Kesia Polk
680 Friesland Drive Hampton,Georgia
Summary
Dedicated and detail-oriented medical coder with a strong commitment to following the official coding conventions and rules set forth by the American Medical Association and Centers for Medicare and Medicaid Services. Demonstrates a high level of professionalism by consistently adhering to data confidentiality and privacy regulations throughout all workflows. Possesses excellent interpersonal skills, fostering dynamic relationships with colleagues and patients alike.
Overview
6
6
years of professional experience
1
1
Certification
Work History
HCC Medical Coding Specialist
Davita, Inc.
02.2023 - Current
- Developed customized training materials, resulting in improved coder performance and reduced error rates.
- Served as a subject matter expert for multiple disciplines, contributing valuable insights during interdisciplinary team meetings.
- Initiated process improvements that led to more efficient workflows, reducing turnaround times on projects.
- Streamlined the coding process for faster project completion through efficient collaboration with cross-functional teams.
- Reduced errors in medical billing by implementing standardized coding guidelines and best practices.
- Conducted comprehensive audits to ensure accurate coding, leading to increased revenue capture for clients.
- Delivered high-quality work consistently by adhering to established guidelines and maintaining strong attention to detail.
- Assisted management in revenue optimization by providing expertise in medical coding practices and identifying potential areas for improvement.
- Maintained strict adherence to HIPAA regulations by protecting confidential patient information during the coding process.
- Stayed current on industry trends and advancements through regular participation in professional development courses and seminars, enhancing overall job performance.
- Increased staff proficiency with ICD-10-CM and CPT code sets through ongoing training sessions and individual coaching.
- Actively participated in interdisciplinary team meetings to discuss complex cases, promoting a holistic approach to patient care and documentation.
Coding Coordinator Consultant
Perry Johnson & Associates
01.2024 - 08.2024
- Improved team productivity, conducting regular training sessions on coding guidelines and updates.
- Supported recruitment efforts by participating in interviews and selecting qualified candidates for open coder positions.
- Facilitated quality improvement initiatives by regularly reviewing coder output data against benchmarks.
- Developed customized reports for management to monitor key performance indicators in the coding department.
- Participated actively in professional development events which helped enhance understanding of updated regulations.
- Streamlined workflow for greater efficiency by implementing new coding processes and tools.
- Mentored junior coders, offering guidance on best practices and sharing knowledge gained from years of experience in the field.
- Maintained up-to-date knowledge of industry trends and changes, applying appropriate codes based on current guidelines.
Sr. Outpatient Coding Auditor
Perry Johnson & Associates
12.2020 - 12.2023
- Conduct Facility OP Audits for multiple clients in various electronic medical records and chart types/code sets
- Review documentation and code assignments including ICD-10CM, CPT, E/M and HCPCS codes to ensure coding quality and accuracy
- Provide errors, feedback, and coding trends to adjust and correct educational analysis of audit findings for a team of 5 coders
- Write audit and summary reports to support findings, noting specific coding guidelines and coding policies
- Ability to prioritize multiple assignments and multiple spreadsheets, documents and reports
- Serves as a resource for interventional Outpatient Audits and some Inpatient Audits on occasion
HCC Coding Auditor/Validation Specialist
Sibitalent Corp.
06.2020 - 09.2020
- HCC review/auditing while maintaining 97-99% accuracy level
- Evaluate and verify EMR for accuracy and completeness making sure codes are entered to the highest specificity according to ICD-10 clinical guidelines
- Participate in weekly QA round table discussions/meetings to help come up with solutions on how to improve coder QA scores
- Strong familiarity and knowledge of medical terminology, abbreviations and ICD-10
HCC Coder
Weller Healthcare IT
12.2019 - 03.2020
- Diagnosis abstraction for Inpatient and Outpatient EMR by utilizing ICD-10 guidelines
- Maintain extensive knowledge of healthcare industry coding theory, rules and standards (i.e., ICD-10, HCPCS, CPT, etc.)
- Maintain strict confidentiality with all patient data (HIPAA Compliant)
- Interpret and apply National Uniform Billing Compliance rules, guidelines, laws, and industry trends to support provider reimbursement
Level II HCC Coder/ Audit Reviewer
Gebbs Healthcare Solutions
10.2019 - 03.2020
- HCC reviews/auditing while maintaining a 98-100% accuracy level
- Maintain strict confidentiality with all patient data (HIPAA Compliant)
- Review Provider documentation to determine principal diagnosis, co-morbidities and complications, and secondary conditions
Level I HCC Coder
Gebbs Healthcare Solutions
08.2019 - 10.2019
- Review Provider documentation to determine and abstract HCC codes according to HCC guidelines and compliance rules
- Maintain strict confidentiality with all patient data (HIPAA Compliant)
- Perform coder-specific processes for clinical classification and coding of healthcare services
RADV Auditor/Consultant
Visual Connections, KPMG
01.2019 - 03.2019
- Assist in Risk Adjustment Project (RADV), complete review of medical records according to CMS guidelines, rules and regulations
- Validate acceptable medical records dates of service and credentialed signatures and or attestations
- Diagnosis abstraction for Inpatient and Outpatient records by utilizing ICD-10 guidelines
- Maintain strict confidentiality with all pertinent data (HIPAA and CMS compliant)
- Verify that medical records originate from the provider of the medical service and that the medical record reflects acceptable providers and service
- Perform coder-specific Health Status Data Validation activities
Skills
- CPT coding knowledge
- ICD-10 Proficiency
- Procedural coding accuracy
- HCPCS Level II Understanding
- HIPAA Compliance
- Medical Coding Certification
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
References
References are available upon request
AAPC Certification
01566428
Timeline
Coding Coordinator Consultant
Perry Johnson & Associates
01.2024 - 08.2024
HCC Medical Coding Specialist
Davita, Inc.
02.2023 - Current
Sr. Outpatient Coding Auditor
Perry Johnson & Associates
12.2020 - 12.2023
HCC Coding Auditor/Validation Specialist
Sibitalent Corp.
06.2020 - 09.2020
HCC Coder
Weller Healthcare IT
12.2019 - 03.2020
Level II HCC Coder/ Audit Reviewer
Gebbs Healthcare Solutions
10.2019 - 03.2020
Level I HCC Coder
Gebbs Healthcare Solutions
08.2019 - 10.2019
RADV Auditor/Consultant
Visual Connections, KPMG
01.2019 - 03.2019
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