Information Management Health/Coding Manager

Nicole Granville, RHIA ** Kaycee Drive, Nescopeck PA 18635

570-***-****/*************@*****.***

SUMMARY

Detail-oriented Medical Coding professional as well as a Health Information Management Director with 25+ years of experience in overseeing medical coding auditing/education processes to ensure high levels of accuracy within healthcare facilities. Exceptional leadership skills leveraged in managing and training teams to establish high performing teams and consistent compliance in all auditing and coding procedures. Innovative problem-solver adept at optimizing and improving procedures through effective process improvement strategies.

EDUCATION

Bachelor of Science in Registered Health Information/Informatics Administrator, University of Cincinnati, Cincinnati, OH

Associate degree in Registered Health Information Management Technician, South Hills Business College, State College, PA

EXPERIENCE

Regional Manager, IP Coding Operations/Tenet Health, Dallas TX/July 2023-present

Manage a team of 32 professional IP Coder (7 facilities) through scheduling, task delegation, and monitoring progress of audit fieldwork to ensure efficiency in team performance.

Performs coding quality reviews and tracks, trends, and manages coding quality performance to Tenet standard.

Responsible for the scheduling of Coders, DNFC Specialists, Leads, and Coding Coordinators to ensure metrics for coder productivity and DNFC are met.

Responsible for ensuring coding team meets and maintains the Tenet standard for coding quality (99%). Provides performance management/corrective action for productivity and quality to all direct reports.

Responsible for mentoring Corporate Coding Supervisors or Leads, Coders, DNFC Specialists, and Coding Coordinators in their roles and perform coding education and training orientation in collaboration with the Director of Coding.

Attends facility DNFC/B meetings and reports on DNFC performance. Accountable for DNFC performance, reporting, and follow-up to leadership.

Manager, Quality/Education/Auditing Services Trubridge/CPSI, Mobile Alabama/2021-July 2023

Manage a team of 19 auditors/educators through scheduling, task delegation, and monitoring progress of audit fieldwork to ensure efficiency in team performance.

Propose modification to current procedures through close analysis and identification of areas of improvement, optimizing audit effectiveness.

Market Multi Facility Health Information Management Director (HIMD)/ PAM Specialty and PAM Rehabilitation, Las Vegas NV /2020-2021 (Temporary position over the Covid pandemic)

ELR Implementation

Multiple Site Director

Maintained <2-day DNFB

Coding Manager/ Health Information Management Director/HIPAA Compliance Officer/ 2010-2020/Community Health Systems of Tennessee (CHS) (Loss 10-year career due to Covid pandemic)

Developed and coordinated educational, training programs and policies and procedures regarding coding, transcription, CDI, and ROI compliance.

Ensured the appropriate dissemination and communication of regulatory policies and guidelines.

Reviewed claim denials and rejections pertaining to coding and medical necessity issues.

Performed regular audits to ensure that all processes, and practices met with all state and federal guidelines as well as those set the America Health Information Management Association.

SKILLS

Quality Control, Auditing, Team Leadership and Development, Medical Coding, Collaboration, Data Analysis, Process Improvement, Detail oriented, Professional Communication, Organization, Time Management, Active Listening.

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