duke university health system –  durham, nc
Inpatient Coding Integrity Specialist Apr 2019 – Present

·        Audit inpatient and external coders and auditors for accurate and compliant ICD-10-CM/PCS code selection, MS/APR-DRG, POA, Discharge Disposition and query process.

·        Proactively work with CDI team and HIM on documentation issues of potential compliance or lost revenue.

·        Provide education on an individual basis and groups ranging 15-250 on topics ranging from coding and compliance updates and all aspects of coding and Revenue Cycle Management.

·        Involve in development, implementation and training of 3M Encompass CodeAudit system within RCM and HIM.

·        Assist in development of Inpatient Coding Integrity team and function as Team Lead, assist in selection and training of Coding Integrity team.

·        Performance of Inpatient Rehabilitation Audits per CMS IRF-PAI guidelines.

·        Interdepartmental collaboration to address and pre-empt issues in the Revenue Cycle and hospital system.

·        Meet and maintain high production and quality standards set by institution.

HIMAgine solutions, st. louis, mo
Inpatient Coding Consultant Nov 2018- Mar 2019

·        Review of Inpatient records with application of appropriate and compliant ICD-10-CM and ICD-10-PCS codes, Discharge Disposition, POA indicator and selection of DRG.

·        Maintain knowledge of Coding Clinics, ICD-10, CMS, and carrier updates and policies.

·        Clients including Level I trauma centers and educational institutions including transplant, burn, heart, stroke, oncology, spine and pediatric specialties.

Change healthcare, nashville, TN
DRG Analyst I Nov 2017 – Oct 2018

·        Review digitally scanned Inpatient records to confirm accuracy of submitted claims to include Principal and Secondary Diagnoses, CC/MCC, DC Disposition, Principal and Secondary Procedures, HAC, PSI, PPC, POA and patient status.

·        Utilize ICD-10 Coding Guidelines, AHA Coding Clinics, CMS guidelines, payor guidelines and approved other resources to support claim revision.

·        Confirm that queries meet Guidelines for a Compliant Query set by AHA and CMS.

Addison Group, Chicago, IL
Inpatient Coding Specialist – May 2017 – Nov 2018

·        In contract position, code Inpatient cases for level I Trauma, high level NICU and transplant academic institution.

·        Use of EPIC EMR and Optum 360 CAC in selection of ICD-10 CM/PCS codes, MS/APR-DRG, POA, CC/MCC, and query requests.

·        Author queries to medical staff for clarification of the medical record.

·        Consultation with CDI staff regarding DRG mismatch on all Medicare cases.

·        Conduct concurrent coding of long stay and high dollar charts.

St. francis medical center, hartford, ct
Inpatient Coding Specialist – Oct 2016 – Jan 2017

·        Accurate ICD-10-CM/PCS and APR/MS-DRG code selection using 3M Encompass.

·        Services coded include Inpatient Rehab, Inpatient Psychiatric, Orthopedic, Cardiovascular Surgery, Level I Trauma, and NICU III services.

·        Consult CDI staff on cases involving DRG mismatch.

MedPartners, Tampa, FL
Inpatient Coding Consultant/Contractor Dec 2015 – Sep 2016

·        Remote contract coding Inpatient cases for a 973-bed Academic Medical Center with Level I trauma, Burn Center, Regional Children’s Hospital, Level III NICU, Transplants and multiple Surgical Specialties.

·        Correct application of ICD-10-CM/PCS and HCC ranking as supported by the medical record.

·        Utilize EPIC EHR and Optum CAC with 3M Encoder entire to query providers for clarification of the documentation.

·        Educate providers and CDI staff regarding documentation that presents challenges and risks in compliance and coding.

Nebraska Medicine, Omaha, ne
Inpatient Coding Senior Associate Jan 2013 – Dec 2015

Outpatient Coding Analyst Jan 2004 – Jan 2013

·        Review Inpatient and Outpatient records for a 676-bed Level I Trauma, Transplant, Level IV NICU, and Academic Institution in application of ICD-9-CM/PCS & ICD-10-CM/PCS, CPT and HCPCS codes, Discharge Disposition, POA, CC/MCC selection, MS/APR-DRG, and APC codes.

·        Function as Inpatient Super-User for development and implementation of 3M 360 CAC Encoder.

·        Train new coding staff and conduct preliminary audit and education.