Lisa Kain

Responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-10CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. Strong knowledge of medical terminology, anatomy & physiology. Responsible for abstracting and assigning ICD-10-CM/PCS, CPT, or HCPCS codes per coding guidelines. Assists with coding audits rebuttals from payor and RAC audits when due to coding.

• Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
• Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
• Verified, coded and added modifiers to diagnoses.
• Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
• Utilized advanced knowledge of anatomy, physiology, and medical terminology to accurately assign codes for complex or rare diagnoses and procedures.
• Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
• Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
• Ensured data integrity by meticulously auditing coded data, verifying its accuracy, and making necessary adjustments as needed.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
• Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
• Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
• Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
• Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
• Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
• Participated in regular performance evaluations and provided constructive feedback for continuous improvement within the team.
• Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
• Collaborated with medical staff to ensure accurate documentation and appropriate coding practices were followed.
• Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
• Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
• Streamlined billing processes for improved efficiency and reduced errors in claims submissions.
• Coordinated with other departments to address any discrepancies or issues arising from billing-related matters promptly and professionally.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Verified signatures and checked medical charts for accuracy and completion.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
• Followed up with medical staff regarding missing information in patient records.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Verified accuracy of patient information in medical records.
• Identified new methods to optimize medical records management.
• Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.