Summary
Overview
Work History
Education
Skills
Certification
COMMUNICATION
LEADERSHIP
Timeline
Generic

Kelly Culp

Elyria,Ohio

Summary

To obtain a challenging medical coding position where I can utilize my 29 years of experience and CPC, CCVTC certification and timely coding of medical services. I am specialized in Cardiothoracic surgery coding; however, I have experience in other specialties and am willing to learn additional specialties

Certified coding professional with deep understanding of medical coding, billing processes, and healthcare regulations. Adept at ensuring accuracy and compliance, contributing significantly to optimized revenue cycles. Strong focus on team collaboration and adaptability to changing needs. Trusted for reliability, thoroughness, and effective communication in fast-paced environments.

Overview

29
29
years of professional experience
1
1
Certification

Work History

Forensic Coder

Ensemble Health Partners
05.2017 - Current
  • Review and code patient medical records for accuracy and compliance with billing guidelines.
  • Utilize ICD-10 and CPT coding systems to ensure precise documentation of diagnoses and procedures.
  • Collaborate with healthcare providers to resolve discrepancies in coding and billing inquiries.
  • Maintained up-to-date knowledge of coding regulations and payer requirements through continuous education.
  • Assisted in training new staff on coding standards, software applications, and best practices.
  • Dual Certified with AAPC, I have my CPC and my CCVTS
  • Primarily code Cardiothoracic and Cardiovascular surgeries
  • Experienced in Several EHR systems for several Providers and Clients

Mercy Health Medical Center
05.1996 - 01.2017
  • Reviewed medical records for compliance with industry standards and regulations.
  • Maintained up-to-date knowledge of changes in coding practices and regulations.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Correctly coded and billed medical claims for various Providers and specialties
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Education

medical coding -

Bryant and Stratton
01.1998

associate degree - Applied Science

LCCC
01.1984

Diploma - undefined

Elyria High School
01.1981

Skills

  • Knowledge of coding systems (CPT, ICD-10, HCPCS) for Physician billing
  • Knowledge of Medical Terminology and Anatomy
  • Software proficiency includes, but not limited to Epic, Meditech, and Cerner EMR and billing systems
  • HIPAA compliance awareness
  • Claims processing efficiency
  • Team collaboration

Certification

Maintain CEUs for CPC Certification

COMMUNICATION

Explaining coding procedures clearly, resolving billing issues and collaborating with clinical staff to improve documentation

LEADERSHIP

I am currently a forensic coder which entails various duties. I train new hires and audit seasoned coders. I’m available to leadership for additional assignments

Timeline

Forensic Coder

Ensemble Health Partners
05.2017 - Current

Mercy Health Medical Center
05.1996 - 01.2017

associate degree - Applied Science

LCCC

Diploma - undefined

Elyria High School

medical coding -

Bryant and Stratton
Kelly Culp