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Project Manager Medical

Location:
Denver, CO, 80233
Posted:
July 19, 2011

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Resume:

JOANNE SPETHMAN, RHIA

**** * ***** *** ****. * Apt 203

Thornton, CO 80233

913-***-****

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



Contact this candidate