Review charges for accuracy and identify deficiencies in charge capture and documentationAssign modifiers, diagnosis codes and procedural codes based on clinical documentation in accordance with established coding guidelines, University Standard Practice Guidelines and CMS rules, regulations and guidance.Audit coded data for provider information, procedure coding, diagnosis coding and supporting documentation in accordance with established coding guidelinesAssign modifiers, diagnosis codes and CPT procedural codes to professional and/or facility charges utilizing provider documentation.Provide feedback to the supervisor, coders and clinical staff addressing inappropriate patterns of documentation of records reviewed.Monitor and report MiChart edits that may be trapping incorrectly.Respond to complex coding inquiries as required.Basic knowledge of Charge Entry and navigating MiChart System

Detailed oriented risk analyst who successfully analyzes 4-5 high value homes and 20-30 standard homes daily to determine their replacement costDraw the homes on Apex SoftwareWork independently meeting biweekly and monthly quotas Data input to calculate replacement cost on MSB express

Scheduling and registration of patientsServing as the liaison between insurance companies, patients, clinical staff and the billing centerCollecting co-payments, self-pay and durable medical equipment paymentsPerforming administrative duties/special projects assignedObtaining pre-approval and scheduling Function Capacity Evaluations and verify insurance

Diagnostic and Interventional Radiology, review charges for accuracy and identify deficiencies in charge review and documentationResponsible for performing claims review based on medical records documentation and compliance guidelines to ensure accurate patient billingExperience in coding inpatient, outpatient, observation, emergency room, and diagnostic medical services with the appropriate codes from ICD10CM and CPT manualsReview health records to identify proper relationships between procedure and diagnosis codes utilizing EnCoder systems and modifier relationshipsQuery providers as needed to ensure coding and documentation complianceProcess insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine reprocessingKnowledge of ICD-10-CM, CPT and HCPCS codes, Medical ethics, Medical terminology and HIPPAKnowledge of Medicare, Medicaid and other third party reimbursement guidelines

Project Manager assigned to General MotorsDeveloped project plans and managed the day to day project team activities Successfully managed projects to ensure the quality of the projects deliverablesDemonstrated solid planning and decision making skills and the ability to take a proactive approach to problem solving Scheduled and coordinated outside vendors (IT, Telecom, Contractors)Provided staff training on new procedures and applicationsManaged multiple and concurrent projects involving multiple teamsFacilitated escalation of issues to prevent roadblocks Developed and maintained close client relationshipsWorked effectively with internal management and suppliers

Project Manager assigned to General Motors Tech Center:Provided Strategic Planning and Move Management for multi-site locationsDeveloped and implemented the move management processDemonstrated a proactive and proven approach to identifying and streamlining process improvementsCoordinated Project Teams (Construction Mgr., Elec/Mech., telecom, IT) Provided staff training on new procedures and applicationsDeveloped and maintained close client relationships Provided creative solutions to clients’ business challengesManaged internal and third party vendors Liaison between Construction Manager and internal clients to assure the clients needs were metProject Manager assigned to the State of Michigan - Attorney General’s Office (January 1999)Provided Move Management and Inventory services Provided as built floor plans, inventory of furniture, equipment, files, and personal itemsSupervised the cleaning, defogging, relocation and distribution of all itemsProject Manager assigned to HCR – Manorcare, Gaithersburg, MD(January 1999 – March 1999)Provided Relocation Management to relocate within Gaithersburg, MDDeveloped master relocation planManaged third party vendors including RFP’s and contract negotiations Direct responsibility for customer relationships including business requirements, scheduling, execution and overall customer satisfactionProject Manager assigned to Ford Motor Company, Dearborn, MI (October 1998 – January 1999)Provided Move Management services in the relocation 2200 employees from the Ren Cen to Regent Court in DearbornProvided space planning for additional storageEstablished internal and vendor relationshipsProvided creative solutions to clients’ business challengesWorked effectively with internal management and suppliers Maintained furniture inventory

Managed third party vendors including RFP’s and contract negotiationsEstablished business/system policies and procedures for charge back systemTracked and charged back 8.6 million dollars in rentable square footage of corporate spaceEstablished budgets and tracked actual vs. forecasted expendituresImplemented and managed a customer service center for internal customers regarding HVAC, electrical and security issues (reducing response time by 25%)Managed and coordinated facility enhancements for 33 branch locationsManaged build-out and decommissioning of sites