KAYLA NELSON
Indianapolis
Summary
Certified Coding Specialist (CCS) with experience in Facility Coding. Adept in assigning accurate ICD diagnoses, ICD procedural, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) for Emergency Room, Radiology, Lab, Ancillary Services. I have additional 10 years of Experience in Health Information Management.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Coder I Ancillary Routine Outpatient
Trinity Health Corporation
07.2023 - Current
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Maintained accuracy, completeness, and security for medical records and health information.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
Certified Coding Specialist
Kiwi-Tek Medical Billing Services
03.2022 - 07.2023
- Ensured compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
- Abstract relevant clinical demographic information from medical records to assign ICD-10 and CPT codes in accordance with coding and reimbursement guidelines.
- Resolved discrepancies for coding-related issues.
- Radiology Accounts
Certified Coding Specialist
Community Health Network
08.2018 - 08.2022
- ICD-10 CM/PCS and CPT coding for emergency room, radiology, lab, and ancillary services.
- Audited clinical documentation and coded data to validate documentation support services performed for reimbursement and reporting purposes.
- Collaborated with providers to develop templates and improve coding.
- Worked to ensure that the medical information for hundreds of patients was accurate and up to date.
- Examine denials as necessary and recommend appropriate solutions.
- Reviewed and corrected rejected claims from various third party carriers.
- Weekly Productivity of 15-20 charts per hour.
- Monthly Quality Review Scores of 99.5%
- Worked a flexible 8 hours shift schedule, including overtime and weekends.
Medical Chart Auditor
Community Health Network
04.2010 - 08.2018
- Review of incoming and outgoing medical documentation and consult with health care providers when files/documentation is inadequate or unclear from the medical professional.
- Monitor daily queues for physician delinquent deficiencies and patient chart deficiencies.
- Assists business services with maintenance of data files necessary to perform tasks
Medical Records Clerk
Community Health Network
10.2007 - 08.2010
- Preparing patient chart and fathering information and documents from patients
- Releasing of patient medical information to providers, facilities, and patients.
- Filing the paperwork and reports of inpatients quickly and accurately.
- Transferring data into the facility main systems database.
Education
Associates of Applied Science - Health Information Technology
Rasmussen College
Altamonte Springs, FL05.2017
Skills
- Epic Production HD
- 3M HDM 360
- Cerner Powerchart
- Meditech
- Data Analysis
- Medical Terminology
- Data Entry
- Knowledge of EMR
- Microsoft Office Products
Certification
- Certified Coding Specialist, August 2018, AHIMA
Timeline
Coder I Ancillary Routine Outpatient
Trinity Health Corporation
07.2023 - Current
Certified Coding Specialist
Kiwi-Tek Medical Billing Services
03.2022 - 07.2023
Certified Coding Specialist
Community Health Network
08.2018 - 08.2022
Medical Chart Auditor
Community Health Network
04.2010 - 08.2018
Medical Records Clerk
Community Health Network
10.2007 - 08.2010
Associates of Applied Science - Health Information Technology
Rasmussen College
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