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CPC, Remote Coding Consultant, Physician Coder and Auditor

Location:
Savannah, GA, 31419
Posted:
June 12, 2015

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Resume:

Karen Denise Kendrick, CPC

* * ********* **, ********, GA 31419

912-***-****

acp6p6@r.postjobfree.com

Work Experience:

UASI, Inc.

Remote Coding Consultant

Savannah, GA

July 2014 - Present

Accurately code and audit OP Pro-Fee, E/M multi-specialty physician documentation to determine final level of service, diagnoses, and procedures are compliant and complete.

Expert knowledge of E/M, Laboratory, Medicine, Pathology, and Radiology.

Maintains working knowledge of ICD-9-CM, CPT and HCPCS coding principles, and Medicare and Medicaid guidelines.

Abstracts all necessary information from documentation and code to highest specificity.

Experience in both 1995 and 1997 guidelines.

Exceed compliance audits.

Perform billing record compliance review for: E/M issues, teaching physician guidelines, CPT, HCPCS and ICD-9 issues.

Memorial University Medical Center

Coder/Auditor

Savannah, GA

September 2011 – Present

• Expert level Family Practice, Internal Medicine, Orthopedic, Outpatient and Inpatient E&M physician coding and auditing.

• Audits E/M Professional-Fee in a compliant manner capturing all potential revenue.

• Abstracts all necessary information from documentation and code to highest specificity.

• Determining final level of service, diagnoses, and procedures are valid and complete.

• Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.

• Identify and escalate problematic coding trends to Revenue Cycle leadership. Help formulate and implement corrective action plans.

• Research CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

• Responsible for routine communications to 23 physicians, as well as practice managers, and ancillary staff related to updates/changes in coding and compliance.

• Provides training and assistance to physicians and professional staff.

• Maintains working knowledge of ICD-9-CM, CPT and HCPCS coding principles, and Medicare and Medicaid guidelines.

Experience in both 1995 and 1997 guidelines.

• Accurately code radiology and labs.

Coastal Psychology

Medical Administrative Assistant

Savannah, GA

May 2010 - August 2011

• Validated completeness of physician encounter forms to ensure all revenue was captured.

• Accurately billed charges using modifiers when necessary.

• Verified insurance eligibility and collected prior authorizations when necessary.

• Organized patient charts, billing correspondence, and important legal documents.

Dr. Lynn’s Family Practice

Medical Office Assistant

Savannah, GA

October 2008 - April 2010

• Check-in and check-out patients. Collected payments and scheduled follow up services.

• Triaged phone calls from patients and 3rd parties in a professional manner.

• Performed other office communications while properly handling pertinent protected health information.

• Organized patient charts, billing correspondence, and important legal documents.

• Verified insurance eligibility and collected prior authorizations if necessary.

Education:

Grantham University Associate of Applied Science (expected)

Kansas City, MO

October 2013 – October 2015

Medical Coding and Billing

SC Massage & Esthetic Institute

Savannah, GA

May 2005-May 2006

Anatomy, Physiology, Esthetics

Certifications:

• AAPC Certified Professional Coder (CPC)

Skills:

• Proficient in Epic Resolute, McKesson, Encoder Pro,

MS Office, Physician Relations

• Accurate and detailed

• Deadline-oriented

• Energetic and proactive

• Strong problem solving capabilities / Self-sufficient

• Goal-driven

• ICD-10-CM and ICD-10-PCS Training

• Remote Access support

• Research to expand skills and knowledge

• Pertinent knowledge of CCI edits and Denials

• E-Time

• Government Clearance



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