Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Work Availability
Timeline
Generic

Kathryn Randle

Health information Director
Minden,LA

Summary

Certified RHIA and CCDS professional with over 20 years of expertise in revenue integrity, clinical documentation improvement, utilization review, and case management. Proven track record in enhancing accurate reimbursement, ensuring regulatory compliance, and achieving superior quality outcomes. Skilled in fostering collaboration among physicians, payers, and healthcare staff to minimize denials, elevate CMI, and strengthen strategic revenue cycle operations. Committed to excellence with extensive knowledge of the revenue cycle process.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Health Information Director

Minden Medical Center
08.2018 - Current
  • Reduced length of stay (LOS) and increased case mix index (CMI) through alignment of case management and CDI functions.
  • Led readmission and mortality committees to monitor and improve care quality.
  • Acted as CDM gatekeeper and ensured compliance with regulatory standards and core measures.
  • Collaborated with providers to improve documentation for accurate status assignments and denial prevention.
  • Oversees utilization review (UR) reports to insurance and supported appeal processes.
  • Manage over 20 employees including nurses and remote staff.
  • Audited inpatient and outpatient coding.
  • Implemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.
  • Codes inpatient, psych and rehab accounts.
  • Codes ER, outpatient surgeries, outpatient rehabs and ancillary surgeries.
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.

Assistant Director of HIM / Clinical Documentation Specialist

Minden Medical Center
10.2001 - 08.2018
  • Developed and implemented a successful clinical documentation improvement program.
  • Led inpatient and outpatient coding, DRG validation, and documentation audits.
  • Conducted provider training sessions and ensured compliant query practices.
  • Increased DRG reimbursement by improving documentation and case mix.
  • Reviewed unbilled reports and ensured corrections within 72 hours.
  • Applied NCCI edits and managed modifiers for claim accuracy.
  • Led teams on readmission and mortality initiatives; maintained up-to-date payer compliance.
  • Knowledge of LCD and NCD guidelines
  • Proficient in injection and infusion CPT coding
  • ICD 10 coding
  • CPT coding
  • CDM gatekeeper
  • Ability to write and get appeals overturned for coding, readmissions and clinical validation denials.

Education

Bachelor of Science - Applied and Natural Science

Louisiana Tech University
Ruston, LA
01-2001

High School Diploma - undefined

Minden High School
Minden, LA
01.1995

Skills

  • ICD-10/CPT/HCPCS Coding
  • Clinical Documentation Improvement (CDI)
  • Injection and infusion coding
  • DRG Validation & Appeals
  • NCD, LCD, NCCI Compliance
  • Coding Audits & Quality Control
  • Effective communication

Accomplishments

  • Supervised team of 15 staff members.
  • Written appeals overturned.
  • Implmented CDI program.
  • Reduced Denials.
  • Trained coders.
  • Lowest unbilled in company.


Certification

  • Registered Health Information Administrator (RHIA)
  • Certified Clinical Documentation Specialist (CCDS)

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Health Information Director

Minden Medical Center
08.2018 - Current

Assistant Director of HIM / Clinical Documentation Specialist

Minden Medical Center
10.2001 - 08.2018

High School Diploma - undefined

Minden High School

Bachelor of Science - Applied and Natural Science

Louisiana Tech University

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