Kisha L Carter- CPC

I have over ** years of Outpatient coding, Pro-fee, surgery, clinic, Ambulatory, etc experience. I am proficient in ICD-9/10, CPT’s and the following systems: 3M 360, Epic, Optum and Cerner and many others. I have traveled extensively throughout the United States and Various other countries and Islands in which I consulted with multiple hospitals such as Gov. Juan F. Luis Hospital, UAB (Alabama), Loyola University, Sutherland Healthcare, Banner Health Systems, Grady Memorial, Emory University and other Level 1 traumas.

Technical Summary:

Epic, Cerner, Medical Manager, Dalcon, Medisoft, Meditech, IDX, Athena, Centricity, Misys Tiger, Citrix, Actus, Next Gen, 3M 360, CAC Quantum, HPF, Power Chart, McKesson, Chartmaxx, Optum, Sovera

Strong knowledge and use of: CPT, ICD-9, DRG, HCPCS, HCFA-1500 & UB-92

Professional Experience:

HCC medical coding/Risk adjustment coding

Wave Global

January 2014 to Present

• Reviews submitted medical records to identify diagnoses/procedures that were provided by an acceptable risk adjustment provider type and physician specialty • Selects the correct HCC/RxHCC accurately for each ICD-9-CM code for all medical records • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-9-CM, CPT and HCPCS coding classification systems less

7/2015 – Present

Peak Health Solutions

Remote Coder

Navarro Regional, Trinity of Augusta, Gateway Medical, Mary Black Hospital, Lake Granbury Medical Center, Northeast Regional, Medical Center of South Arkansas, Mountainview, Crestwood, Brownwood Medical, Flowers, Siloam Regional, Gasden, Jennersville, Longview, North Okaloosa, Scenic Mountain Porter Hospital and Detar.

Case Mix: Emergency Room, Ancillaries

-Abstracting medical record data for accurate coding of medical diagnosis and procedures

-Utilize 3M 360 Encoder, Cerner, HPF software

-Edits and append appropriate modifiers

1/2014 – Present

Addison Group

Remote Coder

Case Mix:

-Edits, OBS, Ttrauma, Burn, Ortho, Mom & baby, OB-GYN, Urology, Radiology, OP Clinic,

-Abstracting medical record data for accurate coding of medical diagnosis and procedures

-Utilize Epic and 3M Encoder, Meditech, Cerner, HPF software

8/2013- Present

Himagine Solutions

Remote Outpatient Coder

-Case Mix: Emergency Room, Observations, SDS and Ancillaries

-Systems: Epic, 3M 360, CAC

4/2015- 09/2015

Sutherland Healthcare

Remote Medical Surgery Coder

Case Mix:

-OBS, Ttrauma, Burn, Ortho, Mom & baby, OB-GYN, Urology, Radiology, OP Clinic,

-Abstracting medical record data for accurate coding of medical diagnosis and procedures

-Utilize Epic and 3M Encoder software

10/2014 – 3/2015

Maxim Healthcare @Banner Health Systems

Remote Contract ED coder

-Emergency Department Coder for multi-specialty hospital corporation. Incorporate DRG, clean edits

-Case Mix: OBS, ED, Trauma, Burn, Ortho, Mom & baby, OB, Injections & Infusions, Radiology, OP Visits

-Charts Per Hour: ED 10-15 Accuracy: 98.6%

-EMR System: Epic, Cerner Encoder: 3M. Optum CAC/Encoder Pro,

10/2014 - 2/16/15

Regions Healthcare – 454 beds

Remote Outpatient Coder

-SDS, Observation Coder for multi-specialty hospital corporation

-Case Mix: Emergency, Observation, Multi-specialty SDS, invasive outpatient procedures

-Charts Per Hour: ED 10-15, OBS 3-5, SDS 4-6 Accuracy 97%

-EMR System: Epic, Cerner Encoder: 3M

5/2013 - 10/2014

TheCarterCode

Travel Outpatient Coder

-Assigned inpatient and outpatient physician & facility encounters by abstracting information from the medical record using appropriate diagnosis ICD-9-CM, ICD-10-CM and CPT-4,

-Emergency Department Coder for Ambulatory setting

-Corrects coding of denied claims and re-bills to proper entity for payment via

-Case Mix: Multi-specialty, HCC, SDS, OBS, OB-GYN, ED, Ancillary, Trauma, Burn, Ortho, OP Visits (clinic and hospital) 400 - 850 bed facilities

-Charts Per Hour: SDS: 4-6, OBS: 6-7, Labs and OP Clinic: 20, IP: 2-3 Accuracy: 98%

-EMR System: Epic, Next Gen, Allscripts, MsKesson, Cerner Encoder: 3M. Optum/Encoder Pro, Abstracting, 3M and Meditech

12/2007 - 5/2013

Emory @Grady Memorial Hospital

OP Coder /SDS

-Coded Emergency room, inpatient and outpatient physician & facility via operative reports by abstracting information using appropriate diagnosis ICD-9-CM, ICD-10-CM and CPT-4, HCPCS.

-Reviews medical record documentation to identify all services provided by physicians.

-Gathers required medical record documentation in response to payer audits and requests.

-Investigated, audited and corrected charts and rejected UB-92 claims.

-Provided provider and staff education on proper documentation and coding

-Case Mix: Multi-specialty, SDS, OBS, ED, E&M, OB-GYN, Trauma, Burn, Ortho, Radiology, Pathology, OP Visits (clinic and hospital)

-Charts Per Hour: SDS: 4-6, OBS: 6-7, Labs and OP Clinic: 20, IP: 2-3 Accuracy: 98%

-EMR System: Epic, Cerner Encoder: 3M. Optum/Encoder Pro

Dates: 2006-2008

Facility: HCA – Florida and Texas

IP/ OP Coder

-Case Mix: Pediatrics, OB, SDS, Ancillary, OBS, ED, OP Clinic Visits

-Charts Per Hour: SDS: 6-8, OBS: 6-7, Labs and OP Clinic: 30, IP: 2-3 Accuracy: 98%

-EMR System: Cerner Encoder: 3M

Education:

Audrey Cohen College for Human Service & Business Libman Education

New York City, NY. ICD-10 - January 2013

AA Professional Studies in Human Services

National Health Association/AMA AAPC – 10/26/2015

E. Orange, NJ. ICD-10 Compliant

Medical Coding & Billing Certification

CBCS certification obtained

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