Medical Coding Auditor

REGINA CAMPBELL

**** ********* **; Balch Springs, TX • 972-***-**** ********@*****.***

Qualified with degree of health administration to provide exceptional health care service. Looking for the job position where I allow making us of my skills in the field of Health Information Management.

EXPERIENCE

June 2003-March 2013 Medical Records Coder

Reviewing documentation for appropriate translating patient information into an alphanumeric and numeric medical code for information and reimbursement. Analyze clinical statements using standard codes in medical classification system. Gather data that can be used for statistical data for the services provided to a patient for an illness. Serves as technical expert in health record content and documentation requirement. Analyze documentation, developing criteria, collecting data, graphing and analyzing results, creating reports, provide education for position. Maintains a current knowledge of various regulatory guidelines and adheres to established documentation as outlined by accrediting agencies guidelines, regulations, policy and medical legal requirements. Making sure that proper coded selection based on guidelines, specific information for certain diagnosis, procedures and other criteria used to classify patients under the VERA program.

March 2013-August 2016 Lead Inpatient Medical Records Coder

Assigning work to coders, delegating special projects to accomplish the goal of completing daily objectives. Working with other services to ensure accuracy in the processing and accuracy of coding for each inpatient stay. Receives request for coding review and determines appropriate action and makes the necessary corrections. Has the ability to code all various types of encounters for inpatient and outpatient coding as well as surgery coding. Perform coding audits on individual coders and help with getting individuals to ask more questions for understanding. Ability to maneuver within Quadra Med Software and the CPRS system as well as VISTA systems. Process the Austin errors that are on the daily 419 report and the VISTA errors that come up. Serves as the Coding Trainer for the HIMS Department. Understanding and application of VHA Coding Guidelines. Worked with the HIMS National PTF Committee.

August 2016-Present Coding Auditor

Responsible for performing coding quality audits, providing feedback to coders and educating coders. Uses and understand the Internal Classification of Disease ICD 10 CM and PCS, and other coding references to ensure accurate coding and Diagnosis Related Group (MS-DRG and APR-DRG) assignment. Reviews, researches and processing CCI and VERA Edits. Provides coverage for coding by coding Inpatient Charts and Outpatient Encounters as needed for the service. Validating coding based on various Fee Schedules, CMS and VHA Coding Guidelines. Review Inpatient Charts for coding accuracy and all other errors that will cause process of completing the chart. Handle all Death Review and Audits for correct coding. Assist in the overall quality, education and completeness and accuracy of medical record documentation. Assist with making Standard Operation's for services that are in question and there is not clarity in the coding process. Perform reviews on the health record documentation.

EDUCATION

March 2013-Present

Associates in Science (Health Information Technology)

DeVry University

Proposed Graduation 2019

January 1991-March 1992

Medical Assistant Certificate,

National Education Centers

SKILLS

Advanced Knowledge in Anatomy and Physiology and Pathophysiology, Strong

Practical skills, Motivating Staff, Ability to work under deadline pressure, Ability to multiple task,

ACTIVITIES

I use my professional expertise to solve complex problems either on my own or working with a group that will help with the solution of the issue. Keeps goals and objectives in sight always, monitors progress toward goals and works to overcome barriers and obstacles. Serves as a Teen Sunday School Teacher at Riverside Missionary Baptist Church and the President of the Deaconess Ministry. I served as the Youth Director for 10 years.

Contact this candidate