Kimberly Mullen
North Tonawanda,NY
Summary
Detail-oriented professional with extensive experience with Critical Care coding and Trauma coding. Demonstrated expertise in ensuring compliance and accuracy in medical documentation. Proven track record of effective collaboration with healthcare teams to enhance operational efficiency. More than 25yrs of experience.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Inpatient Coder
UBMD
Buffalo, NY
01.1997 - Current
- Analyzed patient records for accurate coding and compliance with regulations.
- Reviewed clinical documentation, ensuring accurate code assignment and billing compliance.
- Collaborated with healthcare professionals to clarify documentation, enhancing coding accuracy and practices.
- Utilized electronic health record systems for efficient data entry and retrieval of patient information.
- Conducted audits of coded data, identifying discrepancies and recommending necessary corrections.
- Maintained up-to-date knowledge of coding standards, regulations, and industry changes.
- Assisted in training new coders on departmental processes and coding protocols.
- Assigned ICD-10-CM and CPT codes to diagnoses and procedures in accordance with accepted coding principles.
- Provided education and support services on various topics related to medical coding guidelines.
- Conducted concurrent reviews of medical records for appropriate utilization management decisions.
- Compiled statistical data from coded information for use in research studies and other healthcare initiatives.
- Reviewed patient medical records to ensure accuracy of diagnosis and procedures codes.
- Audited medical records for accuracy prior to submission for reimbursement purposes.
- Analyzed physician documentation for completeness, accuracy, and compliance with coding guidelines.
- Participated in multidisciplinary team meetings regarding patient care plans and outcomes.
- Collaborated with physicians to obtain additional information for code assignment.
- Resolved discrepancies between the patient's medical record documentation and assigned codes.
- Provided feedback on clinical documentation deficiencies that impact accurate code assignment.
- Attended educational seminars related to disease processes, anatomy and physiology, pharmacology, pathology, radiology.
- Verified insurance coverage eligibility prior to assigning codes in order to maximize payment collections.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained high accuracy rate on daily production of completed reviews.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Kept abreast of updates and changes in coding guidelines and reporting requirements.
- Advised on the impact of coding decisions on reimbursement and compliance.
- Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
- Participated in coding team meetings to discuss challenges and best practices.
- Utilized coding software and tools efficiently to expedite the coding process.
- Analyzed patient charts and records to extract relevant coding information.
- Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
- Coordinated with billing department to clarify billing issues related to coding.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Entered coded data into electronic health record (EHR) systems.
- Managed coding for multiple specialties, ensuring specific codes are accurately applied.
- Educated healthcare staff on coding standards and changes in coding guidelines.
- Maintained positive working relationship with fellow staff and management.
- Safeguarded medical records to maintain patient confidentiality.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Mentored junior team members and managed employee relationships.
- Streamlined day-to-day office processes to meet long-term goals.
- Organized patient cases into diagnosis-related groups to ensure accurate billing and reimbursement.
Education
CPC - Health Administration
Bryant And Stratton College
Getzville, NY03-1999
High School Diploma -
Grover Clevland
Buffalo, NY06-1985
Coding
Daemen College
Buffalo, NYSkills
- ICD-10 coding
- CPT coding
- Electronic health records
- Documentation review
- Healthcare compliance
- Coding software
- Insurance verification
- Analytical and critical thinking
- Problem solving
- Critical thinking
- Microsoft Word
- computer skills
- Team collaboration
- Collaboration
- Training & Development
- Training mentorship
- Customer relations
- Customer service
- Calm under pressure
- Multitasking
- Effective communication
Certification
- AAPC -CPC
Timeline
Inpatient Coder
UBMD
01.1997 - Current
CPC - Health Administration
Bryant And Stratton College
High School Diploma -
Grover Clevland
Coding
Daemen College