Trinise Mayweather RHIT, CHTS-TR

Facility Medical Coder (Multi-specialty) at samstaff
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Contact Information
us****@****om
(386) 825-5501
Location
Lafayette, Louisiana Metropolitan Area

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Credentials

  • Registered Health Information Technician (RHIT)
    AHIMA
    Jan, 2020
    - Nov, 2024
  • Certified Healthcare Technology Specialist-TR
    AHIMA
    Aug, 2012
    - Nov, 2024

Experience

  • samstaff
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Facility Medical Coder (Multi-specialty)
      • Dec 2022 - Present

      Outpatient Clinic Facility Coder – Multispecialty (Remote) 04/2023 - Present * Performs medical record review and abstract data from clinic visit notes, radiology reports, laboratory requisitions, cardiology and/or other diagnostic reports. * Assigns the appropriate facility E/M level for clinic visits and all CPT and ICD codes for additional procedure charging based on documentation and Official Coding Guidelines appropriate to the encounter. * Ensures physician documentation supports payer requirements for teaching physician setting. * Specialties include diagnostic testing (laboratory and radiology), cardiology, dermatology, ENT, endocrine/metabolic, gastrointestinal, infectious diseases, injections, internal medicine, liver pre- and post-transplant, neurology, nephrology, oncology/hematology, orthopedic, PM&R, pediatrics/adolescent/ youth adult medicine, pulmonology, urology, and vascular. H.I.M. Professional Services Coder II – Multispecialty (Remote) 12/2022 – 03/2023 * Completes claim edit reviews on outpatient encounters to validate correctness of the CPT, HCPCS Level II, ICD-10 codes, and modifier assignments, review for missed secondary diagnoses and/or procedures, and ensure compliance with outpatient reporting requirements. * Addresses CCI and LCD edits within the billing editor system while adhering to the standards of ethical coding. * Reviews claim denials and utilizes the medical record for in determining accurate code assignment of all documented diagnoses and procedures. * Remains current with CMS annually updated National Correct Coding Initiative Coding Policy Manual, CMS coding and billing regulations, MUE and OCE. * Monitors work queues for outstanding encounters to ensure timely filing. * Specialties include diagnostic testing (laboratory and radiology), audiology, internal medicine, neurology, podiatry, ophthalmology, optometry, injections/infusions for oncology, ENT, nuclear medicine, and physical/occupational therapy. Show less

  • Signature Performance, Inc.
    • United States
    • Hospitals and Health Care
    • 300 - 400 Employee
    • Profee Medical Coder (Multi-specialty)
      • Jul 2022 - Sep 2023

      * Assignment of accurate E/M, ICD-10, CPT/HCPCS codes, and modifiers from medical record documentation for each day of multi-day inpatient or observation stays including hospitalist rounds for admission, discharge, and subsequent stays; consultant level; surgeries; ancillary studies including EKG, Echo, Radiology procedures. [Specialties include internal medicine, trauma surgery, ob/gyn, newborn, and behavioral health.] * Ensures physician documentation supports payer requirements for teaching physician setting. * Recognizes when documentation is missing from the record or incomplete and routes accounts to the analysis team for assistance. * Works within Cerner RevCycle, Powerchart, CPACS & 3M 360 encoder, with knowledge of resources and edits. * Maintains productivity and accuracy requirements as outlined for each client. * Ensures all required component parts of the medical record that pertain to coding are present, accurate, and comply with CMS, JCAHO, and client requirements. Show less

  • Franciscan Missionaries of Our Lady Health System
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Clinic Coding Auditor with Lourdes Physician Group LLC
      • Jan 2022 - Jul 2022

      * Performs coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff and providers.* Develops and organizes educational sessions to coding staff and providers regarding documentation and accurate coding.* Conducts trend analyses to detect patterns and variation in coding practices.* Performs various projects in the coding department including monitoring uncoded accounts, serving as a liaison between coding and medical staff, as well as a resource for coding staff.* Adheres to HIPAA, compliance and privacy standards, coding guidelines/regulations. Show less

    • Clinic Coder 1 with Lourdes Physician Group LLC
      • Oct 2019 - Jan 2022

      * Responsible for primary diagnosis and procedural coding for hospital outpatient and inpatient encounters. [Specialties include pediatrics (peds) primary Care, peds neurology, peds neurosurgery, and breast mammograms]* Queries providers to clarify documentation.* Maintains 95% accuracy rate on productivity standards.* Addresses CCI edits.

  • Acadian Ambulance
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Verifier
      • Jul 2017 - Oct 2019

      * Verifies insurance information, which includes eligibility, benefits (i.e., deductibles, co-payments, out-of-pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) and ensures accuracy of demographic information. * Communicate with patients/guarantors, third-party payers, and facilities via incoming and outbound calls. * Verifies insurance information, which includes eligibility, benefits (i.e., deductibles, co-payments, out-of-pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) and ensures accuracy of demographic information. * Communicate with patients/guarantors, third-party payers, and facilities via incoming and outbound calls.

  • UT Southwestern Medical Center
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Health Information Management Coordinator
      • Sep 2009 - Dec 2016

      Health Information Management Coordinator (09/2016 – 12/2016) & (02/2012– 8/2014) * Monitors and diligently worked the unbilled accounts work queue by obtaining missing documentation, verified completeness, and transferred accounts to the coding team for timely filing. * Ensures physician documentation supports the rules and guidelines of the teaching physician setting. * Serves as a resource for the physician support team. Health Information Management Supervisor Trainee (9/2014 – 9/2016) * Supervise daily H.I.M. functions of chart analysis, physician suspensions, uploading of radiology images, and birth certificates. (10 FTEs) * Communicate with providers, as well as senior administration on delinquent medical records and assist in enforcing administrative suspension by the organization’s bylaws. * Utilizes Excel for statistical analyses and conducts trend analyses to detect patterns and variation in documentation practices. Show less

Education

  • DeVry University
    Associate's degree, Health Information/Medical Records Technology/Technician
    2018 - 2019
  • Louisiana Technical College-T H Harris Campus
    Associate's degree, Accounting Technology/Technician and Bookkeeping
    2000 - 2003

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