NANCY JEAN FOURNIER

11902 Barrington Way

512-565-4757
Austin, Texas 78759
nfb15654@westpost.net
SUMMARY
Extensive experience in the medical field with over 10 years experience as a Cod
ing Specialist in the Acute Long Term Care Hospital industry. Proven leadership
ability and established expertise in coding proficiency audits. Knowledgeable
in compliance reviews by the OIG, HIPAA and CMS as well as in preparation for JA
CHO surveys. Most recently served as Regional HIM Director in a healthcare cor
poration providing acute patient care services in 12 facilities across the Unite
d States.
PROFESSIONAL EXPERIENCE
SOLARA HEALTHCARE GROUP, Westlake, Texas 2007-2010
Corporate Coding Specialist
* Responsible for concurrent and final coding of accounts at three Long Term Acu
te Care
Hospitals.
CORNERSTONE HEALTHCARE GROUP, Austin, Texas 2002 - 2006
Corporate Regional HIM Director/Supervisor
* Developed and implemented medical record audits to identify areas of risk in t
he coding / billing process.
* Actively assisted in the development of programs, which helped the organizatio
n achieve compliance through a structured coding / auditing program.
* Reviewed charts denied payment by the QIO for perceived coding or documentatio
n discrepancies, reviewed documentation with physicians and successfully appeale
d cases, assuring accurate reimbursement.
* Developed programs for coding education and clinical documentation improvement
.
* Conducted quality reviews of medical records in preparation for JACHO surveys
at various facilities and assisted in the development of programs benchmarking v
arious quality indicators.
* Developed and implemented Policies and Procedures, ensuring that all coding, m
edical records administration, and Release of Information services complied with
Regulatory and Accreditation standards.
* Ordered supplies, set up computer systems and trained staff for HIM department
s at new facilities.
LIFECARE SPECIALTY HOSPITALS OF DALLAS / FORT WORTH, Dallas, Texas
2000 - 2002
Inpatient Coding Specialist
* Conducted all admission, concurrent and discharge ICD-9 coding for two Acute L
ong Term Care Hospitals.
* Conducted monthly DRG Validation reviews to assure compliance.
* Developed Physician Queries as needed for use in the coding sector.
* Maintained Cancer Tumor Registry as designated by the State of Texas.
* Actively assisted with analysis of medical records for completion by medical s
taff.

LABORATORY CORPORATION OF AMERICA, Hurst, Texas 1991 - 1999

(Formerly Allied Clinical Laboratories)
Clinical Service Representative, 1995 - 1999
* Maintained established client network in Texas, Louisiana and Oklahoma regions
and assisted clients with questions and/or concerns related to laboratory issue
s, including specimen requirements/collections and testing methodologies.
* Assisted clients with billing issues with regard to Medicare Medical Necessity
and appropriate CPT coding and billing practices.
* Assisted with the maintenance and upgrading of laboratory testing compendium a
nd database.
Medical Technician, 1991 - 1995
* Performed medical testing in Microbiology and Serology, incorporating various
methodologies.
BRYAN INSTITUTE, Arlington, Texas 1989 - 1991
Instructor in Anatomy and Physiology, Medical Terminology, Medical Technology an
d Medical office training for students working towards Certificate in Medical As
sisting.
EDUCATION
Coding Certificate, Tarrant County College, Fort Worth, Texas
Completed 48 hour coursework in Medical Coding
Bachelor of Arts, Sociology
Austin College, Sherman, Texas
Post Graduate coursework in Nursing, Human Biology and Chemistry (51 Hours)
Texas Women's University, Denton, Texas
Completed one year of Medical School
Texas College of Osteopathic Medicine, Fort Worth, Texas

PROFESSIONAL CERTIFICATES
Certified Coding Specialist certificate (CCS), September 2001
Current AHIMA membership
Texas Cancer Registry Seminar, Austin, Texas
Completed seminar on Cancer Abstracting / Registry