KELLY BISHOP
Tallmadge,OH
Summary
Driven Nursing Professional with extensive experience in patient care and reporting findings to leadership. Delivered impactful results through attention to detail, decision-making, and collaboration in acute and emergent settings, including ICU and PACU. Certified Medical Coder with a solid understanding of health information management and medical billing processes, demonstrating accuracy in data entry and responsible handling of confidential patient information.
Overview
1
1
Certification
11
11
years of professional experience
Work History
Senior Clinical Auditor
Medical Mutual of Ohio
Cleveland, USA
05.2017 - 04.2024
- Reviewed medical/hospital claims for coding and billing accuracy to ensure compliance and proper payment.
- Documented audit findings and prepared detailed reports for management to inform decision-making.
- Monitored changes in applicable laws and regulations that affect the organization's operations.
- Reviewed medical records for accurate coding and compliance with regulations.
- Trained new staff on coding guidelines and software usage to enhance team performance.
- Implemented process improvements to streamline coding workflows and increase efficiency.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
Registered Nurse
Summa Health System
Akron, USA
09.2015 - 05.2017
- Utilized critical thinking skills to assess changes in patient conditions, recognize complications and intervene appropriately.
- Demonstrated strong communication skills to collaborate with interdisciplinary team members to ensure optimal patient outcomes.
- Coordinated multiple tasks to deliver timely, high-quality patient care.
- Assisted patients in the PACU setting during recovery phase after surgery.
- Gained experience in labor and delivery unit for one year.
Registered Nurse, Intensive Care Unit
MetroHealth Medical Center
Cleveland, USA
01.2013 - 09.2015
- Delivered critical care to acutely ill patients, ensuring stability and recovery in the intensive care unit.
- Provided direct patient care in critical situations and monitored vital signs.
- Administered medications and managed intravenous therapy protocols effectively.
- Coordinated with multidisciplinary teams to create and implement patient-centered care plans, facilitating efficient discharge planning.
- Collaborated with interdisciplinary teams to develop and implement care plans.
Education
Bachelor of Science (B.S.) - Nursing
Malone University
Canton, OH, USSkills
- Regulatory compliance
- Audit planning
- Audit reporting
- Attention to detail
- Clinical documentation
- Attention to detail
- Decision-making
- Critical thinking
- Team collaboration
- Effective communication
- Effective communication
Certification
- Registered Nurse, Ohio RN349684
- BLS Obtained 3/2026
- Will obtain recertification from AAPC for CPC by start date
Timeline
Senior Clinical Auditor
Medical Mutual of Ohio
05.2017 - 04.2024
Registered Nurse
Summa Health System
09.2015 - 05.2017
Registered Nurse, Intensive Care Unit
MetroHealth Medical Center
01.2013 - 09.2015
Bachelor of Science (B.S.) - Nursing
Malone University