L Fox 6-2016 Resume
Transcript of L Fox 6-2016 Resume
Laura Fox
1205 Queen Anne Ave N Apt 103 Seattle, WA, 98109 (253) 230-0237 [email protected]
Objective To obtain a challenging position that utilizes my health information knowledge and my practical skills,
as well as one that allows me to continue to grow professionally.
Qualifications Achieved RHIT in September 2005, credentials maintained
Coded outpatient and radiology accounts utilizing ICD9 and CPT coding
Perform medical necessity reviews, denials, and appeals using Interqual and MCG guidelines
Prepare reports and distribute to appropriate management
Provide education to colleagues and physicians
Excellent communication and organizational skills
Utilize multiple databases to store and record information
Experience May 2012 - May 2016
Franciscan Health System, Tacoma, WA - Utilization Management Specialist
Apply Interqual and MCG criteria to complete medical necessity reviews
Work denials and appeals to achieve optimal reimbursement
Collaboratively work with attending MDs and Care Management team creating policies and
procedures and provide education
EPIC, MCCM, Indicia experience
Jan 2009 - May 2013
CARE Communications, Chicago, IL - Coding Quality and Review Educator; Coding
Consultant
Reported errors, inconsistent documentation, and over/under coding as it affected
reimbursement and compliance
Operated with Research Department on HMO Medicare and Medicaid risk
adjustment HCC projects throughout the US
Abstracting healthcare research projects for companies and government
Other special projects as contracts were obtained
Laura Fox
Jan 2009 - Sept 2009
Franciscan Health System, Tacoma, WA - Coder II Lead
Served as a reference and aide to any questions/help needed regarding coding
questions
Educated and trained new hires or promoted employees
Coded outpatient accounts; Applied CPT, E&M levels, ICD codes
Worked closely with upper level management and compliance department to ensure
appropriate compliance and application of government rules and regulations
Oct 2006 - Jan 2009
Franciscan Health System, Tacoma, WA - Charge Capture Reconciliation Specialist
Review Radiology accounts to ensure accurate coding and billing for four hospitals
Provide training and education to coding, radiology technicians, physicians, and management to
ensure procedures were understood and charges were correctly documented
Develop and maintain, in collaboration with finance, radiology chargemaster for the four
hospitals
Worked closely with upper level management and compliance department to ensure
appropriate compliance and application of government rules and regulations
May 2006 - Oct 2006
Franciscan Health System, Tacoma, WA - Coder I
Coded ER and outpatient accounts
Applied CPT, E&M levels, ICD9 codes
Billed for any procedures done in ER
May 2002 - May 2006
Franciscan Health System, Tacoma, WA - Diagnostic Imaging Representative
Answered phones and voicemails, order entry, filing, copied and released radiology reports and
films
Worked closely with MDs and technologists to communicate planned, oncall, and
addon schedules during normal and after regular business hours to ensure appropriate patient
care
Laura Fox
Education
Jan 2016 - June 2018 (Predicted graduation)
Western Governors University, Salt Lake City, UT - Online College of Information
Technology - B.S. Health Informatics
Sept 2002 - June 2005
Tacoma Community College, Tacoma, WA - Health Information Management Technician -
Associates in Applied Sciences
Vice President of HIM class 2005
Head Chair for Spring Leadership Conference