Summary
Overview
Work History
Education
Skills
Certification
Timeline
Hi, I’m

KATHLEEN MACDONALD

Wesley Chapel,FL
KATHLEEN MACDONALD

Summary

Adept at HCPCS and procedural coding, I significantly enhanced claim processing efficiency and coding accuracy during my tenure with KFORCE. My collaborative problem-solving and continuous professional development have been pivotal in maintaining HIPAA compliance and improving interdepartmental workflows, achieving a consistent record of high customer satisfaction and data integrity.

Professional in healthcare documentation, prepared to ensure accuracy and confidentiality of medical records. Skilled in interpreting clinical information, coding diagnoses and procedures, and maintaining compliance with regulatory standards. A reliable team player with focus on collaboration and adaptability, consistently delivering precise and efficient coding solutions.

Knowledgeable with solid foundation in medical coding practices and history of optimizing patient record accuracy. Proven track record of consistently maintaining compliance with healthcare regulations and enhancing data integrity. Demonstrated expertise in analyzing medical records and utilizing coding software to improve workflow efficiency and support clinical staff.

Experienced with medical coding and documentation, ensuring precise and accurate patient records. Utilizes knowledge of healthcare regulations and coding guidelines to maintain compliance and support clinical operations. Knowledge of various coding systems and software, with strong understanding of data integrity and confidentiality.

Professional with strong background in medical coding, skilled in ICD-10-CM, CPT, and HCPCS. Demonstrates unwavering commitment to accuracy and compliance, ensuring precise coding and documentation. Known for effective team collaboration and adaptability, consistently driving results in dynamic healthcare environments.

Certified Medical Coding Specialist with 17 years providing administrative and coding support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.

Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.

Methodical Coder provides administrative and clerical support to medical staff. Proven record of accurately organizing, filing and retrieving patient information. Experienced in coding medical records and entering data into patient databases.

Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Data Annotation position. Ready to help team achieve company goals.

Tech-savvy innovator with hands-on experience in emerging technologies and passion for continuous improvement. Skilled in identifying opportunities for technological enhancements and implementing effective solutions. Adept at leveraging new tools and methods to solve problems and enhance productivity. Excels in adapting to fast-paced environments and driving technological advancements. CompTIA A+ certified until 2016.

Overview

20
years of professional experience
3

Certifications

Work History

SELF EMPLOYED CONTRACTOR

MEDICAL RECORD CODER
04.2010 - 10.2016

Job overview

  • Contributed to a positive work environment through active participation in team meetings and collaborative problem-solving efforts.
  • Played an instrumental role in maintaining high levels of accuracy through timely coding processes that allowed for faster claim processing.
  • Proactively identified opportunities to optimize coding processes, presenting findings and recommendations to department leaders for consideration and implementation.
  • Streamlined the medical records system by regularly auditing and updating electronic health records.
  • Developed a streamlined approach to query resolution that expedited the clarification process between coders and clinical staff members.
  • Played an instrumental role in maintaining high levels of customer satisfaction among patients through timely coding processes that allowed for faster claim processing.
  • Ensured continuity of care by maintaining thorough and accurate documentation for patient transfers and handoffs between healthcare providers.
  • Ensured data integrity by adhering to strict confidentiality regulations surrounding patient information and HIPAA compliance.
  • Collaborated with multidisciplinary teams including physicians, nurses, case managers, quality assurance personnel to maintain a coordinated workflow.
  • Enhanced interdepartmental communication by collaborating with healthcare providers to clarify documentation discrepancies.
  • Continually expanded knowledge base through attendance at industry conferences, seminars, and professional development workshops related to medical coding best practices.
  • Supported compliance initiatives by participating in regular audits, identifying areas for improvement, and making necessary adjustments to processes.
  • Assisted in revenue cycle optimization efforts through comprehensive analysis of denied claims, pinpointing root causes, and recommending corrective actions.
  • Increased efficiency within the department through effective time management and prioritization of tasks.
  • Reduced errors in medical billing by meticulously reviewing patient charts for accurate code assignment.
  • Improved overall coding accuracy by implementing ongoing education and training for staff members.
  • Maintained high-quality coding performance by consistently meeting or exceeding productivity benchmarks.
  • Maximized reimbursement potential by staying up-to-date with industry regulations, coding guidelines, and payer policies.
  • Participated in the development of policies and procedures related to medical record coding practices, ensuring alignment with industry standards and best practices.
  • Provided guidance to junior coders as needed, offering support in complex case reviews and sharing expert knowledge on specific coding topics.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • 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.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
  • Generated reports to identify coding trends and discrepancies.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Followed up with medical staff regarding missing information in patient records.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Verified accuracy of patient information in medical records.
  • Scanned and uploaded medical records into electronic medical records system.
  • Input data into computer programs and filing systems.
  • Communicated effectively with staff, patients, and insurance companies by email and telephone.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.
  • Sorted and distributed incoming and outgoing medical records.
  • Researched and resolved medical record discrepancies.
  • Processed and tracked requests for medical records from external organizations.
  • Assisted in training new staff on medical record processing and filing procedures.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Generated and maintained statistical data related to medical records.
  • Identified new methods to optimize medical records management.

