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Manager Medical

Location:
Radcliff, KY
Salary:
Open
Posted:
February 24, 2021

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Resume:

PINKIE SCOTT

**** ****** ****** **** *

Fort Knox, KY 40121-2018

815-***-****

adkfzn@r.postjobfree.com

OBJECTIVES

Accept part time, short term coding assignments.

EDUCATION

G. W. Carver High School

1962 High School Diploma

American Medical Records Association

1977 Accredited Records Technician (ART) (RHIT)Mundelein College

Chicago, Ill

1983 Bachelor of Arts Degree

Public Administration

EXPERIENCE

Michael Reese Hospital 2900 S. Ellis Ave., Chicago, IL

Coder 1973 – 1976.

Coding Supervisor 1976 – 1985

Supervised and trained coding staff. Trained the coding staff to transition from ICDA 8 to ICD-9-CM. Trained the coding staff and medical staff prior to the initiation of DRG payment system. Developed a process for attestation completion.

Weiss Hospital 4600 N. Marine Dr., Chicago, IL

Data Control Manager 1985 – 1995

Supervised daily activities and work assignments of the coding staff. Managed the project of coding the entire charge description master (CDM) for the first time. Hired and trained staff for the coding of outpatient services using CPT- 4. Managed the project of selection, installation and training for the first electronic encoder in the hospital.

University of Chicago Hospital 5841 S. Maryland Ave., Chicago, IL

Coding Manager 1995 – 1997

Assigned daily work assignments and monitored productivity. Performed focused coding audits for high risk DRGs and problematic coding scenarios. Participated in departmental reorganization projects. Monitored discharged not final billed accounts versus uncoded accounts.

St. Mary of Nazareth Hospital 2233 W. Division, Chicago, IL

Coding Manager 1997 – 2000

Assigned daily work assignments and monitored productivity. Performed coding audits for quality and productivity. Produced educational materials for coders and medical staff. Supervised record assembly and analysis staff. Developed a chart/medical record pick-up schedule; reported discrepancies to senior administration on a daily basis. Updated the (CDM) charge description master annually. Developed a variety of reports to reflect DRG cost versus reimbursement, DRG impact by physician. Identified areas that were non-compliant with HCPCSII code assignment.

Provena St. Joseph Medical Center 333 N. Madison St., Joliet, IL 60435

Coding Manager 2000 – 2012

Assigned work on daily basis. Monitored the unbilled/uncoded report. Maintained the unbilled amount in an acceptable range to comply with corporate standards. Instituted mandatory use of the encoder for all accounts. Performed individual audits of the coding staff. Performed focused coding audits. Provided reports to various hospital departments requiring coded data. Performed educational in-services for the coding, nursing and medical staff. Resolved billing issues related to coding, DRG denials, revenue code versus HCPCS assignment. Partnered with the Quality Documentation Review nurses to formulate queries for physicians to resolve issues impacting code assignment or missing documentation.

Professional Dynamic Network 600 Holiday Plaza Drive, Suite 540, Matteson, IL 60443

Contract Coder 2012-2018

Reviewed medical records and identified the principal and relevant secondary diagnoses. Reviewed operative reports and any other data to identify surgical and interventional procedures required code assignment, Using the encoder, coding books and reference materials to assign the correct ICD-10CM and ICD-10 PCS codes. Review and correct to optimize DRG assignment while following established rules, guidelines as established by the Center for Medicare and Medicaid Services.

SKILLS

Inpatient Coding Meditech

Outpatient Procedure Coding

3M Encoder

Quadramed Encoder

References Available on Request



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