Kyra Boyden, MSHRD, B.S. RHIT, CCS
Lansing,IL
Summary
I am seeking a HIM leadership position that will allow me to utilize my human resource and business analyst skills and experience.
My 19 years of experience in the medical industry includes:
- 14 Years of Inpatient Coding (5 Years of Level 1 Trauma at Academic Teaching Hospitals; 1 year of Level II Trauma at Academic Teaching Hospitals; and 4 years of Community Hospital)
- 5 Years of Outpatient Coding (Physician-Based; ED Facility with Injections, Infusions, E/M leveling, and Charge Entry; ED Profee with E/M Leveling; Observations; Ancillary; HCC/Risk Adjustment; NO SAME DAY SURGERIES EXPERIENCE)
The main skills that I would bring to your company are strong organizational skills, perseverance, resourcefulness, and knowledge of the healthcare industry processes.
Overview
20
20
years of professional experience
3
3
Certifications
Work History
Healthcare Business Analyst
Centene Corporation
04.2023 - Current
- Main Purpose of this position is to perform research to support payment integrity
- Perform detailed analysis on selected DRGs to verify and support payment integrity
- Perform detailed analysis on assigned projects and recommend possible business solutions
- Supported informed decision-making for administrators by providing accurate reports on key performance indicators in a timely manner.
Remote Inpatient Coder (PRN Status)
Comforce Health
04.2023 - 10.2023
- ·Assign ICD-10-CM/PCS Codes to approximately Level 1 Trauma Patient Accounts per week
- Collaborate with CDI for Death, Special Procedures, and SMART Audits
- Report Directly to the Manager of Coding
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Remote Inpatient Coder (Full-Time)
Comforce Health
01.2020 - 04.2024
- Assign ICD-10-CM/PCS Codes to approximately Level 1 Trauma Patient Accounts per week
- Collaborate with CDI for Death, Special Procedures, and SMART Audits
- Report Directly to the Manager of Coding
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.
Coder II (Full-Time, Remote)
Mmodel (now Acquity Solutions)
06.2018 - 09.2019
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Assigns ICD-10-CM/PCS Codes to inpatient medical records to Level II Trauma Facilities
- Corresponds Daily with CDI
- Coded Observation Accounts
Inpatient Quality Reviewer & Educator (Temporary)
OU Medical Health Science Center Via Aerotek
09.2019 - 12.2019
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Reviews medical records to validate coding accuracy • Assists with Production Coding as Needed
- Initiates the Rebilling Process as required per policy on special projects
- Performs DRG Validations
- Performs HAC, Focused Prebill, and Random Audits
- Edited, proofed and critiqued internal documents to improve clarity.
Inpatient Coder (Remote, Part-Time)
In Record Time
03.2018 - 06.2018
- Assigns ICD-10-CM/PCS Codes to Level I Trauma, Pediatrics, and Community Hospital Accounts
- Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
Coding Consultant (Full-Time, Remote)
United Audit Systems Inc (UASI)
11.2014 - 02.2018
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Assigned ICD-9-CM codes to inpatient medical records prior to ICD-10-CM/PCS implementation for Level 1 trauma facility for University of Mississippi Medical Center
- Assigned ICD-10-CM/PCS codes to inpatient medical records for level I trauma facility, University of Mississippi Medical Center (722-bed Hospital) after ICD-10-CM/PCS implementation
- Worked with CDI team on accounts
Inpatient Coder (Part-Time, Onsite)
Thorek Memorial Hospital
12.2013 - 07.2015
- Verified signatures and checked medical charts for accuracy and completion.
- Duties included but not limited to assigning ICD-9-CM diagnoses and procedure codes to inpatient medical accounts (community hospital)
Coder II (Full-Time, Onsite)
Thorek Memorial Hospital
08.2009 - 12.2013
- Verified signatures and checked medical charts for accuracy and completion.
- Primarily responsible for assigning ICD-9-CM diagnoses and procedure codes to inpatient medical accounts
- Assigned ICD-9-CM and procedures codes, and CPT codes to emergency room facility accounts including injection, infusion, and E/M Leveling (inpatient)
- Performed charge entry Emergency Room Facility Accounts
- Collaborated with physicians on clinical documentation improvement processes
Inpatient Documentation Auditor (Full-Time, Onsite
Children's Memorial Hospital (now Lurie Children)
05.2005 - 07.2008
- Reviewed and audited physicians' documentation in the medical record for coding optimization
- Provide physician education
- Monthly reconciliation between concurrent charges sent and entered
- Assigned ICD-9-CM diagnoses and CPT procedure codes for physicianbased medical records
- E/M Level to Multi-specialty accounts
Emergency Department (ED) Medical Coder
Millenium Medical Management
06.2004 - 07.2005
- Assigned ICD-9-CM diagnoses and CPT codes to emergency room (physician-based) medical records for various hospitals
- E/M Leveling
Education
Master of Science - Human Resource Development
Indiana State University
Terre Haute, IN 05.2001 -
Bachelor of Science - Health Information Management
Devry University
Chicago 05.2001 -
Associate of Applied Science - Health Information Technology
Northwestern Business College
Bridgeview, IL 05.2001 -
Skills
Basic SQL Programming
HIPAA Compliance
Strong Analytical Skills
Workflow Analysis
Business process improvement
Medicaid Regulations
Medicare Regulations
Healthcare Industry Knowledge
Quantitative Research
Microsoft Excel
DRG Coding with Level 1 and Level II Trauma Experience
Accomplishments
Featured in Comforce Health‘s HIP Week 2020 on LinkedIn
“Happy Health Information Professionals Week! We want to recognize some special members of our staff who have been doing extraordinary work all year. Let's hear it for these superstars and their accomplishments!” -Taken from https://www.linkedin.com/feed/update/urn:li:activity:6721900369049337856/
Certification
Registered Health Information Technician (RHIT)
Timeline
Healthcare Business Analyst
Centene Corporation
04.2023 - Current
Remote Inpatient Coder (PRN Status)
Comforce Health
04.2023 - 10.2023
Approved CDI Apprentice Certification by HcPRO via Libman Education (ACDIS)
08-2021
Remote Inpatient Coder (Full-Time)
Comforce Health
01.2020 - 04.2024
Inpatient Quality Reviewer & Educator (Temporary)
OU Medical Health Science Center Via Aerotek
09.2019 - 12.2019
Coder II (Full-Time, Remote)
Mmodel (now Acquity Solutions)
06.2018 - 09.2019
Inpatient Coder (Remote, Part-Time)
In Record Time
03.2018 - 06.2018
Certified Coding Specialist (CCS)
08-2015
Coding Consultant (Full-Time, Remote)
United Audit Systems Inc (UASI)
11.2014 - 02.2018
Inpatient Coder (Part-Time, Onsite)
Thorek Memorial Hospital
12.2013 - 07.2015
Coder II (Full-Time, Onsite)
Thorek Memorial Hospital
08.2009 - 12.2013
Inpatient Documentation Auditor (Full-Time, Onsite
Children's Memorial Hospital (now Lurie Children)
05.2005 - 07.2008
Emergency Department (ED) Medical Coder
Millenium Medical Management
06.2004 - 07.2005
Registered Health Information Technician (RHIT)
05-2004
Master of Science - Human Resource Development
Indiana State University
05.2001 -
Bachelor of Science - Health Information Management
Devry University
05.2001 -
Associate of Applied Science - Health Information Technology
Northwestern Business College
05.2001 -