Kathleen MacGregor, RHIA, CCS
San Diego,CA
Summary
Training and experience in the application of required healthcare documentation and procedures, ensuring high quality healthcare delivery. Apply evolving information technology to complete health information management processes. Ensure compliance with payment systems including Medicare, Medicaid, and managed care. Produce data utilized for healthcare quality improvement, utilization management, and risk management.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Health Information Coder III
UC San Diego Health
05.2018 - Current
- Reviews the entire record and captures the most appropriate codes, diagnosis, procedures for pro-free and facility
- Assists in the query process and performs edits of any coding flags or warnings
- Applies official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Uses 3M Encoder and Epic systems to assign procedure and diagnostic codes to patient records for billing purposes.
HIM MPI Analyst
UC San Diego Health
08.2017 - 05.2018
- Coordinated and performed critical analysis of data related to the Master Patient Index, ensuring every patient admitted to the ambulatory care services, emergency services, and hospital care, has unique identifiers
- Reviewed, maintained, and, when necessary reconciled critical data to mitigate duplicate assignments of unique identifiers upon admission or registration
- Analyzed the details of the data for reporting purposes to a medical staff committee and worked with groups to assess any trends associated with demographic errors and staff data entry or information capture
Release of Information Coordinator
Scripps Health
05.2017 - 08.2017
- Responsible for full range of tasks performed in coordinating the release of patient's protected health information.
- Accountable for complying with all State and Federal laws regarding the release and disclosure of protected health information
- Complied with established policy and current consent law for the proper release of all health care information, ensuring that the patient's privacy is protected.
Health Information Technician/Epic Trained Super User
Scripps Health
10.2015 - 04.2017
- Used a variety of indices, classification systems, and storage retrieval systems to organize medical records
- Accurately scanned, indexed, and inputed documents into the electronic health record (EHR)
- Completed EHR audit/quality maintenance procedures, processed chart requests, facilitated chart purges, and organized medical record copy requests
- Audited and reviewed patient information via EMR management to ensure accuracy and completeness
Education
Associate of Science - Health Information Technology
San Diego Mesa College
San Diego, CA2016
Bachelor of Science - Business Administration
San Diego State University
San Diego, CA2015
Skills
- EPIC Trained Super User
- 3M 360
- ICD 10 Coding
- Current Procedural Terminology Coding
- Pro-fee/Facility Coding
- Electronic Health Record (EHC) Audits
- Hospital & Health Statistics
- Ability to accurately record information
Certification
RHIA Certification
-American Health Information Management Association
-Issued 9/23/2017
-Credential ID: 213963
CCS Certification
-American Health Information Management Association
-Issued 8/26/2017
- Credential ID: 213229
Volunteer Work
Guest Ambassador
July 2015- October 2015
Sharp Healthcare
Volunteer Services Office Assistant
January 2015-July 2015
Sharp Healthcare
Awards
Gift of Time Award
Sharp Healthcare
Dean's List
San Diego Mesa College
Timeline
Health Information Coder III
UC San Diego Health
05.2018 - Current
HIM MPI Analyst
UC San Diego Health
08.2017 - 05.2018
Release of Information Coordinator
Scripps Health
05.2017 - 08.2017
Health Information Technician/Epic Trained Super User
Scripps Health
10.2015 - 04.2017
Associate of Science - Health Information Technology
San Diego Mesa College
Bachelor of Science - Business Administration
San Diego State University
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