Kristy Jackson
Poinciana ,FL
Summary
Seasoned Inpatient Coder with 7 years of experience in medical coding and auditing, excitedly seeking a new role. Proven track record in abstracting clinical and demographic data from patient records and assigning accurate ICD-10 and CPT codes, maintaining an impressive coding accuracy of 95-97%. Proficient in coordinating with medical staff, maintaining patient confidentiality, and upholding coding standards in compliance with HIPAA and other regulatory guidelines.
Overview
12
12
years of professional experience
Work History
CERFIFIED BILLING AND CODING SPECIALIST
OSCEOLA COMMUNITY HEALTH SERVICES
06.2024 - Current
- Accurately code and abstract patient encounters, for internal medicine, general medicine, and pediatrics
- Ensuring inclusion of diagnostic and procedural information, while analyzing data or reimbursement needs and addressing documentation deficiencies
- Review documentation for diagnoses, procedures, and treatment outcomes, conducting audits to validate compliance with reimbursement and reporting requirements, and assigning appropriate codes for reimbursement and regulatory compliance
- Abstracts clinical and demographic data from patient records to assign current ICD-10 and CPT codes in compliance with coding and reimbursement guidelines
- Identifies and applies Hierarchal Condition Coding (HCCs) from provider documentation, ensuring minimal error rates
- Achieves departmental goals by validating between 40-70 charts daily and maintaining a coding accuracy of 95% as per internal QA
- Conducted extensive research on diagnosis and procedure coding, leveraging ICD 10-CM Official Guidelines, CMS Regulations
- Reviewed and rectified medical record documentation, identifying and addressing coding document requirements and deficiencies, thereby enhancing the overall specificity and appropriateness of coding and DRG Accuracy and Optimization policies to guarantee precise reimbursement.
CMS-HCC Risk Adjustment Coder
GEBBS Healthcare
06.2024 - Current
- Concurrent review coding for CMS-HCC
- Must comply with accepted coding practices as defined in the ICD-10-CM, AHA Coding Clinic, and Client Coding Guidelines
- Coder will review, verify, reorder and add/remove dx codes as needed
- Medicare Plans In a concurrent coding review process, coders review the EHR/medical notes and HCC codes in real time before the claims are submitted to payers.
Optum Senior Medical Coder
Optum Insight Global
10.2020 - Current
- Abstracts clinical and demographic data from patient records to assign current ICD-10 and CPT codes in compliance with coding and reimbursement guidelines
- Identifies and applies Hierarchal Condition Coding (HCCs) from provider documentation, ensuring minimal error rates
- Achieves departmental goals by validating between 40-70 charts daily and maintaining a coding accuracy of 95% as per internal QA reviews
- Coordinates with clinic staff to finalize patient records, updates coding procedures as needed, and upholds patient confidentiality in line with HIPAA guidelines.
Medical Coder
US Oncology (Aerotek Temp Agency)
02.2020 - 04.2020
- Successfully abstracted clinical and demographic data from medical records, accurately assigning ICD 10 and CPT-4 codes in adherence to coding and reimbursement rules
- Achieved a notable 97% accuracy rate in internal QA reviews by meticulously identifying principal and secondary diagnoses, surpassing national standards
- Diligently maintained patient confidentiality while collaborating with medical staff to refine coding procedures and guidelines, and uphold the integrity of patient charts.
Senior Medical Coder (Cardiology)
Orlando Regional Medical Center
01.2018 - 07.2019
- Accurately coded stress echocardiogram and nuclear tests, adhering to established medical coding standards
- Assigned precise diagnosis codes grounded on clinical findings from laboratory, radiology, and pathology reports, contributing to improved accuracy and comprehensiveness of diagnoses
- Reviewed and rectified medical record documentation, identifying and addressing coding document requirements and deficiencies, thereby enhancing the overall specificity and appropriateness of coding.
