Miranda Arnold
West Monroe
Summary
Experienced with inpatient coding, payment methodologies, compliance, coding supervision, CDI, quality assurance, and team leadership. Utilizes deep knowledge of coding standards and compliance to ensure accuracy and efficiency. Track record of fostering collaborative environments and driving process improvements.
As coding professional, adept at leading teams to achieve high standards in coding accuracy and compliance. Depth of experience in coding supervision coupled with results-driven approach ensures operational excellence. Highly collaborative and adaptable, with core skills in leadership and process optimization.
Overview
18
18
years of professional experience
4
4
Certification
Work History
Inpatient Coding Supervisor
United Audit Systems Incorporated
08.2023 - Current
- Prepared and maintained regular performance reports for management, identifying trends and areas for potential improvement within the department.
- Reduced errors in medical coding by developing and maintaining a thorough understanding of current regulations, industry trends, and best practices.
- Increased efficiency within the department by delegating tasks strategically based on coder expertise and workload capacity.
- Assisted in recruitment efforts for new coding staff members, interviewing candidates and providing recommendations for hiring decisions.
- Served as a liaison between the coding department and other hospital departments, addressing any concerns or discrepancies related to medical coding or reimbursement matters.
- Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.
- Enhanced coding accuracy by implementing regular training sessions and performance evaluations for coding staff.
- Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Streamlined workflow processes by identifying areas of improvement and implementing necessary changes.
- Promoted a positive work environment by addressing coder concerns promptly and effectively while fostering open lines of communication among team members.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Maximized revenue recovery through effective management of denials related to incorrect or incomplete medical codes; collaborated with billing department to resolve issues promptly.
- Reviewed denials received from insurance companies and wrote appeals
DRG Reviewer/Compliance Specialist
United Audit Systems Incorporated
01.2018 - 08.2023
- Collaborated with CDI, coding, and leadership teams to ensure accuracy and compliance of coded data and queries.
- Acted as a liaison between coding, CDI, and upper level management.
- Identified trends and communicated necessary education for both CDI and coding staff.
- Performed quality audits of coding and CDI staff.
- Facilitated collaboration between departments, improving project outcomes.
- Maintained strong attention to detail while reviewing numerous documents daily, ensuring consistent quality and accuracy.
- Contributed to the development of a knowledge base for common issues encountered during reviews, streamlining future problem-solving efforts.
- Conducted in-depth research to strengthen the overall quality and credibility of each review.
- Ensured consistency across multiple review projects by maintaining strict adherence to established protocols and procedures.
- Enhanced team collaboration by regularly providing constructive feedback to fellow reviewers.
- Sustained high levels of productivity under tight deadlines by efficiently using available resources.
- Collaborated closely with other departments to ensure seamless integration of reviewer insights into broader company strategies and initiatives.
- Streamlined communication channels, making it easier for teams to share information.
- Reduced turnaround time for reviews by effectively prioritizing tasks and managing deadlines.
- Supported continuous improvement initiatives by actively participating in team meetings, trainings, and workshops focused on enhancing reviewer skills and processes.
Inpatient Coding Quality Auditor
United Audit Systems Incorporated
06.2014 - 01.2018
- Conducted thorough coding audits of inpatient medical records and identifying areas for improvement
- Provided feedback and education to the inpatient coding staff
- Identified trends and developed necessary education programs
- Mentored coders
- Reviewed denials from Medicare and other insurance agencies and wrote appeals
- Collaborated with upper management to ensure coder success
- Trained new coding staff
- Participated in collaborative team meetings, contributing insights from an auditor's perspective
- Supported continuous improvement initiatives by identifying opportunities during audits.
- Completed timely quality reports, highlighting deficiencies and recommending corrective actions.
- Reduced risk of non-compliance by staying informed about industry updates and incorporating changes into the audit process as needed.
- Gathered and reviewed current data to determine areas in need of improvement.
- Identified issues of non-compliance
Inpatient Coder
United Audit Systems Incorporated
06.2013 - 06.2014
- Reduced claim denials by proactively resolving billing discrepancies prior to submission, working closely with billing teams and CDI staff, when necessary.
