JOANNE SPETHMAN, RHIA
**** * ***** *** ****. * Apt 203
Thornton, CO 80233
abg429@r.postjobfree.com
SUMMARY OF QUALIFICATIONS:
A Health Information Professional with 24 years of experience in the Health
Information Management Industry. I am currently transitioning into a
teaching career and will be moving to Niwot, Colorado in August. I am
writing curriculum for two classes that I will be teaching next spring at
Front Range Community College. I am looking for a position that will
enhance this new career path. I am an asset to any team and am self-
motivated to work independently as well.
FRONT RANGE COMMUNITY COLLEGE
Adjunct Professor- RHIT Program - Westminster, CO
07/11 - Present
. Writing curriculum for Medical Terminology and Quality Management
Classes
. Teaching these classes spring semester 2012.
PLATTE VALLEY MEDICAL CENTER
Supervisor of Coding and HIM Department - Brighton,
CO 12/09 - 05/11
. Supervise HIM Department which includes: Coding, Assembly, Analysis,
Release of Information and Scanning of Records.
. Develop and maintain policies and procedures for coding and
abstracting inpatient and outpatient records.
. Hold monthly coding meetings with the director and coders to discuss
coding or documentation issues.
. Monitor hospital accounts receivable report.
. Performed physician office Evaluation and Management coding
consultation including education on the results and resources.
. Perform coding audits on inpatient and outpatient records.
. Provide Coding education to physicians, physicians' office personnel,
coders, and clinical documentation improvement specialists.
. Develop coding queries as resources for the coders and clinical
documentation improvement program.
. Responsible for responding to patient claim denials based on medical
coding issues.
. Assist in the implementation of the Electronic Health Record
. Participates on hospital wide development teams including, Clinical
Pertinence reviews, RAC audits, Charge master, and Electronic Health
Record Conversion.
. Participate in the development of a hospital Clinical Documentation
Improvement Program through training regarding coding guidelines.
. Provide HIM department coverage for the HIM Director and the
transcription supervisor when they are unavailable.
CERNER CORPORATION
04/09 - 12/09
Sr. Test Designer - Kansas City, MO
. Wrote test plans and requirements for the development of coding
assisting software.
. Created documents that are run through the solution and make
recommendations to the solution designer and software engineers based
on these results.
. Provided ICD-9-CM, CPT, and Evaluation and Management coding education
and resources to the physician strategist, solution designer, software
engineers, project manager and sales team.
. Performed Evaluation and Management audits while testing the solution.
. Participated on a team regarding software development, marketing,
compliance, and education regarding the solution.
. Attended classes and seminars on test design of software.
. Developed internal coding resource site to assist with coding
education and answer any specific questions.
INDEPENDENT CONSULTANT
11/07 - 03/09
MEDPARTNERS
. Coding Consultant - Multiples Sites (Indianapolis, IN; Dallas, TX)
. Provided backlog coding support for two level 1 Trauma, teaching
facilities in Indianapolis, IN. and Dallas, TX.
. Abstracted and coded Inpatient, Observation, Day Surgery, Short Stay
and Clinic charts.
. Communicated with physicians by sending query notes to improve
documentation and obtain necessary information to assign codes.
. Worked with documentation specialists to help obtain necessary
information to assign codes correctly and to ensure coding guidelines
are in compliance with their recommendations.
. Audited charges for Observation, Day Surgery and Short Stay charts.
Communicated with billing to delete charges that did not have
documentation to support coding it, to add modifiers where necessary
and input Observation hours to be billed.
K-FORCE
. Coding Consultant - Multiple Sites (St. Petersburg, FL; Madison, WI;
Chicago, IL; St. Paul, MN)
. Provided backlog coding support for hospitals whose services ranged
from specializing in Cardiology patients to level 1 trauma and
teaching facilities.
. Abstracted and coded Inpatient medical records.
. Communicated with physicians through query forms to improve
documentation in the medical record in order to obtain necessary
reimbursement.
. Worked with documentation improvement specialists to ensure coding
guidelines are in compliance with recommendations.
