Janet Horton CCS, RHIT Eligible – attending classes

Previous AHMIA APPROVED ICD 10 CM-PCS TRAINER

**** ** ********** ****.

Stuart, Florida 34997

772-***-****

ad4rfk@r.postjobfree.com

**** ** **23 Owner - Present JLW Business and Training Solutions - Billing and Coding AR work and full accounts entry for Podiatry, Large Cardiac Office and Neuro and Spine Office, Manager Nephrology Practice, Manage remote coders and billers, Credentialing, Management Billing and Coding In patient and Out patient.

Run Practice and Personal Assistant to Physician

2015 - 2019 Transnational Business Solutions Coding Manager - Hiring Staff, Audits, Payroll and Time. Responsible for all New Hire paper work, HIPPA Training, Payroll and Recruiting

Includes Inpatient and Outpatient Coding and Auditing, Dental Coding and Audits, Pediatric Chart Reviews

2016 Coding Manager himagine solutions - Remote - Inpatient and Outpatient coding staff including Professional Fee and Hospital Coders. Excel feedback on Physician Audits. Payroll. Coder Education. Responsible for yearly coder reviews. Time and Scheduling

2010 – 2019 Contract Work – Neuro and Spine Institute Billing and Coding, HCC CODING – Home Health Coding CAC Project - ICD 10 MAPPING PROJECT - Hospital Coding and HIM Work Physician Office Management, Coding and Billing Manager, Abstracting Medical Records Documentation, Audit Services, Inpatient and Outpatient Coding. ICD10 Coding and Documentation Reviews. Accts Receivable Review, Corrections and Account Rebilling, Denial Management, Revenue Cycle Management Team Member. Audits for physician office.

Coding experience includes – Inpatient - GI, OB, Newborn, Surgery, Trauma, Burns, Medicine, Ortho, etc. SDS all types, ER. E&M, Diagnostics. ER Charging Hospital and Physician Offices

Jupiter Hospital, Ellis Hospital, UDSC, Boca Regional, Renown, Central Florida, Himagine, Harmoney, Transnational Business Solutions

ICD9 – ICD10 Transition Chart Reviews for documentation and coding for ICD10. Reports with ICD 10 coding comparisons and documentation suggestions. Work with CDI staff on ICD 10 coding guidelines.

2009 – 2010 Wuesthoff Hospital System/HMA, Coding Manager Accts Rec and Denial Management – Payroll Auditing Coding – 300 beds

St Mary’s Medical Center – West Palm Beach, Florida 450 beds

2007 -2009 Director of Health Information Management and Coding Manager

•Manage 30+ employees – Payroll – Scheduling.

•Cost Savings Initiatives – Staffing – Storage changes.

•Responsible for record destruction project, making sure Federal Requirements were met for retention and destruction of medical records.

•Update Policy and Procedure manual for HIM yearly.

•Responsible for supervising Coding staff including quarterly chart audits – ensure productivity levels were met and error rates were less than 5%

•Set up Clinical Documentation Program – Organized informational sessions for physicians for education on MS-DRG’s and organized query process for documentation issues to be resolved.

•Responsible for physician chart completion. Delinquency rate lowered from near 50% to 25% with implementation of electronic record.

•Full instillation of Horizon Patient Folder – EMR set up, training staff and physicians, analysis, coding, physician chart completion.

•Responsible for meeting JACHO Hospital HIM requirements – Privacy Officer – Report to Monthly Compliance on Coding, HIM delinquency, HIPPA violations.

•Revenue Cycle and RAC Team Member – Report and work with billing to ensure all accounts were coded timely documented accurately. Respond to RAC audit letters. Including denial management

•Implementation of Transcription system.

•Team member for set up of Wound Expert EMR for Wound Center

•Supervise Release of information Staff

2005 – 2007 Coder St Mary’s Medical Center West Palm Beach Promotion to Coding Manager then to HIM Director.

•Level III Inpatient and Outpatient Coder including Diagnostic – ER’s and Outpatient Surgeries, 3m Clintrac, Horizon Patient Folder

2000 -2005 Martin Memorial Medical Center, Stuart, Florida 300 beds

•Lever III Coder, Wound Center, In Patient, All Outpatient Coding - Set up Smart Coding Compliance Tool. Work with Physician on documentation issues, 3M, Meditech.

Contract Work – Level III Coder Champlain Valley Physicians Hospital

Adirondack Medical Center Lawnwood Regional Medical Center

Boca Raton Medical Center

2002 – Paul R Schoppe, DPM Stuart, Florida Practice Manager

•Set Up Practice – Medisoft Billing Program, Marketing, Hire Employees.

•Denial Management for Podiatry Practice

1999 – 2000 Practice Manager – David J. Anderson, MD – Kevin P. McCullum, MD - 96 Court St. Plattsburgh, N.Y.

Set up and run Family Practice Staff of 5 employees Payroll

•Perfect Care Billing

•Corporate Compliance

•Insurance Contracts

•Transcription

•Full knowledge of Medicare, Medicaid, Blue Cross Blue Shield and HMO contracts and billing

1989 – 1999 CVPH Medical Center Lever III Coder Inpatient – Outpatient

Education and Certifications

CCS – Since 2001

Bayside High School – Graduated 1972

IRSC State College – RHIT Program (Still in Program)

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