I work as a member of the HCC department where I review and assess documentation and accurately translate chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records, extract data for Health Plan reports, input data collected from HCC programs, and coordinate audits of Provider coding data, Also responsible for scheduling audits, and follow-up education for providers. I assist in obtaining medical records from Providers to support audits requested by… Show more I work as a member of the HCC department where I review and assess documentation and accurately translate chronic conditions into the appropriate diagnosis code from inpatient and outpatient medical records, extract data for Health Plan reports, input data collected from HCC programs, and coordinate audits of Provider coding data, Also responsible for scheduling audits, and follow-up education for providers. I assist in obtaining medical records from Providers to support audits requested by Health Plans, as well as assist in coordinating Provider and staff training sessions. Additionally, I help develop educational materials for the organization. Show less

In this contract role with Optum, I performed CMS, Rx, and ACA risk adjustment model HCC code abstraction following ICD-10-CM guidelines utilizing Optum Coding Policy to service insurance plans across the United States. I continually met and exceeded productivity goal of 5.25 charts per hour. I also met or exceeded quality and completeness goals during regular reviews. I referenced AHA Coding Clinic updates and utilized the Optum Coder Coach Hotline to ensure highest level of accuracy and… Show more In this contract role with Optum, I performed CMS, Rx, and ACA risk adjustment model HCC code abstraction following ICD-10-CM guidelines utilizing Optum Coding Policy to service insurance plans across the United States. I continually met and exceeded productivity goal of 5.25 charts per hour. I also met or exceeded quality and completeness goals during regular reviews. I referenced AHA Coding Clinic updates and utilized the Optum Coder Coach Hotline to ensure highest level of accuracy and completeness. I also attended weekly coding review training and evaluation as well as participated in regular conference calls and CEU training provided by Optum. Show less

I performed timely medical chart audits utilizing MEAT criteria and educated clinicians via email and in-person on specific coding issues found in Medicare HMO ICD-10-CM pre-audits. I submitted and followed up on query forms based on inferred chart audit data and educated practitioners regarding clinical documentation improvement practices. Additionally, I worked directly with IPA/contracted clinicians to educate on best ICD-10-CM and E/M coding practices and clinical documentation improvement.… Show more I performed timely medical chart audits utilizing MEAT criteria and educated clinicians via email and in-person on specific coding issues found in Medicare HMO ICD-10-CM pre-audits. I submitted and followed up on query forms based on inferred chart audit data and educated practitioners regarding clinical documentation improvement practices. Additionally, I worked directly with IPA/contracted clinicians to educate on best ICD-10-CM and E/M coding practices and clinical documentation improvement. Also required to participate in coding/auditing discussions with colleagues to ensure best practice efforts and processes were implemented, ensuring maximum reimbursement through appropriate coding. In addition, I also performed other documentation analysis projects to help report for Medicare Star rating and HEDIS measures. Show less

I reviewed inpatient and outpatient medical reports encompassing a full scope of medical specialties for a major medical transcription service organization known for advanced clinical documentation services utilizing Dragon Medical voice recognition technology. I scored accuracy of medical reports to assure patient safety and mentor Medical Language Specialists.Other roles with this organization include Quality Control Team Lead where I supported the Quality Control TSM and provided… Show more I reviewed inpatient and outpatient medical reports encompassing a full scope of medical specialties for a major medical transcription service organization known for advanced clinical documentation services utilizing Dragon Medical voice recognition technology. I scored accuracy of medical reports to assure patient safety and mentor Medical Language Specialists.Other roles with this organization include Quality Control Team Lead where I supported the Quality Control TSM and provided leadership to Quality Control personnel, and Onsite Coordinator where I worked on-site at area acute care facilities to provide direct customer service and worked to improve workflow management. Show less

During my time with Transcend Services, I predominantly worked in Quality Control and Quality Auditing, reviewing reports for accuracy and working to improve customer satisfaction, patient safety, and workflow management. During this time, I was exposed to nearly all types of acute care reporting.I also acted as a Team Lead for two years where I managed about 30 medical language specialists and assisted with scheduling, coordinated special training projects, and monitored production and… Show more During my time with Transcend Services, I predominantly worked in Quality Control and Quality Auditing, reviewing reports for accuracy and working to improve customer satisfaction, patient safety, and workflow management. During this time, I was exposed to nearly all types of acute care reporting.I also acted as a Team Lead for two years where I managed about 30 medical language specialists and assisted with scheduling, coordinated special training projects, and monitored production and payroll. I also performed medical transcription and editing as needed to maintain contractual turn-around time requirements. Show less

Transcription of acute care medical reports for 317-bed hospital. Handled all the “big 4” work types as well as special procedures. Worked on all general HIM specialties. Handled edits and corrections directly in Meditech. Never had a report red-lined by medical staff.

Transcription of clinical and acute care medical records for a national medical transcription service organization.

TGK Ltd. was a small medical transcription business where I learned primarily cardiology procedures. Clients included Cor Healthcare and Association of South Bay Surgeons. Also responsible for driving to several offices in the morning to pick up tapes and drop off hard copy and data files.

Worked as a temp and assignments included reception/scheduling for an area physician and as a HIM clerk for a managed health care facility.

In this role I was responsible for a broad scope of duties from scheduling patients, pulling charts, insurance verification, and reception, to transcription of occupational and physical therapy progress notes, consults, and discharge summaries. Often called upon for special projects such as copy editing and meeting minutes.

Received inbound calls from customers looking for hard-to-find appliance parts. Utilized computerized schematic database along with microfiche machines to locate parts. Guided calls and rapidly placed orders. Also called upon to walk call floor to assist Parts Associates with their orders when the need arose.