ZURICH, NA
06/07 - 10/07
. Operational Support - Overland Park, KS
. Provided administrative support to claims adjusters in subrogation
department.
. Processed payments received and provided communication to the claims
adjusters as well.
PROPHARMA GROUP, INC
08/06 - 05/07
Office Coordinator - Overland Park, KS
. Provided administrative support to Human Resources, Marketing,
Accounts Payable and the Senior Management Team.
. Assisted Human Resources department with employee orientation.
. Assisted Recruiting department through entering information into the
applicant tracking system, scheduling phone interviews and
reformatting resumes for project managers to present to potential
clients.
. Created filing system for the accounting department.
. Assisted Marketing with distribution of marketing materials,
assigning purchase order numbers, in addition to administrative
support as
needed.
PROVIDENCE MEDICAL CENTER
02/05 - 08/06
Inpatient/Outpatient Coder (Remote) - Kansas City, KS
. Coded and abstracted inpatient and outpatient medical records through
the webmail system.
. Communicated with physicians and hospital staff through e-mail and
conference calls.
. Responsible for quality assurance of medical information by
confirming the patients' status during their hospital stay. (Ex.
Inpatient,
outpatient, observation)
. Entered observation hours for correct payment.
. Developed reference material for remote coders to improve
communication.
. Received continuing education CD's regarding coding and disease
process issues.
. Participated in monthly conference calls with remote coding staff,
accounting staff and physicians to discuss guidelines, problem-solve,
or
communicate changes in procedures.
. Attended noon conferences on site given by different clinical
specialists.
TOTAL MEDICAL MANAGEMENT / UNITED IMAGING CONSULTANTS
Radiology Coder- Mission, KS
09/03 - 02/05
. Coded and abstracted radiology reports for this independently owned
radiology billing company.
. Attended seminars on radiology coding.
OLATHE MEDICAL CENTER
11/01 - 09/03
Inpatient/Outpatient Coder -- Olathe, KS
. Responsible for coding and abstracting inpatient and outpatient
medical records.
. Trained employees to code inpatient medical records.
. Actively participated in JCAHO Survey
. Performed DRG audits
. Attended coding conferences for continuing education.
ST JOSEPH'S HEALTH CENTER
03/99 - 11/01
Concurrent Review Coordinator (Utilization Review and Coding) - Kansas
City, MO
. Performed coding and utilization review functions concurrently for the
orthopedic and rehabilitation units.
. Communicated clinical updates to Insurance companies to get hospital
stays approved.
. Met weekly with rehabilitation team regarding current care plan and
discharge planning.
. Met monthly with social workers and discharge planning staff to
discuss utilization review concerns.
. Assisted in outpatient and day surgery backlog coding.
. Trained new employees in outpatient and inpatient medical coding.
. Attended coding seminars for continuing education.
. Participated in JCAHO Survey.
INDEPENDENT CONSULTANT
ROMAC INTERNATIONAL
08/98 - 03/99
Coding Consultant - Multiple sites (Cincinati, OH, Kansas City, MO)
. Coded and abstracted inpatient and records for a large level 1 trauma
and teaching facility in Cincinnati.
. Coded Inpatient and Outpatient records as well as Utilization Review
function for a facility in Kansas City, MO.
OVERLAND PARK REGIONAL MEDICAL CENTER
09/91 - 08/98
Reimbursement Specialist - Overland Park, KS
. Coded and abstracted inpatient and outpatient medical records.
. Collected data through the unbilled report.
. Assisted physicians regarding coding and DRG completion.
. Participated on hospital-wide CQI teams to educate on coding
guidelines.
TECHNICAL SKILLS;
Word Perfect, Microsoft Outlook, Excel, 3M-Encoder, Webstrat-Encoder, Epic,
Meditech, Quadramed, Cerner, Siemens
EDUCATION:
Bachelor of Science in Health Information Management - College of Saint
Mary's-Omaha, NE
RHIA Certified - Registered Health Information Administrator
PROFESSIONAL ORGANIZATIONS:
AHIMA - American Health Information Management Association
NCHIMA - Northern Colorado Health Information Management Association