Kimberly Davis
Memphis,TN
Summary
Reliable Medical Coder with a background in document oversight, data security procedures and resolving coding errors. Detail-oriented performer with medical terminology knowledge. Considered a team player with exemplary multitasking skills. Receptive to travel. Demonstrate ability to identify principal and secondary diagnosis codes and ensures the accurate coding of diagnosis and operative procedures within assigned services (ancillary clinics and emergency department) for the cities Level I trauma hospital. Review physician and other clinical documentation to ensure that assigned codes are supported. Reconcile accounts on financial bill filter report to identify coding & billing issues and problems. Perform medical coding audits by capturing proper ICD-10 codes by reviewing services from required years to present in order to resubmit to CMS for reimbursement purposes for HCC coding. Experience in outpatient coding neurology, neurosurgery, pediatrics, psychology, and radiology. Demonstrate ability to understand the clinical content of a health record. Assisted in training and oriented new employees. Demonstrate knowledge of and skills in word processing, spreadsheet and database PC application (Abstract Plus, Meditech, Sorian and 3M encoder). Knowledge of Tumor Registry making sure the facility submit appropriate documentation to the state register.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Coder
Provident Consulting
Farmington Hills, MI
02.2022 - Current
- Reviewed outpatient records and emergency records interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Used Optum CaC to input information into computerized patient record system.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Performed billing and coding procedures for emergency room, and outpatient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Coding Specialist II
Regional One Health Hospital
Memphis, TN
12.2010 - 02.2020
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Used 3M encoder, Meditech and Sorian to input information into computerized patient record system.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Identify and abstract pertinent cancer related data in order to report all cancer cases diagnosed and/or treated by our facility to the state of Tennessee using the Abstract Plus software.
Coder I
Clark Memorial Hospital
Jeffersonville, IN
09.2016 - 05.2017
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Performed billing and coding procedures for emergency room, and outpatient services.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
HCC Chart Review Specialist
Windsor Health Plan
Memphis, TN
03.2008 - 11.2009
- Performed medical coding audits by capturing proper ICD-9 codes by reviewing services from required years to present in order to resubmit to CMS for reimbursement purposes.
- Regional travel to clients locations to perform medical chart reviews.
- Review all consult notes, progress notes, pathology reports, radiology reports, surgical records and hospital visits.
- assisted in orienting, training, and mentor staff as assigned.
Medicare Risk Adjustment Auditor
The Coding Source
Los Angeles, CA
09.2006 - 03.2008
- Perform medical coding audits by capturing proper ICD-9 codes by reviewing services from required years to present in order to resubmit to CMS for reimbursement purposes.
- Travel to clients location across the United States to perform medical chart review.
- Review all consult notes, progress notes, pathology reports, radiology reports, surgical records, and hospital visits.
Education
B.S - Health Information Management
Tennessee State University
Associate Degree - Office Administration
Shelby State Community College
Skills
- CPT Coding
- Insurance Knowledge
- 3M Encoder
- Siemens Soarian Financials
- Records review
- Proficiency in OPTUM Enterprise Computer-Assisted Coding
Additional Information
- Licensure , American Academy of Professional Coders—Certified Professional Coder (CPC)
Certification
- CPC - Certified Professional Coder
Timeline
Medical Coder
Provident Consulting
02.2022 - Current
Coder I
Clark Memorial Hospital
09.2016 - 05.2017
Coding Specialist II
Regional One Health Hospital
12.2010 - 02.2020
HCC Chart Review Specialist
Windsor Health Plan
03.2008 - 11.2009
Medicare Risk Adjustment Auditor
The Coding Source
09.2006 - 03.2008
B.S - Health Information Management
Tennessee State University
Associate Degree - Office Administration
Shelby State Community College
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