Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kearstin Kaye

Spring Green,WI

Summary

  • Familiarity with Electronic Health Records and Health Information Systems.
  • Familiarity with insurance benefits and reimbursement.
  • Analyze inpatient and outpatient charts.
  • Familiarity with ICD-10-PCS, ICD-10-CM, and CPT coding, as well as medical terminology.
  • Experience with CMS-1450 and CMS-1500 claim forms.
  • Dynamic communication and interpersonal relationship skills, with a continual commitment to discussing issues, corrective action plans, and areas of improvement with team members and management.
  • Team collaboration toward maximizing a top employer's success.
  • Prioritize, coordinate, and manage multiple projects while achieving on-time and high-quality goals.
  • Highly organized and detail-oriented, while being able to overcome obstacles.

Skilled Health Information Analyst with a comprehensive understanding of health information systems. Expertise in ICD-10 coding, prior authorization, and utilization review. Strengths include strong analytical skills, proficiency in healthcare coding and billing processes, and working effectively in team environments. Recognized for maintaining HIPAA compliance, ensuring high-quality patient care, and efficient health information management. Proven ability to enhance operational workflows and improve accuracy.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Health Information Analyst

Richland Hospital
05.2024 - Current
  • Job Roles: Coder; Prior Authorization Specialist; Utilization Reviewer
  • Software Knowledge: Meditech; Epic; TruCode by TruBridge; Vitalware
  • Experience:

-Coding experience: Rural Health Clinic, urgent care, outpatient clinic, OB, geriatric assessment clinic, orthopedic clinic, pain management clinic, osteopathic manipulative treatment, nursing home

-Analyzed data and presented findings in structured audit documentation

-Utilize ICD-10-CM and CPT coding to accurately process medical claims.

-Conducted prior authorization reviews to ensure compliance with insurance requirements.

-Conducted utilization review activities in acute care, including concurrent reviews and discharge planning.

-Collaborated with healthcare teams to streamline patient data management.

-Analyzed health information systems for improved workflow efficiency.

-Maintained HIPAA compliance in all health information processes.

Associate Analytical Chemist

Eurofins
07.2022 - 05.2024

Team Member

Kwik Trip
05.2016 - 07.2023

Production Lab Technician

ABS Global
12.2020 - 05.2022

Education

Medical Billing and Coding Certificate Program -

DeVry University
Naperville, IL
08.2024

Bachelor of Science - Animal Science

University of Wisconsin-Madison
Madison, WI
05.2020

Skills

  • Electronic health records software proficiency
  • ICD-10-CM coding
  • ICD-10-PCS coding
  • CPT coding
  • HIPAA laws and guidelines
  • Utilization review
  • Prior authorization
  • Health insurance reimbursement
  • Medical terminology
  • Anatomy and physiology
  • Health information analysis
  • Organization
  • Problem solving
  • Critical thinking
  • Communication
  • Time management
  • Team and independent work
  • Project management
  • Information security
  • Clinical documentation

Certification

Certified Coding Associate (CCA), American Health Information Management Association (AHIMA), 08/24

Timeline

Health Information Analyst

Richland Hospital
05.2024 - Current

Associate Analytical Chemist

Eurofins
07.2022 - 05.2024

Production Lab Technician

ABS Global
12.2020 - 05.2022

Team Member

Kwik Trip
05.2016 - 07.2023

Bachelor of Science - Animal Science

University of Wisconsin-Madison

Medical Billing and Coding Certificate Program -

DeVry University
Kearstin Kaye