Tamala Lewis, RHIT

**** ********* ****** ****

Charlotte, North Carolina 28215

qb20cp@r.postjobfree.com

704-***-****

Objective

To utilize my proven leadership skills, coding expertise, Licensed Practical Nursing background, to obtain a dynamic auditing position with a progressive organization.

Qualifications

Registered Health Information Technician

Licensed Practical Nurse

Education

Erie Community College

6201 Main Street

Williamsville, New York 14221

Associates in Applied Science

Buffalo Vocational Technical Center

820 Northampton

Buffalo, New York 14208

Certificate of Nursing

Experience

The Coding Source, LLC

3415 S. Sepulveda Blvd., 9th Floor

Los Angeles, CA 90034

Remote Auditor I May 2011 –Present

Responsible for retrospective focused review of Medicare inpatient, ER, and OPS charts for appropriate assignment of ICD – 9 diagnoses, required to meet 95% accuracy rate, with productivity standards of 20-25 charts per day. Review includes use of excel spreadsheet, with pertinent information required for review. All finding are reported on spreadsheet, and submitted to project manager, with comments to include agree, disagree, or query needed.

Carolinas Medical Center-Northeast

920 N. Church Street

Concord, North Carolina

Senior Coder October 2009 – September 2010

Responsible for reviewing inpatient and outpatient medical records to identify the appropriate principal diagnosis and procedure and all appropriate secondary diagnoses and procedures, assignment of appropriate DRG using UHDDS and other facility guidelines.

Springs Memorial Hospital

800 W. Meeting Street

Lancaster, South Carolina 29720

Senior Coder May 2009- September 2009

Review inpatient charts for the appropriate assignment of principal ICD-9-CM and principal procedures according to UHDDS guideline, also assignment of appropriate secondary diagnosis and procedures as appropriate. Perform Concurrent coding and applying concurrent queries as necessary.

Novant Health- Presbyterian Hospital Huntersville

10030 Gilead Road

Huntersville, North Carolina 28078

Manager, Health Information Management June 2006 – Nov.2008

Responsible for effecting ongoing quality, productivity and efficiency in the flow of health information through the processes specific to assembly, analysis, coding and timely completion of the medical record, responsible for submitting documentation to support the validity of diagnosis and procedures coded in relationship to denials and rejections ,responsible for auditing inpatient & outpatient coders, responsible for education and feedback to coders on monthly audit findinsg, develop work plans for coders who fell below corporate 95% accuracy rate Coordinates on- going and annual feedback on performance, including performance improvement plan and 90 day work plan. Assist in assuring completion of required skills validation for competency assessment. Communicates the status of inpatient/outpatient delinquent counts, inpatient/outpatient analysis, Coordinates training for Physicians, Physician’s practices and their staff on remote access to EMR.

Novant Health- Presbyterian Orthopaedic Hospital

200 Hawthorne Lane

Charlotte, North Carolina 28204

Coding Specialist December 2004- June 2006

Responsible for reviewing inpatient, outpatient, pain management and ancillary accounts for appropriate assignment of principal diagnosis and procedures, and all secondary diagnosis and procedures. Abstracts required data elements from coded medical records .Enters required data elements into the medical abstract system from coded records. Verifies discharge dispositions, dates, and status for accuracy, and processes corrections if needed. Review records for appropriate documentation to utilize for code assignments. Fulfills requirements of accuracy set forth by Novant Health Corporate Compliance for coding policy. Communicate with MD’s for clarification when required using proper procedure. Locate and pulls medical records for claim corrections, claim clarification, and billing inquiries.

Kaleida Health- Corporate Health Information Management

100 High Street Room C-208

Buffalo, New York 14203

Outpatient Coding Quality Coordinator October 2003- November 2004

Responsible for monthly auditing of all ED staff, developed ED coder training plan and schedule, train all new Ed coding staff. Monitor ED coder productivity standards for auditing/ staffing purposes. Schedule and run monthly ED coding meeting. Develop ED and outpatient coding audit process/plan and schedule, performed ED and outpatient coding audits for new and existing coding staff. Development of correction action plans for all coders that fall below 96% coding accuracy rate.

Kaleida Health - Women and Children’s Hospital

219 Bryant Street

Buffalo, New York 14222

Coding Specialist June 2002-October 2003

Responsible for review of inpatient, outpatient, and emergency room records and Completed training as a preceptor, reported congenital anomalies to the congenital malformation registry and performed monthly statistics, Completed Price Waterhouse and Coopers NY AP-DRG Workshop Series. Work with Price Waterhouse & Coopers in WCHOB Emergency Department Operations Redesign Team. Work with site HIM manager and ED manager to assess the cost benefit of hiring ED coders, trained new ED coders. Post Charges to ED accounts. Calculation of Evaluation and Management level for ED records.

Erie County Medical Center

462 Girder Street

Buffalo, New York 14215

Medical Record Technician February 2000-June 2002

Responsible for reviewing outpatient and emergency room records and training new ED coders, worked on the APC Implementation team.

Kaleida Health- Gates Circle Heath Group

3 Gates Circle

Buffalo, New York 14209

Coder/Biller June 1999- October 2001

Coding and abstracting dermatology, podiatry, gynecological, general medicine, oncology and cardiac clinic charts. Posting of charges and running batch reports on charges entered. Obtained referrals, insurance verification, and complete Medicaid threshold forms, registering patients, phone verification and reminder of appointments, Physician education on medical necessity and changing Medicare and insurance guidelines.

Skills

Worked with Siemens EDM, Cerner EMR, Sequoia EMR, EPIC

Working Knowledge of Word, Excel, PowerPoint,

Worked with 3M & Quadramed Encoders

Work with SMS, HBOC, Invisvision, and Meditech

Run and Trend Gross revenue, gross charge, unbilled reports in Oracle Discoverer

Run reports according to cost center, CDM numbers, CPT or ICD-9 CM codes

Calculating and adherence to Corporate TAT

Good Organizational skills, ability to work with minimum supervision

References supplied upon request

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