Summary
Overview
Work History
Education
Skills
Timeline
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Charla (Charlie) Keown, CCS

Huntington,WV

Summary

Goal-driven Sr Coding Manager with a proven track record at UK King's Daughters, enhancing coding accuracy through rigorous quality assurance and training initiatives. Expert in medical claims coding and fostering teamwork, I significantly reduced coding errors while improving departmental communication and compliance, driving performance improvements across the organization.


Overview

21
21
years of professional experience

Work History

Sr Coding Manager

UK King's Daughters
07.2022 - Current
  • Facilitated communication between coders, billers, clinicians, and administrative staff for seamless information exchange across departments.
  • Boosted team morale and fostered a positive work environment by organizing team-building activities and recognizing individual achievements regularly. Perform coding compliance reviews assuring coding accuracy with supported documentation
  • Ensure that codes assigned are supported by documentation by the physician and that codes assigned are properly listed on the UB
  • Interact with physicians and other providers regarding hospital billing and documentation policies and procedures
  • Perform DRG audits on a daily basis to ensure appropriate DRG assignment with supporting documentation
  • Work closely with the Business Office staff regarding billing problems with coded claims
  • Perform APC audits assuring that the reimbursement for the medical center is appropriate and complete
  • Compare the UB with the medical record to look for missed opportunities that could financially benefit the medical center requesting Billing Office to file adjustments as needed
  • Provide continual education to coders and other departments based on the results from the reimbursement / charge
  • Recommend appropriate charge capture work flow or service posting steps to ensure accurate revenue generation
  • Work collectively with the Clinical Documentation Improvement Department and Clinical Denials Department
  • Track daily the coding DNB and ensuring coding is done timely with AR days
  • Track the education and recommendations monthly from Coding Auditor to Coding Staff
  • Track monthly the reporting compliance metrics to Compliance Officer
  • Track coding productivity and accuracy on a monthly basis
  • Coordinated with IT support teams to troubleshoot system issues, minimizing downtime and disruption to daily operations.
  • Implemented ongoing training initiatives to keep staff up-to-date on industry trends and best practices in medical coding.
  • Reduced coding errors significantly by implementing a rigorous quality assurance process to catch discrepancies before final submission.
  • Conducted thorough audits of coding practices, identifying opportunities for optimization and streamlining processes.
  • Performed coding quality reviews and tracked, trended and managed coding quality performance.
  • Organized regular team meetings to foster collaboration, share updates on project status, and address any challenges or concerns as they arose.

  • Ensured compliance with relevant regulations by staying current on updates related to ICD-10-CM/PCS guidelines, CPT codes, HCPCS Level II codes, modifiers usage rules.
  • Streamlined workflow processes for increased productivity and reduced turnaround time on projects.
  • Collaborated with cross-functional teams to optimize the coding process, resulting in improved accuracy and quality.
  • Attended facility meetings and reported on performance.
  • Improved coding efficiency by implementing new software tools and providing training for team members.
  • Generated reports to identify coding trends and discrepancies.

Coding Coordinator

St. Mary's Medical Center
12.2004 - 07.2022
  • Managed 28 medical coders ranging from Inpatient to ancillary, as well as 6 ED Revenue Specialists
  • Worked closely with Cabell Huntington Hospital during merger with St. Mary's - served on a team with IT professionals getting our facility and team prepared for the changes in computer systems as well as policies
  • Managed multiple coding projects simultaneously, ensuring timely completion and adherence to detail and compliance.
  • Customized reports for management to monitor key performance indicators in the coding department.
  • Served as a liaison between coders, billing specialists, and physicians to resolve coding-related issues.
  • Advocated for the importance of accurate and efficient medical coding within the organization, resulting in increased awareness and support from leadership.
  • Collaborated with clinical staff to clarify documentation discrepancies for accurate code assignment.
  • Managed internal relationships effectively by addressing concerns or queries raised by other departments pertaining to medical records or coding.
  • Coordinated cross-departmental collaboration efforts that led to more effective communication between coders, billers, and clinicians.
  • Developed customized reports for management to monitor key performance indicators in the coding department.

Education

Associates Degree - Medical Office Management

Kentucky Community Technical College System
Ashland, KY
07.1998

High School Diploma -

Vinson High School
Huntington, WV
05.1983

Skills

  • Experienced in Epic
  • Experienced in 3M
  • Experienced in Excel
  • Experienced in Cerner Soarian
  • Regulatory guidelines
  • Workflow management
  • HIPAA compliance
  • Performance improvement
  • Revenue cycle management
  • Coding error resolution
  • Coding appeals

Timeline

Sr Coding Manager

UK King's Daughters
07.2022 - Current

Coding Coordinator

St. Mary's Medical Center
12.2004 - 07.2022

Associates Degree - Medical Office Management

Kentucky Community Technical College System

High School Diploma -

Vinson High School

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