Kari Walz
Big Lake
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Client Policy Specialist
Zelis Healthcare
11.2021 - Current
- Optimize customer experience by delivering superior services and effectively troubleshooting issues.
- Evaluate customer needs and feedback to drive product and service improvements.
- Help meet changing demands by recommending improvements to business systems or procedures.
- Generate reports detailing findings and recommendations.
- Develop and update tracking spreadsheets for process monitoring and reporting.
- Create and manage project plans, timelines and client presentations.
- Collaborate with Client Managers and internal stakeholders for client meetings, needs and solutions.
- Escalate editing issues utilizing correct procedures.
Medical Coding Lead
Allina Health
09.2019 - 11.2021
- Analyze documentation to determine accurate CPT and ICD 10-CM codes
- Appropriate querying of healthcare providers as needed for accurate assignment of codes
- Identify high complexity and high compliance risk coding areas, and improve quality of healthcare provider's documentation to support coding
- Assist customers and function as a resource to the healthcare team in areas of coding and documentation requirements
- Serve as an expert resource for issues relating to coding, education to staff and health care providers, coding data quality, coding audits, in-service physician education and training team
- Apply official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Initiated, performed and documented monthly coding audits for coders.
- Reviewed medical records and interpreted documentation to identify diagnoses and procedures.
- Prepared detailed reports on updates to project specifications, progress, identified conflicts and team activities.
Medical Coding Specialist II
Allina Health
04.2015 - 09.2019
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures
- Performed billing and coding procedures for inpatient and outpatient services
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
Medical Coder
University of MN Physicians
04.2014 - 04.2015
- Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations
- Consistently met daily quota goals set by management
- Reviewed and resolved claim issues captured in TES/CLAIMS edits and clearinghouse
- Worked with EPIC, Flowcast, MedAptus, Muse, Claims Manager
Property Manager
Kjellberg's Incorporated
02.2008 - 04.2014
- Produced monthly reports using advanced Excel spreadsheet functions
- Compiled monthly budget reports, financial spreadsheets and organizational charts to improve office organization
- Served as the main liaison between customers, management and sales team
- Coordinated collection procedures
- Maintained current contract files as prescribed by company contract policies and procedures
Internship
Fairview Southdale Hospital
10.2013 - 11.2013
- Maintained strict patient and physician confidentiality
- Resourcefully used various coding books, procedure manuals and 3M encoder
- Coded inpatient and outpatient charts.
Accounts Receivable Clerk
Central Power Distributors
11.2005 - 02.2008
- Monitored payments due from clients and promptly contacted clients with past due payments
- Maintained 98% accuracy in collections for 200 plus commercial accounts
- Communicated with vendors regarding back order availability, future inventory and special orders
- Developed reputation as an efficient service provider with high levels of accuracy
- Investigated and resolved customer inquiries and complaints in a timely and empathetic manner
Education
Medical Coding Certificate - Medical Coding
12.2013
Skills
- Resourceful problem solver
- Proficient in Microsoft Office Suite
- Detail oriented
- Excellent written and verbal communication
- Self-motivated
- Able to prioritize and efficiently manage multiple assignments
Certification
- Certified Professional Coder (CPC) 2014-Current
Professional Memberships
- American Academy of Professional Coders 2013-Current
Timeline
Client Policy Specialist - Zelis Healthcare
11.2021 - Current
Medical Coding Lead - Allina Health
09.2019 - 11.2021
Medical Coding Specialist II - Allina Health
04.2015 - 09.2019
Medical Coder - University of MN Physicians
04.2014 - 04.2015
Internship - Fairview Southdale Hospital
10.2013 - 11.2013
Property Manager - Kjellberg's Incorporated
02.2008 - 04.2014
Accounts Receivable Clerk - Central Power Distributors
11.2005 - 02.2008
- Certified Professional Coder (CPC) 2014-Current
Anoka Technical College - Medical Coding Certificate, Medical Coding
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