Certified Coding Specialist

Ada Marrero, CCS

**** * ******** ***, *******, IL, 60634 773-***-**** ***********@*****.***

Summary

Hard-working professional with over 25 years of DRG/PPS, inpatient and outpatient coding, ICD-10- CM, PCS, HCPCS, APC and clinical documentation experience. Exceptionally skilled with case management and utilization, medical necessity CCI edits and denial management. Aiming to leverage my experience, education and skills to provide exceptional coding expertise within a top rated healthcare organization.

Professional Experience

RUSH OAK PARK HOSPITAL, OAK PARK, IL

Coding Supervisor, Aug 2007 – July 2020

Oversee and manage a staffing mix of 15+ associates, including coders and clerical personnel.

Conduct and administer fiscal operations, including accounting, planning budgets, and coordinating financial reporting.

Oversee all coding responsibilities, including but not limited to, inpatient and outpatient coding, clinical documentation queries, and coding audits.

Direct and conduct recruitment, hiring and training of personnel.

Maintained the ICD-10-CM, HCPC, DRG and APC quality at and above 98%.

Consistently maintained unbilled accounts (DNB) within the organizations goals.

EPIC super-user.

RUSH UNIVERSITY MEDICAL CENTER, CHICAGO, IL

Inpatient and Outpatient Coder, Oct 2007 – March 2008

Performed inpatient and outpatient coding of records.

Maintained ICD-10-CM, HCPC, DRG and APC quality.

Transferred to Rush Oak Park Hospital for advancement within my profession.

WESTLAKE HOSPITAL, MELROSE PARK, IL

Clinical Documentation Specialist; Inpatient Coder, Oct 2005- June 2017

Served as a clinical liaison between clinical and coding staff by educating clinical staff of compliant documentation and accurate coding.

Create and implement training and development for nursing staff, physicians and mid-level providers that addresses documentation and accurate coding.

Interact with coding team to resolve documentation and coding issues and ensure proper DRG assignments.

Performs on-site and electronic coding and clinical validation audits and interpretation of medical documentation to ensure capture of relevant coding.

Performed coding of all inpatient Medicare and Medicaid records.

Interim Coding Supervisor/ Inpatient Medicare Coder, 2000- Oct 2005

Oversaw all coding responsibilities and ensure efficient operations within the coding department.

Assisted with the development and maintenance of the Coding Documentation Specialists (CDS) area in order to provide accuracy in coding documentation prior to facility reimbursement.

Overseeing of coding for billing purposes, optimal reimbursement and compliance.

Maintained unbilled coding accounts within organizations goal.

Developed procedures and processes for Coding area.

Denial Management - Maintain LMRP/Medical necessity denials within the established goal

OUR LADY OF THE RESURRECTION MEDICAL CENTER, CHICAGO, IL

Coding Supervisor; Case Manager; Coder, June 1987- October 2006

Oversaw coding for billing purposes, optimal reimbursement, coding compliance- ancillary and Medical

Provided staff education and training. Conducted audits for accuracy.

Performed documentation management; oversaw Clinical Documentation Specialists to ensure appropriate documentation and DRG assignment.

Coding of all inpatient and outpatient records.

Performed case management; utilization of services; LOS; discharge planning and HSI reviews.

McKesson Star system implementation, upgrades and conversion responsibilities (Super user).

CORE Measures; PEPPER audits; LMRP & Denial Management

Received recognition for meeting 100% DRG compliance.

Maintained unbilled coding accounts under $50,000; Maintained denials within the organizations established goals.

PROFESSIONAL DYNAMIC NETWORK, CHICAGO, IL

Coding Consultant- Inpatient coder for various hospitals; 1998- Present

Performed coding consultation for various healthcare organizations within the Chicagoland area.

Education

ICD-10 CM Boot Camp Training

TRUMAN COLLEGE & WRIGHT COLLEGE

Additional Skills

Bilingual- Spanish

EPIC Super-user

Microsoft Word Applications

McKesson Software

Citrix Software

Kronos Time and Attendance

References Available Upon Request

Associations

American Health Information Management Association (AHIMA)

Association for Clinical Documentation Improvement Specialist (ACDIS)

OPALGA+ Board Member

Oakton Community College, Past Advisory Board Member (HIM)

American Cancer Association, Relay for Life Melrose Park Village Member

Contact this candidate