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Medical Health Information Management

Location:
Austin, TX, 78759
Posted:
August 02, 2012

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Resume:

Nancy Jean Fournier, CCS

Email: **************@***.***

Phone (Mobile): 512-***-**** (main contact number) 11902 Barrington Way

Phone (Home): 512-***-**** Austin, Texas, 78759

SUMMARY

Established career as a Certified Coding Specialist (CCS); background consists of extensive medical education with 12 years of established coding expertise in acute/sub-acute setting with specialty in DRG Analysis and Clinical Documentation Improvement.

PROFESSIONAL EXPERIENCE

Corporate Coding Specialist February 2006 – June 2010

Solara Healthcare Corporation, Westlake, Texas (Corporation bought out 2011)

Performed Concurrent, Discharge coding of Diagnoses and Procedures per AHA Coding

Standards and ensured accurate assignment of MS-DRG.

Performed Clinical Documentation Reviews and facilitated improvement by working

with Case Managers.

Developed and facilitated the implementation of Standardized Queries.

Provided Coding and Clinical Documentation Education to Clinical and Medical staff

as needed.

Corporate Regional HIM Director October 2002 – October 2005

Cornerstone Healthcare Corporation, Austin, Texas (Corporation in Austin bought out in 2005)

Supervised Coders to ensure ICD-9 Diagnoses, Procedure Codes accurately assigned

per AHA Coding Standards.

Developed and facilitated the implementation of Standardized Coding

Queries.

Performed DRG and Clinical Documentation Audits.

Reviewed and Appealed Claims denied by CMS based on coding assignment and/or

documentation noted by Physician(s).

Developed and Implemented HIM Policies and Procedures and worked with Clinical

staff to benchmark Coding and Documentation Indicators to improve areas of

delinquencies.

Prepared and provided Coding/Clinical Documentation Improvement Presentations to

Clinical and Medical staff.

Assisted with JACHO surveys, and provided and provided coding support to regional

hospitals as needed. Served as interim HIM Director in 2005

INPATIENT CODING SPECIALIST January 2000 – September 2002

LifeCare Specialty Hospitals of Dallas & Fort Worth, Texas

Coded charts per AHA Coding Standards and ensured accurate DRG assignment.

Developed and implemented Physician Queries.

Abstracted and reported Cancer Registry Data to Texas Tumor Registry as mandated

by State Law.

CERTIFICATION

Certified Coding Specialist (CCS): No. C14783: September 2002

EDUCATION

Austin College, Sherman, Texas, 1979: Bachelor of Arts, Sociology

Texas Women’s University, Denton, Texas, 1981-1984: Post-BA Coursework: Chemistry/Human Biology; Graduate coursework in Pathogenic Microbiology and Pathophysiology.

Texas College of Osteopathic Medicine, Fort Worth, Texas, 1984-1986

Tarrant County College, Ft. Worth, Texas, 2000: In-patient Coding Education

Coding Education Seminars 2011-12: Federal Register 2012Coding Updates, ICD-10, EMR,

RAC, and Clinical Documentation Improvement

PROFESSIONAL AFFILIATIONS

AHIMA: American Health Information Management Association

TXHIMA: Texas Health Information Management Association



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