Dianne Boone Walden, MHA, CCS, CPC

Phone 919-490-3078 • work 919-684-5272• cell 919-943-5272

E-mail work walde002@mc.duke.edu

Compliance Auditor May 2008-present Duke Medical

Center Durham, N.C. Performed comprehensive audits of outpatient
technical charge capture, departmental processes to ensure the organization was
adherent to regulatory guidelines through being cognizant of opportunities of risk to
the organization. Prepared, and presented written reports of observations and
findings with process improvement recommendations to Departmental Directors,
Clinical Operational Directors, and Associate Compliance Office with the expectation
of implementation of corrective actions when applicable. Developed and
implemented an auditing tool for charge capture audits. CDM review/auditing
shaped >5,000 changes in the charge master among three facilities. Developed
and presented presentations on topics relevant to coding, clinical documentation,
and ICD-9 coding. As a certified coder, these skills were essential in assisting with
responding to OIG correspondences and RAC letters.

Adjunct Online ICD-9, CPT, Revenue Enhancement Instructor Jan

2010 -present DTCC Durham, N.C.
This series of classes were part of a stimulus package to offer individuals who were
out of work an opportunity for a new career path. The primary objective was to
prepare the students to sit for the AHIMA, CCA certification.

Quality Review Auditor February 2008 -May 2008 Duke Medical

Center Durham, N. C.
Responsible for auditing the Ancillary and Surgical Certified Coders ICD-9 and CPT
code assignment based on clinical documentation for accuracy. Educational
feedback was provided to management of coding findings based on CPT and ICD-9
coding conventions to decrease coding errors.

Coding & Denial Supervisor August 2004-February 2008 Duke

Medical Center Durham, N.C.
Supervisor responsible for managing the surgical coders with a dual role of front-
end coding analyst and back end third party claim denial analyst with an AR in
excess of $5,000,000 monthly. Weekly reports were provided to managers of
progress, areas of concern and recommendations. Accountable for employees
monthly quality audits and annual performance reviews, scheduling vacations,
report express

Adjunct Medical Terminology Instructor Jan-2006-May 2006

DTCC Durham, N.C.
Instructor responsible for teaching students’ pronunciation, spelling of numerous
medical terms, prefixes, suffixes, meaning, and pathological conditions.

Reimbursement Edit Analyst July 1998-Aug 1004 Duke Medical

Center Durham, N.C.
Coding Analyst accountable for resolving professional charges held in CCI edits and
professional charges deemed not medically necessary according to Local Medical
Review Policies. Outcome resulted in decreasing edits through identification of
system issues. Analyzer of physicians documented operative reports/clinical notes
to extrapolate billable services, confirmation of services billed, and accuracy of CPT-
4, and ICD-9 coding interventions. I performed coding and documentation
education to physicians, residents, and other staff members. Development and
implementation of an OB-Gyn coding office that captured inpatient/triage missing
revenue in excess of $300,000 in 1st quarter of 1st year of implementation.

Adjunct Medical Coding Billing Instructor Jan-2004-May 2004

DTCC Durham, N.C.
The students were taught a basic understanding of the Health Care Billing Cycle. A
basic overview of CPT, ICD-9, and HCPCS coding conventions were taught to assist
in the completion of third party 1500, 837 claim forms for professional services.

Medical Coding Instructor June 2002-Sept 2002 Duke Medical

Center Durham, N.C.
The students including Practice Specialist and other essential staff were taught ICD-
9 and CPT coding conventions in preparation to sit for the Certified Professional
Coding Exam resulting in a 95% passing rate.

Education:
Master in Health Administration Pfeiffer
University May 2004
Bachelor of Science-Business Administration Shaw
University May 1999

Accreditation:
CCS -Certified Coding Specialist through AHIMA-1999
CPC-Certified Procedural Coder through AAPC-1995
NAII-Durham Technical Community College 1999
Member of CMS Listserver

Recognition: Adjunct Teacher of Excellence Award-Durham Technical

Community College-2005

Special Studies: International Studies in Healthcare in London with attention on

health care in London France

Skills: Micro-soft excel, Micro-soft Word, Internet, Power point, Lotus notes, IDX,
PCS, BAR,TES Blue-E, CMS, Web, Federal Register, Cirius ,Siemens, SSI, E-browser,
Meditech ,Medireg,3M