** ***** ** *** ********* DRG Auditor, DRG Coordinator, Documentation Specialist Liaison, Coding Manager and currently Coding consultant.
SUMMARY: Business professional with over 20 years of diverse management and
consulting experience. Strong training, customer service, department
management and staff development skills. A problem solver and selfstarter,
comfortable working independently or as a team player.
Recognized for high integrity and principals with persuasive/congenial
personality.
Business/Office Management: Sound business management and decision
making abilities. Proven experience in DRG optimization, recruiting, hiring,
writing office policies and procedures and conducting educational meeting
with physicians and staff.
EXPERIENCE:
CONTRACT CODER,
2005-present
Responsible for accurately coding inpatient charts, with focus on identify
ing all diagnoses treated, monitored or assessed to ensure highest DRG
case mix. Maintain efficient and proficient completion of charts including
abstracting as required by client, including POA for all inpatients.
HEALTH FIRST HEALTH SYSTEMS
2000-2005
Clinical Documentation Liaison - worked with Clinical Documentation
Steering Committee in developing program. Position required open communition
between Case Management personnel and Coding personnel
to assure the program proved successful and continued to increase the
Case Mix.
DRG Coordinator - Audited monthly DRGs targeted for accuracy, coded
inpatient charts as needed, maintained monthly record of each coder’s
percentage of accuracy in coding. Worked closely with Business Office to
provide all DRG changes and to record when Medicare revised payment.
ROCKFORD HEALTH SYSTEMS, Rockford, Illinois
1998-1999
Manager Data Quality & Coding Services Managed a staff of 15 employees.
Responsible for budget, monthly and annual. Key relations with third
party payers, physicians, Medicare and patients.
~ Reduced accounts receivable from $8 million to $1.5 in five weeks
~ Reduced average turn-around from two weeks to four days
~ Worked with Registration department to streamline and make systems
more efficient.
~ Team leader involved in initiating optimum payment educational program
for physicians and staff.
LAGUNA MEDICAL SYSTEMS
1995-1998
UNITED AUDIT SYSTEMS
1994