Remote Inpatient Coding Technician, University Healthcare Systems, University Hospital
Augusta, GA 2017-Present
●Proficient in Epic and 3M
●Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records and specialty forms
●Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services
●Responsible for accurately assigning ICD-10 /ICD -10 PCS codes to inpatient episodes of care. Follow coding and billing guidelines as they relate to compliance. Highly responsible technical position using a great deal of independent judgment when coding patient records and assigning DRGs
●Diagnoses procedures and assigns the correct diagnostic related grouping, either Medicare Severity Diagnosis Related Group (MSDRG) or All Payer Refined – Diagnosis Related Group (APRDR), in accordance with the ICD Coding Guidelines, American Hospital Association (AHA) Coding Clinics and JPS Inpatient Coding Policy and Procedures. Ensures codes are assigned and sequenced appropriately in accordance with government, insurance and/or other payer regulations.
●Assigns the Present on Admission (POA) indicator for each diagnosis after determining which conditions were present at the time of admission and which conditions developed during the course of the hospital stay.
●Verifies each record that patient status, admitting/attending physician, admission date and time, discharge date and time, death date and time is accurate before coding and finalizing the chart.
●Queries providers when documentation is determined to be insufficient, conflicting, or ambiguous to elicit documentation reflecting the most accurate and specific conditions or procedures. Diplomacy and tact is exercised when dealing with all physicians.
●Works with the Clinical Documentation Specialists regarding coding and Diagnosis Related Group (DRG) assignment based on clinical indications documented in the chart.
●Maintains knowledge and skills via written coding resources, clinical information, webinars, and monthly coding meetings
●Meets or exceeds productivity and quality standards and established department benchmarks.
●Identifies medical and surgical complications for accurate MS-DRG / APR-DRG assignment
Regional Manager of Operations, CIOX Health (formally Healthport)
Augusta, GA — 2011-2016
Managed a geographical region consisting of Augusta, GA, Columbia, SC, Orangeburg, SC and Aiken, SC. The
region was projected to produce $2 million in revenue in 2016. In charge of operations management for
the Release of Information segment of the company.
● Promoted from Release of Information Specialist after 2 years to Site Supervisor at University
Hospital in 2013.
● Promoted from Site Supervisor to Regional Manager of operations after 2 years in 2015.
● Accomplished regional objectives with a staff of 32 associates by recruiting, selecting, orienting,
training, assigning, scheduling, coaching, counseling, and disciplining employees in assigned
region; communicated job expectations; planned, monitored, appraised, and reviewed job
contributions; planned and reviewed compensation actions; enforced policies and procedures
● Achieved regional sales operational objectives by contributing regional sales information and
recommendations to strategic plans and reviews; prepared and completed action plans;
implemented production, productivity, quality, and customer-service standards; resolved problems;
completed audits; identified trends; determined regional sales system improvements; implemented
Laurie Sutton, CPC
● Exceeded regional sales financial objectives in Q1 and Q2 2016 budget by 65% and 63%,
respectively ; prepared an annual budget; scheduled expenditures; analyzed variances; initiated
● Maintained and expanded customer base by building and maintaining rapport with key customers;
identified new customer opportunities.
● Updated job knowledge by participation in educational opportunities; read professional publications;
maintained personal networks and membership in management organizations outside the company.
● Proficient in the EMR systems of Epic, Cerner, HPF, Meditech, Allscripts, Nextgen and Athena.
Manager/Event Planner, Longhorn and Glasshouse Restaurants
Walterboro, SC — 2009-2011
Managed two family owned restaurants. Marketed events to increase revenue and attendance at the
restaurants. Worked with local businesses, schools, churches planning events to profit the restaurants
and the organizations holding them.
● Demonstrated success in organizing tasks, increasing efficiency and obtaining maximum results
from limited material and manpower resources. Comfortable in fast-paced, high stress situations
that require attention to detail and follow-through.
● Managed administration, budgeting, computer programming, inventory and receivables.
● Supervised a staff of 30 employees for two restaurants. Coached/scheduled servers to maximum
levels of performance.
All About Coding1/2017-7/2017CPC
Professional Medical Coding Curriculum – CPC Certification
Medical Terminology for Medical Coders
Anatomy and Physiology
Siena College8/1982-5/1986Bachelor of Arts
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