KAREN YVETTE MITCHELL CPC, AA

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

HOUSTON, TEXAS 77035

Cell 832-***-**** Home 713-***-****

CAREER OBJECTIVE:

To pursue a career in Health Information Management ranging from records management to medical coding in both physician and hospital settings.

SUMMARY:

Offering 13 years of experience in insurance, which includes appeals and billing, and 12 years of medical coding. Coding specialties; Internal Medicine, Oncology, Gastroenterology, Nephrology, Cardiology, Infectious disease, Genetics, Pulmonary, Radiology, and Family Medicine, and Evaluation/Management. Responsible for the classification of diagnostic and procedural information using ICD-10-CM, HCPCS and CPT4 classification systems. Fifteen years of experience in Medical Records ranging from record retrieval to records management. My skills are utilizing Medisoft, NextGen, and Epic Programs, LMRP, Codelink, CARE4EMR, IDX, and CPT, collections, insurance follow-up, appeals and retrieving pre-certs and authorizations.

EDUCATION:

2012 AAPC Chapter Officer

June, 2010 – February 2012

University of Phoenix

Associates Degree in Health Information Management

October 2008

Certified Professional Coder (CPC)

October 2014

ICD-10 CM Certified

June,07 - July, 08

Med Vance Institute, Houston, Texas

EMPLOYMENT:

July 2014- Present

Texas Childrens Hospital

Houston, Texas

Coding Specialist II

Assign and abstract ICD-10 and CPT codes to Professional fee records for the purposes of billing and research. Coding Pediatric specialties: Cardiology (catherizations, echos, and EKGs’) and Evaluation/Management.

K. Mitchell pg. 2

Jan. 2013- Jun. 2014

Cigna/Texas Health Spring

Houston, Texas

Medical Records Coder

Responsible for assigning ICD-9-CM codes to documentation received from provider offices. Reviews health management reports for coding accuracy, abstract, assign codes if missing, and document opportunities when applicable. May conduct remote chart reviews (extracting ICD-9-CM codes from medical records) or assign ICD-9-CM codes to documentation received for comprehensive review. Coding specialty; Internal Medicine.

Sept., 07 – June, 12

UT Physicians (Pediatrics and OBGyn Billing Department)

Houston, Texas

Coding Specialist

Abstract clinical data (diagnoses and procedure codes) from patient medical records and on-line patient data. Identify and report correct code selection from physician documentation, to include, but not limited to: chart notes, medical diagnostic and/or interventional reports, ensuring compliant coding sections are reported. Identifies the correct coding applications utilizing standardized coding conventions required for patient charge encounters when reviewing physician generated codes, ensuring compliance with regulatory agencies, corrects coding initiatives and regulatory guidelines for clinical documentation. Coding Cardiology, Gastroenterology, Nephrology, Genetics, Internal Medicine, Neonatology, and Evaluation & Management.

Feb., 06-Feb., 07

Continuum Health Care, Houston, Texas

DIRECTOR, Health Information Management

Managing the Medical Records Department. Oversee the entire patient information system. Responsible for organizing and managing medical records, which includes control of equipment and supply needs, record retrieval, audits, chart assembly and analysis.

Feb., 02 – February, 06

Per Sé Technologies/UT Physician Billing, Houston, Texas

TEAM LEADER (Coding/Denial Department)

Supervision of eleven (11) account representatives for the Coding/ Denial Department, manage the Pediatrics Accounts for Coding Denial Department, Coding all physicians’ denial accounts, insurance follow-up, collections, billing, analyzing claims, trouble-shooting problem accounts and account resolution; appeals, adjust and write off past appeal deadlines and past time filing deadlines, contractual adjustments, participate in the

K. Mitchell pg. 3

interviewing, hiring and training process of new employees, edit and update patient demographics and insurance information.

SKILLS: Utilizing Medisoft, NextGen, and Epic software programs, LMRP, Codelink, CARE4EMR, IDX, PCS, retrieving scanned EOBs, medical coding ICD-9, HCPCS and CPT.

LICENSE

Notary Public

Degree

Associate of Arts in Health information Management

CERTIFICATION:

Certified Professional Coder (CPC)

ICD-10 Certified

REFERENCES: Available Upon Request

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