Jocelyn Kahiwa Aki

• Review outpatient records and interpret documentation to accurately assign diagnoses and procedure codes for facility and professional services for Day Surgery (a.k.a. Ambulatory Procedure Visit (APV)), Observation, Emergency Department (ED), outpatient procedures, outpatient specialty encounters, and any outpatient primary care encounters billable to a third party IAW DHA accuracy, completeness, productivity, and timeliness standards contained in DoDI 6040.42, Management Standards for Coding of DoD Health Records.
• Resourcefully use various coding books (ICD-CM, HCPCS & CPT), procedure manuals (i.e., 2025 MHS Specific Coding Guidelines w/Appendices ), and on-line encoders (3M) for accurate coding; as well as classification manuals to gain additional knowledge of disease and diagnoses processes.
• Utilize electronic medical record systems to store, retrieve and process patient data. Applications within MHS Genesis include, AccessHim RevX (w/access to Task Queue, 3M, Charge Viewer & Batch Charge Entry), PowerChart, Discern Reporting & RevenueCycle.
• Maintain accuracy, completeness, and security for medical records and health information.

TRAINER

• Collaborated with team auditor to review audit findings, clinical documentation, compliance issues and other areas that required training.
• Provided educational tip sheets, DHA MCPB guidance, materials, resources and feedback to all providers, clinical staff, and leadership to assist with accurate and improved coding percentages.
• Teamed with MHS-Genesis trainers to provide optimal training for clinicians.
• Accomplished training via emails, phone calls, virtual meetings and an annual on-site visit.

COMPANY-SITE LIAISON/MANAGER

• Communicated, managed and assisted with all requests received from the site Coding Supervisor, UBO Manager, Data Quality Manager, other leadership members, providers and clinical teams.
• Contacted providers with coder queries requiring missing documentation, surgical/procedural reports or further clarification to complete records. Reported all trending/ frequent queries to Coding Supervisor and provided additional lists upon request.
• Maintained daily communications with the site Coding Supervisor regarding assignments, backlogs, system related latency concerns, and other issues affecting workload and productivity.
• Provided Coding Supervisor with a monthly productivity report by the fifth of every month showing both completed and pending number of records. Report included recommendations for realigning workload for optimal goal achievement.

• Provided timely support while going-live with new EHR/Revenue Cycle – MHS Genesis application. Teamed with site Genesis trainers to ensure a smooth transition for providers and staff. Submitted trouble tickets to correct Genesis application errors.
• Additional responsibilities include those listed below under same position @ Kadena Air Base from Mar 2016-Apr 2021.

• Accurately assigned diagnosis, procedure (incl E&M), and supply codes for the professional components of Outpatient encounters.
• Reviewed encounter and/or record documentation to identify inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal re-percussions or impacts quality patient care. Queried providers and notified leadership as needed/requested.
• Outpatient Pro Fee Clinics included: Allergy/Immunology, Audiology, Behavioral Health & Substance Abuse, Chiropractic, Family Medicine, Flight Medicine, Hearing Conservation, Immunizations, Internal Medicine, Lab, Nutrition, OB/GYN/Women's Health, OT/PT/AT, Optometry, Pediatrics.
• Worked closely with the Data Quality (DQ) Manger to correct all system write-back & DQ errors related to coding.
• Functioned as a coding subject matter expert (SME) for leadership, medical providers and staff with questions, issues, or concerns. Coding SME presenter at monthly ProStaff (Provider only) meetings.
• Developed, delivered, and monitored coding training for all medical staff.
• Complied with DHA, MHS and Civilian coding compliance requirements.

• Provided education and training sessions for all clinical staff, improving Data Quality (DQ) monthly audit accuracy percentages for the MTF.
• Proficient in coding guidance and practices unique to BUMED, and Navy Med West, including use of new software tools used for monthly DQ audits.
• Met and reported monthly productivity requirements for auditing, training, and reviewing billables to respective team leaders.
• Worked closely with DQ Manager researching and correcting coding anomalies associated with DQ, AHLTA and ADM write-back errors.
• Team leader of six members tasked to clean up a backlog of approximately 8,000 outpatient billables within a 4-month period. Task successfully completed.
• Managed approximately 22,400 outpatient and 2,160 inpatient records annually.
• Active member of the Data Quality Committee reporting to the Commanding Officer (CO), and presenter/Coding SME at Executive Staff Committee meetings.

• Learned and applied MHS Specific Coding Guidelines as it complimented standard ICD-9, CPT, HCPCS coding guidance, including 1995 and 1997 Documentation Guidelines for E&M Services. Provided effective physician training, resulting in coding accuracy levels of 97% and above.
• Mastered various DoD software applications (CHCS, AHLTA, CCE, Essentris) to meet coding requirements. Trained providers to effectively navigating these software applications to improve documentation and coding efficiencies.
• Collaborated with Data Quality and Group Practice Managers, and Resource Management Officers, providing statistical data, information, and guidance for monthly DQ reporting and other administrative requests. Actively participated in the HSI inspection as it related to coding. Through combined efforts and teamwork, the Med Group achieved an overall “Excellent” rating for Business Management/TOPA.