1. Staci
Holder,
CCS
EXPERIENCE AND SKILLS
Systems Used: Healthland Centrique, Meditech, Cerner
Encoders Used: 3M, TruCode, Quantum/Nuance
Trauma Registry Software Used: Collect
Cancer Registry Software Used: Web Plus, CS Data Collection System
Himagine Solutions December 2015 - Current
Remote Inpatient / Outpatient Coder
Inpatient:
Reviewing patient records and accurately assigning appropriate ICD-10
CM/PCS or CPT-4 codes according to established guidelines.
Experience in Inpatient/MS-DRG coding.
Experience in regulatory issues related to Medicare and other third party
payers as it relates to hospital coding and billing.
Knowledge of Official Guidelines for Coding and Reporting High level of
competence in coding ICD-10-CM/PCS and CPT-4 with a high degree of
accuracy.
Knowledge of MS-DRGs and reimbursement methods for Medicare,
CHAMPUS, Medicaid, other payers
Familiar with charge master and use of CDM for reference.
Preserving confidentiality of health information.
Maintaining confidentiality of patient information in accordance with HIPAA
guidelines.
Investigating patient accounts for accuracy and completeness.
457771E 1100 Rd
Sallisaw, OK 74955
2. Demonstrating a high level of problem solving skills.
Working effectively with co-workers, management and physicians.
Outpatient:
Reviewing patient records and accurately assigns appropriate APC or
CPT-4 codes according to established guidelines.
Preserving confidentiality of health information.
Experience in regulatory issues related to Medicare and other third party
payers as it relates to hospital coding and billing.
Knowledge of Official Guidelines for Coding and Reporting, High level of
competence in coding APC and current with CPT guidelines.
Knowledge of MS-DRGs and reimbursement methods for Medicare,
CHAMPUS, Medicaid, other payers.
Investigating patient accounts for accuracy and completeness.
Working effectively with co-workers, management and physicians.
Demonstrating a high level of problem solving skills.
Sequoyah Memorial Hospital, Sallisaw, OK December 2013-February 2016
HIM Director
• Plan, organize and oversee the day-to-day operations of the HIM Department
including analysis/release of information, correspondence, coding and
maintaining health information for the hospital.
• Assumes responsibility for ensuring the processing of all outpatient and
inpatient records for timely and accurate chart completion and ensuring
documentation guidelines and rules for correct coding are met. Maintains
statistical data and provides reports as required for Administration.
• Coordinates HIM functions with clinical operations departments within the
hospital to enhance physician-hospital relationship.
• Works with Medical Staff in matters of chart completion and documentation to
ensure coding accuracy, optimal reimbursement and compliance with licensing,
accreditation, and legal requirements.
• Coding Inpatient, Skilled, Emergency Department, Ambulatory Surgery,
Specialty Clinic and Observation records.
• Maintaining strict adherence to official coding guidelines and ethical practices.
• Researching, collecting and entering data for the trauma and cancer registries.
• Maintaining updated software for registry programs.
3. • Collect and submit data to cancer and trauma registries.
• Establishing coding policies and procedures specific to ICD-10.
• Transcription and editing.
• RAC - Evaluating and administering RAC coding appeal processes by confirming
findings and coordinating with applicable physicians and Case Management.
• Inurance denials and appeals.
Sequoyah Memorial Hospital, Sallisaw, OK July 2010-December
2013
Inpatient Pharmacy Supervisor
• Supervise support personnel and evaluate all steps and procedures involved in
processing medications for the inpatients in a timely and accurate manner.
• Maintaining narcotic records for compliance review by the Oklahoma State
Bureau of Narcotics and Dangerous Drugs.
• Maintain controlled substance inventory.
• Procurement of pharmaceuticals and inventory control.
• Assist in maintenance of policy and procedures manual.
• Gathering and compiling of data for quality assurance reporting.
• Communication with other hospital departments regarding issues pertaining to
the pharmacy operation.
• Daily billing.
• Maintain EHR medication inventory.
• Monthly reporting for payroll and departmental billing.
Sequoyah Memorial Hospital, Sallisaw, OK April 2007-July 2010
Medical Records Coder
· Coding inpatient, ED, ambulatory surgery, outpatient services and outpatient
specialty clinics.
· Maintaining coding clinic updates.
· Communicating with physicians about documentation to support diagnoses and
medical necessity for services provided to patients.
· Communicating with the business office regarding issues of claim status,
reimbursements, denials, edits, etc.
Sequoyah Memorial Hospital Clinic, Sallisaw, OK August 2004 - April
2007
Clerk
· Answering telephones, scheduling appointments, greeting patients, assisting
patients.
· Obtaining demographic information from patients and utilizing hospital software
to input information
4. · Making referrals for patients to specialist and coordinating appointment
information
· Obtaining precertification from insurance companies for patient referrals and
testing
· Creating reports and spreadsheets for statistical information
Sequoyah Memorial Hospital, Sallisaw, OK
Trauma / Tumor Registrar
· Researching and collecting data
· Entering data into registry software
· Maintaining updated software for registry programs
August 2002 – July 2004
Sequoyah Memorial Hospital, Sallisaw, OK August 2002 - July 2004
Medical Records Coder
· Coding inpatient, ED, ambulatory surgery, outpatient services, and outpatient
specialty clinics
· Maintaining coding clinic updates
· Communicating with physicians about documentation to support diagnoses and
medical necessity for services provided to patients
· Communicating with the business office regarding issues of claim status,
reimbursements, denials, edits, etc
Sequoyah Memorial Hospital, Sallisaw, OK September 2001 - August 2002
Float/ ER/ Admission Clerk/ Data Entry
· Answering telephones, greeting and assisting patients
· Obtaining demographic information from patients
· Set up payment plans for patients
· Assist physicians and nurses in ED with incoming codes, traumas and other
emergencies
· Maintain sterile environment in OR
· Assist physician in procedures
· Clean and pack all surgical instruments and endoscopes
· Enter all departmental charges into computer for billing
· Posting payments from insurance companies
5. CCOM - Cardiology Clinic of Muskogee, April 2000 – December 2000
Unit Clerk/ Float
· Answer phones, assist patients, assist physicians and nurses, schedule
appointments
· Write and submit prescription refills for signature by physicians, write and submit
physician referrals to insurance companies
Hoover Drug, Stigler, OK July 1998 – February 2000
Pharmacy Technician
· Answer phones, assist customers, take refill requests, enter patient information
into computer, count pills, compound medications, stock supplies, order supplies,
billing, inventory, etc.
Education
Connors State College, Warner, OK
Other - Pre - Nursing
· Obtained over 40 hours toward a degree in nursing
Sallisaw High School, Sallisaw, OK
High School - General, May 1992
· General High School Diploma
· Organized
· Computer Skills
· Multitasking
· Medical Terminology
· Knowledge of Anatomy and Physiology
· Strong background in medical sciences
Volunteer Experience
Quality Assurance Program Improvement/ Risk Management/ Safety Committee for
Sequoyah Memorial Hospital
· Attend regularly scheduled meetings
· Submit, discuss and resolve issues brought to the attention of the committee by
members, patients or hospital staff
6. Help In Crisis
· An organization that aids victims of abuse
· Taking hotline calls on home phone on regularly scheduled basis
Achievements
AHIMA - Approved ICD-10 CM/PCS Trainer
· Certified Coding Specialist from AHIMA
· Sequoyah Memorial Hospital was among the top Solucient Hospitals in 2003
· Completed 72 hour class for medical/ insurance coding
· Completed several workshops for Trauma and Tumor Registry
· Received an outstanding citizenship award from the Sallisaw Police Department in
2002