Corporate Manager Specialist Remote
Resume:
Tammy M. Skinner, RHIT, CCS
AHIMA Approved ICD-** Trainer
**** ******* ******* ** ****** Haven FL 33884
*****.*.*******@*****.*** 863-***-****
HIIM AND CODING CONSULTANT
Extensive experience in MS-DRG’s, APR’s and HCPCS/CPT coding and auditing.
Extensive knowledge in Data Integrity and improvement.
Developed action plans to optimize performance improvement using analytical and problem-solving skills.
Experienced coding auditor for level one trauma to level three.
EDUCATION/ CERTIFICATIONS
BA Psychology, 2014, University of South Florida Tampa FL
AS RHIT, 2006, Polk State College Winter Haven, Florida
ICD-10 Trainer, 2015 American Health Information Association
CCS, 2007, American Health Information Association
RHIT, 2006, American Health Information Association
PROFESSIONAL EXPERIENCE
ACCUITY DELIVERY SYSTEMS, New York, NY
National DRG/APR consulting agency
Inpatient/ Outpatient Auditor, HCPCS Auditing, 05/2019-8/2021
Audited Inpatient and outpatient chart with doctors
ICD-10 Audit and Training/Education to coders and physicians
Review medical records of discharged patients to determine and verify all diagnoses and operative
procedures and assign appropriate codes.
Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.
HCPCS Auditing for correctness
WELLSTAR/TENET HEALTHCARE, Marietta, GA
Corporate Coding Manager/ Auditor, 08/2014-3/15/2020
Over seen operations of the coding department with a staff of 90.
Wellstar owns and operates 11 hospitals in the state of GA, which bought out the 5 hospitals Tenet owned.
Supervised Inpatient and Outpatient Medical Coders
ICD-10 Audits with training/ education to coders and physicians
Supervised and directed remote coders on performance of all day-to-day essential functions/processes.
Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.
Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.
Communicated with billing office to maintain the unbilled daily to maintain cash flow.
Reviewed the case mix and identify where improvement can be made.
Maintained payroll in the department.
Maintained all productivity for coding staff.
Developed training program for ICD 10 CM/PCS
Developed training program for non-coding staff to learn Basic ICD 9 CM
Audited and successfully appealed RAC accounts for DRG denials
NEARTERM CONSULTING PROFEE SERVICES, Houston, TX
Coding/Auditing Specialist Remote, 167 Bed Facility, 09/2015-5/2017
Nearterm is a consulting firm for HIIM, Coding, Auditing professions that work on a contract basis.
Correctly assign ICD-9-CM and CPT codes to all patient records, as well as abstract patient information into the Clinical Patient Care System according to HIM policies and procedures.
Audited medical records of discharged patients to determine and verify all diagnoses and operative procedures and assignment appropriate codes in all patient types of IP/SOP/OBS/ ER/OP.
Worked in a remote environment efficiently.
Coded HCPCS and pro fee charge for the ancillary charges
(CHS) COMMUNITY HEALTH SYSTEMS, Franklin, TN
Corporate Manager/Auditor, Centralization Coding Services Remote, 07/12-09/2015
Supervised 8,000 Inpatient and Outpatient Medical Coders Nationwide
ICD-10 Audit and Training/Education to coders and physicians
Supervised and directed remote coders on performance of all day-to-day essential functions/processes.
Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.
Trained over 4,000 coders in (CAC) computer assisted coding 3m360
Audited accounts for data integrity to maintain policies and procedures set forth by law and the facility.
Communicated worked with billing office to maintain the unbilled daily to maintain cash flow for the hospital.
Reviewed is the case mix and identify where improvement can be made.
Maintained payroll for over 120 employees in the department.
Maintained all productivity for clerical and coding staff.
Developed training program for ICD 10 CM/PCS
Developed training program for non-coding staff to learn Basic ICD 9 CM
Audited and successfully appealed RAC accounts for DRG denials
(HCA) PARALLON/SHARED SERVICES TAMPA, Brandon, FL
Coding Specialist Remote Lead, Southeastern Region, 04/2007-01/2013
Parallon is a subsidiary for (HCA) Hospital Corporation of America.
Correctly assign ICD-9-CM and CPT codes to all patient records, as well as abstract patient information into the Clinical Patient Care System according to HIM policies and procedures.
Reviewed medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.
Followed policies and procedures to assure that the confidentiality, security and integrity of patient data and information are maintained.
Communicated with physicians regarding coding and other issues related to the correct coding of records
SOFTWARE EXPERTISE
•HMS •HPF •Compliance 360 •3M360 •EvriChart •Sovera •Pulse •3M Encoder •Quantum •Cerner •EHR •AS-400 •Microsoft Word •Power point •Excel •Access •GERS •WMS •Internet •Intranet •Meditech •Kronos •C360 Computer Assisted Coding (CAC) •Powerchart •Clarity •McKesson •EPIC
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