Katelynn Prentice
Sellersburg,IN
Summary
Highly motivated and eager to take on new challenges with a strong work ethic, adaptability, and exceptional interpersonal skills. Proven track record of working effectively unsupervised, quickly mastering new skills, and keen understanding of data confidentiality and HIPAA regulations. Trained Medical Coder knowledgeable in AMA and CMS coding rules with valuable experience on the insurance side, providing comprehensive understanding of various coding policies. Appreciate your consideration and look forward to the opportunity to contribute as a valuable member of your team.
Overview
11
11
years of professional experience
Work History
Lead Medical Coder Kroger Team
Advantum Health
Louisville, KY
07.2023 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Medical Coder
Humana
Louisville , KY
01.2017 - 05.2021
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained high accuracy rate on daily production of completed reviews.
- Review denied claims and research policies to advise the provider of why their claim denied. Then try to lead them in the right direction of where to find the information to possibly fix their claim.
- Responded to coding questions from callers and other internal departments.
- Review coding rules established by American Medical Association and Centers for Medicare and Medicaid Services.
- Accurately use software and official print copy of coding books
- Communicated with billing office and providers on denied claims
- Have an understanding of modifiers
- Collected documentation and clarified ambiguous patient care statements by contacting providers.
- Gone over medical records
- Verified proper coding, sequencing of diagnoses and accuracy of procedures.
- Reviewed records and procedures to determine why a claim denied
Industrial Electrician Apprentice
IBEW Local 369
Louisville , KY
02.2014 - 12.2015
- Assisted with electrical installation tasks, added new wiring and adjusted breaker boxes.
- Worked in team-based environment to accomplish projects.
- Installed new electrical components, fixtures and motors.
- Operated hand and power tools and diagnostic equipment to complete various aspects of jobs.
- Worked in all weather conditions and on multiple types of ladders and mechanical lifts.
- Listened to directives of senior electrical professionals to complete efficient tasks.
- Kept work areas clean, neat and free of hazards.
- Gathered required tools and equipment for each task to increase efficiency.
- Measured and prepared supplies for electrical tasks.
- Supported journeyman and master electricians in maintaining, operating and repairing electrical systems.
- Dug trenches and created holes to pull conduit and install supports.
- Followed relevant electrical and building codes for each job.
- Adhered to company standards and OSHA regulations for work site safety.
- Maintained organization, cleanliness and safety in work areas.
- Collaborated with more knowledgeable professionals to grow understanding of principles and construction standards.
- Verified measurements and made accurate cuts to avoid wasting materials on job sites.
- Completed semi-skilled and skilled work under supervision of fully qualified professionals.
- Demonstrated strong foundation of safety knowledge and implemented industry best practices.
- Transported required supplies and employees from headquarters to job site using company vehicles.
- Set up equipment and configured settings for optimal performance.
Education
Associate of Applied Science - Medical Coding
ATA College
Louisville, KY10.2016
Skills
- Insurance Billing
- Certified Professional Coder
- Problem-Solving
- Attention to Detail
- Word Processing Software
- Verbal and Written Communication
- Epic Systems
- Certified Medical Coder
- Doctor Communication
- Inpatient Coding
- Medical Terminology
- Medical Translation
- Records Review
- Protected Health Information
- Coding Error Resolution
- ICD-10 Coding
- Hospital Inpatient and Outpatient Records
- ICD-9 Coding
- Patient Rights
- Microsoft Excel
Timeline
Lead Medical Coder Kroger Team
Advantum Health
07.2023 - Current
Medical Coder
Humana
01.2017 - 05.2021
Industrial Electrician Apprentice
IBEW Local 369
02.2014 - 12.2015
Associate of Applied Science - Medical Coding
ATA College