Medical Records
Resume:
Tiffany Woodward, RHIT
**********@*****.***
Objective: To acquire a position in the medical field that will allow me to utilize my RHIT, expand my skills, experience and use my knowledge of official coding conventions and rules established by the American Medical Association (AMA) and The Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
Qualifications
RHIT certified
Education
2012 to 2014: Master of Health Administration/Health Care Informatics: University of Phoenix, Phoenix, Az
2008: Bachelor of Science Degree in Health Care Administration. Baker College Clinton Twp, Mi
2005: Associate in Applied Science in Health Information Technology, Baker College, Clinton Twp, MI.
Relevant Experience Medical
Coder/Auditor 9/2013 to Present: (BCBSM)Strategic Staffing Solution
Participated in audit reviews for vendor discrepancies (verisk and Innovalon). Tracked Hierarchical Chronic Condition (HCC) for Medicare Advantage and Commercial claims also coded records for Targeted Diagnosis Validation Rate (TDVR). Perform clinical reviews with knowledge of body systems, anatomy and physiology. Provide coding validation for face to face services provided by the providers to ensure proper reimbursements. Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives. Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, presentations, letters, communications and graphics. Assist internal and external personnel by answering questions, supplying information and training. Develop and maintain an effective working relationship with providers. Other duties may be assigned.
HIM Director 1/2013 to 9/2013 Behavioral Center of Michigan
The HIM Director is responsible for maintaining patient medical records and ensures compliance of records with relevant regulations and standards, and assists with the preparation of statistical reports. Duties include generating monthly deficient/delinquent reports, weekly physician documentation report, filing, retrieving and distributing medical records, loose filing and reports and maintaining associated logs and records in accordance with established policies and procedures in any section of the Health Information Management Department. Supervises coding, correspondence, inpatient and outpatient filing, transcription and computerized medical record system clerical sections.
Coding Specialist: 7/2011 to 9/2013. Behavioral Center of Michigan
Analyze, abstract and assemble patient's record for physician's deficiencies and delinquencies, code record with the correct ICD-9 or CPT codes. Correct transcription if needed. Chart audit, Quality analysis of medical records, assist with policy and procedure development. Work with clinical disciplines to ensure efficiency and consistency in clinical documentation so that the appropriate code can be applied to patient chart. Provides education and organizes documentation improvement efforts to physician's/clinical staff. Manage and create risk management reports.
Coder: 8/2010 to 7/2011. Advanced Professional Home Health Care Participate in data collection, computer input, and generation of reporting, Utilizes ICD-9 coding system; assigns appropriate ICD-9 and CPT codes; acts as resource for facility staff. Review plans of care for clinical appropriateness, completeness, and medical necessity. Follows-up chart deficiencies with clinical staff, participates in chart review processes, including quarterly and peer review. Follow guidelines of OASIS and Coding Clinic.
Coder 9/2008- 9/2009 Visiting Nurse and Hospice McLaren Medical Center
Participate in data collection, computer input, and generation of reporting utilizes ICD-9 coding system; assigns appropriate diagnostic and surgical codes; acts as resource for facility staff. Review plans of care for clinical appropriateness, completeness, and medical necessity, follows-up chart deficiencies with clinical staff, Participates in chart review processes, including quarterly and peer review. Follow guidelines of OASIS and Coding Clinic.
Scheduler/Dispatcher 01/2006 – 03/2006 VPA Diagnostics
Set up appointments for radiology testing. Dispatched radiology technician to various sites. Quality assurance of radiology film. Performs quantity and quality checks on scanned medical record information as part of Quality Control (QC) function. Performs validation/verification for scanned images. Indexes documents to appropriate category within imaging system (QC function)
Health Unit Clerk 06/2001-09/2005. Mt. Clemens General Hospital Transcribe Physician orders into the computer, requesting, diagnostic test, lab draws, and medication orders. Communicator between physicians and nurses in the management of patient care. Input patient’s demographics into the computer (name, address, age, gender).Integrating data into the medical record.
References Available Upon Request
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