Consultant
Confidential
Total years of experience :14 years, 1 Months
Working fro American Academy of Professional Coders (AAPC)
• Data testing and validation for coding books projects
• Proofreading
• Quality check of ongoing projects and automation
• Guide team for data activity and process-related changes • Participate in creating strategies for publishing projects
Responsible for Ancillary & Recurrent DNFB of 42 hospitals and maintain to the optimum level Responsible for ePremis coding hold codes review for multispeciality and clean claims before payer submission
Provide weekly DNFB status to corporate and regional directors.
Resources planning and backlog clearance plan for Coding and Pre-billing Edits teams
Escalate and follow up on pending issues related to documentation, charging and application discrepancies
Charge capture, analysis, and escalation for the discrepancy
Assist coordinator/leads for daily deliverables, DNFB, and accounts status to HIM directors Reconcile DNFB and analyze the hold trend and follow up
Analysis of Claims and Coding Data in various way that include ePremis and 3M reports Responsible for continuous process improvement and finding solutions of challenging and time consuming non-core areas in daily production
Monitoring project performance for Epic, HPF, ePremis (Relay) queues for timely coding and filling Monitoring activities related to daily charge entry, coding and claims management
Up to date with coding guidelines, charging and coding applications updates.
Create or review SOP and learning material repositories so everyone can be on the same page.
Train new hires and refreshers
Monthly productivity, quality review and feedback with the team and yearly appraisal review.
Participate in SNOMED mappings, 3M auto coding review and Tools change requirements Participate in Epic pre and go-live activities
Provide support and guidance to managers and team for data and updates
Report errors to stakeholders and help in creating process documents
Quality check for ongoing new products, new websites and content
Provide clearinghouse related consultation
Answers to questions form Vice President and Managers of the company in solving complex issues.
Health Information Management. Clinical coding tools and data. Responsible for SuperCoder daily, weekly, monthly and yearly data creation, update and testing. Execute and supervise the SuperCoder GoLive activity on system update.
Coding for Physician and Hospital. Denial management, coding and billing review of claims before sending to insurance. Insurance specific software edit review etc.
Physician and Hospital coding. payment, billing and denial analysis.
General Nursing & Midwifery (3.6 Years) diploma
BA English Leterature
