Medical Compliance, Coding Auditor and Educator
Resume:
Taylor M Durant, CCS, CCSP
Santa Rosa, CA 95407
*******.**@*****.***
Professional Summary
Certified Coding Specialist Physician Based with 20+ years experience in training, coding and auditing for diagnostic and procedural reporting to various third party payers with a focus on Medicare Reimbursement.
Core Qualifications
Extensive experience training physicians in documentation and reporting criteria for Medicare Reimbursement.
Demonstrated ability to interact effectively with physicians and support staff.
Proficient in navigating KP Health Connect (EPIC electronic record) for demonstration and training purposes as related to documentation.
Focused research and consulting background in Federal, State and Local regulatory compliance for reporting services.
Proven leadership abilities
Outstanding interpersonal skill
Extremely organized
Proficient in Microsoft Office Suite: Word, Excel, Access, PowerPoint, Outlook Express
Experience
Data Quality Trainer
October 2007 - March 2012
The Permanente Medical Group - Santa Rosa, CA
Implemented training strategies which resulted in an increased awareness by professional staff of 400 regarding the importance of documentation and compliance for Medicare reporting.
Conducted training to address the need to improve documentation and charge capture for Medicare, MediCal and other third party payers using a variety of techniques and venues e.g., individual coaching, group presentations, Department Q&A, Pocket Tip Booklet and an internal webpage.
Monitored multiple databases to keep track of all reporting errors and need for additional training and provider coaching.
Maintained data spreadsheets for year long training schedule and local data input for regional databases to track coaching and training opportunities.
Responsible for creative design for local department web page and “Clinical Indicators and Documentation Guidelines for Reporting Chronic Conditions” tip booklet.
Data Quality Training Manager
March 2006 - October 2007
The Permanente Medical Group - Oakland, CA
Responsible for creating a regional training plan including materials, training and venues for regulatory information to the NCAL Region’s 6600 physicians via 16 local medical center trainers.
Provided onsite training when needed or requested requiring local Bay Area travel for trainer support.
Contract Coder/Auditor, Kaiser Permanente
July 2005 - March 2006
Maxim/Peak Coding Solutions
Revenue cycle contract to provide coding and auditing services for regional professional services.
Manager, Health Information Management Department
May 2003 - June 2005
Sonoma County Indian Health Project - Santa Rosa, CA
Directed all functions of the Multi-Specialty Medical Clinic of 10 physicians. Developed new process for employee evaluation which resulted in marked performance improvements. Researched and updated all required regulatory criteria needed for compliance, including HIPPA and release of information.
Additional positions held prior to 2003 available upon request. Coding Education Coordinator, American Academy of Ophthalmology, Senior Compliance Consultant for Nicholson Enterprise, Santa Rosa, CA. Medical Record Director, St. Mary’s Hospital, San Francisco, CA. Partner/Compliance and Reimbursement Specialist., Consulting Concepts, Inc. Salt Lake City, UT,
Professional Courses and Certifications
Toastmasters International
Speak Easy
San Francisco, CA
Public Speaking, “Presentations for Success”
Attended several presentation and communication programs over past five years.
Santa Rosa Junior College 2002
Associate of Arts
American Health Information Association 1997
Chicago, IL
Certified Coding Specialist Physician Based - CCSP
American Academy of Professional Coders - 1993
Chicago, IL
Certified Professional Coder - CPC, Inactive
Available References
Lani Williams, Director of Compliance, Santa Rosa, TPMG (The Permanente Medical Group, Kaiser)
Marc Van Riper, Director Labor Management Partnership, TPMG
Mary Wood, Data Quality Trainer, Roseville, TPMG
Randi Osinek, Data Quality Trainer, San Rafael, TPMG
Annalisa David, Senior Learning Consultant, Oakland, TPMG
Casey Hobbs, Nurse Manager, The Tamalpias, Greenbrae, CA
Dr. Lawrence Lapsley, Santa Rosa Medical Center, TPMG
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