KAYLEE WRIGHT
Goose Creek,SC
Summary
CPC, CEDC, CPMA Medical Coder with 12 plus years of professional experience in application and evaluation of various code sets. In previous roles abstracted and assigned ICD and CPT codes to patient medical records, maintaining 95% accuracy per 80 + daily claims. Seeking to leverage coding guidelines knowledge and strong analytical skills to implement smooth coding service
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Coder II
MUSC
02.2023 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Reduced claim denials, meticulously verifying coding accuracy before submission.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
Outpatient Coder
Ensemble Health Partners
08.2021 - 02.2023
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses
- Assigned procedure and diagnosis codes for insurance billing using 3M and EPIC
Coding Specialist
Roper Saint Francis
10.2016 - 08.2021
- Accurately assigned ICD and CPT codes to patient medical records
- Reviewed patient charts and identified discrepancies in the medical documentation
- Interpreted medical terminology (especially related to diagnostic radiology) in order to translate it into the coding software
- Analyzed DRG assignments using ICD-10-CM codes
- Investigated rejected and denied claims, correcting applicable coding in eCW
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements
- Assigned procedure and diagnosis codes for insurance billing using 3M and EPIC
- Quickly responded to staff and client inquiries regarding CPT codes
Trauma Registrar
MUSC
08.2015 - 10.2016
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
- Processed patient information into office database, using Cerner and Citrix applications, allowing access to accurate and up-to-date records
- Assembled charts and processed paperwork and identification bands for patient information and identity
- Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols
- Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services
Pathology Coder
McKesson
08.2012 - 10.2016
- Abstract all ICD-9 and CPT, and HCPCS codes according to the guidelines for the Pathology Department
- Quality and assurance for Pathology Coders
- Training and development of Pathology Coders
- Verified accuracy and completion of data and documentation to ensure correct final billing
- Reviewed and resolved coding-related claims to prevent further rejections, denials, and adjustments
Education
Associate of Applied Science - Healthcare Reimbursement
Virginia College
07.2012
Skills
- CPT
- ICD-10-CM
- HCPCS Level II codes
- Medicare insurance regulations
- Standardized classification workflow
- Medical anatomy terminology
- Data entry and management
- Speed typing
- Analytical skills
- Decision making
- Problem solving
- Time management
- Knowledgeable in EPIC
- Knowledgeable in 3M
- Knowledgeable in Cerner
Certification
- Certified Professional Coder (CPC)
- Certified Emergency Department Coder (CEDC)
- Certified Professional Medical Auditor (CPMA)
Timeline
Medical Coder II
MUSC
02.2023 - Current
Outpatient Coder
Ensemble Health Partners
08.2021 - 02.2023
Coding Specialist
Roper Saint Francis
10.2016 - 08.2021
Trauma Registrar
MUSC
08.2015 - 10.2016
Pathology Coder
McKesson
08.2012 - 10.2016
- Certified Professional Coder (CPC)
- Certified Emergency Department Coder (CEDC)
- Certified Professional Medical Auditor (CPMA)
Associate of Applied Science - Healthcare Reimbursement
Virginia College
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