Kellie Lombardo
Cleveland,TX
Summary
Seasoned Coding and Oasis Specialist with a proven track record for enhancing operational efficiency and team performance. Expert in ICD 10 coding and HIPAA compliance, with a knack for leading remote team training sessions. Achieved a consistent competency rate of 95% in quality audits, demonstrating unparalleled dedication to excellence and teamwork.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Coder/ Oasis and POC reviewer- PRN/ 1099
KD Quality Coding and Consulting
03.2024 - Current
- Analyze physician documentation for the purpose of assigning accurate ICD-10-CM codes.
- Full assessment review and correction as needed per agency guidelines/ standards
- Make all recommended Oasis changes with education to staff regarding rationale per CMS guidance
- Utilize multiple EMRs
Coding and Oasis Specialist
HomeFirst Healthcare
Nashville, TN
02.2024 - Current
- Analyzed physician documentation for the purpose of assigning accurate ICD-10-CM codes.
- Maintained knowledge of current coding regulations, standards, and guidelines.
- Researched complex coding issues as needed to ensure compliance with federal regulations.
- Performed quality assurance reviews to evaluate completeness, accuracy, and compliance with applicable laws.
- Tracked utilization data, including visits, assessments, and OASIS scores, ensuring accuracy at all times.
Live QA Reviewer
Pinnacle Home Care
08.2023 - 02.2024
- Performed full chart review including ICD 10 coding, Oasis, visit utilization and POC review for multiple offices
- Maintained competency of 95% or above in quality audits by QA department/ supervisor
- Tracked utilization data, including visits, assessments, and OASIS scores, ensuring accuracy at all times.
- Reviewed individualized plans of care based on assessment findings and physician orders.
At Home Home Health
08.2021 - 04.2022
- Provide coverage to agencies across Texas to provide ICD 10 coding and Oasis review on all SOC/RCT/Discharge Oasis utilizing HCHB software
- In addition, review all plan of cares to ensure appropriateness/ completeness and to ensure visit utilization is supported by provided documentation
- Host monthly quality calls with agencies to discuss outcomes and 5 Star Rating statuses with education/ training on a regular basis to the entire HH team of nurses and therapist
- Additional responsibilities include assisting with scheduling and held claims
Quality Review Nurse/ Interim Director
Brookdale Senior Living- Home Health
Brentwood, USA
08.2012 - 07.2021
- Company Overview: Brentwood, TN
- Provide coverage to agencies across the nation to provide ICD 10 coding and Oasis review on all SOC/RCT/Discharge Oasis utilizing HCHB software
- In addition, review all plan of cares to ensure appropriateness/ completeness and to ensure visit utilization is supported by provided documentation
- Host monthly quality calls with agencies to discuss outcomes and 5 Star Rating statuses with education/ training on a regular basis to the entire HH team of nurses and therapist
- Additional responsibilities include assisting with scheduling and held claims
- Traveled to agencies throughout the United States to fill open director positions
- Provided input and participated in the overall development and administration of the agencies as set forth in the policies and procedures
- Reviewed and evaluated existing policies and procedures and updated manuals as appropriate
- Responsible for supervising, orientation and competency evaluation of all department staff as well as interviewing and hiring team members
- Maintained the agencies in a state of survey readiness at all times
- Enforced the home health model by following workflow processes as established and holding team members accountable to task assignments
- Maintained effective and efficient ongoing communication with management, reporting all operational aspects of the agency related to patient care, financial operations, physician relations, community relations or other areas impacting the Home Health Agency performance
Education
Associates Degree - Nursing
Lone Star College
TX05.2000
Skills
- Quality Assurance
- Team performance improvement
- Operational enhancement
- Management collaboration
- HIPAA Compliance
- EMR systems proficiency
- Medicare insurance regulations
- ICD 10 coding
- Claim rejection resolution
- Teamwork
- Remote team training
Certification
- HCS- C Oasis Certification, 2013- present
- HCS- D ICD 10 Coding Certification, 2013- present
References
References available upon request.
Timeline
Coder/ Oasis and POC reviewer- PRN/ 1099
KD Quality Coding and Consulting
03.2024 - Current
Coding and Oasis Specialist
HomeFirst Healthcare
02.2024 - Current
Live QA Reviewer
Pinnacle Home Care
08.2023 - 02.2024
At Home Home Health
08.2021 - 04.2022
Quality Review Nurse/ Interim Director
Brookdale Senior Living- Home Health
08.2012 - 07.2021
Associates Degree - Nursing
Lone Star College
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