Experienced with interpreting and coding inpatient medical records with precision. Utilizes advanced coding systems to ensure accurate data entry and compliance with healthcare standards. Knowledge of medical terminology and coding guidelines ensures thorough and reliable documentation.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Skilled Inpatient Rehab & PM&R Outpatient Coder
CARDINAL HILL REHABILITION HOSPITAL
Lexington, KY
04.2017 - 12.2025
Directed coding of diagnoses and procedures in patient medical records, adhering to ICD-10-CM classification standards. Oversaw data extraction and entry into Patcom and UDS Proware, ensuring database accuracy. Championed compliance with JCAHO standards and UHDD guidelines. Streamlined data compilation from medical records to enhance reimbursement processes. Executed verification of medical necessity for Medicare outpatients through Caremedic Verify/AR. Strategically sequenced diagnoses and procedures following established coding guidelines. Led the completion of IRF-PAI for relevant inpatient admissions. Supervised error monitoring and correction on the work queue bill hold report. Navigated intranet and internet resources to fulfill information requirements. Upheld patient confidentiality and managed information releases in accordance with regulations. Organized and prioritized tasks to meet assignment deadlines. Completed all mandatory training and courses within specified timeframes. Addressed questionable situations and concerns immediately.
Led cross-functional teams through all phases of project execution to achieve timely and budget-compliant results. Oversaw project planning and resource allocation to optimize efficiency. Fostered a collaborative environment to drive team performance and accountability.
Completed IRF certification, expanding professional role to include IRF admission coding while maintaining previous assignments.
Represented Cardinal Hill on employee engagement committees, actively participating in American Heart Association collaborations.
Maintained high standards of patient coding accuracy to uphold healthcare regulatory compliance.
Ambulatory Coder (Primary Care Brannon Crossing)
BAPTIST HEALTH LEXINGTON
Lexington, KY
06.2015 - 03.2017
Coded diagnosis and procedures for outpatient and inpatient physician charges by reviewing provider H&P, consults, progress notes, OP and discharge reports using ICD-10 diagnosis codes, CPT codes and assigning Evaluation & Management codes as appropriate. Also, reviewed medical records thoroughly to facilitate the collection of patient care information.
Health Information Management Specialist
HOSPICE OF THE BLUEGRASS
Lexington, KY
12.2013 - 02.2015
Maintained an accurate and up to date physician database by verifying provider information to ensure credentials of referring and attending physicians were current and sanction free. Requested medical records from outside agencies for all Lexington patients that had an LOC generated. Conducted quality improvement audits of patient charts to verify accuracy and timeliness of data per guidelines, and gathered and reported statistical information through effective utilization of information systems.
Palliative Medical Office Assistant
03.2010 - 11.2013
Managed patient flow and satisfaction by greeting patients and visitors, answered any questions they had and helped them fill out required forms. Answered phone calls, scheduled appointments, acquired insurance authorizations, prepared prescription refill requests and evaluated the accuracy of provider charges including dates of service, charges, level of care, diagnosis and patient demographic information. Additionally, created invoices and bills, processed insurance forms and managed vendors and contractor agreements.
Unit Coordinator/ Lead Certified Nursing Assistant
03.1998 - 03.2010
Assisted charge nurse with scheduling and coordination of certified nursing assistants, and was responsible for ordering medical supplies and equipment in accordance with Hospice policies and requirements. Additionally, was responsible for the coordination, development and documentation of in services, maintain discharge documents, patient history forms and admission information. Completed receptionist duties such as sending emails, answering phone calls, scheduling appointments and placing medical orders as appropriate. Also, provided compassionate bedside care to all patients.
Education
Associate of Arts -
Bluegrass Community & Technical College
Skills
Team Building
Patient Satisfaction
Patient Account Management
Hospital-Based Technology Systems
Customer Service
Billing & Coding
State & Federal Compliance
Bedside Patient Care
Project coordination
ICD-10
CPT
HCPCS
AHIMA CMS ICD-10 PDPM
Medical Terminology
Medicare
Medicaid
HMO & PPO
Commercial Insurance
HIPPA
AAPC
Certification
Certified Professional Coder, Soterion Medical Coding, AAPC Certification CPC-01378840, 2015
Timeline
Skilled Inpatient Rehab & PM&R Outpatient Coder
CARDINAL HILL REHABILITION HOSPITAL
04.2017 - 12.2025
Ambulatory Coder (Primary Care Brannon Crossing)
BAPTIST HEALTH LEXINGTON
06.2015 - 03.2017
Health Information Management Specialist
HOSPICE OF THE BLUEGRASS
12.2013 - 02.2015
Palliative Medical Office Assistant
03.2010 - 11.2013
Unit Coordinator/ Lead Certified Nursing Assistant
Occupational Therapist Acute Care, Inpatient Rehab, and Outpatient Rehab at Lake Huron Medical CenterOccupational Therapist Acute Care, Inpatient Rehab, and Outpatient Rehab at Lake Huron Medical Center
Supervisor of Physical Therapy in Inpatient Rehab at Mount Sinai Medical CenterSupervisor of Physical Therapy in Inpatient Rehab at Mount Sinai Medical Center