Medical Record Health Information
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Summary
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Work experience
Debbie Wilson
*******@*********************.***
Mapleton, UT 84664
Owner/Manager
Maple Ridge Billing LLC - Mapleton, UT
January 2020 to Present
Code and bill for outpatient facilities
Director of Coding and Billing
MAPLE MOUNTAIN RECOVERY - Mapleton, UT
August 2018 to Present
Maintain all coding and billing, contract with insurance companies. Compliancy O8cer
HIPPA COMPLIANCE, PCBH, PROVO COLLEGE - Orem, UT
January 2011 to Present
Consult and teach on 3M, Midas, Allscripts, Help2, Nuance Clintrigrity 360, AS400, KIPU, Collabrate MD,
Pro:le Searchable
Participate on Advisory Board
AAPC Chapter oXcer
Director of Health Information Services
PROVO CANYON BEHAVIORAL HOSPITAL - Orem, UT
September 2011 to September 2018
TO PRESENT
Opened new department for new behavioral hospital
Policy & Procedure development and implementation
Medical Zling system set up, maintenance, and management Assurance of compliance with The Joint Commission for accreditation Coordinate oXce and department activities and communication, utilizing e\ective systems to ensure the smooth operation of the department. Analyze all charts and abstract and code for payment Medical Record Auditor & Coder
HUMANA - Sandy, UT
July 2008 to September 2011
Travel as required all around country to di\erent hospital and oXces Obtain and maintain CMPA certiZcation
Code using ICD-9-CM medical coding HCC and HEDIS encounters for Medicare Risk
Adjustment
Document and review medical records audit
Teach and develop policies and procedures
Medical Record Auditor & Coder
CENTRAL UTAH CLINIC
January 2002 to December 2005
Opened new diagnostic imaging department for six radiologists Policy & Procedure development and implementation
Medical Zling system set up, maintenance, and management Add location
Education
Skills
Assurance of compliance with The Joint Commission for accreditation Credentialed in CPC and CMPA. Passed and completed education and testing for training.
Medical Record Auditor
CODER & ANALYST, UTAH VALLEY RADIOLOGY ASSOCIATES
Assess and monitor documentation. Coding care data submitted on claim Verify and ensure accuracy and appropriateness of the submitted diagnosis data based on services rendered
Provide exemplary service to ensure long term success in a rapidly changing health care environment
Abstracted and coded four hospitals, three clinics and 32 radiologists for all diagnostic imaging
Train and serve as a resource on coding procedures and appropriateness Add location Add dates
14 in Business Marketing
Add school Add location Add dates
Allscripts
EMR Systems
Physiology Knowledge
Auditing
Experience with various encoder/abstract systems
including ICD-9, CPT-4, MS-DRG, and APC systems
HEDIS
ICD Coding
HIPAA
Experience providing interim management, hospital
inpatient and outpatient coding, remote coding services, auditing service, and coding education and
ICD-10-CM Pro:ciency
Documentation Review
Case Management
15 years’ experience in an acute care setting, outpatient Billing
Medical Coding
Insurance Veri:cation
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Awards
Certi9cations and licenses
Triage
Epic
Laboratory Experience
Anatomy Knowledge
Added above
Experience Administering Injections
Employee of the Year
May 2016
After being award employee of the month, All the employees and administration vote on Employee of Year. I felt very appreciated. Certi:ed Professional Coder
May 2006 to April 2023
CMPA
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