VARIOUS COMANIES INCLUDING KFORCE,COMFORCEMEDPARTN

MEDICAL RECORD CODER
09.2002 - 04.2010

Job overview

  • Contributed to a positive work environment through active participation in team meetings and collaborative problem-solving efforts.
  • Played an instrumental role in maintaining high levels of customer satisfaction among clients through timely coding processes that allowed for faster claim processing.
  • Proactively identified opportunities to optimize coding processes, presenting findings and recommendations to department leaders for consideration and implementation.
  • Streamlined the medical records system by regularly auditing and updating electronic health records.
  • Developed a streamlined approach to query resolution that expedited the clarification process between coders and clinical staff members.
  • Ensured continuity of care by maintaining thorough and accurate documentation for patient transfers and handoffs between healthcare providers.
  • Ensured data integrity by adhering to strict confidentiality regulations surrounding patient information and HIPAA compliance.
  • Collaborated with multidisciplinary teams including physicians, nurses, case managers, quality assurance personnel to maintain a coordinated workflow.
  • Enhanced interdepartmental communication by collaborating with healthcare providers to clarify documentation discrepancies.
  • Continually expanded knowledge base through attendance at industry conferences, seminars, and professional development workshops related to medical coding best practices.
  • Supported compliance initiatives by participating in regular audits, identifying areas for improvement, and making necessary adjustments to processes.
  • Assisted in revenue cycle optimization efforts through comprehensive analysis of denied claims, pinpointing root causes, and recommending corrective actions.
  • Increased efficiency within the department through effective time management and prioritization of tasks.
  • Reduced errors in medical billing by meticulously reviewing patient charts for accurate code assignment.
  • Improved overall coding accuracy by implementing ongoing education and training for staff members.
  • Maintained high-quality coding performance by consistently meeting or exceeding productivity benchmarks.
  • Maximized reimbursement potential by staying up-to-date with industry regulations, coding guidelines, and payer policies.
  • Participated in the development of policies and procedures related to medical record coding practices, ensuring alignment with industry standards and best practices.
  • Provided guidance to junior coders as needed, offering support in complex case reviews and sharing expert knowledge on specific coding topics.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Correctly coded for various hospital and nursing facilities.
  • 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.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Communicated with department ledership to research and resolved coding discrepancies.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
  • Generated reports to identify coding trends and discrepancies.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Followed up with medical staff regarding missing information in patient records.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Verified accuracy of patient information in medical records.
  • Scanned and uploaded medical records into electronic medical records system.
  • Input data into computer programs and filing systems.
  • Communicated effectively with staff by email and telephone.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.
  • Followed exact procedures for handling transfers and other releases of medical records.
  • Researched and resolved medical record discrepancies.
  • Sorted and distributed incoming and outgoing medical records.
  • Assisted in training new staff on medical record processing and filing procedures.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Generated and maintained statistical data related to medical records.
  • Developed and implemented new filing system for medical records to improve efficiency.
  • Identified new methods to optimize medical records management.

Education

Bishop State Community College
Mobile, AL

Associate of Science from Health Information Technology
07-2000

University Overview

  • Honoree of Student of the year for Class/School/State 1999
  • Dean's List 1998-2000
  • Honor Roll 1998/99
  • 4.0 GPA
  • Ranked in Top 1% of class
  • cum laude graduate

Henry Ford Community College
Dearborn, MI

Associate of Science from Nursing
05-1995

University of Maryland, European Division
US Military Installations Heidleberg, Germany

Associate of Science from Business Management
01-1987

Skills

  • HCPCS coding
  • HIPAA compliance
  • Clinical documentation
  • Procedural coding
  • Diagnostic coding
  • Insurance verification
  • Software navigation
  • Anatomy
  • Medical record analysis
  • Insurance coding (ICD-9 and CPT)
  • Training and mentoring
  • Data entry
  • Medical claims coding
  • Medical terminology
  • Regulatory guidelines
  • Workflow management
  • Document management
  • Knowledgeable in 3M/Citrix/META
  • Proficiency in 3M/Cirrus/CDSI
  • Continuing education
  • Inpatient records coding
  • Data verification
  • Performance improvement

Certification

  • Health Information Technology Certification (HIT) - Commission on Accreditation for Health Informatics and Information Management Education.
  • Specialty Coding Professional – Hospital Outpatient Surgery Coding Certification – Board of Medical Specialty Coding & Compliance.
  • Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA).
  • Professional Service Coding Certificate(PSCC)- Practice Management Institute.
  • CompTIA A+ certification through courses with Western Governors University Online.

Timeline

MEDICAL RECORD CODER

SELF EMPLOYED CONTRACTOR
04.2010 - 10.2016

MEDICAL RECORD CODER

VARIOUS COMANIES INCLUDING KFORCE,COMFORCEMEDPARTN
09.2002 - 04.2010

Bishop State Community College

Associate of Science from Health Information Technology

Henry Ford Community College

Associate of Science from Nursing

University of Maryland, European Division

Associate of Science from Business Management
KATHLEEN MACDONALD