Kelly R. Martinez

• Take action and resolve alerts/edits daily following established procedures and thresholds
• Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
• Escalated alert/edit resolution issues to minimize final billing delays
• Monitored aging accounts held by alert/edit, prioritized aged accounts, and reported findings to leadership
• Enter detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
• Facilitated accurate billing by assigning interim DRGs for in-house patients at the end of each month.
• Completed MOCK abstracts to ensure accurate coding for inpatient claims. (e.g., split DOS mocks or excluding codes for inpatient claims)
• Assisted coding leads and managers in resolving unbilled reason codes and hold reasons

• Reviewed medical documentation for accuracy and compliance with coding standards.
• Assigned appropriate codes for diagnoses and procedures in patient records.
• Collaborated with healthcare providers to clarify documentation and coding queries.

Accurately assigned ICD-10-CM diagnostic codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation, ensuring coding accuracy and abstracting relevant data elements for reimbursement. Collaborated with HIM staff to utilize the appropriate physician clarification process when documentation was incomplete or ambiguous.

• Placed patients in appropriate units based on doctors’ orders in a timely manner while maintaining transfers; communicated professionally and efficiently with doctors and charge nurse; applied quick critical thinking skills to perform job optimally.
• Monitored compliance with safety protocols and regulatory requirements.
• Coordinated training sessions for new staff on control procedures.
• Assisted in developing and implementing quality control measures.

• Transported patients to the operating room; assisted nurses with transferring patients and moving heavy equipment; positioned patients for surgery; prepped holds; cleaned operating room suites; restocked supplies, linens, and warm blankets.
• Assisted nursing staff with patient transport and mobility throughout the facility.
• Maintained cleanliness and order in surgical areas and patient rooms.
• Monitored patient comfort and reported any concerns to medical personnel.

• Bathed, dressed, fed and assisted patients; took care of EKG’s and hooked up heart monitors when requested by nursing staff; charting in EMR for each patient interaction, and; other duties as needed.
• Assisted nursing staff with daily patient care and hygiene tasks.
• Monitored vital signs and reported changes to nursing team promptly.
• Maintained cleanliness and organization of patient rooms and common areas.

• Assisted patients unable to care for themselves due to dementia and Alzheimer’s, and charted in EMR.
• Provided essential patient care and support under the supervision of nursing staff.
• Assisted patients with daily living activities, including bathing and dressing.
• Monitored vital signs and reported changes to the nursing team promptly.

• Assisted with cleaning, bussing tables, and serving beverages as needed.
• Assisted servers by delivering food and beverages promptly to tables.
• Maintained cleanliness of dining areas, ensuring a welcoming environment for guests.
• Supported kitchen staff by restocking supplies and organizing workstations efficiently.