Shelley R. Babbit - Steinmetz
Caldwell
Summary
Certified Coding Specialist with broad experience in medical coding and billing. Adept at ensuring accuracy and compliance with healthcare regulations. Strong focus on team collaboration, achieving results, and adapting to changing needs. Skilled in ICD-10, CPT, and HCPCS coding, with keen eye for detail and problem-solving abilities valued by employers.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Certified Coding Specialist
Saint Alphonsus Regional Medical Center
Boise, ID
01.2018 - Current
- Assigned ICD-10-CM codes for Emergency Room visits, oncology, and outpatient accounts.
- Reviewed medical records to ensure accurate coding and regulatory compliance.
- Collaborated with healthcare providers to resolve documentation and coding inquiries.
- Conducted audits on coded data to verify accuracy and information integrity.
Lead Assistant Manager, Auditor III
EXLservices
05.2022 - 11.2022
- Conducted comprehensive audits to verify coding accuracy and integrity, collaborating with healthcare providers to resolve inquiries.
- As an analyst I would undertake a quality review of random and targeted coding audits to check the accuracy and completeness of audits performed.
- Developed audit feedback sessions and training programs to enhance coding quality and address training needs.
Clinical Investigator
Optum
06.2001 - 04.2022
- Reviewed Medicare and Retirement claims, focusing on pre-pay audits and coding accuracy.
- Coder and auditor for ED records and PRO/FAC coding for different clients including infusion/injection coding.
Clinical Investigator
Insight Global
10.2019 - 01.2020
- Pre Pay Medicare and Retirement claim review.
Coding Specialist
Lexicode, An Exela Technologies Brand
01.2019 - 10.2019
- Assign ICD-10-CM/PCS and CPT codes for Emergency room visits.
- Coding Auditor, audit ED clients on shore and offshore.
Coding Specialist
Optum360 a United Healthgroup Company
06.2001 - 12.2018
- Assign ICD-10-CM and CPT codes for Emergency room visits, Radiology and Laboratory and minor Outpatient surgery.
- Claim review for ED accounts.
- Facility charge capture including infusion and injection with focus on hierarchy and proper modifiers.
- Mentored coding staff, including offshore teams, to improve coding standards and practices. Assisted coding Operations Managers in any duties assigned to me. Hierarchical Condition Categories.
- Hospital Systems I am capable of working in: Epic, 3M, Optum360 E-Code and E-Point, Power Chart, McKesson, a DOS based system and several others.
- Hospitals I have worked for: Swedish hospital groups (6 hospital group), Bon Secours Hospital, College Station, St. Lukes RMC, St. Alphonsus RMC, St. Vincent of New Mexico, Evergreen, Allegent, West Jefferson, Orlando Health Systems.
Adjunct Instructor Coding and Billing
Herzing Online University
01.2012 - 01.2014
- Taught many different HIM courses pertaining to coding and billing.
- Medical Terminology, Basic diagnosis coding Health law and Ethics.
Adjunct Instructor Coding and Billing
Lincoln College Online
01.2007 - 06.2011
- Taught many different HIM courses pertaining to coding and billing.
- ICD-9-CM Medical Coding, Principles of Law and Ethics of Health Information, Foundations of Health Information Technology, Computerized Billing, CPT-H Hospital Coding, Medical Terminology, Course setup on Angel Platform.
Coding Specialist
St. Alphonsus Regional Medical Center aka Mercy Medical Center
06.1999 - 01.2005
- Assign ICD-9-CM and CPT codes to Laboratory, radiology and Emergency room visits and Tumor Registrar and any duties assigned to me.
Education
Master's - Health Administration
University of Phoenix
Phoenix, AZ12-2011
Bachelor of Science - HIM
Boise State University
Boise, ID05-2001
Associate Degree - Health Information Technology
Boise State University
Boise, ID05-1999
Skills
- CPT, ICD-10, and HCPCS coding
- Chemotherapy and biologic agents coding
- Modifier application
- Healthcare documentation strategy
- Infusion documentation requirements
- HIPAA compliance
- Medical terminology
- Anatomy and physiology
- Leadership in coding audits
- Advanced coding analytics
- Medical Coding quality assurance
- Coding team mentorship
Accomplishments
- Supervised team of 5 staff members.
- Documented and resolved Medicare and Retirement claims which led to successful prepay audits and coding accuracy.
Affiliations
American Health Information Management Association
Idaho Health Information Management Association
Certification
- CCS - Certified Coding Specialist
- RHIA - Registered Health Information Administrator
- RHIT - Registered Health Information Technician
Personal Profile
Master's Degree, Health Administration, University of Phoenix, Phoenix, AZ, 12/01/11, Bachelor's Degree, Health Information Management, Boise State University, Boise, ID, 05/01/01, Associate Degree, Health Information Technology, Boise State University, Boise, ID, 05/01/99, Certified Coding Specialist, 01/01/15 - Current, AHIMA Approved ICD-10-CM/PCS Trainer, 01/01/14 - Current, Registered Health Information Administrator, 01/01/01 - Current, Tutor Voc/Rehab, Coding and related classes
Activities
- American Health Information Management Association, 01/01/99, Current
- Idaho Health Information Management Association, 01/01/99, Current, Board of Directors, Coding Roundtable Coordinator, Treasurer, Nominating Committee, Distinguished Member 2007
Languages
English
Native or Bilingual
Timeline
Lead Assistant Manager, Auditor III
EXLservices
05.2022 - 11.2022
Clinical Investigator
Insight Global
10.2019 - 01.2020
Coding Specialist
Lexicode, An Exela Technologies Brand
01.2019 - 10.2019
Certified Coding Specialist
Saint Alphonsus Regional Medical Center
01.2018 - Current
Adjunct Instructor Coding and Billing
Herzing Online University
01.2012 - 01.2014
Adjunct Instructor Coding and Billing
Lincoln College Online
01.2007 - 06.2011
Clinical Investigator
Optum
06.2001 - 04.2022
Coding Specialist
Optum360 a United Healthgroup Company
06.2001 - 12.2018
Coding Specialist
St. Alphonsus Regional Medical Center aka Mercy Medical Center
06.1999 - 01.2005
Bachelor of Science - HIM
Boise State University
Associate Degree - Health Information Technology
Boise State University
Master's - Health Administration
University of Phoenix