Kelly Simpson
Guston,KY
Summary
Remote Senior Medical Coder with AAPC certification, and expertise in E/M CPT, ICD-10-CM coding and HIPAA compliance. Proven track record in reducing claim denials and mentoring junior coders to enhance accuracy and efficiency. Workflow management
Demonstrates strong analytical skills, accuracy in coding, and deep knowledge of medical terminologies and coding systems. Focuses on collaboration and achieving results, adaptable to changing needs. Known for reliability, integrity, and ability to manage complex coding projects effectively.
Recognized for strong attention to detail and compliance with industry regulations. Expertise in identifying and resolving coding discrepancies, ensuring accurate billing and optimal reimbursement outcomes.
Overview
2026
2026
years of professional experience
Work History
Remote Senior Medical Coder
United Health Group - Optum Health
Eden Prairie, MN
06.2011 - 02.2026
- Mentored junior coders, enhancing team productivity and accuracy in documentation.
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
- Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
- Conducted regular audits of coded data, pinpointing inconsistencies or inaccuracies that could impact reimbursements or compliance measures.
- Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Reviewed and resolved complex coding discrepancies, improving overall claim processing efficiency.
- Collaborated with clinical teams to clarify documentation, ensuring comprehensive coding practices.
Compliance Auditor and Medical Coder
Baptist Health Care
Louisville, KY
2008 - 05.2010
- Conducted compliance audits to ensure adherence to regulatory standards and internal policies.
- Analyzed audit findings and prepared detailed reports for management review.
- Collaborated with departments to develop corrective action plans addressing non-compliance issues.
- Reviewed documentation and processes to identify areas for improvement in compliance practices.
- Assisted in training staff on compliance regulations and best practices for operational efficiency.
- Mentored junior auditors, fostering a culture of continuous improvement within the compliance team.
- Analyzed all audit results and resolved all compliance issues.
- Maintained up-to-date knowledge of regulatory changes affecting the business landscape, proactively adapting audit strategies as needed.
- Improved financial transparency by providing clear communication of audit results to stakeholders through detailed reports and presentations.
- Delivered comprehensive training programs for employees on key compliance topics, fostering a sound understanding of relevant regulations and best practices.
- Conducted regular follow-up audits to verify that previously identified issues were effectively resolved or mitigated.
- Participated in various training and development programs.
- Trained new employees on accounting principles and company procedures.
Education
LPN / Compassionate Withdrawl - Licensed Practical Nurse
Galen College of Nursing
Louisville, KY11-2010
Certified Professional Medical Coder / Auditor - Certified Medical Coding Specialist / Auditor
Spencerian College
Louisville, KY09-2006
Certified Medical Assistant - Medical Assisting Front & Back Office
Health Careers Institute
Louisville, KY09-1987
Skills
- Strong attention to detail
- HIPAA compliance
- Medical claims coding
- Workflow management
- Inpatient records coding
- Time management
- Problem-solving abilities
- Multitasking Abilities
- Medical billing experience
- Electronic health records navigation
- Inpatient coding expertise
- Expert ICD-10-CM coding with knowledge of HCC
- Team collaboration
- Continuing education commitment
Timeline
Remote Senior Medical Coder
United Health Group - Optum Health
06.2011 - 02.2026
Compliance Auditor and Medical Coder
Baptist Health Care
2008 - 05.2010
LPN / Compassionate Withdrawl - Licensed Practical Nurse
Galen College of Nursing
Certified Professional Medical Coder / Auditor - Certified Medical Coding Specialist / Auditor
Spencerian College
Certified Medical Assistant - Medical Assisting Front & Back Office
Health Careers Institute