KATHLEEN SPENCE RODGERS
Newmarket,NH
Summary
Accomplished Certified Professional Coder with a solid track record at BILH, recognized for driving successful team initiatives. Expert in Epic, demonstrating exceptional attention to detail and leadership skills while ensuring compliance and optimizing workflows for maximum efficiency. Proven ability to enhance provider education and streamline coding processes. Aiming to leverage these competencies to further improve operational outcomes in a dynamic healthcare environment as a Coding Validator.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Beth Israel Lahey Health System Services
Burlington, MA
06.2017 - Current
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures through real-time reviews in the following specialties: Hematology/Oncology, Hospital Medicine, Palliative Care, Rheumatology, Critical Care, and more.
- Educated new coders on proper workflows, systems usage, and coding guidelines.
- Delivered comprehensive coding education to providers during onboarding.
- Audited providers' documentation to identify trends and provide actionable recommendations for improvement.
- Supported users in Coding Department as G-Suite line leader.
- Resolved coding discrepancies by reviewing diagnosis and procedure codes to address insurance claim denials.
- Full-time remote work experience
- Performed coding duties remotely, ensuring accurate and timely medical billing.
Prof. Surgical Coding Team Lead and SuperUser
Lahey Hospital & Medical Ctr
Burlington, MA
05.2015 - 06.2017
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Motivated staff through positive reinforcement techniques. Collaborated with the Prior Authorization team to implement the Prior Authorization Coding program.
- Coordinated with coding vendor to ensure effective assistance and consistent workflows.
- Review and revise workflows for increased efficiency and decreased lag time on coding
- Collaborate with other Revenue depts and HB Coding to explore new workflows and processes & optimizing Epic functionality
- Ensured compliance with industry standards and regulations.
- Facilitated team meetings to discuss new guidelines, arrange specialty education, and address any issues.
- Resolved coding discrepancies and denials to maximize reimbursement.
Certified Professional Coder
Lahey Hospital & Medical Ctr
Burlington, MA
07.2014 - 05.2015
- Focused on outpatient Orthopedic services, Podiatry, Pulmonary, and Critical care
- Collaborated with internal departments such as billing staff to ensure timely submission of clean claims.
- Exported 200 claims daily-varied by work volume
- Audited charts for coding accuracy and clinical documentation
- Real time reviews of providers for improved coding opportunities
- Participated in coding team meetings to discuss challenges and best practices.
- Developed and maintained solid rapport with providers.
- Epic Superuser providing at-the-elbow support to colleagues
- Managed tracking of Epic issues for ticket creation and collaborated with colleagues on resolutions.
- Mentored and trained new employees on systems.
Physician Coder
Steward Medical Group
Brighton, MA
10.2012 - 07.2014
- Resolved 15-20 patient coding disputes daily
- Validated code selection for hospitalist and addiction providers at 4 hospitals through MedAptus and AthenaHealth
- Reduced Pain management coding denials by 25%
- Researched coding questions and concerns from providers and provided detailed responses
- Remote coding-3 days weekly
- Monitored and analyzed coding error trends to improve coding accuracy.
- Reviewed medical records for accuracy and completeness of documentation in accordance with CMS guidelines.
Education
Health Claims Specialist Certification - Medical Billing and Coding
Seacoast Career School
Manchester, NH01.2009
Skills
- Experience with the following systems: Epic, Meditech, athenaHealth, AllScripts, Practice Partner
- Attention to detail
- Presentation skills
- Leadership
- Coder and Provider training
- Oral and written communication skills
- Team collaboration
- Adaptability
- Interpersonal skills
- Problem-solving
Affiliations
- AAPC Burlington Chapter, President, 2016-2017
- AAPC Haverhill Chapter, VP, 2014
Certification
- Certified Professional Coder, AAPC
- Certified Evaluation & Management Coder, AAPC
References
References available upon request.
Timeline
Certified Professional Coder
Beth Israel Lahey Health System Services
06.2017 - Current
Prof. Surgical Coding Team Lead and SuperUser
Lahey Hospital & Medical Ctr
05.2015 - 06.2017
Certified Professional Coder
Lahey Hospital & Medical Ctr
07.2014 - 05.2015
Physician Coder
Steward Medical Group
10.2012 - 07.2014
Health Claims Specialist Certification - Medical Billing and Coding
Seacoast Career School
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