Kelly Winters
Lawrenceville,GA
Work Preference
Summary
Dynamic medical coding specialist with extensive experience at Northside Hospital Atlanta, adept at ensuring compliance and accuracy in coding practices. Proven ability to resolve claims discrepancies and enhance billing processes through strong communication and critical thinking skills. Committed to maintaining HIPAA compliance while delivering exceptional patient account resolution.
Overview
15
15
years of professional experience
Work History
Practice coding specialist
Northside Hospital Atlanta
Atlanta
09.2022 - Current
- Reviewed and coded medical records for accurate billing processes.
- Collaborated with healthcare providers to clarify documentation issues.
- Utilized electronic health record systems to update patient information.
- Conducted audits to ensure compliance with coding regulations.
- Maintained up-to-date knowledge of coding standards and practices.
- Communicated effectively with insurance companies regarding claims issues.
- Resolved discrepancies in patient accounts through thorough investigation.
- Utilized Level 1 HCPCS and Level 2 HCPCS systems to complete coding tasks.
- Investigated rejected and denied claims, correcting applicable coding.
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Submitted clean claims to insurance companies electronically to secure payments.
- Documented all code changes made during software development cycles according to established standards.
- Performed quality assurance checks on coded data sets to verify accuracy of results.
Medical Billing & Coding Specialist
Northwestern Hospital
Chicago
05.2015 - 07.2022
- Properly code services procedures, diagnoses, and treatments.
- Prepare and send invoices or claims for payment.
- Bill services for the Psychiatry, Pathology, and Dermatology departments.
- Review encounter documentation to confirm reported services.
- Triage provider and practice administrative queries.
- Reviewed medical records for coding compliance and accuracy.
Intake Coordinator
Randstad (Aon Hewitt)
Lincolnshire
09.2014 - 04.2015
- Identified caller's clients and provided assistance needed for new issues or concerns.
- Take information on a new advocacy issue for documentation and referrals.
- Set follow up expectations.
- Triaged incoming calls and issues to assigned advocate.
Benefits Advisor
Randstad (Aon Hewitt)
Lincolnshire
09.2013 - 08.2014
- Answered calls in a call center environment up to 75 calls per day.
- Enrolled employees into medical benefits.
- Counseled employees on the three different medical insurance plans provided by the employer.
Customer Service Specialist
Sedgwick CMS
Chicago
10.2010 - 12.2012
- Answered calls in a high-volume call center environment up to 280 calls per day.
- Assisted customers with daily commuting trip planning via Metra, Pace and CTA (Chicago Transit Authority).
Education
ASSOCIATE OF APPLIED SCIENCE DEGREE -
NORTHWESTERN COLLEGE
CHICAGO, ILLINOIS08-2017
CERTIFICATE - MEDICAL ASSISTING / PHLEBOTOMY
ILLINOIS SCHOOL OF HEALTH CAREERS
CHICAGO, ILLINOIS06.2006
Some College (No Degree) - MEDICAL BILLING AND CODING
AAPC
ONLINESkills
- ICD-9 CM Coding
- ICD-10 CM Coding
- Strong communication
- Microsoft Office Suites
- Epic Knowledge
- General medical office skills
- Appointment scheduling
- Critical Thinking
- Problem solving
- Leadership
- Ability to interact with diverse cultures
- Medical coding
- HCPCS coding
- Compliance auditing
- Electronic health records
- Claims processing
- Billing practices
- Patient account resolution
- Quality assurance
- Documentation review
- Communication skills
- Detail orientation
- Time management
- Team collaboration
- Insurance coding (ICD-9 and CPT)
- Document management
- Medical terminology
- HIPAA compliance
- Data entry
- Medical claims coding
- Coding error resolution
Affiliations
- Member of AAPC
Timeline
Practice coding specialist
Northside Hospital Atlanta
09.2022 - Current
Medical Billing & Coding Specialist
Northwestern Hospital
05.2015 - 07.2022
Intake Coordinator
Randstad (Aon Hewitt)
09.2014 - 04.2015
Benefits Advisor
Randstad (Aon Hewitt)
09.2013 - 08.2014
Customer Service Specialist
Sedgwick CMS
10.2010 - 12.2012
ASSOCIATE OF APPLIED SCIENCE DEGREE -
NORTHWESTERN COLLEGE
CERTIFICATE - MEDICAL ASSISTING / PHLEBOTOMY
ILLINOIS SCHOOL OF HEALTH CAREERS
Some College (No Degree) - MEDICAL BILLING AND CODING
AAPC