RHIT,CCS

Lee Ann Kile rhit, ccs

*** * **** ******, ******* IL 60148

******.****@*****.*** • 312-***-****

HEALTH INFORMATION AUDITING • INPATIENT CODING • RECORDS IMAGINING

OVER 8 YEARS’ PROFESSIONAL WORKING EXPERIENCE IN ACCOUNTS PAYABLE, PATIENT ACCOUNTS, PHARMACEUTICALS, AND MEDICAL

RECORDS IN THE MEDICAL INDUSTRY. LISTENS TO THE VOICE OF THE CUSTOMER WHILE BUILDING RAPPORT HORIZONTALLY AND

VERTICALLY. TROUBLESHOOTS AND ALLEVIATES POTENTIAL AUDIT ISSUES THROUGH OUTSTANDING RESEARCH AND ORGANIZATIONAL

SKILLS. PROFESSIONAL DEMEANOR IN A DEADLINE DRIVEN MEDICAL RECORDS ENVIRONMENT.

CORE COMPETENCIES:

INTERNATIONAL CLASSIFICATION RECOVERY AUDIT CONTRACTOR CURRENT PROCEDURAL

OF DISEASES CODING (ICD 9) (RAC) TERMINOLOGY CODING (CPT)

HEALTH EVALUATION DATA AND TERMINAL DIGIT FILING (TDF) RELEASE OF INFORMATION

INFORMATION SET (HEDIS) CENTER OF MEDICARE AND MEDICAL TERMINOLOGY

MEDICAID SERVICES ACCOUNTING REVENUE CYCLE

REGULATIONS (CMS) CERTIFIED ICD 10 TRAINER

PROFESSIONAL EXPERIENCE

Health Care Excel, Q Mark Division, Indianapolis, IN 2011 2012

Nonprofit health care consulting company providing independent monitoring of medical necessity of health care services.

Medical Records Technician

Received HEDIS audit list from Insurance Companies United Health Care and Blue Cross Blue Shield.

Communicated with providers to notify of HEDIS audit, requesting patient medical records. Received and

scanned patient medical records. Attached and reconciled medical record with audit request. Reviewed weekly

pending issue log for responses from Insurance plans. Processed finance department medical record request for

payment forms.

Researched over 1000 provider pending issues in three months. Reducing back log by 85% to obtain the

HEDIS project deadline for insurance companies.

IU Health, Contract via Robert Half International, Indianapolis, IN 2011

Indiana’s preeminent care provider with 3,326 inpatient beds and over 2.2M outpatient visits per year.

Medical Records Data Integrity Specialist/Release of Information

Tracked the appeal process documentation for Medicare RAC audits through Level 1: Redetermination, Level 2:

Reconsideration and Level 3: Administrative Law Judge to ensure timely filing. Communicated with outside

service provider, Executive Health Resource (EHR), to ensure appeals process documentation was received.

Coordinated with internal RAC Team and Medical Necessity Registered Nurse (RN) to recover missing

documentation. Attached electronically secured documentation to RAC claim. Monitored urgent faxes for release

of information (ROI) from providers. Processed walk in patients for ROI. Billed patients for ROI documentation

required for the appeal process.

Located and corrected 1200 data migration errors due to an interface issue with the legacy system and

current outside service provider. Finished data integrity project three months ahead of schedule saving

customer $6K.

Rehabilitation Hospital of Indiana, Indianapolis, IN 2010 – 2011

An acute care rehabilitation hospital specializing in brain injury, spinal cord injury, stroke, and comprehensive medical

rehabilitation for injuries or illnesses resulting in loss of function .

Health Information Management Internship

Hybrid facility between electronic and paper records. TDF, customer service, loose leaf filing for inpatient and

outpatient. Coordinated and assisted Health Information Manager with special projects. Research medical record

numbers for special projects.

Simultaneously, worked on projects to update provider information database and reduce backlog of loose

leaf filing for ROI and hospital correspondence.

Wishard Health Services, Ivy Tech Externship, Indianapolis, IN 2011

Indiana’s level one trauma center and only adult burn center with 316 inpatient beds and 10 ambulatory care facilities.

Ambulatory Care Extern

TDF, Reviewed RAC process and procedures with RAC coordinator. Audited staff and patients for quality are

compliance review at ambulatory care clinics. Document imaging of inpatient records for electronic health record.

Shadowed admissions. Attended Performance Improvement Task Force meetings for ambulatory care.

Created, coordinated, and trained personnel for the implementation of a shared drive Transfer Log for

medical records between ambulatory care clinics.

Med Recs Consulting Group, Ivy Tech Externship, Brownsburg, IN 2010

Specializes in providing health information consulting to long term care facilities, free standing and hospital based surgery

centers, physician practices, hospitals, home health agencies, and dialysis centers.

Medical Record Auditing Externship

Audited medical record for coding accuracy. Abstracted data to ensure compliance with state and Federal

regulations. Audited long term care facilities for advance directives. Researched regulations on Center for

Medicare and Medicaid Services (CMS) for current statutory changes. Revised consulting forms.

Kmart Brownsburg, IN 2008 2009

Part time Cash Cage

Reconcile daily receipts, prepare daily report to corporate, balanced safe daily, prepared daily deposits, research

discrepancies before closing daily report.

CVS Pharmacy, Danville, IN 2005 2006

Pharmacy Tech in Training

Customer Service, prepared prescriptions, filed insurance claims, prepared weekly drug order.

Carrier Corporation, Contract via Initial Staffing, Indianapolis, IN 1999 2004

Distribution Clerk

Create daily pick order labels, prepared all bill of ladings for LTL loads, liaison to all LTL carriers, researched

shipment errors, and assisted truck loading personnel. Prepare UPS shipment paperwork.

Education, Licenses, Training and Honors

Ivy Tech Community College

Associate of Science, Magna cum Laude

Health Information Technology

GPA: 3.86/4.0

Phi Theta Kappa Honor Society

American Health Information Management Association

RHIT LIC No. 0009516

CCS LIC No.

Certified ICD 10 Trainer

Contact this candidate