Certified Medial Coder/Auditor and Coding Instructor

Shannon Peterson

*** ***** *** ****** ** Box **

Dunlap, IL 61525

Home: 309-***-****

Cell:309-***-****

email: ***********@***.***

EDUCATION

Illinois Central College, Peoria, IL, Associates of General Science of Social Work

American Academy of Professional Coders, Certified Professional Coder 2002

American Academy of Professional Coders, Course work completed for Certified Instructor of Coding 2010

Moline High School, Moline, IL, graduated May 1993

EXPERIENCE

Deputy Project Manager

TC Associates

July 2010 – Present

Supervisor: Mary Anne Tompson

Responsible for assisting manage Fort Campbell Army Post as well as Fort Bragg Army Post. Responsible for managing 16 individuals who work remotely through out the United States; as well 11 support staff which works on site at two separate facilities over two shifts. Complete Peer Audits for independent contractors who support both contracts. Complete reports as requested by facilities. Answer questions concerning coding questions and problems for independent contractors who support contracts. Create and teach monthly coding related education and training sessions for all coders who support projects in both the Air Force as well as the Army. Evaluate resumes and conduct interviews for new potential employees to support the coding positions or on-site employees for support positions.

TC Associates Remote Coding Instructor

Teach Out-Patient Coding Classes to students in a remote setting from the American Academy of Professional Coders curriculum. On-site training for providers as well as employees as needed. Training sessions vary depending on the specialty of the providers, or if training is being provided for support staff.

Remote Coder/ Auditor

TC Associates, Fort Bragg Army Post, North Carolina

October 2007 – July 2010 Self employed per diem position

Supervisor: Colleen House

Responsible for working independently as a Remote Coder, auditing provider documentation from scanned AHLTA documentation, making corrections to coding in CHCS I, as well as providing documentation back to providers and appropriate training staff on areas of future training issues. Utilizing guidance set forth to Military Treatment Facilities by the Department of Defense Guidance,

as well as Centers for Medicare and Medicaid regulations

Remote Coder/ Auditor

TC Associates, Fort Campbell Army Post, Tennessee

February 2009 – July 2010 Self employed per diem position

Supervisor: Colleen House

Responsible for working independently as a Remote Coder, auditing provider documentation from scanned AHLTA documentation, making corrections to coding in CHCS I and CCE, as well as providing documentation back to providers and appropriate training staff on areas of future training issues. Utilizing guidance set forth to Military Treatment Facilities by the Department of Defense Guidance, as well as Centers for Medicare and Medicaid regulations. Onsite provider training provided based on auditing of medical charts, telephone and e-mail training provided to on site staff.

Coder/ Auditor

First Class Solutions, St. Louis Missouri

November 2008 to February 2009

Owner: Rose Dunn

Independent Contractor

Work on site or remote as out patient coder or auditor. Responsible for auditing or coding hospital out patient facility services or independent physician offices medical services. Services such as outpatient cardiac caths, emergency department, same day surgeries as well as clinic services. Coding as well as auditing procedure codes, ICD 9 diagnosis codes as well as HCPC’s coding.

Auditing of facility codes resulted in training of on site coders and physicians on the local, and state coding procedures for proper coding techniques.

Out Patient Coding Supervisor

Barnes Jewish Hospital, St. Louis Missouri

December 2007 to November 2008 Full time position 40 hours weekly

Supervisor, J William Woloszyn

Responsible for managing outpatient coding staff to ensure accurate and complete coding of all outpatient facility services. Complete independent audits to determine areas of employee trainings. Maintain employee’s production reports weekly. Assist team with creation and changes to Facility Charge Master System. Assist with coding to maintain DNFB within set goal ranges. Assist with researching accounts on an Error Data Base that are not passing Centers for Medicare and Medicaid, and NDC Edits

Site Manager/ Coding Supervisor

TC Associates, Scott Air Force Base

May 2007 – December 2007

Supervisor: Colleen House

Managed coding and auditing staff to ensure data quality coding audits, new provider audits, and clinical areas of concern regarding coding, problematic coding noted by particular clinical staff. Completed independent audits and determined the need for training of employees as well as all clinical staff. Developed training plans from previous audits. Independently reviewed medical record documentation and encounter forms to determine appropriate clinical codes for the Military Treatment Facility. Utilized guidance set forth to Military Treatment Facilities in accordance with Department of Defense guidance, as well as Centers for Medicare and Medicaid regulations.

Lead Billing & Coding Officer

Heartland Community Health Clinic, Peoria, IL

2004 – 2007

Supervisor: Nancy Neel

Entered office visits and procedure codes from super bills for a multi provider primary care physician practice. Patient base being prenatal care, children, and adult primary care. Correctly coded procedure codes and documentation levels of outpatient physician visits, minor outpatient procedures, as well as pre-operation consults. Routine chart audits which routinely result in provider education on proper coding issues. Processed private and insurance payments on proper patient accounts. Provided personal as well as phone contact with patients and insurance companies concerning account balances. Worked independently to complete daily coding tasks, as well as audits of accounts receivables, and charting issues.

Certified Professional Coder

Oncology Hematology Associates

2002 – 2004

Supervisor: Janelle Hamilton

Procedure coding and editing of Medicaid, Medicare and Commercial Insurance Claims. Patient base being patients suffering from various cancers, as well as hematology related medical conditions. Entered office visits, and procedure codes from physician dictation. Correctly coded procedure codes and documentation levels of outpatient physician office visits, as well as inpatient hospitalization consults and follow up office visits. Performed routine chart audits, routinely resulted in physician education. Worked independently on completion of special projects. Assisted patients with registration, questions regarding bills or procedures of billing.

Professional Memberships

Certified Professional Coder with the American Academy of Professional Coders. Certification of Completion of Out Patient and Physician Coding. Obtained Certification in 2002.

Certified Professional Coding Instructor with the American Academy of Professional Coders

Obtained Certification in 2010.

Personal Goals

To attend local State University to obtain my Bachelors Degree in Health Information Management.

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