Strategic Solutions Advisor responsible for conducting data analyses, including data cleansing, planning and executing analyses, and producing user-friendly and responsive reports for clients on a monthly, quarterly and yearly basis. Establish strong matrixed relationships with client base to define, align, and deliver analytic insights to support client’s business and analytic goals.

Coding supervisor for Professional Practice Coding Department at Moffitt Cancer Center.

Medical coding auditor for the CARS remote auditing cell for the US Air Force.

Remotely manages all MTFs regarding day to day PAC (Patient Admin & Coding) Operations. Provides management of Overall performance of MTFs operational activities and ensuring the operations meets established objectives and goals as identified in each specific task order. Tracks and trend systems issues, areas of non-compliance, and ensures QAP notification and follow up. Provides guidance and instruction to staff regarding company Process and Procedures. Manages multi-person sites and is designated alternate POC in MTF Site Lead’s absence. Monitor all staff accuracy where applicable to ensure that quality standards are met. Provide back-up support to other Regional Managers’ responsibilities as required. Monitor and manage production and timeliness of all AF MASS/MSS program performance, ensuring contract deliverables are met. Contributes, influences, supports, and promotes Signature Performance Revenue Cycle and Strategic Plan. Travels to client and prospect sites as needed.

Assisted the MASS Coding Program Manager in providing leadership and direction of the daily operations for all aspects of the Air Force Medical Administrative Support Services contract coding task orders, ensuring the successful delivery of all contract requirements. Served as the Deputy Coding Program Manager providing support to 34 MTF's under the Air Force's Centralized Coding Contract. Was regularly called on to assist sites in process improvement measures. Has a vast knowledge of daily operations in MTF's that has helped implement best practice processes in several facilities. Close work with both AHLTA and CHCS trainers has given me intimate knowledge of these programs and how they work. Has a great understanding of how data flows on a daily basis between them and how it impacts work flow and data quality in the MTF. Expert knowledge made me a key leader resulting in regular visits to sites to interface with the MTF leadership and to get quick results when needed.

Manages and oversees coding staff for all primary and specialty care clinics. Provides training to physicians on correct documentation in patients medical record. Reports to contract QAP on monthly production of coding staff. Works with GPM's and Data Quality to access coding, RVU's generated, and how it affects the overall business plan for the medical group. Regularly advises flight commanders on provider compliance with medical record documentation in a timely manner. Provides training at monthly ProStaff meeting as needed. Works closely with systems to ensure records are completed in CHCS 1 and are crossing over to other AF systems to ensure workload is correctly reflected. Completes monthly AF CIB audit and internal QA audits on all coders according to DOD guidelines and the most current ICD-9, CPT, and HCPCS.

Certified medical coder for ED practice of approx 40 Dr’s, PA’s and NP’s that work in 4 area Emergency Departments. Daily duties include accessing scanned medical records through a secure VPN and coding all diagnosis to the highest specificity and coding accurate E/M levels and Procedures according to documentation provided by the Physician or Nurse Practitioner.

Temporary contract coding position on an as needed basis. Coded medical records for physician’s offices and insurance companies nationwide online from home through a secure VPN network to help with unpaid backlogged claims or for auditing purposes.

Processed medical claims for 170 bed skilled nursing and rehabilitation center. Duties included billing all claims for Medicare, Medicaid, Tricare, and commercial insurances. Processed both UB92 and CMS1500 forms. Responsible for ICD-9 and CPT-4 coding for Rehab center billing. Posted payments to patients’ accounts. Followed up on denials and reprocessed claims as needed in order to get claims paid. Assisted patients with any problems they may have with their private pay statements. Followed up behind Access Coordinator to verify that all information was entered into system correctly and that all insurances were verified and authorizations were obtained.

Processed payments for Pinehurst Radiology Group and Associates. Payments included but not limited to Medicare, Medicaid, Tricare, Cigna, and numerous other commercial insurances. Posted all EOB’s and denials to patients accounts. Processed all denials including but not limited to updating ICD9 and CPT codes in order to get claim processed efficiently. Responsible for making sure all money collected that day balances with end of day report. Updated Variance report weekly and at end of month to provide Dr’s with information on what money has come in and what is going out for the week and the month. Answers phones and assists patients with questions they may have with their accounts.

Registered all patients requiring medical treatment. Admitted all patients to hospital as order is given by primary physician. Registered patients for all outpatient services including, but not limited to labs, EKG’s, outpatient diagnostics, and same day surgery. Coded diagnosis and procedures using ICD9 and CPT coding manuals. Contacted insurance companies for pre-certifications and verification of insurance coverage. Kept accurate census for outpatient services. Assisted head cashier with collection of currency from various departments in the hospital. Verified all deposits behind head cashier at the end of the day. Alternate for Quality Assurance Manager to verify that all patient demographics were entered into the system correctly.