Outpatient (Diagnostic) Coder/Abstractor (Remote)
Sentara Healthcare
12.2016 - 01.2018
- Conducted extensive research on diagnosis and procedure coding, leveraging ICD 10-CM Official Guidelines, CMS Regulations, and DRG Accuracy and Optimization policies to guarantee precise reimbursement
- Diligently assigned diagnosis codes for diseases, injuries, and outpatient procedures, further assigning codes derived from specific clinical findings in laboratory, radiology, and pathology reports to reinforce existing diagnoses
- Reviewed medical record documentation for accuracy, completeness, specificity, and appropriateness in relation to the service rendered, validating coding document requirements and identifying deficiencies.
Clinical Support Assistant
Vidant Duplin Healthcare
09.2015 - 07.2016
- Administered patient intake processes, coordinated appointments, and bolstered communication channels by diligently addressing phone inquiries and welcoming visitors
- Improved financial operations' efficiency by accurately handling patient co-pays, collecting Wellness Center payments, and conducting thorough patient interviews to complete insurance and privacy documentation.
Billing Specialist
Cornerstone Hospice
04.2014 - 10.2014
- Oversaw and reconciled patient visit data with invoice registry on a monthly basis, exemplifying strong attention to detail and organizational abilities
- Entered all patient encounter information into the Patient Management System with accuracy to guarantee data correctness and prompt processing
- Coordinated financial transactions including posting payments to patient accounts, preparing weekly deposits, and managing patient collections, showcasing competence in financial management.
Medical Auditor
Healthport, Inc (RemX Specialty Staffing)
12.2013 - 01.2014
- Executed detailed audits of medical files and charts to uphold compliance with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards across multiple healthcare facilities
- Initiated a thorough data collection and analysis process, rectifying deficient controls and duplicated efforts while ensuring adherence to laws, regulations, and management policies; conducted evaluations of financial and information systems, suggesting controls to maintain system reliability and data integrity.
Medical Records Technician
633rd Medical Group, Langley AFB (Allen Corporation, Inc.)
10.2012 - 02.2013
- Supervised the upkeep and structuring of military medical records in line with set policies and regulations, which included generating patient folders and resolving inconsistencies via comprehensive data gathering and examination
- Maintained stringent confidentiality protocols while guaranteeing the accessibility of medical records to admission personnel, emergency workers, and physicians, thus upholding the hospital's reputation through rigorous adherence to government requisites.
Education
Certified Professional Coder (CPC) -
American Academy of Professional Coders
Certified Professional Coder (CPC) -
Colorado Technical University
Skills
- Supply Management
- Microsoft Office
- Data Entry
- Communications
- Equipment Maintenance
- Knowledge of ICD-10-CM and CPT coding systems
- Familiarity with medical terminology
- Proficiency in electronic health records (EHR) systems
- Ability to maintain patient confidentiality
- Excellent analytical skills
- Ability to work independently
- Time management skills
- Strong attention to detail
- Problem-solving skills
- Good communication skills
Timeline
CERFIFIED BILLING AND CODING SPECIALIST
OSCEOLA COMMUNITY HEALTH SERVICES
06.2024 - Current
CMS-HCC Risk Adjustment Coder
GEBBS Healthcare
06.2024 - Current
Optum Senior Medical Coder
Optum Insight Global
10.2020 - Current
Medical Coder
US Oncology (Aerotek Temp Agency)
02.2020 - 04.2020
Senior Medical Coder (Cardiology)
Orlando Regional Medical Center
01.2018 - 07.2019
Outpatient (Diagnostic) Coder/Abstractor (Remote)
Sentara Healthcare
12.2016 - 01.2018
Clinical Support Assistant
Vidant Duplin Healthcare
09.2015 - 07.2016
Billing Specialist
Cornerstone Hospice
04.2014 - 10.2014
Medical Auditor
Healthport, Inc (RemX Specialty Staffing)
12.2013 - 01.2014
Medical Records Technician
633rd Medical Group, Langley AFB (Allen Corporation, Inc.)
10.2012 - 02.2013
Certified Professional Coder (CPC) -
American Academy of Professional Coders
Certified Professional Coder (CPC) -
Colorado Technical University
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