All our dreams can come true - if we have the courage to pursue them

Experienced professional with expertise in medical coding and auditing. Skilled in ensuring coding accuracy and compliance across various healthcare departments. 

Proficient in healthcare software applications and data integrity.

Seeking to leverage skills in a medical coder and auditor role to enhance revenue cycle management and provider relations.

Career Highlights:

Directed a multi-facility audit initiative, designing and implementing workflow processes while adapting and refining them in response to evolving project requirements.

Contributed to a project focused on reviewing and auditing Emergency Medicine denials, helping the team to recover $5 million in revenue

Act as key resource for colleagues by researching and answering questions related to coding, policy and workflow across multiple projects.

PHYSICIAN SUPPORT SPECIALIST — Sound Physicians 

Tacoma, WA, January 2018 - Present

• Offer coding support to providers in the Critical Care, ED, and Hospital Medicine departments.
• Conduct both concurrent and retrospective coding reviews, providing detailed feedback to help providers improve documentation and coding accuracy.
• Evaluate medical record requests from payors to support claims for services rendered.
• Conduct medical necessity audits by reviewing denied claims for diagnosis and procedure codes, making corrections as needed to ensure compliance with coding standards and guidelines.
• Communicate with providers via email and phone to answer coding-related questions and assist in resolving documentation or billing issues.
• Researched and resolved payer denials for CPT and ICD-10 codes.

MEDICAL CODER — CIOX HEALTH 

Nashville, TN, June 2018 - August 2021

• Verified diagnosis and procedure codes for a variety of departments - ancillary, facility, and profee coding.
• Maintained a 95% or higher accuracy rating on audits.

CODING SPECIALIST — Vanderbilt Medical Group Pediatrics 

Nashville, TN, January 2016 - October 2017

• Coded Nicu and Newborn Nursery records and maintained 95% or higher accuracy rating.
• Learned General Pediatrics Inpatient, including several consulting services.
• Identified and accurately coded bedside procedures.

CODING SPECIALIST — Vanderbilt Medical 

Nashville, TN, November 2013 - February 2016

• Coded ED records with 95% or higher accuracy facility and profee coding
• Communicated with providers to ensure completion of documentation.
• Maintained quality and productivity standards.

REVENUE CYCLE REPRESENTATIVE — University of Iowa Hospitals and Clinics 

Iowa City, IA, September 2012 - June 2013

• Coded records received daily from Family Practice Physicians
• Maintained spreadsheets for audits on EM coding and facility coding.
• Maintained 48-hour turnaround on hold bills - denials and edits.

MASTER OF SCIENCE in HEALTH INFORMATICS 

— University of San Diego

San Diego, CA 

BACHELOR OF APPLIED SCIENCE in HEALTH INFORMATION MANAGEMENT AND INFORMATICS 

— The College of St. Scholastica

Genesis, Duluth, MN 

ASSOCIATES OF APPLIED SCIENCE in HEALTH INFORMATION TECHNOLOGY 

— Kirkwood Community College

Cedar Rapids, IA 

 · Cerner                     

· Leadership

· Strategic Planning

· Communication

· Change Management

· Clinical Information Systems

· Data Integrity

· Cross Functional Teams Collaboration

· Electronic Medical Records (EMR)

· Educational Development

· Epic

· Workflow Analysis & process documentation

· Healthcare Regulations

· Process Improvement

· Provider Relations

· Healthcare Software Applications

· Revenue Cycle

· Critical-Thinking Abilities.

· End User Support

· EMR Implementation

· Project Management

 Registered Health Information Technologist (RHIT) 

Venture Captain — Paizo Publishing 

Nashville, TN, December 2015 - January 2018

• I organize and manage monthly gamedays to promote Pathfinder society. I help to organize gamemasters and coordinate with game stores to create, maintain and expand the Pathfinder Society presence in their stores
• I served as a point of contact for venture officers in Chattanooga, Knoxville and Murfreesboro.
• Coordinated a yearly convention

Venture Lieutenant — Paizo Publishing 

Nashville, TN, September 2014 - December 2015

• Organized gamedays, organized players and game masters, opened relationships with new venues to host gamedays.
• Leader who brought a diverse group of people together for one common interest, and managed different personality types