Kelly Pierson
Rockford,IL
Summary
Highly-motivated and experienced Medical Coding professional with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Motivated to maintain customer satisfaction and contribute to company success.
Overview
22
22
years of professional experience
2
2
Certification
Work History
Director of Coding and CDI
Mercyhealth
Janesville, WI
06.2022 - Current
- Develop and implement comprehensive strategies to improve processes and organizational efficiency.
- Collaborate with executive leadership to set long-term objectives for the company.
- Identify opportunities for improvement in operational performance metrics such as Coder productivity, risk adjustment reporting, and documentation improvement ROI.
- Create detailed plans outlining timelines, goals, budgets, staffing needs and other requirements for projects.
- Establish relationships with vendors and suppliers to secure favorable terms for materials or services.
- Assess employee performance against established benchmarks or targets.
- Oversee Provider Audit Team with high complexity audits.
Client Policy Manager
Zelis Healthcare
Bedminster, NJ
08.2019 - 05.2022
- Data analysis to ensure payment integrity and areas for revenue opportunity.
- Researched coding guidelines to provide new edit parameters based on Client needs.
- Conducted risk assessments to identify potential areas of fraud or non-compliance.
- Interacted regularly with clients to discuss audit progress, findings, and recommendations.
- Assessed coding accuracy, using ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
Medical Coding Team Leader
Mercyhealth
Janesville, WI
05.2002 - 08.2019
- Developed and implemented training programs for new medical coding staff members.
- Maintained up-to-date knowledge of coding regulations, guidelines, and standards.
- Reviewed and audited coded data to ensure accuracy and compliance with established policies and procedures.
- Performed quality assurance reviews of medical coding work products.
- Interfaced with clinical personnel regarding any changes in diagnosis codes or treatments.
- Collaborated with physicians when necessary to clarify diagnoses or treatment plans.
Education
Bachelor of Science - Healthcare Management
Winona State University
Winona, MN12-1998
Skills
- Revenue Cycle Management
- Healthcare claim coding
- Regulatory guidelines
- Training and mentoring
- Policy Implementation
- Key Performance Indicators
- CPT and HCPCS coding
Accomplishments
- Successfully Implemented Computer Assisted Coding software for 120 physicians.
- Reorganized a team of 68 coders through positive change management and applying efficient methodologies.
Certification
- CPC
- CRC
Timeline
Director of Coding and CDI
Mercyhealth
06.2022 - Current
Client Policy Manager
Zelis Healthcare
08.2019 - 05.2022
Medical Coding Team Leader
Mercyhealth
05.2002 - 08.2019
Bachelor of Science - Healthcare Management
Winona State University
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