Administrative Assistant Compliance Analyst
Resume:
Jackie Stevenson
Look no further for employee excellence!
Dickinson, TX 77539
********@*******.***
Almost hard to believe, but I absolutely love ️ to accomplish tasks most employees groan about with displeasure when assigned. I love doing research, whether it be a new CCI edit, yet another " new and improved" diagnosis or CPT code that folks are having difficulty understanding or an ambiguous Medicare guideline to puzzle out. I have had a full 30 year career in Healthcare and no longer feel the urge to keep climbing ever higher. I want to find a job to comfortably settle into and enjoy. I also love creating ppt presentations to show off my fancy research skills and then dazzling a captive audience who only showed up for lunch! I love mentoring and helping people new to Healthcare achieve their goals.
This has turned out to be longer than I intended and I will most likely edit it down but I am also open to something new like administrative Assistant, keeping track of meetings, arranging out of town travel and assisting colleagues in any way I can be helpful. I require minimal salary. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Inpatient Compliance Analyst
University of Washington Medical Center
January 2013 to February 2015
Use of PEPPER report to help define potential risk areas and create audit plan for UWMC, HMC, NW Hospital, and Valley Hospital. Perform ADR Probe and CERT reviews. Perform OIG DRG and Medical Necessity reviews. Perform Risk Management reviews. Perform quarterly audits, which include DRG, Medical Necessity, excisional debridement, and other areas which have been identified as potential risk areas for specific hospitals. Provide results to senior leadership as well as Department managers. Provide feedback and education as needed, monitor account corrections. Assist in writing Medical Necessity appeal letters for RAC reviews.
Documentation and Coding Educator
Kaiser Permanente
March 2012 to July 2012
Perform LOS (Level of Service/E&M) audits for Cardiology providers
• Meet with Cardiologists 1:1 to provide documentation education
• Answer Coding questions via Staff Messages
Compliance Analyst V
University of California - San Francisco, CA
October 2010 to November 2011
Contracted position-funding expired)
• Assist in preparation of discussion packets for RAC audit requests.
• Responsible for serving as Subject Matter Expert when responding to Help Line coding/documentation/ billing/Compliance questions.
• Collaborate with other departments and Physician Champion to draft Professional Compliance plan.
• Use of STOR, Streamline, IDX, Ucare, EPIC, SMS, Craneware, Ingenix 3M
• Working knowledge of federal and state reimbursement program requirements (e.g., Medicare and Medi-Cal), federal and state anti-kickback and physician self-referral laws (e.g., Stark and PORA), Coding Analyst II
• Responsible for production coding of Transplant E/M's, Vascular Blood Flow studies, Center for Pelvic Physiology, GI Motility, and Colorectal Surgery.
• Correct TES edits in IDX.
• Monitor assigned billing providers in BAR.
• Attend workshops, seminars, and professional meetings related to coding/billing/documentation Coding Analyst II
Palo Alto Medical Foundation - Palo Alto, CA
October 2008 to February 2010
Perform Annual E/M documentation audits for Providers using EPIC.
• Meet with Providers and Leadership to discuss audit results and areas for improvement
• Superior communication and group presentation skills as well as experience working with physicians, practice managers, nurse practitioners, physician assistants
• Conduct New Employee Orientation for New Staff Physicians, establishing and communicating criteria for PAMF coding requirements
• Assist Providers by answering their Help Line questions
• Working knowledge of provider and practitioner licensure and scope of practice requirements
• Contribute to monthly newsletter.
• Attend monthly department meetings.
• Collaborate with Physicians to create educational material for presentation to Providers.
• Attend workshops, seminars and National Conferences related to Coding/Billing. Training Manager, EIO
Kaiser Permanente
April 2008 to July 2008
Collaborated with physicians to create ppt. presentations for provider education
• Manage training team, over see trainer scheduling, ensure Provider completion requirements are met.
• Deliver training to Providers
• Participated in the Coding Advisory Group, and the Integration Team.
• Helped to institute web based on-line FAQ line for coders and providers.
• Attended workshops, seminars, National Conferences to keep up to date in the Healthcare Industry. Revenue Cycle Manager
UW Medicine - Seattle, WA
May 2004 to April 2008
Physician liaison between UWP practice plan, hospital, physicians. Physician education and coding compliance. Review monthly financial reports and track trends and outliers. (days in A/R, charge lag, denials) Report findings to physicians and and practice plan managers. Work with clinic managers and physician chief of staff to facilitate change. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines.
