Coding Manager/lead Coder
Resume:
Anthony B. Neal, CCS
**** **. *** **. **. North, Apt. 20307
St. Petersburg, FL 33716
**********@***.***
My professional objective is to manage coding for the HIM department by identifying areas for improvement in coding practices to ensure appropriate reimbursement and data integrity. Also to develop action plans to improve coding performance through evaluation and training while utilizing strong analytical and problem solving skills.
Education
Southwest Georgia Technical College, Thomasville, GA
Certificate: Medical Records Coding, 2001
Skills/Software
Self-motivated; possess a high degree of professional
integrity; team player; strong communication and
interpersonal skills; experienced in 3M Encoder; Quantim
Encoder; Soft Med; Powerchart; and HBOC.
Relevant Experience
04/05 – Present
Coding Consultant
Comforce Coding Services, Tampa, FL
• Lead and be accountable for HIM coding projects (e.g., clinical documentation improvement, internal education development, physician education programs).
• Provide subject matter expertise on HIM coding topics (e.g., tools and resources, education, Coding Clinic interpretation and application, data collection and reporting).
• Assist in the development of HIM coding tools, resources, and education materials.
• Assist in facilitating the integration of health information management coding business objectives into IT&S product development.
• Provide HIM coding subject matter expertise and strategy guidance on HIM topics (e.g. Coding, Data Abstraction, Revenue Cycle, Case Management, and Clinical Documentation Improvement).
• Evaluates and coordinates unbilled report(s) to assure all corrections are completed within 72 hours of receipt.
• Maintain and monitor appropriate productivity and quality standards for all coding personnel.
• Provide monthly coding management summary reports to apprise management & client of problem areas.
• Ensure that staff applies correct ICD-9, CPT-4, HCPCS codes and modifiers, when applicable, based on data retrieved through documentation and coding audits.
• Manage master super-bill used by coding clients. Make modifications as necessary based on changes in CPT-4, ICD-9 and modifiers as required.
• Support the commitment to ensure the security of patient health information.
• Performs other duties and special projects as requested.
• Establish and maintain good relations with Client, Management and all Employees
• Abstracts pertinent information on patient records.
Assigns ICD-9-CM and HCPCS codes, creating APC and DRG group
assignments.
• Query physicians when code assignments are not
straightforward or documentation in the record is
inadequately ambiguous or unclear for coding purposes.
• Keeps abreast of coding guidelines and reimbursement
reporting requirements.
• Abides by the standards of ethical coding as set
forth by the American Health Information Management
Association and adheres to official coding guidelines.
04/03 – 04/06
Certified Coding Specialist
St. Petersburg General Hospital,
St. Petersburg, FL
• Correctly assign ICD-9-CM and CPT codes to all
patient records, as well as abstract patient information into
the Clinical Patient Care System according to HIM policies
and procedures.
• Review medical records of discharged patients to
determine and verify all diagnoses and operative procedures
and assign appropriate codes.
• Follow policies and procedures to assure that the
confidentiality, security and integrity of patient data and
information are maintained.
Communicate effectively with physicians regarding
coding and other issues related to the correct coding of
records.
• Auditing and validing focus DRG’s that would impact reimburstment.
12/01 – 04/03
Certified Coding Associate
Blake Medical Center, Bradenton, FL
• Responsible for accurate hospital reimbursement
through analysis of medical records and assignment of
accurate and appropriate ICD-9-CM diagnostic and procedural
codes, as well as CPT procedural codes.
• Applied Medicare and Medicaid guidelines for
services billed.
• Identified cases that would benefit from case
management or disease management intervention.
Contact this candidate