Medical Records Human Resources

Janice Bayol, RHIT, CCS, CCS-P

Specialties: ICD-*0-CM/PCS, Coding, Auditing, Physician Education

Summary:

Janice Bayol, has over 20 years’ experience in HIM department and is skilled in coding, auditing, education for hospitals and physicians, including coding/auditing, education, coders, clinical documentation coding guidelines.

SKILLS:

. Inpatient coding/auditing

. Coaching and education of coders

. Planning and preparing and presenting education using Powerpoint presentations for inpatient, outpatient, profee coders.

. Presenting educations to coders.

. Tracked productivity, coding auditing scores and coached coders with <95% scores.

EDUCATION/CERTIFICATIONS

. RHIT – Registered Health Information Technologist – American Health Information Management Association

. CCS – Certified Coding Specialist

EMPLOYMENT

Lead Coder, Himagine October 2015 to July 26, 2017

. Mentor and educate coding staff

. Assist in coordinating Powerpoint education for inpatient and outpatient coders

. Research and answer ICD-10-CM, ICD-10-PCS and CPT coding questions

. Track coder’s productivity and coding accuracy scores.

Inpatient Coding Auditor: Peak Solutions April 2015 - Mar 2016

. Audit inpatient and outpatient coders for accuracy and DRG assignment

DRG Auditor: Connolly Health December 2014 – April 2015

. Auditor physician documentation for correct coding and DRG assignment for insurance reimbursement

Inpatient Coder: Harmony Health February 2013 – December 2014

. Assign ICD-9-CM inpatient records

Inpatient Coder: Maxim March 2012 – January 2013

. Abstracted Inpatient Medical Records

. Coding Inpatient, Outpatient, ProFee accounts

. Audit coders for coding and DRG assignment

. Audit ProFee and charge master accounts

Marin General Hospital: September 2009- March 2012

. Inpatient Coder

. Abstracted inpatient medical records

. Coded outpatient, RCR accounts.

. Maintained 95% accuracy rate

AAPC certified Instructor ICD-9-CM and CPT: January 2005-March 2009

. Prepared students for CPC examination

. Prepared PowerPoint teaching materials

Kaiser Permanente Medical Group August 1973- September2009

CDM Analyst; December 2008 – November 2009

. Worked together with IT to develop a billing system for capturing HCPCs charges

. HCC auditor assisting and training physicians on capturing diagnoses for HCC validation

Data Quality Auditor: September 2005- December 2008

. Auditing and training physicians for HCC validation

. Provided training for physicians to improve their documentation

UCSF: Compliance Auditor February 2003 – April 2004

. Audited and trained Pro Fee physicians for compliance and documentation

Kaiser: Medical Records Clerk 1980 – 2003

Computers:

. PowerPoint

. Excel

Encoder: 3M, HPF, Quantum, Webstrat, Epic

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