Application Specialist II, Government Division
QuadraMed - Seattle, WA
May 2003 to May 2004
Train coders, billers, managers, compliance officers and other management personnel on coding and billing software for VA clients. Travel 70%. Help troubleshoot process issues and recommend solutions. Direct client interaction and communication with varying management levels. Submit training reports detailing issues and resolutions. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines.
Business Supervisor
Methodist Medical Center - Dallas, TX
May 2000 to May 2003
Develop, implement and manage billing, coding and reimbursement process for Teaching Facility to include establishing all policies and procedures for professional coding and billing. Interview, hire, supervise, train/orient assigned personnel. Educate staff, Physicians, Residents, Directors, and VP's on professional billing, coding and reimbursement processes. Update clinic portion of hospital chargemaster; create billing sheet and fee schedule for clinic. Responsible for month-end reporting to include development and preparation of excel spreadsheets. Serve on the following committees: Corporate Compliance, Professional Compliance, Clinic Task Force, Registration Team, Clinic Interdisciplinary, and HIPAA. With the Registration Team, decreased registration error rates from 50% to an overall rate of 9% throughout the hospital. Drafted Compliance Plan for professional billing with compliance committee. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines. Office Manager
Laurence Weider, M.D - Dallas, TX
October 1999 to May 2000
Set up new Plastic Surgery office. Enroll physician in numerous governmental and commercial insurance programs. All duties of managing the daily operations of a medical practice. Code surgery Op and office notes, file insurance claims. Enter charges and payments into computer. Schedule and pre-cert surgery. Daily deposit. Develop Policy and Procedures Manual for the practice. Develop financial and collections policy. Use of Internet to gather information relating to compliance and coding and keep office in compliance. Month end reporting. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines.
Assistant Office Manager
Richard Wallner, M.D - DeSoto, TX
September 1997 to August 1999
Schedule and pre-cert surgery, check patients in and out. Code and file insurance claims, process appeals, work aging accounts. Balance and run daily deposit sheet. Work up OB contracts. Assist office manager in all aspects of daily operations for a physician practice. Month end reporting. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines. Receptionist/Business Manager
Covenant OB/GYN and Associates - Duncanville, TX
June 1995 to September 1997
Schedule and pre-cert surgery. Check benefits. Computer entry of charges and payment posting. Code surgery and office visits and file insurance claims, process appeals, work aging accounts. Balance and run daily deposit sheet. Keep track of contracted labs and fee schedules. A/P, reconcile business checking account. Month end reporting. Educate RN's and Physicians on proper coding and billing procedures. Create forms using Word. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines.
Co-Office Manager
Sami Zeidan, M.D - El Paso, TX
July 1990 to June 1995
Work closely with Dr., make travel arrangements. Coordinate volunteer clinics. All aspects of managing daily operations of a medical practice to include supervision of staff and insurance filing and collections. Attend workshops, seminars, webinars to keep current with all governmental regulations and guidelines. Education
Diploma in Legal Secretary
American Academy of Professional Coders - El Paso, TX May 2000
Education
University of Texas at El Paso - El Paso, TX
June 1988 to March 1989
Skills
• Microsoft Outlook
• Medical coding
• ICD-10
• Computer literacy
• Microsoft Excel
• Computer skills
• Microsoft Word
• Medical collection
• CPT coding
• Medical Billing
• Account Reconciliation
• Anatomy Knowledge
• Software Troubleshooting
• Physiology Knowledge
• ICD-9
• Epic
• Transcription
• Insurance Verification
• Medical Office Experience
• EMR Systems
• Clerical Experience
• HIPAA
• Medical Scheduling
• Data Entry
• Medical Terminology
• Medical Records
• Office Management
• Help Desk
Certifications and Licenses
CPC
Present
CDIP
Present
Certified Documentation Improvement Practitioner
Driver's License
Assessments
Scheduling — Proficient
April 2023
Cross-referencing agendas and itineraries to avoid scheduling conflicts Full results: Proficient
Customer focus & orientation — Proficient
April 2023
Responding to customer situations with sensitivity Full results: Proficient
Medical billing — Proficient
April 2023
Understanding the procedures and forms used for medical billing Full results: Proficient
Protecting patient privacy — Proficient
April 2023
Understanding privacy rules and regulations associated with patient records Full results: Proficient
Customer focus & orientation — Proficient
April 2023
Responding to customer situations with sensitivity Full results: Proficient
Customer service — Proficient
May 2023
Identifying and resolving common customer issues
Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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