Certified Coder
Resume:
Tamala Lewis, RHIT
Charlotte, North Carolina 28215
***********@*****.***
Objective
To utilize my proven leadership skills, coding expertise, Licensed Practical Nursing background, to obtain a dynamic auditing position with a progressive organization.
Qualifications
Registered Health Information Technician
Licensed Practical Nurse
Education
Erie Community College
6201 Main Street
Williamsville, New York 14221
Associates in Applied Science
Buffalo Vocational Technical Center
820 Northampton
Buffalo, New York 14208
Certificate of Nursing
Experience
The Coding Source, LLC
3415 S. Sepulveda Blvd., 9th Floor
Los Angeles, CA 90034
Remote Auditor I May 2011 –Present
Responsible for retrospective focused review of Medicare inpatient, ER, and OPS charts for appropriate assignment of ICD – 9 diagnoses, required to meet 95% accuracy rate, with productivity standards of 20-25 charts per day. Review includes use of excel spreadsheet, with pertinent information required for review. All finding are reported on spreadsheet, and submitted to project manager, with comments to include agree, disagree, or query needed.
Carolinas Medical Center-Northeast
920 N. Church Street
Concord, North Carolina
Senior Coder October 2009 – September 2010
Responsible for reviewing inpatient and outpatient medical records to identify the appropriate principal diagnosis and procedure and all appropriate secondary diagnoses and procedures, assignment of appropriate DRG using UHDDS and other facility guidelines.
Springs Memorial Hospital
800 W. Meeting Street
Lancaster, South Carolina 29720
Senior Coder May 2009- September 2009
Review inpatient charts for the appropriate assignment of principal ICD-9-CM and principal procedures according to UHDDS guideline, also assignment of appropriate secondary diagnosis and procedures as appropriate. Perform Concurrent coding and applying concurrent queries as necessary.
Novant Health- Presbyterian Hospital Huntersville
10030 Gilead Road
Huntersville, North Carolina 28078
Manager, Health Information Management June 2006 – Nov.2008
Responsible for effecting ongoing quality, productivity and efficiency in the flow of health information through the processes specific to assembly, analysis, coding and timely completion of the medical record, responsible for submitting documentation to support the validity of diagnosis and procedures coded in relationship to denials and rejections ,responsible for auditing inpatient & outpatient coders, responsible for education and feedback to coders on monthly audit findinsg, develop work plans for coders who fell below corporate 95% accuracy rate Coordinates on- going and annual feedback on performance, including performance improvement plan and 90 day work plan. Assist in assuring completion of required skills validation for competency assessment. Communicates the status of inpatient/outpatient delinquent counts, inpatient/outpatient analysis, Coordinates training for Physicians, Physician’s practices and their staff on remote access to EMR.
Novant Health- Presbyterian Orthopaedic Hospital
200 Hawthorne Lane
Charlotte, North Carolina 28204
Coding Specialist December 2004- June 2006
Responsible for reviewing inpatient, outpatient, pain management and ancillary accounts for appropriate assignment of principal diagnosis and procedures, and all secondary diagnosis and procedures. Abstracts required data elements from coded medical records .Enters required data elements into the medical abstract system from coded records. Verifies discharge dispositions, dates, and status for accuracy, and processes corrections if needed. Review records for appropriate documentation to utilize for code assignments. Fulfills requirements of accuracy set forth by Novant Health Corporate Compliance for coding policy. Communicate with MD’s for clarification when required using proper procedure. Locate and pulls medical records for claim corrections, claim clarification, and billing inquiries.
Kaleida Health- Corporate Health Information Management
100 High Street Room C-208
Buffalo, New York 14203
Outpatient Coding Quality Coordinator October 2003- November 2004
Responsible for monthly auditing of all ED staff, developed ED coder training plan and schedule, train all new Ed coding staff. Monitor ED coder productivity standards for auditing/ staffing purposes. Schedule and run monthly ED coding meeting. Develop ED and outpatient coding audit process/plan and schedule, performed ED and outpatient coding audits for new and existing coding staff. Development of correction action plans for all coders that fall below 96% coding accuracy rate.
Kaleida Health - Women and Children’s Hospital
219 Bryant Street
Buffalo, New York 14222
Coding Specialist June 2002-October 2003
Responsible for review of inpatient, outpatient, and emergency room records and Completed training as a preceptor, reported congenital anomalies to the congenital malformation registry and performed monthly statistics, Completed Price Waterhouse and Coopers NY AP-DRG Workshop Series. Work with Price Waterhouse & Coopers in WCHOB Emergency Department Operations Redesign Team. Work with site HIM manager and ED manager to assess the cost benefit of hiring ED coders, trained new ED coders. Post Charges to ED accounts. Calculation of Evaluation and Management level for ED records.
Erie County Medical Center
462 Girder Street
Buffalo, New York 14215
Medical Record Technician February 2000-June 2002
Responsible for reviewing outpatient and emergency room records and training new ED coders, worked on the APC Implementation team.
Kaleida Health- Gates Circle Heath Group
3 Gates Circle
Buffalo, New York 14209
Coder/Biller June 1999- October 2001
Coding and abstracting dermatology, podiatry, gynecological, general medicine, oncology and cardiac clinic charts. Posting of charges and running batch reports on charges entered. Obtained referrals, insurance verification, and complete Medicaid threshold forms, registering patients, phone verification and reminder of appointments, Physician education on medical necessity and changing Medicare and insurance guidelines.
Skills
Worked with Siemens EDM, Cerner EMR, Sequoia EMR, EPIC
Working Knowledge of Word, Excel, PowerPoint,
Worked with 3M & Quadramed Encoders
Work with SMS, HBOC, Invisvision, and Meditech
Run and Trend Gross revenue, gross charge, unbilled reports in Oracle Discoverer
Run reports according to cost center, CDM numbers, CPT or ICD-9 CM codes
Calculating and adherence to Corporate TAT
Good Organizational skills, ability to work with minimum supervision
References supplied upon request
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