Medical Records auditing medical terminology coding scanning
Resume:
Aretha Price
Katy, Texas 77450
*************@*****.***
OBJECTIVE
To work for an organization that will allow me an opportunity to utilize my coaching/training, problem resolution, team management, customer service, and ICD-9-CM coding skills that will assist in meeting the organization’s daily goals and challenges.
EDUCATION
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
PROFESSIONAL EXPERIENCE
Enterprise Consulting Solutions, Inc.
Phoenix, Arizona
Site Reviewer - April 2015-Present
Evaluate merit of assigned facility relative to peer review and insurance provider standards
Responsible for assigning a score and preparing a written critique of the findings and providing each facility with a copy
Faxing all written reports and evaluations to ECS upon completion of assignment
Scheduling of all assigned facility sites and keeping Site Reviewer Coordinator abreast of progress and/or concerns
Memorial Hermann Rehabilitation Hospital-Katy
Katy, Texas
Medical Staff Coordinator - June 2011-December 2013
Responsible for credentialing physicians/allied health professionals in accordance with hospital medical staff bylaws, Joint Commission, and state regulatory standards
Randomly audited medical records to ensure that physician documentation supported billing
Responsible for continued methods and procedures improvement targeted at maintaining hospital daily/monthly physician delinquency goals
Assisted with coordinating Medical Executive, Utilization Review, and Performance Improvement Committee Meeting; as well as scribing for all meetings
Generated physician monthly quality reports by auditing transcribed reports for completeness in accordance with hospital and Joint Commission standards
Assisted with patient/family hospital tours
Assisted with ICD-9-CM coding as warranted
Memorial Hermann Rehabilitation Hospital-Katy
Katy, Texas
Health Information Management Manager/Privacy Officer - November 2008-May 2011
Responsible for direct management and oversight of ICD-9-CM coding, medical record transcription, physician delinquency, and release of information
Tasked with coordinating Medical Executive Committee and Utilization Review Committee Meetings
Developed protocol to ensure proper diagnosis/procedure ICD-9-CM coding prior to billing
Trained new physicians/allied health professionals on use of transcription equipment and other medical records related equipment
Assisted with patient/family hospital tours
Assisted with ICD-9-CM coding as warranted
Medical Clinic of Houston, LLP
Houston, Texas
Health Information Management Manager/Privacy Officer - February 2001-October 2008
Responsible for direct management and supervision of medical record retrieval/filing/repair, release of information, and medical record transcription
Conducted monthly physician quality medical record documentation audits; reported findings at quarterly Quality Committee Meetings
Trained physicians on proper quality medical record documentation, monthly
Randomly audited various departments to ensure privacy of patients in accordance with HIPAA
Assisted with ICD-9-CM coding as requested
Coordinated and scribed for physician monthly meetings
PricewterhouseCoopers
Houston, Texas
DRG Coding Consultant - September 1999-February 2001
Audited medical records to ensure that physician medical record documentation supported proper billing
Assisted training hospital personnel regarding proper ICD-9-CM coding guidelines/standards relative physician documentation
REFERENCES:
Linda Johnson, RHIA
Lisa Davis, RHIA
Carla Tyson
Deborah Butts, RHIA
Tella Williams, RHIA
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