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Leslie
tye458@gmail.com
978-758-1261
Lowell, MA 01854
Director of Coding Operations
7 years experience W2
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Summary

Highly knowledgeable, analytical Director/Manager of Coding and Clinical Documentation with particular depth in acute care environments. Successful management and motivation of coding teams, ensuring and maintaining performance, productivity, and coding turnaround times. Involved with transition of inpatient CDI teams to outpatient program, LCDs and development. Expertise in reducing denials through medical necessity with extensive provider education created efficient and accurate templates for documentation. Experienced with payor groups. Served as technical resource and trainer for EPIC/3M systems well versed in software implementations such as 3M, eClinical Works, EPIC, Allscripts, JATA, Claro. Numerous years in practice management working with Cardiology, IM and gastroenterology practices with claims, insurance plans. Etc.

Experience
Director of Coding Operations
Jul 2019 - Jul 2020
Manchester, NH
  • Determined appropriate staffing levels and monitored volumes of services to ensure staffing ratios are within industry standards, managed staff of 65 coders and managers.
  • Designed and implemented medical coding policies and procedures to ensure departmental and facility operations to comply with state and federal regulations Efficient knowledge of document improvement
  • Performs quarterly external and internal audits as well as annual compliance audits to evaluate risk performance
  • Launched medical coding improvement initiatives based on areas of opportunity, cross trained all outpatient coding team for effective coding plan. Extensive coding education to providers and staff.
  • Worked with IT to facilitate version updates to existing medical records, coding technology, Allscripts implementation for inpatient and outpatient.
  • Owned and executed training strategies for coding, from conversion preparations to ongoing performance management and optimization after implementation
  • Worked to reduce denials through clinical documentation
Audit Medical Coding Outpatient Coding
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Manager, Coding Operations and Clinical Documentation
Jan 2018 - Jul 2019
Manchester, NH
  • Replaced outsource staff with entire in-house team of coders replacing outsource contracts
  • Created education plan for in house weekly planning and education.
  • Applied guidelines to coding situations. Proficient in ICD 10 CM, CPT and PCS coding classification systems, diagnoses, and procedure selection.
  • Developed robust CDI program and integrated with coding and new CDI software and integrated training
CDI Coding ICD-10
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Manager, Coding and Clinical Documentation
May 2015 - Sep 2017
Burlington, MA
No skills were added
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EHR Project Manager/EHR Consultant
Oct 2012 - Apr 2015
Braintree, MA
Developed programs to assist private practices with adoption, integration, and accreditation of nationally recognized healthcare quality programs, especially PCMH (Patient-Centered Medical Home/NCQA 2011 and 2014 Standards) and Meaningful Use.
  • Conducted education and workflow training to all providers and staff personnel, resulting in successful certification for Medical Home as well as Meaningful Use.
  • Handled multiple EMRs, configuration, and workflow changes for daily use across numerous electronic systems (eClinicalWorks, Allscripts, athenahealth, SRS, Amazing Charts, Practice Partners, and MediTech).
  • Provided project management, program development, and practice workflow analysis and design for accurate submission for PCMH accreditation, health information exchanges, patient portals, and training.
e-Clinical Works EHR National Committee for Quality Assurance Program Management
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Edit Skills
Non-cloudteam Skill
Education
Radiologic Technology
Northeastern University
Certifications
Certified Coding Specialist Certification, AHIMA
CRC Risk Adjustment Certification - in Process
Skills
e-Clinical Works
2015
3
EHR
2015
3
National Committee for Quality Assurance
2015
3
Program Management
2015
3
Audit
2020
1
CDI Coding
2019
1
ICD-10
2019
1
Medical Coding
2020
1
Outpatient Coding
2020
1