Friday, January 25, 2013

Who Am I?

I've noticed that I get a lot of visits on this website but very few comments. I know that this is an informative platform but I would like for it to also be interactive, thus the "Question of the Day" posts.

Other than my small introduction I realize that you guys don't know much about me. So, I'm posting my resume so you can see who I am professionally.



I enjoy my work in the Health Information Management field and I look forward to the challenges and always appreciate the learning experiences. I have a very friendly yet firm management style. Communication is a focus on my list of priorities and I believe that communication goes both ways when trying to work together as a team. I am a very fast and comprehensive learner and I adjust well to change. I believe that my knowledge and skills are an asset to a hospital that is looking for a solid leader that believes in excellence and loyalty.


Education/Certifications:

University of Mississippi Medical Center; Jackson, MS; Online
Bachelors of Science in Health Information Management/Informatics: Fall 2009 (in progress now)


Hinds Community College; Nursing/Allied Campus, Jackson, MS
Graduated May 2004: Associate of Applied Science in Health Information Technology; Dean Scholar

RHIT:  1/2006 (Attained and current)


Alcorn State University; Alcorn St, MS
Enrolled: 8/1997-12/1998: Nursing Major/Honors College


Experience:

 Director of Health Information Management: 10/2011-Present

I manage all day to day activities for the HIM department as well as 1 FTE for the 54 bed facility. I entered a department that had been without a director for 5 ½ months and during my time there I have worked diligently to lower the delinquency rate, improve the H&P turnaround times, 24 hour verbal and telephone order authentication as well as implement a documentation improvement program. I also serve as the Project Manager for our current EHR implementation. I participate on the Medical Executive Committee, Quality Committee, Utilization Review Committee and Forms Committee.  I have also engaged in student educational contracts with Louisiana Tech University.



 Dallas, TX, Corporate Coder: 4/2011-11/2011

I coded all LTACH encounters for correct and optimum reimbursement with 100% accuracy rate and covered 3 hospitals at the corporate level.



Dallas, TX, Coder II: 11/2009-9/2011

I coded Inpatient encounters for proper and accurate reimbursement with production quotas of 24 per day and 95% accuracy rate.



Fort Worth, TX HIM Manager: 11/2006- 11/2009

I oversaw all HIM functions of a 44-bed Long Term Acute Care Hospital and managed 1 FTE and 1 PTE. Coding all in-patient records with the accuracy of 95-98% was a daily job function. History and Physical turn around time was maintained at 24 hours. I consistently maintained a delinquency rate of ≤ 20%. I also engaged the physicians with education to improve our clinical documentation. I participated in two Joint Commission surveys without “dings” for my department. I also engaged in student educational contracts with Midline Community College.


 Jackson, MS LTC/DRG Coordinator: 7/2006-11/2006

DRG Coordinator for Mississippi Restorative Hospital and Geri-Psych Unit; coded and analyzed all admissions and discharges for the 400+ bed hospital. I handled education for coding and documentation issues concerning physicians.


 Byram, MS Director of Medical Records: 3/2005- 7/2006

88-bed Skilled Nursing Facility, Oversaw and carried out all functions of the medical records department and managed 1 FTE.


 Jackson, MS; Anesthesia Billing and Coding Specialist: 11/2004-3/2005

Using my knowledge of ICD-9-CM, CPT and ASA coding, I coded Operative reports and Anesthesia records for proper reimbursement.


  Jackson, MS Director of Medical Records: 5/2004-11/2004

Oversaw and maintained the daily functions of Medical Records within a 105 bed Long Term Care SNF.


Skills

I am skilled in using ICD-9-CM, CPT, ASA, HCPCS, DRG and RUG categories for reimbursement. I am proficient in Word, Excel, Access, and PowerPoint, CPSI and 3M coding software. I also have experience with HCS Interactant, EPIC Health Record, Clintrac and Horizon Patient Folder.

Memberships:

AHIMA/MSHIMA/TXHIMA Member:  2002-Present


Wednesday, January 23, 2013

Question of the Day

Question via email:

Hi Julie,


I have just begun my journey in training for a career in medical coding. I have doing a lot of research in the field and stumbled across your YouTube videos. I find them to be extremely informative, and am so grateful that you take the time to share your knowledge with the world.


