In my previous role as a Case Mix Coordinator, I utilized ICD-10 coding to accurately classify patient cases, ensuring that the hospital received appropriate reimbursement while maintaining high-quality care. I implemented a new training program for nursing staff on accurate documentation, which increased our case mix index by 5% and improved patient outcomes through better resource allocation.

I regularly attend webinars, workshops, and professional conferences focused on healthcare regulations and coding updates. Additionally, I subscribe to several industry publications and participate in online forums to ensure I am aware of any changes that could impact our case mix management strategies.

I once encountered a discrepancy in coding that led to a significant underpayment by insurance. I conducted a thorough review of the patient's records, corrected the coding, and successfully appealed the insurance company's decision, resulting in an additional $50,000 in reimbursement for the hospital.

I prioritize tasks based on urgency and impact on patient care. Using a digital task management system, I categorize cases by severity and due dates, ensuring that critical cases are addressed promptly. This method helps maintain a balanced workflow and ensures that no patient is overlooked.

I foster collaboration by maintaining open communication channels and regularly updating team members on case mix changes. I also organize quarterly meetings to discuss trends and challenges, encouraging input from all departments. This approach ensures that everyone is aligned and working towards common goals, enhancing overall patient care.