Physician Project Manager

***S ***W Pleasant Grove, UT ***** 435-***-**** *********@*******.***

Vicki G Eddy LPN,CPC,CRC

Objective

I am a coder that loves to code. I love every part of it: the coding, training other coders and Physicians. I love to learn and also share what I have learned as well. I am not shy by any means and love to work with companies that have interaction between coders and auditors. No matter the task I give it my all. I feel I have an extensive background and would love the opportunity to be part of your company.

I have been coding remotely for several years and have 15 years experience coding/managing MRA (HCC) and 2 year managing and coding commercial HCC.I have also managed Medicaid Risk adjustment using the CDPS model. I Had the opportunity to build a coding department from first project for Arrohealth and assisted in creating a proprietary software solution for storing and coding medical records. I am currently looking for a PT remote position.

Ialso have experience in several areas of outpatient coding (Physician, ED, Radiology, Interventional Radiology, Hospitalist, Cardiology, and OP physician multispecialty).

I am familiar with working from home and pride myself on accuracy and reliability. I feel like my experience and background are an asset in this field and feel I could make a great contribution to your organization.

Experience

02/18 to present Presbyterian Hospital

Coder II

Review all hospital charges (both ICD 10 and CPT)

Review and correct edits

Verify that all appropriate charges have been coded and charged

Work remotely from home

05/16 to 05/18 Healthicity

Review charts for correct coding

Review all HCC for support in the records

Identify specific educational opportunities for the provider

04/15 to 05/present Health Data Vision Inc.

Audit HCC charts

Provide feedback and education for coders

This is PRN position

08/11 to 04/15 Medsave USA Hauppauge, NY

Assisted in creating unique proprietary coding system

Reviewed system for user friendliness, needed additions and changes

Head of coding department

Responsible for all aspects of coding team including interviewing, hiring,

Productivity and Quality, training and discipline

Responsible for secondary audits on both internal and external coding

Oversaw several projects including Medicare RA, Commercial HCC,

Medicaid HCC, In home assessments, and Physician Education

Meet with clients weekly to review QA results

Meet with clients prior to contracts being signed to initiate discussion of work

Traveled to provider offices to help them understand by examples how

Important their documentation is to proper reimbursement

07/07 to 08/13 Phoenix Children’s Hospital Phoenix, AZ

Responsible for coding ED and OP records

Coding both facility and Provider charges

Responsible for educating Providers on documenting deficiencies

Over reading other coders work

Training new coders for correct processes and procedures

Worked remotely in AZ as well as UT

4/06 to 09/11 Peak Health Solutions Los Angeles, CA

Remote HIM Project Manager

Manage Audit team for several projects including facility, ED and HCC projects

Make assignments and follow up making sure all auditors are completing work in timely manner while maintaining high quality coding.

Meet regularly with the auditors as a group and individually to monitor progress of coders and give education to auditors as needed.

Mediate differences between auditors and coders via conference calls.

Attend weekly coder calls to answer coding questions and questions regarding company/client policy

Meet with clients to determine their coding needs and define project parameters

Met with clients to discuss any coding discrepancies

Monitor training of new coders, training personally when needed and modifying training process as needed. I meet regularly with the trainers to gauge success of training program and implement improvements as needed.

Report directly to HIM Director- making project improvement plans, starting new sites

Maintain contact with client business office and facilitate any specials requests/reports for them

Third level audit(auditing the auditors) as needed to maintain high quality coding among our auditing staff

8/05 to 8/06

St. Edward Medical Services, Inc.

Fort Smith, Arkansas

Coding and compliance analyst

Coding physician side for ER/doctor education for compliance

Coding for Hospitalist group physician side/doctor education for compliance

Coding for clinic (general practice and O.B )/education for compliance

Educating physician regarding his choice of ICD/CPT codes and updates to coding guidelines and requirements

8/03 to 8/05

St Edward Mercy Medical Center

Fort Smith, Arkansas

Outpatient scheduler

Schedule outpatient procedures for several types of specialties and general practice

Code all procedures scheduled (CPT and ICD-9 )

Check all procedures and coding for compliance with insurance regulations

Educating physician regarding his choice of ICD/CPT codes and updates to coding guidelines and requirements

8/01 to 8/03

Cooper Clinic, P.A.

Fort Smith, Arkansas

Cardiology clinic nurse for Dr. Donald Shows

All direct and indirect patient care (office, phone calls, etc.)

Code all billing for physician ( inpatient and outpatient,CPT and ICD-9)

Maintain physician schedule between clinic and hospital

Educating physician regarding his choice of ICD/CPT codes and updates to coding guidelines and requirements

8/99 to 12/01

Cooper Clinic P.A.

Fort Smith, Arkansas

Cardiology clinic nurse for Dr. Robert Wales

All direct and indirect patient care (office, phone calls, etc.)

Code all billing for physician (inpatient and outpatient, CPT and ICD-9 )

Maintain physician schedule between clinic and hospital

Educating physician regarding his choice of ICD/CPT codes and updates to coding guidelines and requirements

Education

8/95 to 12/96 LPN

Arkansas valley Vo-Tech

Ozark, Arkansas

11/2005 CPC AAPC

7/2015 CRC AAPC

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