Remote Coding Auditor with Travel Planning
Resume:
Shalola Simmons,RHIA, CCS, CPC
Clarksdale, MS 38614
***************@*********.***
A talented coder looking for remote coding/auditing and/or traveling opportunities with a stable healthcare organization that allows room for advancement. Dedicated, accurate coder that welcomes challenges in the ever changing healthcare field.
Professional Experience
Health Information Associates Pawleys Island, SC
OP Coding Consultant May 2018-present
Code outpatient encounters (OBS and ASC) from documentation in chart
Accuracy rate was over 95% when audited by outside organization and internal compliance department
Community Health Systems Franklin, TN
Corporate Op Auditor Feb 2017-Apr 2018
Audited all types of outpatient encounters (ED, OBS, SOP, WCC, ANC) to verify accuracy of charges and APC rates according to medical necessity and compliance
Accuracy rate was over 95% when audited by outside the organization
Level III Jan 2006-Feb 2017
Codes and abstracts general surgery, orthopedics, gastroenterology, ENT, cardiac caths and stent placements, and pulmonary surgical charts 90-95% accuracy rates.
Codes inpatient general medicine, mother and babies, sepsis, hip replacement, CHF, and pneumonia cases with 90-95% accuracy rates
Communicate with physicians to make sure documentation is appropriate
Work the modifer reports to ensure that accounts are coded and billed correctly
Harmony Healthcare Tampa, FL
Inpatient Coder April 2014-Jan 2015
Codes and abstracts outpatient, inpatient and ER charts for a GA hospital
Communicate with hospital and Harmony to resolve any issues pertaining to encounters coded.
Medical Data Systems Clarksdale, MS
Accounts Specialists Apr 2002-Dec 2005
Entered 50-200 encounters daily into computer for billing claims
Coded surgery and office visit accounts for billing
Made deposits for the clinic
Prepared HCFA-1500 forms for billing
Posted payments from insurance companies and sent statements for balances due
Did post bill follow-up on aging accounts over 30 days
Northwest MS Regional Medical Center Clarksdale, MS
Admission Clerk Sept 1994-Apr 2002
Registered patients for various hospital services
Collected co-pays and payments for patients’ accounts
Assembled charts after discharge to be sent for coding
Education
Herzing University Madison, WI
Bachelor of Science in Health Information Management August 2011
Studied management skills in the healthcare field, principles of health information, statistics, and information technology.
Phillips Community College of UA Helena, AR
Associate of Applied Science in Medical Office Technology May 2002
Studied skills in the healthcare field pertaining to every aspect of the medical office, management, transcriptionist, coder, payroll and accounting clerk and billing clerk.
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