- Demonstrated expertise in various code sets including ICD-9 and ICD-10-CM/PCS codes while maintaining certification as an Inpatient Coder and CDI specialist.
- Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-9/ ICD-10-CM/PCS codes and Coding Clinic guidance.
- Ensured data integrity within electronic health record systems by routinely monitoring input quality and promptly addressing any discrepancies discovered during audits.
- Collaborated with physicians and CDI staff
- Acted as a subject matter expert on inpatient coding by consulting with other departments within the organization on code assignments and documentation requirements.
- Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
Clinical Documentation Improvement Specialist
St. Francis Medical Center
01.2009 - 06.2013
- Improved coding quality by implementing strict documentation standards and guidelines.
- Collaborated with physicians to ensure timely and accurate documentation
- Performed continuous education to hospital physicians on the importance of compliant documentation and educated them on ICD-9 coding guidelines and conventions
- Issued physician queries
- Performed concurrent coding reviews
- Identified areas for improvement in the existing documentation system.
- Created customized query templates for various document types, promoting consistency across all company communications.
- Served as a liaison between departments, such as coding, medical staff, and case management, facilitating the sharing of essential information
- Developed training materials for the onboarding of new team members to improve their understanding of documentation processes.
- Onboarded and trained new CDI staff
- Presented coding education to new medical staff physicians
- Streamlined document review process for increased efficiency and faster turnaround times
- Reduced errors in documentation by conducting thorough audits and providing corrective actions.
Inpatient Coder
St. Francis Medical Center
08.2007 - 01.2009
- Accurately assigned codes to Inpatient medical records, ensuring quality and compliance
- Issued physician queries
- Ensured accurate and compliant documentation was present to support the coded data
- Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-9 codes and Coding Clinic guidance.
- Collaborated with case management and billing departments
- Contributed to revenue optimization through diligent assignment of appropriate diagnostic and procedural codes.
- Upheld ethical standards in all aspects of work responsibilities through strict adherence to AHIMA Code of Ethics and professional practice guidelines.
- Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.
- Enhanced the accuracy of medical coding by consistently reviewing and validating medical records for inpatient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Verified signatures and checked medical charts for accuracy and completion.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
Education
Associate of Science - Health Information Management
Louisiana Tech University
Ruston, LA08-2007
Skills
- HIPAA compliance
- Claims processing
- Clinical documentation
- Insurance coding (ICD-9 and CPT)
- Training and mentoring
- Insurance verification
- Medical claims coding
- Medical terminology
- Regulatory guidelines
- Document management
- Workflow management
- Records management
- Performance improvement
- Continuing education
- Insurance claims analysis
- Revenue cycle management
- Inpatient records coding
- Medical billing
- Anatomy
- Documentation oversight
- Data verification
- Coding error resolution
- Medical coding and abstracting
- Medicare insurance regulations
- Ethical standards
- Coding appeals
- Healthcare claim coding
- Teamwork
- Teamwork and collaboration
- Attention to detail
- Multitasking
- Reliability
- Excellent communication
- Critical thinking
- Organizational skills
- Effective communication
- Adaptability and flexibility
- Verbal and written communication
- Detail-oriented
- ICD-10 coding
- Electronic health records
- Medical documentation
- Team building
- Self motivation
Certification
RHIT, CCS, CCDS, CDIP
Timeline
Inpatient Coding Supervisor
United Audit Systems Incorporated
08.2023 - Current
DRG Reviewer/Compliance Specialist
United Audit Systems Incorporated
01.2018 - 08.2023
Inpatient Coding Quality Auditor
United Audit Systems Incorporated
06.2014 - 01.2018
Inpatient Coder
United Audit Systems Incorporated
06.2013 - 06.2014
Clinical Documentation Improvement Specialist
St. Francis Medical Center
01.2009 - 06.2013
Inpatient Coder
St. Francis Medical Center
08.2007 - 01.2009
Associate of Science - Health Information Management
Louisiana Tech University
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