Lakeisha Palmer
Philadelphia,PA
Summary
Experience health information management professional adapt at working with Epic and ICD-10-CM and ICD-10-PCs codes. Analytically and knowledgeable individual that offers effective resolutions for current concerns and ideas for future improvement. Proactive intensive with adaptable nature and superior work ethics.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Corporate Coding Quality Coordinator
Hospital of the University of Pennsylvania
11.2016 - Current
- Respond to all third-party external audit findings (i.e., Aetna, Cigna, IBC, Omniclaim, UHC), as needed for RAC activity
- Conduct Smart internal review on medical charts for coding and DRG accuracy target by verifying that principal diagnosis, secondary diagnosis, principal procedure, and secondary procedures, have been assigned accurately and produced highest level of reimbursement to which facility is legally entitled
- This should be completed according to established coding guidelines and rules for recording
- Research, review and respond to coding and coding quality issues and questions from various internal departments
- Communicate with coworkers, managers, physicians, and other hospital staff regarding clinical documentation and reimbursement issues
- Communicate with patient accounting on rebilling of accounts that need to be corrected (i.e., coding, disposition, DRGs)
- Monitor work queues and chart assignment
- Maintain and stay update to date on knowledge of coding requirements, which included continuing education and certification renewal
- Assist with implementing new Computer Assisted Coding (CAC) system
Health Information Coding Quality Specialist
Penn Presbyterian Medical Center
10.2009 - 11.2016
- Constructed queries that are concise and easily understood by queried provider
- Conducted queries and follow ups timely and updated responses in appropriate applications
- Maintained coded data quality through ongoing quality review and assessment of inpatient records
- Performed supplementary coding/billing reviews as requested
- Reviewed trends with insurance denials, work with partners in Revenue Cycle
- Communicated with coworkers, and other hospital staff regarding DNFB standing at hospital weekly Revenue Cycle meetings
- Performed con-current audits on accuracy of MSDRGs as well as on quality of medical record documentation needed for accurate coding
- Monitored the work queues and chart assignment in OnBase
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal
- Performed other task upon request.
Coding Specialist III
Fox Chase Cancer Center
01.2005 - 10.2009
- Assigned accurate DRGs, ICD-9, and CPT4 diagnostic codes for inpatient and outpatient records using Quantum coding system
- Monitored accounts holding on SMS operational report
- Conducted audits and training to new employees
- Maintained production and coding accuracy of 95%
- Maintained working knowledge of Invision and Soarian HER
- Performed other task upon request.
Coding Reimbursement Liaison
Hahnemann University Hospital
10.2000 - 01.2005
- Communicated and collaborated with medical billing staff and physicians to manage billing and various reimbursement
- Investigated accounts holding on DNFB, outpatient exception and HDS reports for grader than 30 days
- Monitored accounts holding in various coding work queues
- Assigned APC, ICD-9, and CPT4 diagnostic codes for all inpatient in outpatient records using 3M coding system
- Assigned appropriate DRG to all inpatient records using highly automated electronic patient record
- Maintained production and coding accuracy of 95%
- Assist in coding internal audits and SMART reviews.
Education
Bachelor of Science and health service administration -
Drexel University
Philadelphia, Pennsylvania05.2005
Associate of science and health information technology -
Community College of Philadelphia
Philadelphia, PA05.1999
Skills
- Attention to Detail
- Problem-Solving
- Time Management
- Anatomy and Physiology
- Medical Terminology
- Documentation Management
- Critical Thinking Skills
- Material Specifications
- Relationship Building
- Experience in Product Evaluation
- Raw Material Questionnaires
- Regulatory Compliance
Certification
- Registered health information technician (RHIT)
- Certified coding specialist (CCS)
Timeline
Corporate Coding Quality Coordinator
Hospital of the University of Pennsylvania
11.2016 - Current
Health Information Coding Quality Specialist
Penn Presbyterian Medical Center
10.2009 - 11.2016
Coding Specialist III
Fox Chase Cancer Center
01.2005 - 10.2009
Coding Reimbursement Liaison
Hahnemann University Hospital
10.2000 - 01.2005
Bachelor of Science and health service administration -
Drexel University
Associate of science and health information technology -
Community College of Philadelphia