Joy Michelle Lowe SUMMARY

P.O. Box ** I hold certifications as a CPMA (Certified Professional

Canada, Ky. 41519 Medical Auditor) through AAPC, Certified Medical

Home # 606-***-**** Coder through AHIMA, and am a Licensed Practical

Cell # 304-***-**** Nurse as well. I have been a nurse for 20 years and

ab2wbw@r.postjobfree.com have spent the last 15 years as a Nurse Chart Auditor

that also specialized in compliance. There was a

company wide layoff in April 2012, and I decided to

use this opportunity to further my education and to

better myself by attaining my certifications as a

Medical Coder and Professional Auditor. I am excited

to have the opportunity to use my skills to be an

effective and valuable team player in this company. I

am very “dogmatic” about “getting it right the first time”

and searching out and implementing problem

resolutions. I pay close attention to detail and am very

goal oriented even in my personal life. I live my life

with integrity and work hard so that everything I do

and say reflect that. I am very committed and can

always be taken at my word. I enjoy working with

people and strongly believe that our community is

worth investing our time and resources

into. My husband and I are the pastors of Matthew

28:19 Ministries in downtown Williamson, WV. I

organize all ministries and micro manage all of our

volunteers and leaders. I would love an opportunity to

interview for this position and am very up for a

challenge.

EXPERIENCE

National Healthcare Review/ Insperity

Contract employee for Williamson Memorial

Hospital Williamson, WV

Nurse Medical Chart Auditor/Contract employee

October 2008-April 2012 Company wide layoff

April 28, 2012

Job responsibilities included:

I performed an integrity audit of the

medical record, reviewing it for

appropriate documentation of all tests and

procedures that were ordered by the

physician, and completed as well as

appropriate billing practices as per

medicare guidelines.

The audit of the medical record was

completed with high ethical and

professional standards and all findings of

deficits were communicated to each

department manager.

I did stay informed on all medicare changes

that affected coding and charging

practices within the facility and did share

these changes with the CFO, Business

Office Manager, and Medical Coding

Supervisor to ensure correct billing

procedures were followed.

I held monthly department manager

meetings where I provided a spreadsheet

that reflected missed charges or

overcharges or documentation errors for

the month and suggested an action plan.

Also acted as a Defense Auditor

representing the hospital defending

charges that were being challenged by

insurance companies and most outcomes

of the audit were in the hospitals favor.

Held new hire training sessions with

Nurses to reinforce the importance of

sufficient documentation in the event of a

medicare audit or defense audit.

Kentucky Blood Center

Pikeville, Ky.

August 2007-October 2008

Mobile Pheresis Supervisor

Job Responsibilities:

I was hired to be the mobile pheresis (blood

platelets) supervisor, but after several

months, it was decided to not pursue the

pheresis on mobile blood drives due to

cost effectiveness, and I was brought in

center as a pherisis operator/supervisor

and blood drive supervisor.

I was responsible for supervising all

aspects of the mobile blood drive and in

center donation process. This included

making sure all paperwork was completed

accurately by the donor and the employee

because if not accurate, as a result, the unit

of blood or platelets would be discarded.

I coordinated pick-up times with the courier

for the blood products to ensure it would

arrive in the processing lab in lexington, ky

within a particular time frame as per

government guidelines and standard of

operation guidelines per the center.

Excellent customer service and strong

community relationships kept our donors

coming back as the donations were strictly

on a volunteer basis.

This was a wonderful job that I enjoyed

very much as I am a people person. I was

offered the Nurse Auditor job from the CFO

at Williamson Memorial Hospital and made

the decision to return to that position.

Appalachian Regional Hospital

South Williamson, Ky.

MDS Coordinator

April 2007-August 2007

Job responsibilities:

I did chart reviews for the skilled nursing

facility and documentation completion for

medicare and medicaid billing.

I did nursing assessments on patients upon

admission following their treatment plan

from 14 days and then quarterly.

Coordinated careplans with Occupational

and Physical Therapy as well Dietary and

Pharmacy to ensure optimum care was

given with a detailed plan on rehabilitation

with the goal to return home as

independent as possible.

I loved this job as well and only left due to a

strike situation at the hospital.

National Healthcare Review/Williamson

Memorial Hospital

Nurse Chart Auditor

May 2000-April 2007

Job Responsibilites:

The job duties were as stated above.

I left this job to pursue other professional

interests. I was contacted by the Director

of Nursing at ARH Hospital for the MDS

coordinator job but was not informed of a

possible strike situation.

EDUCATION

AAPC (American Academy of Professional

Coders) April 2013

This online course prepared me for the CPMA

exam focusing on coding, medical record

documentation, abstraction, risk analysis and

compliance and RAC audits as well as the

appeal process. I sat for the CPMA exam

July2013 and did pass the exam.

Southern West Virginia Community College

August 2012-December 2012

I took five computer classes including Word,

excel/spreadsheets, microsoft office. I wanted to

improve my computer skills because I felt this was

a weak area for me.

Southern West Virginia Community College

August 2011

I took the medical coding class to enhance

my knowledge of correct coding rules for

medical procedures and major surgeries

I sit for my certification exam February 21,

2013.

Dellbarton School of Practical Nursing

Delbarton, WV

February 1992-March

1993

I am a Licensed Practical Nurse License #

19312

All continuing education is up to date.

SKILLS

I have performed several defense audits

representing the hospital against the

insurance company. 100% of the time I was

able to produce documentation from the

medical record to find in favor of the

hospital.

I am very familiar with medicare

transmittals and do keep up with all

changes that do affect each department of

the hospital.

I did provide feedback to each department

manager regarding deficits in

documentation or charging practices that

were in error. I worked closely with Nurse

Managers to provide charging education

regarding the infusion therapy charges that

the staff was responsible for.

I did audit 100% of all observation charts in

which infusion and injection charges were

absent or undercharged resulting in a much

higher reimbursement for that patient stay

all of which were done by medicare

guidelines.

I was a Basic Life Support Instructor with

the American Heart Association.

I am a Babysitter Training Instructor with

the Red Cross since May 2011. Instructor

card is current.

I am proficient in Microsoft word, excel,

office.

I am the Vice President and treasurer for

Matthew 28:19 Ministries. I am currently

pursuing 5O1C3 status so the ministry can

work with a food bank in Huntington, WV to

provide a food pantry for the needy in

Williamson and the surrounding area.

My plan is to partner with Mingo and Pike

counties schools as well as the Girl Scouts

in order to offer the Certified Babysitting

course to our area young people as they

are often at home caring for younger

siblings, I am pursuing this now and for

funding of the mannequins for the class.

REFERENCES

Kristina Dillon Alex, Ky. 606-***-**** home

304-***-**** cell

Shannon Dotson Hardy, Ky. 304-***-****

Anita Davis Chattaroy, WV 304-***-****

Jason Messer 606-***-****

Contact this candidate