HCC Coder / Auditor Resume Garfield Heights, oh - Hire IT People

SUMMARY

Dynamic and highly analytical professional with broad - based experience in directing all aspects of health care encompassing program integrity, medical coding,, and medical group billing / finance.

AREAS OF EXPERTISE:

Project Management | Quality Assurance | Healthcare Operations
Cross-functional Collaboration | Continuous Process Improvement | Training and Leadership |Strategic Planning and Implementation | Business Development | Matrix Environment Management | HEDIS Review
HCC Coding and Auditing | MRA Coding and Auditing

PROFESSIONAL EXPERIENCE:

Confidential, Garfield Heights, oh

HCC Coder / Auditor

Responsibilities:

Certified Coder with CPT / HCPCS / ICD-9 / ICD-10 Coding Experience
Coded and audited Evaluation and Management charts
Coded hospital and multi-specialty charts for HCC risk adjustment and HEDIS measures
Data Abstractor for HEDIS reporting
Maintained at least a 95% accuracy rating
Meeting production goals as outlined by management

Confidential, Savannah, GA

Patient Finance Manager / Medical Coder

Responsibilities:

Certified Coder with CPT / HCPCS / ICD-9 / ICD-10 Coding Experience
Executed weekly coder meetings and training sessions via Webex and Join.me
Managed team of 3 Remote Coders and 2 Auditors for coding of Outpatient and Inpatient medical records.
Responsible for accurate and complete coding according to compliance guidelines and for assigning ICD-9/10 and CPT codes from physician documentation (General radiology, CT, MRI, Ultrasound and Cardiology).
Created and managed correct coding resources used by all coders in daily coding tasks
Maintained at least a 95% accuracy rating
Meeting production goals as outlined by management
Present Audit reports and Coder tracking reports to management

Confidential, Savannah, GA

Patient Finance Manager / Medical Coder

Responsibilities:

Certified Coder with CPT / HCPCS / ICD-9 / ICD-10 Coding Experience
Managed team of 5 local coders, and 5 remote coders for HCC and ICD10 coding of inpatient, outpatient, radiology, skilled nursing and hospice charts.
Coded and audited Evaluation and Management charts
Coded hospital and multi-specialty charts for HCC risk adjustment and HEDIS measures
Data Abstractor for HEDIS reporting
Monitored employee productivity and quality standards arranging work force accordingly to ensure goals for Medicare Risk Adjustment (MRA) are exceeded
Member of Coding Advisory Group which audited, reviewed, and advised on complex, escalated ICD10 coding matters
Created and managed correct coding resources used by all coders in daily coding tasks
Contributed to the creation of standard coding guidelines, time study of coding practices to plan for future production