Beth Israel Deaconess Medical Center - Coding Program Manager Resume Example

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Mason Williams
XXX XXXXXX XXXXXX, Watertown, MA 02472
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Ph: XXXXXXXXXXXX
Summary
Senior executive with experience in medical practice operations, development, and training. Extensive knowledge in coding, compliance, medical record auditing and ACO/AQC programs. Possess organizational compliance and educational program development expertise. Implemented compliance and ACO/AQC coding programs which helped development of revenue trending amongst multiple specialties'. Expertise in provider education in areas of coding guidelines, compliance and payer contract language and ACO/AQC programs.
Experience
Coding Program Manager Mar 2014Present Beth Israel Deaconess Medical Center/ BIDCO Boston, MA
  • Charged with the creation of a new coding division; shaped an acuity coding educational coding program and trained over 2000 clinicians.
  • Responsible for driving the standardization and development of processes that will result in improved quality of care based on acuity coding.
  • Ensures that organization is optimizing correct coding practices and enhancing the capture of chronic conditions and comorbidities which are critical to our success in current global risk contracts.
  • Educate groups on affects of coding, which result in performance of budget calculations, patient quality metrics, high-risk care management and disease management programs.
  • Currently, leading our organizations coding program and educational program plan.
  • Developed and implemented website learning tools as well as coding tutorials.
  • Designed Annual Acuity Coding Quick Reference Pocket Guide.
Compliance Analyst Oct 2010Mar 2014 Beth Israel Deaconess Medical Center Boston, MA
  • Provided education using skill-set of ICD-9 and CPT coding, documentation guidelines and professional billing requirements.
  • Educated providers and staff on teaching physician guidelines within Harvard Medical Faculty Physicians Organization.
  • Responsible for routine medical record reviews/audits and created corrective action plans if required.
  • Ensured that all providers were in compliance with Medicare, other state, federal insurance programs and third party regulations.
  • Provided education and  created all training to specialty groups on coding, documentation guidelines, as well as ACO/AQC programs.
  • Educational speaker on coding/ compliance topics. Multiple webinars created on healthcare related topics.
  • Responsible for the creation of the New Provider Training, annual provider training Fellows and Residents curriculum. 
  • Implemented review of Office of Inspector General Work Plan to access areas of risk within organization and created work flow protocols.
Director of Socioeconomics and HIPAA Compliance Officer Mar 2007Aug 2010 American Association of Clinical Endocrinologists Jacksonville, FL
  • Coordinated all associations health care financing, third party reimbursement, legislation, regulation which affected the practice of clinical endocrinology.
  • Liaison with outside governmental organizations (CMS,NRC), state affiliates, and the AACE Washington Representative in the promotion of socioeconomic policy.
  • Developed and administered Clinical Practice Management Courses and lectures for associations 6,000 physicians members.
  • Successfully protected and increased reimbursement for several endocrine services.
  • Successfully battled insurance payers on change carrier regulations.
  • Created online educational programs; creating a significant revenue stream for association.
  • Worked with FDA to petition generic endocrine equivalents.
  • Created coding certification program recognized by multiple coding organizations.
  • Association Committee Lead on socioeconomic issues  and health policy and regulation with multiple medical organizations AMA/RUC responsibilities.
  • Authored many coding articles in the AACE First Messenger.
President Oct 2004Mar 2007 Administrative Coding Consultants, LLC St. Augustine, FL
  • Increased clients' revenue by educating on correct billing of procedures while adhering compliance guidelines.
  • Assisted clients by improving organizational billing work flow.
  • Developed newsletters with federal, state and local regulatory billing adjustments.
  • Conducted audits for educational purposes.
  • Support clients with third party payer audits.
Client Service/Compliance Manager Feb 2002Oct 2004 Mount Auburn Hospital Cambridge, MA
  • Trained all new MAPS employee medical practices front-end and back-end operations for over 50 locations.
  • Created fiscal reports for multi-specialty practices.
  • Managed all certified coders and non-clinical departmental staff. 
  • Created standardized employee training for MAPS physician billing staff.
  • Created, managed and implemented MAPS organizational compliance program.
  • Compliance Committee member and meeting facilitator.
  • Implemented training courses for new employees on ICD-9 and CPT coding requirements.
  • Created IDX Groupcast appointment scheduling and billing charge entry trainings.
  • Conducted bi-annual provider medical record reviews.
  • Developed standardization of federal and third party payer billing guidelines in IDX.
  • Educated MAPS billing staff on EOB review and charge posting functionality.


Practice Manager/Clinical Oct 1995Feb 2002 Mount Auburn Hospital Cambridge, MA
  • Responsible for day to day practice operations.
  • Managed all non-clinical and clinical departmental staff.
  • Developed multiple annual budget targets and made recommendations for capital improvements.
  • Managed all financial activities for practices.
  • Trained all medical assistants on correct blood pressure techniques.
  • Lead phlebotomist
  • Maintained clinical practice assisting physicians with all minor procedures.
  • Trained all medical assistants on MAPS standards of patient care.
Education
Nursing Jan 1993 Massasoit Community College Nursing
Nursing Jan 1992 Laboure School of Nursing Nursing
Affiliations
Member, American Academy of Professional Coders Nationally Accredited CPC Licensure - 2002 to present
CPC Instructor Licensure - 2007 to present
MA State Auditor Accreditation Boston, MA Physician Chart Auditor Certification - 2002 to present
American Association of Endocrinologists Internationally Accredited Certification in Endocrine Coding - 2007 to present

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About this resume

Coding Program Manager FROM Watertown , Massachusetts RESUME

This is a resume for a Coding Program Manager in Watertown, Massachusetts with experience working for such companies as Beth Israel Deaconess Medical Center and BIDCO. The grade for this resume is 0 and is one of hundreds of Coding Program Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Coding Program Manager resume.

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School Attended
Massasoit Community College