8 cardiologists/gastroenterologists (2 years)Assign ICD-9-CM and CPT codes to clinic records using 3M Encoder Software. (2 years)Manage AR days to acceptable level; investigate unbilled claims.

Department-wide supervision with emphasis on Coding/Abstracting, Transcription, and Clerical areas (hiring, firing, employee counseling, training, shift and task scheduling). Performed ICD-9-CM and CPT coding as needed. Acted as liaison between Medical Record Department and Business Office - researching insurance denials, resolving conflicting data, chart review, etc. Responsible for maintaining acceptable dollars in accounts receivable, contacted physicians for chart completion, worked closely with medical staff chairpersons. Provided statistical information from the database when requested by physicians, other departments, etc.; compiled the information into a usable format.

Department-wide supervision (hiring, firing, employee counseling, training, shift and task scheduling).Represented department in design and installation of new, hospital-wide computer system; responsible for design, implementation, and staff training for new clinical mainframe system. Created and delivered staff training. Also assisted with ensuring that the database of clinical information was kept intact throughout the conversion of the mainframe system. Worked closely with Business Office and Admitting to establish correct information flow between departments for billing purposes within the new system.

Assisted with resource management of small Medical Record Department (hiring, firing, employee counseling, training, shift scheduling).Coded/performed data entry for billing on all inpatient records.

Supervision of evening file clerk staff (hiring, firing, employee counseling, training, shift and task scheduling).