Medical Insurance

KAREN D KEATING CCS-P, CPMA

**** ******** *****

Indianapolis, IN 46235

Home: 317-***-****

Cell: 765-***-****

OBJECTIVE: To obtain a position with a company in which I may utilize my skills to exhibit continuous growth.

QUALIFICATIONS

Using ICD-10-CM and CPT-4 coding systems to code medical and surgical

charts for record keeping and insurance billing purposes. My past ex-

perience with medical coding, insurance billing, and claims processing, as

well as being an instructor of coding and related classes has given me the

knowledge to be an effective and accurate medical coder and insurance

billing associate. My strong ability to understand the rules and conventions

of the coding expert has been a strong asset in my strength to do the tasks

expected of the skills within the job fields of each of the above listed careers.

EDUCATION

1993-1995 Associates in Applied Science, Medical Coding certificate

Indiana Business College

EMPLOYMENT

2013- Present Bill Dunbar and Associates

Coding Analyst

Review/Audit documentation for coding and documentation compliance.

Provide information in a report format concerning the findings of the

client review for education purposes.

Research coding information and topics for power-point presentations

available for review by our clients. Obtain approval from AAPC for

CEU’s for completion of the power-point and test.

Validate and create edits for a claim scrubber that is available to our

clients.

2012-2013 Central Indiana Surgery Center

Coding Coordinator

Perform various coding and billing functions within the revenue cycle,

and assess coding issues for compliance with coding guidelines.

Review revenue cycle functions for optimal claims payment and

resolution to problem issues. Review patient balances for appropriate

collection efforts.

2010-2012 Community Health Network—Cooperative Business Office

Revenue Cycle Liaison

Reviewing and assessing the daily processes of physician practice in the revenue cycle and acting as a conduit between the practice and the cooperative business office. Utilize coding and billing knowledge to educate the practice and resolve practice issues.

2007-2010 Community Health Network—Physician Billing Services

Billing/Compliance Specialist

Reviewing and compiling physician charges submitted for contracted

physicians with the network for low income patients seen in the ER and

requiring referrals to specialists. This includes overseeing the coding

of services for appropriate guidelines under CMS payment policies to

qualify for payment as well as CPT guidelines for appropriate coding

of services that are considered for contracted payment to the physician.

Also maintained current knowledge of CMS’s fee schedule for the

purpose of setting fee’s and payment of services to the contracted

physicians.

Duties also include chart auditing services and chart coding as well as

charge capture and documentation support to physicians. Other duties

have included working A/R on accounts billed by the department and

abstracting payer updates and coding and billing information in our

industry for a department newsletter distributed monthly.

2006-2007 Community Health Network-Community Business Innovations

Coding Department-Senior Inpatient Coder

Abstracting and coding inpatient medical charts utilizing 3-M encoder

system and various programs to gather required information for

billing purposes.

2005-2006 Community Health Network-VEI/IMM Billing and Coding Team

Certified Coding Specialist

Responsibilities include various billing and coding projects for

account managers to serve managed clients, billing and

accounts receivables procedures for a VEI owned imaging center,

coding surgical procedures for a contracted client,

research insurance payer issues, report subjects for a biweekly meeting

concerning news in our industry, research and respond to issues thru a

billing and coding help-line.

2002-2005 Outsource Receivables Services/Healthcare Business Institute

Accounts receivables representative, and instructor of medical coding

curriculum.

Responsibilities include claims billing, account analysis, A/R follow

up, coding audits, and lesson, test, and assignment planning as well as

class lectures to properly instruct the skills of the related educational

requirements.

Supervision of the class participants as well as accurate reporting of

class attendance and individual student progress and final results of

class participation has helped in developing my skills as a leader and

mentor.

2002 Fall Quarter Instructor, Indiana Business College, Muncie

Instructor of Medical Coding course

Responsibilities were the same as listed above for the same position.

2000-2001 Instructor, Indiana Business College, Muncie and Anderson

Instructor of Medical Coding course

Responsibilities were the same as listed above for the same position.

1998-1998 Instructor, Indiana Business College Anderson

Instructor of ICD-9-CM class

Responsibilities were the same as listed above for the same position.

1995-1998 Claims Examiner, Coresource

Responsibilities included examining medical and dental claims for

reimbursement purposes. Skills required to do the above listed task

included utilizing a RIMS software system to process claims according

to the limitations of individual medical plans. Processing claims

according to the plans, required knowledge of ICD-9-CM and CPT-4

coding systems as well as a broad knowledge of insurance forms as well

as the use of all information and the importance of all information on

these forms for processing purposes.

1995-1995 Medical Coder, PDP Corp (Emergency Physicians of Delaware Cty)

Daily tasks included printing charts from the computer previously

transcribed to medical code both diagnosis and procedures for daily

charts from the patients seen in the emergency room at Ball Memorial

Hospital. Other duties included determining the level of reimbursable

charges that could be charged according to Medicare guidelines as well

as notifying doctors when dictating duties had not been completed to

specification.

ACHIEVEMENTS

Completed requirements to sit for the AHIMA national certification and successfully passed receiving my credentials as a Certified Coding Specialist-Physician Based.

Completed requirements to sit for the AAPC national certification and successfully passed receiving my credential as a Certified Professional Medical Auditor.

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