Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lorinda Bolton

Philadelphia

Summary

Dynamic Operational Performance Manager at Advocare LLC with a proven track record in enhancing employee engagement and optimizing performance metrics. Skilled in data interpretation and coaching, I successfully implemented KPI tracking systems, driving productivity improvements across departments. Committed to fostering collaboration and continuous improvement, I excel in delivering impactful training and performance management strategies.

Overview

23
23
years of professional experience

Work History

Operational Performance Manager

Advocare LLC
11.2019 - Current
  • Enhanced employee engagement through tailored training programs and workshops.
  • Conducted thorough assessments of employee performance, identifying strengths and areas for growth.
  • Developed comprehensive performance management strategy, resulting in increased efficiency and productivity across departments.
  • Improved team performance by implementing new KPI tracking systems and providing regular feedback.
  • Facilitated cross-departmental collaboration, fostering a culture focused on continuous improvement and shared success.
  • Developed, tracked and analyzed variance of key performance measurements.
  • Leveraged analytical tools to provide insight and enhance performance.
  • Transformed existing processes and rebuilt platform to optimize information utility and process efficiency.
  • Led quarterly performance reviews, setting attainable goals based on individual strengths and business needs.
  • Streamlined internal processes for more effective workflow, reducing bottlenecks and improving overall performance.
  • Managed quality control process to drive accuracy of performance inputs.
  • Optimized resource allocation by evaluating project needs and matching the right talent with the appropriate tasks.
  • Monitored key performance indicators and built processes to support partner performance and growth.
  • Introduced innovative metrics-driven approach, allowing for better evaluation of departmental progress against established targets.

Medical Coding Analyst

Axis
07.2002 - 03.2019
  • Supported implementation of electronic health record system, assisting in the transition from paper to digital records for streamlined coding processes.
  • Served as a liaison between coding department and other healthcare professionals, fostering positive relationships that facilitated collaboration on complex cases requiring specialized knowledge or expertise.
  • Improved coding accuracy by meticulously reviewing medical records and applying appropriate codes.
  • Developed a system for tracking individual coder performance metrics, enabling targeted feedback and support for continuous professional growth.
  • Collaborated with healthcare providers to clarify diagnoses, procedures, and documentation for precise code selection.
  • Increased code consistency by conducting regular audits and providing timely feedback to colleagues.
  • Expedited claim processing by promptly addressing inquiries from insurance companies regarding coding discrepancies or clarification requests.
  • Educated clinical staff on proper documentation practices to ensure accurate coding and compliance with regulations.
  • Provided expertise during internal audits, helping identify areas of potential risk or noncompliance within the medical coding process.
  • Contributed to company-wide policy updates related to medical coding standards, ensuring adherence to changing regulations within the industry.
  • Optimized data quality by verifying patient information, diagnosis codes, and procedure codes before submission to billing department.
  • Demonstrated commitment to ethical practice through adherence to established guidelines for privacy, confidentiality, and security of patient information.
  • Promoted teamwork and open communication among colleagues through participation in regular meetings and constructive discussions about best practices in medical coding.
  • Stayed up-to-date on industry changes by actively participating in professional development opportunities and maintaining relevant certifications.
  • Reduced claim denials by ensuring proper documentation and accurate code assignment in line with insurance guidelines.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
  • Verified accuracy of patient information in medical records.

Education

Philadelphia University
Philadelphia, PA

Skills

  • Coaching and mentoring
  • Customer focus
  • Performance analysis
  • Data interpretation
  • Employee engagement
  • Trend analysis
  • Data collection
  • Quality assurance
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Attention to detail
  • Multitasking Abilities
  • Excellent communication
  • Reliability
  • Organizational skills
  • Active listening
  • Effective communication
  • Adaptability and flexibility
  • Leadership development
  • Self motivation
  • Conflict resolution

Timeline

Operational Performance Manager

Advocare LLC
11.2019 - Current

Medical Coding Analyst

Axis
07.2002 - 03.2019

Philadelphia University

Similar Profiles

CREATE PROFILE
Lorinda Bolton