Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cristie L. Malcolm, CPC, CPMA

Stockton,UT

Summary

I am a certified CPC and CPMA with 25+ years' experience working within various areas of the medical coding field. I have an associate degree in legal assisting and am highly proficient in the understanding of state and federal laws, policies and guidelines related to the American Healthcare System. I received an Associate of Arts degree in Legal Assisting in 2001 and worked for several law offices for a period of time. I have performed chart QA's across multiple specialties and understand healthcare fraud, waste and abuse. I adhere strictly to all data confidentiality requirements and privacy rules in all workflows. I am highly self-motivated and have worked remotely with minimal supervision for over 12 years while maintaining or exceeding all productivity requirements. I work diligently to maintain advanced knowledge of private and Federal insurance processes and codes.

Overview

22
22
years of professional experience

Work History

Lead Revenue Cycle Coder- Remote

GeBBS Healthcare Solutions/Aviacode
03.2016 - Current
  • Perform daily coding of patient medical records for complete and correct assignment of ICD-10, CPT and HCPCS codes.
  • Adhere to all specific coding guidelines for various specialties including Emergency Department (ED), Inpatient Toxicology, Wound Care and Hyperbaric Oxygen Therapy (HBOT).
  • Train new coders in split/shared documentation and in physician documentation guidelines.
  • Meet or exceed all production goals while maintaining accuracy.
  • Work independently, with little to no supervisory direction.

QA Medical Coder

EA Health Solutions
12.2011 - 03.2016
  • Provided daily Quality Assurance over coding department for ICD-10 and E/M level accuracy.
  • Trained new coders on company systems and policies.
  • Reviewed medical records for completeness and ensured all insurance claims were filed correctly and in a timely manner.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

Medical Coder- Remote

Work Care Industrial Clinic
04.2004 - 12.2011
  • Accurately and efficiently coded tens-of-thousands of daily industrial accidents according to State and Federal Workman's Compensation guidelines.
  • Provided coding services for 17 providers across 4 clinics.
  • Diligently followed all guidelines and regulations under the Federal Employment Compensation Act.
  • Successfully transitioned coding operations from ICD-9 to ICD-10 to align with industry advancement.

Paralegal

Kemp&Kemp Law Office
05.2001 - 04.2004
  • Examined and generated memos on statutory law, case law and federal and state regulations using online research databases, such as Westlaw and print sources.
  • Conducted detailed client intakes and entered information into company database.
  • Helped attorneys prepare for court hearings by organizing exhibits and calling on witnesses to testify at hearings.
  • Worked with other paralegals and legal staff to complete common tasks on schedule.

Education

Associate of Arts - Legal Assisting

Mountain West College
West Valley City, UT
2001

CPC, CPMA

American Academy of Professional Coders (AAPC)
Salt Lake City, UT
2004

Skills

  • Claims Adjustments Review
  • Record Assessments
  • Insurance Claims Analysis
  • Knowledge of Treatments
  • Patient Rights
  • Charting and Clinical Documentation
  • Insurance Requirements
  • Determine Medical Necessity
  • Coverage Determination
  • EMR Systems
  • Client Inquiries
  • Patient Data Identification
  • ICD-10 (International Classification of Disease Systems)
  • Medical Claims Coding
  • Emergency Room Services
  • Wound Care
  • HBOT
  • Inpatient Coding

Timeline

Lead Revenue Cycle Coder- Remote

GeBBS Healthcare Solutions/Aviacode
03.2016 - Current

QA Medical Coder

EA Health Solutions
12.2011 - 03.2016

Medical Coder- Remote

Work Care Industrial Clinic
04.2004 - 12.2011

Paralegal

Kemp&Kemp Law Office
05.2001 - 04.2004

Associate of Arts - Legal Assisting

Mountain West College

CPC, CPMA

American Academy of Professional Coders (AAPC)
Cristie L. Malcolm, CPC, CPMA