Kyra Canty
Marietta,US
Summary
Proven expertise in conducting in-depth audits and devising successful improvement strategies. Methodically evaluated documents and systems and initiated corrections in compliance with established standards. Superb analytical and communications skills enabled optimum results.
Overview
14
14
years of professional experience
Work History
Coding Auditor
HDI/HMS
09.2007 - 07.2019
- Working with the Recovery Auditing Contractor (RAC) project to recover the large amounts of overpayments and underpayments annually estimated for the Medicare program
- Review past and current medical records to accurately review of all inpatient services to assign the admitting, primary, and secondary diagnoses to support services performed
- Ability to work effectively and efficiently under tight deadlines and high volumes
- Recovered millions back into the Medicare Trust Fund.
Coding Auditor
PRG Schultz
06.2005 - 09.2007
- Worked with the Recovery Auditing Contractor (RAC) project to recover the large amounts of overpayments annually estimated for the Medicare program
- Review past medical records to accurately review of all outpatient services to assign the admitting, primary, and secondary diagnoses to support medical necessity for all services performed
- Accurately assigns HCPCS codes to include CPT4 and modifiers in compliance with the OPPS guidelines to ensure the appropriate payment
- Created queries for the common working file
- Developed relationships with CMS to facilitate the RAC
- Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality
- Trained new employees: including nurses and coders.
DRG Integrity Specialist
Accuity Delivery Systems
- Review medical record documentation to determine appropriate DRG assignment by identifying those diagnosis and procedure codes that support the DRG assigned
- Utilizing technology for tracking of coding errors, query opportunities and other data collection as needed
- Research, analyze, and respond to inquiries regarding compliance, inappropriate coding and denials
- Interact daily with ACCDS physicians, Coders and CDI regarding documentation, policies, procedures, and regulations
- Train, instruct, and/or provide technical support to ACCDS physicians, coders, and CDI as appropriate regarding coding compliance documentation, and regulatory provisions
- Review, develop, modify, and adapt to relevant client procedures, protocols, and systems to coordinate with ACCDS methodology
- Ensure strict confidentiality of patient medical records.
Education
Health Information Coding Certification -
Florence Darlington Technical College
Skills
- Audit Coordination
- Data Analytics
- Compliance standards
Personal Information
Title: CCS
Timeline
Coding Auditor
HDI/HMS
09.2007 - 07.2019
Coding Auditor
PRG Schultz
06.2005 - 09.2007
DRG Integrity Specialist
Accuity Delivery Systems
Health Information Coding Certification -
Florence Darlington Technical College
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