Marisol T. Quinones
Medical Coder, Hospital Inpatient
Columbus, OH · (614) 555 0112 · name@example.com · linkedin.com/in/marisoltquinones
Key Qualifications
EXPERIENCE
Nine years of hospital coding, six on inpatient discharges
SETTINGS
520 bed academic medical center with about 28,000 discharges a year
SPECIALTIES
Inpatient procedure coding, diagnosis related group validation, physician queries, denials
SYSTEMS
Epic, 3M 360 Encompass encoder, clinical documentation integrity software
LICENSURE
Certified Coding Specialist and Registered Health Information Technician
EDUCATION
Associate of Applied Science in Health Information Technology, Franklin Heights College
Executive Summary
Hospital inpatient coder with nine years in health information management, six of them assigning International Classification of Diseases, Tenth Revision diagnosis and procedure codes to discharges from a 520 bed academic medical center. Holds the Certified Coding Specialist and Registered Health Information Technician credentials from the American Health Information Management Association. Known on the floor for a query rate that keeps falling and an audit score that does not.
Signature Achievements
- Held inpatient coding accuracy at 97.4 percent across quarterly external audits for four straight years against a department target of 95 percent.
- Codes an average of 26 inpatient discharges a day on a case mix that includes cardiac surgery, transplant and trauma.
- Cut the physician query rate on the cardiology service from 18 percent to 9 percent by writing query templates with the clinical documentation team.
- Recovered about 410,000 dollars in one year by finding major complication or comorbidity documentation missed on 70 discharges.
- Reduced diagnosis related group denials from payers by 31 percent after working the 20 most disputed codes with the appeals team.
- Trained four coders into inpatient work, each reaching independent status inside ninety days.
Professional Experience
Inpatient Medical Coder
Scioto Valley Academic Medical Center, Columbus, OH March 2021 to present
520 bed academic medical center with about 28,000 inpatient discharges a year, assigned to the surgical and cardiology services
- Assign International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes and Procedure Coding System codes to about 26 discharges a day.
- Validate the Medicare severity diagnosis related group produced by the 3M 360 Encompass encoder against the full record before the claim drops.
- Send physician queries through the clinical documentation software when a diagnosis is documented without the specificity the code requires.
- Work denial appeals with the revenue integrity team by pulling the record evidence that supports the billed group.
- Precept new inpatient coders and review their first 200 charts at 100 percent before release to production.
Medical Coder, Outpatient and Inpatient
Olentangy Ridge Community Hospital, Delaware, OH June 2017 to March 2021
180 bed community hospital where coders rotated from outpatient charts into inpatient discharges
- Coded emergency department, observation and ancillary charts using Current Procedural Terminology before moving to inpatient discharges in 2019.
- Abstracted discharge data into the state hospital reporting file each month and corrected rejected records.
- Ran the unbilled report daily and cleared charts held for missing documentation within the four day target.
Licensure and Certification
Certified Coding Specialist, American Health Information Management Association, earned 2019
Registered Health Information Technician, American Health Information Management Association, since 2017
Ohio does not license medical coders; both credentials maintained through continuing education every two years
Education
Associate of Applied Science in Health Information Technology, Franklin Heights Community College, Columbus, 2017
Core Skills
Inpatient procedure coding · Diagnosis related group validation · Physician query writing · Denial appeal support · Complication and comorbidity capture · 3M 360 Encompass encoder · Epic chart review · Coding audit response · New coder preceptorship · Official coding guidelines