Kim Smiley, CPC, RCC

Coding Manager

Northwest Radiology Network

Indianapolis, Indiana

09.1996 - Current

Managed a team of nine Certified Professional Coders, ensuring accuracy and compliance of coding principles, healthcare laws, and government regulations.
Maintained updated knowledge of coding requirements, which included continuing education, coding committee participation, and certification renewal.
Developed coding standards and guidelines to ensure accuracy of data entry.
Monitored and analyzed coding error trends to improve coding accuracy and minimize reimbursement denials.
Implemented new technologies and processes for improving the efficiency of coding operations.
Managed budgeting and resource allocation for coding initiatives.
Responsible for coding and prior authorizations for complex interventional radiology procedures.
Managed MACRA/MIPS Performance Program that yielded a positive payment adjustment since 2018.
Prepared detailed monthly reports outlining the overall performance of the coding department and identified areas needing improvement.
Developed and evaluated software programs used in the coding process for effectiveness and compatibility with existing systems.
Collaborated closely with physicians and clinical staff to educate and identify potential coding challenges associated with emerging technology.
Advised organization on the impact of payer policies and regulations related to reimbursement and compliance.
Implementation of EHR (Electronic Health Records), ensuring that all requirements were met and deadlines were adhered to.
Developed and implemented strategies for increasing revenue growth.
Provided coding training and mentorship to new and existing coding team members.
Participated in payer contract negotiations to maximize profits while maintaining positive relationships.