SUMMARY OF QUALIFICATIONS: * Comprehensive knowledge of ICD-9-CM/ICD-10-CM, CPT-4 coding conventions, DRG and APC assignments, AHA Coding Guidelines, medical terminology, anatomy and physiology, disease processes, signs and symptoms, medications and laboratory values. * Successfully implemented ICD-10 - October 2015 * Knowledge in key areas such as Hospital By-Laws, Joint Commission medical review standards, and legal/compliance requirements mandated by the State and the Federal government. * Organized with exceptional attention to detail able to prioritize multiple responsibilities to meet deadlines. * Excellent verbal and written communication skills relates well to physicians and all business/work associates as well as patients. * Auditing of code assignments and DRG validation. Responsible for denial appeals including but not limited to RACs, Medicare, Medicaid and commercial payers. * Evaluated documentation and queried physicians for clarification to insure accurate coding. * Assisted physician advisor in educating medical staff on documentation requirements. * Applications used include Meditech, 3M Encoder, Hyland On-Base including testing and upgrading of Meditech & 3M. * Manages HIM department in Directors absence.

Highlights:

• Assessments
• Management
• Medical
• Medical Records
• Quality
• Quality Assurance
• Quality Control
• Risk Management