I have a question. You mentioned that you had received an employment offer from Houston, before you graduated your HIM program. Do you mind sharing the name of the employer? Was it Memorial Hermann? I am a Texas native (San Antonio, TX), and was curious as to which employers would consider entry level certified coders.

Thanks a bunch!

Monday, January 21, 2013

Questions?

I apologize for the late post.

I was wondering if any of you guys had any questions for me? Please feel free to ask in the comment section below and I'll work on answering them in future blog post!

Have a great day!

Friday, January 18, 2013

LTACH...What is it?

I work in the medical setting of a Long Term Acute Care Hospital hence, LTACH. In this type of setting we are able to handle acute patient requiring: mechanical ventilation, complex wound care, long term IV antibiotics, telemetry, dialysis, multiple therapies and critical care. We are able to perform some simple surgical procedures and we have a low level ER.

Most of our patients are here for 25 or more days and some are "frequent flyers". Their medical information, in a paper based setting, can become enormous. I've encountered patients that have a whole row(s) of shelving all to themselves.

I enjoy working in this setting because I get to do some of everything. I code, participate on committees, interact with physicians and other medical staff in addition to my management duties. I also enjoy the size of this type of facility. Some LTACHs have 20-80 beds and might be a part of a larger corporate structure, such as Kindred, Lifecare and Select Specialty hospitals.

In an LTACH setting the HIM department tends to be small and maintained by less than 5 people, depending on the bed size of the hospital. You truly get to be a jack of all trades in the HIM world when you would in an LTACH.

I've really enjoyed my LTACH experience and I've been in this type of setting for 6 years and I actually prefer it. Don't forget to check into the different type of settings when you are exploring your options.

Wednesday, January 9, 2013

Tried and True


Even though I'm no longer a student (at this moment) I still utilize books from my program and other than a pharmacology book, I've kept all of my books for HIM and I occasionally refer to them.

Yesterday, I needed to gather some statistical numbers for a project and needed a formula that I haven't used in a very long time, Average Daily Census. I thought I knew the formula but the numbers just seemed wrong. So, I pulled out my "Johns" book, checked the index, realized I was not using the correct formula and found the right formula:

         Total patient days of a period / number of days in the period = Average Daily Census

So I encourage you guys to hold on to your books because you never know when you'll need to pull them out.

Friday, January 4, 2013

All the Different Views!

There are so many career options in the world of HIM. I believe a lot of people just think of coding, medical records and billing when they think of jobs in the field. Yet, there are so many titles, functions, departments and settings that HIM professionals can occupy.

I will be the first to admit that when I thought about jobs after graduation being a coder was the first thing on my mind and yet, my first job was actually as a Medical Records Manager in a SNF. Now, I was the only person I managed but I also did everything in the department and had full control over how it was ran. My teachers did encourage us to explore all our options and apply for any job we were interested in because you never know what you'll like or where you'll end up.

I'm glad I had that kind of advice and it really paid off because before I graduated I had two job offers to consider, one at an LTACH as a coder and the other as the SNF MR Manager. I made my decision based off the fact that the LTACH position was in Houston and they wouldn't include a relocation package for me and the SNF position was in my home state.

I also encourage you to not only explore job functions but also the different healthcare settings. The HIM world is much bigger than Short Term Acute Care Hospital (STACH). There are doctor offices, nursing homes, SNF, rehabs, psych hospitals, LTACHs, insurance companies, government facilities, software vendors, research facilities, home health agencies and hospices that all require HIM professionals.

To aid in your decision making I encourage you to visit this AHIMA partner site to gain some insight on what you are interested in. But tell me, at this moment, what are you interested in as job function and setting?


Wednesday, January 2, 2013

Regular Programming

Hey Guys! I'm just returning to work after the recent holidays and I'm super busy but I will return to normal posting on Friday!

My schedule for this blog will be Monday, Wednesday and Fridays. If you have any questions or request please email me at jtb@mississippimulatto.com and I'll be glad to help out.