PATRICIA WRIGHT509.679.1520 [email protected] 14 Quail Run
Blvd. Wenatchee, WA
98801________________________________________________________________________________
Purpose
Desire a remote Auditing/Consultant/Education position in the
professional coding and documentation fields of compliance and
correct coding practices. Position would ideally involve
face-to-face client interaction, as this is an area of high
interest and aptitude. Relocation is a possibility.
Synopsis
Dedicated professional with more than twenty years experience in
the healthcare field, highly skilled in professional coding,
auditing and education, with specialties in emergency department,
multiple outpatient arenas, as well as inpatient knowledge. Excel
in training staff and managing multiple projects simultaneously, as
well as meeting stringent guidelines and strict time limits.
Exhibit disciplined work ethic and exceptional organizational
skills.
Key Skills
Client focused
Excellent coding skills
Audit expertise
ICD-10 Proficiency
Knowledge of CMS policies
Outstanding communication skills
Extensive provider relation experience
Effective team member
Professional Experience
Optum360 Bellevue, WASenior Compliance Auditor 4/2015 to
presentReviews records for ICD and CPT codes to determine coding
accuracy and correct documentation. Experience with multiple
electronic medical records.
Documents all charts reviewed with notes of recommended changes
and education opportunities per facility, using database tools
provided.
Remains knowledgeable of state and national coding guidelines
affecting coders, clinicians, and overall organization related to
reimbursement and/or compliance guidelines.
Discuss coding and documentation issues with appropriate
personnel to ensure complete and accurate coding and reimbursement.
Provide continuing education.
Prepare detailed reports for executive staff and facility
management on all audit findings.
Attend AMA CPT Conference, and prepare and present current
changes to company-wide staff.
Coding & Revenue Solutions Specialist 4/2012 to 4/2015
Coordinator for the clinical and coding/charging aspects of
Picis Revenue Solutions software implementations (Emergency
Department EMR), including analysis, planning, training and
support.
Works with the Project Manager and other members of the project
team to ensure that all coding/charging portions of each client
implementation task plan are completed on time.
Work flow analysis and process redesign, development of site
coding guidelines, CDM reviews, education and training, go-live
support, and communication of coding project status and
follow-up.
Central Washington Hospital Wenatchee, WAAudit Specialist 5/2011
- 5/2012
Quarterly provider audits for nineteen clinicians at 5 outlying
clinics and meeting with provider to discuss results and areas of
focus.
Reviewed all insurance denials, making necessary corrections,
and submitting appeals, if necessary.
Initiating/developing audit and education improvements to assist
clinicians in correct coding practices and efficiency.
Provider coding education on an ongoing basis.
ICD 10 training for all relevant staff.
The Delta Resource Group Olympia, WACertified Professional Coder
12/2008 1/2011
Responsible for all aspects of ICD-9 and CPT professional and
facility coding, including weekly contact with hospital staff to
discuss improving/resolving issues related to coding, documentation
and reimbursement.
Active team member in the establishment and implementation of
coding guidelines for Wenatchee Valley Emergency Department.
Regularly assisted physician and nursing staff in the education
of documentation processes, and aided in maintaining accurate
compliance with stringent Medicare guidelines.
Lynx Medical Systems Seattle, WACertified Professional Coder
12/1998 12/2008
Developed an excellent ability to read and review physician
dictations, as well as nursing documentations and chart notes, from
up to twenty-five medical facilities across the country.
Worked closely with a number of different departments, such as,
Medical Records, Compliance, and Management to streamline charting
methods, maintain coding rules, and improve dictation/documentation
practices.
Responsible for all aspects of ICD-9 and CPT professional and
facility coding, including weekly contact with hospital staff to
discuss improving/resolving issues related to coding, documentation
and reimbursement.
Navigated through several coding and site guidelines, numerous
EMRs (electronic medical records), as well as adhering to varying
drop schedules, and continued to consistently earn excellent audit
scores.
Med-Data Seattle, WAOn-Site Emergency Department Coding
Specialist 10/1996 12/1998
Responsible for all aspects of ICD-9 and CPT professional and
facility coding, including weekly contact with hospital staff to
discuss improving/resolving issues related to coding, documentation
and reimbursement
Attended monthly physician meetings, daily contact with
physician, nursing and medical records staff, and actively problem
solved.
Developed an excellent ability to read and review physician
dictations, as well as nursing documentations and chart notes, from
up to twenty-five medical facilities across the country.
Worked closely with a number of different departments, such as,
Medical Records, Compliance, and Management to streamline charting
methods, maintain coding rules, and improve dictation/documentation
practices.
Education
Wenatchee Valley College Emergency Medical Technician and
on-going classes toward degreeAmerican Academy of Professional
Coders - Certified Professional Coder #01074291American Academy of
Professional Coders - Certified Professional Medical Auditor
#01074291American Academy of Professional Coders ICD-10 Proficiency
#01074291
