Quality Medical
Resume:
SELINA MILLER, CCS
Edinburgh, IN 46124
*********@******.***
PROFESSIONAL PROFILE
Extensive knowledge of ICD-10CM, and CPT coding systems for acute care hospital setting.
Extensive knowledge of E&M ER Physician coding and OP surgery coding
Extensive knowledge of ICD-9 coding.
12 years of Inpatient coding and CDI experience.
10 years of remote coding experience.
Experienced in new hire training, QA, and RAC appeal audits.
Experience in Epic EMR systems/abstracting software.
Excellent organizational, people, and leadership skills.
Experienced in Level 1 Trauma Facility, cardiac specialty care, pediatric care, and teaching facility coding.
EDUCATION AND CERTIFICATION
CCS, AHIMA 2004
Associates of Applied Science, Health Information Management, 2001
ICD-10 CM/PCS Training, HCQ Consulting, 2013
A&P for ICD-10, AHIMA Online Education, 2011-2013
ICD-10 Diagnoses and PCS training, Libman Online Education, 2015
PROFESSIONAL EXPERIENCE
CODING SERVICES GROUP, Remote Inpatient Coding Consultant
Naples, FL
HIM/Coding Consulting Company, 2015-Present
Review inpatient electronic medical records and assign diagnoses and procedures codes for proper hospital reimbursement.
Utilize ICD-10 Diagnoses and PCS Code Set.
Work with a wide range of different clients and accommodate their coding needs from day to day.
Work with MS-DRG’s on a daily basis, and understand the importance of how they impact reimbursement to each facility as well as its quality data.
Understand SOI and its impact on APR-DRG’s.
Maintain a productivity ratio of 96% or higher on a weekly basis.
Maintain a quality ratio of 98% or higher on a quarterly basis.
Utilize a wide variety of EMR/Abstracting systems such HPF and STAR.
Work independently via remote access gateway.
Used 3M Encoder and 3M HDM abstracting system daily
Work independently via remote server.
Work for a variety of different acute care facilities such as pediatric facility, and teaching facilities.
ESKENAZI HOSPITAL, Remote Inpatient CDI Coder
Indianapolis, IN
Level 1 Trauma Center, 2009-2015
Evaluated quality of coding, and developed criteria and methods to reduce coding errors and increase DRG reimbursement.
Provided QA for all new coding employees until accuracy ratio was met.
Conducted IP quality audits on IP records on a quarterly basis.
Attended RAC audit meetings and helped write appeal letters when necessary.
Worked with CDI specialist to ensure proper DRG assignment.
Educated physicians on proper documentation practices and the importance it has on hospital reimbursement.
Chaired weekly CDI meetings for coding education.
Performed MS-DRG/ICD-CM coding on a routine basis.
Maintained a productivity ratio of 99% or higher.
Maintained a productivity ratio of 100% or higher.
Helped coding supervisor run reports to determine the needs of the coding staff and what issues needed to be addressed as a team.
Provided suggestions for future ICD-9 and ICD-10 coding education and presented that to all of the coding staff.
Queried physicians as needed for clarification of certain diagnoses and procedures performed.
Trained in a variety of software for coding and abstracting purposes such as McKesson STAR, Care Web, and Cerner, EPIC, Quantum.
KFORCE, Inpatient Coding Consultant
Tampa, FL
Professional Healthcare Consulting Company, 2007-2008
Provided inpatient and outpatient coding backup during employee absences or when backlog existed.
Worked independently and maintained a daily tracking log of all work.
Correspond with my site lead on a daily basis to ensure that each client’s needs are met
Made operational recommendations to Coding Director.
Maintained good relationships clients in a professional manner.
Experienced in different types of encoder software including 3M, and Webstrat, EMR
INDIANA HEART INSTITUTE, Quality Analyst/Inpatient Coder
Indianapolis, IN
Private Cardiac Consulting Company, 2006-2007
Coded inpatient records and assisted medical staff regarding proper documentation practices.
Educated physicians and familiarized them with the DRG system for optimum reimbursement.
Abstracted quality data for physicians.
Performed uniform coding and used codes consistent with the medical record.
Conducted special projects required of the department.
COMMUNITY HOSPITALS OF INDIANAPOLIS, SDS/OBS Coder/Abstractor
Indianapolis, IN
Multiple Facility Healthcare Network, 2001-2006
Performed coding and analysis of ER, outpatient surgery, and observation records.
Maintained departmental quality control standards
Promoted to inpatient DRG coder in 2006.
Conducted ICD-9-CM and CPT-4 training for staff.
Attended educational seminars for AHIMA certification and educated other staff as needed.
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