Medical Coder Certified

Carol Keith, CPC

Medical Coder

Russellville, AR 479-***-**** *****.*****@****.*** www.linkedin.com/in/carol-keith PROFESSIONAL SUMMARY

Certified medical coder knowledgeable in both outpatient and inpatient health record content. Trained in accurate data abstraction according to established guidelines to assign diagnosis and procedure codes. Competently composes compliant physician queries. Knowledgeable of DRG’s APC’s HAC’s and POA indicators. Committed to staying current on medical coding changes and polices. PROFESSIONAL AFFILATIONS AND CERTIFICATIONS

American Academy of Professional Coders (AAPC)

• Certified Professional Coder - July 2023 #02042390 EDUCATION

Medical coding Certificate: University of Arkansas, Fayetteville, AR Graduation Date: 11/16/2022

Coursework included beginning through advanced outpatient and inpatient diagnosis and procedural coding, ICD-10-CM, ICD-10-PCS, CPT, HCPICS II, healthcare data content and structure, medical terminology, anatomy and physiology, pharmacology, disease processes, third party payer methodologies, physician queries, DRG’s, POA’s and clinical practice simulations. Training required:

• Reviewing medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers to ensure accurate coding.

• Analyzing, sequencing, and validating assigned codes based on medical records

• Assessing and assigning POA indicators and MS-DRGs

• Recognizing when a provider query needs to be made and composing a compliant provider query

• Knowing coding rules, anatomy, physiology, medical terminology, pathophysiology, and pharmacology.

Bachelors Degree Early Childhood Education, Arkansas Tech University Bachelors Degree Behavioral Science, Arkansas Tech University RELEVANT SKILLS AND TRAINING

ICD-10-CM Anatomy Physiology Medical Terminology Microsoft Office Suite CPT Modifiers Pharmacology HIPAA Policies Coding Payment Policies HCPCS II Compliance Coding Guidelines

WORK EXPERIENCE

Medical Coder

Med Express, 2023 - 2024

• Confirm patient demographic, insurance and referring physician information is accurately entered into practice management system.

• Confirm insurance verifications and authorizations, as required.

• Communicate with Financial Counselors regarding insurance authorizations and referrals.

• Review daily physician schedules and evaluate Evaluation & Management (E&M) levels for appropriate complexity assigning the correct CPT code.

• Enter all CPT and ICD-10 coding into practice management system timely and accurately for code capture.

• Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.

• Enter all word codes into practice management system per company policy and procedures.

• Follow established check and balance systems to ensure complete and accurate code capture.

• Respond to audit findings and make applicable coding additions or corrections.

• Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI.

• Update practice management system patient’s account notes with any changes made to patient information or as otherwise dictated by company policy and procedure.

• Confirm all documentation required for coding is complete and meets required regulations.

• Attends seminars and in-services as required to remain current on coding issues.

• Other duties as assigned.

Escalation Supervisor

Asurion, 2011 - Current

• Focused on customer satisfaction throughout interactions, offering timely, accurate information and answering wide-ranging questions.

• Adapted to changing company and industry situations, incorporating latest information to shape and improve customer service techniques.

• Researched problems proactively, implementing standard solutions, as well as developing customized approaches.

• Met needs of Retail customers by triaging requests and obtaining necessary support.

• Nurtured customer relationships with regular contact and service based on trust.

• Empowered employees to independently resolve problems and disputes.

• Resolved customer complaints and answered customers' questions regarding policies and procedures.

• Covered daily office workloads through effective staffing and resource coordination.

• Prepared thorough reports based on skilled compilation and distillation of related data.

• Analyzed data and abstracted information from files and records District Manager

Movie Gallery, 1996 - 2011

• Maximized employee performance with effective training and close mentoring.

• Controlled labor costs by streamlining workflow based on expected demands.

• Maintained current and compliant paperwork and data with internal standards and legal requirements.

• Directed daily store operations, including staff management, task delegation, merchandising, and customer service.

• Eliminated resource waste through effective monitoring and improved controls.

• Built and maintained successful teams, directing, motivating, and disciplining staff.

• Recruited, hired, and onboarded district staff and implemented initiatives to maintain low turnover rate.

• Balanced company profitability, growth, and market share with current operation and trend data to make decisions.

• Developed managers into successful leaders through training and direct support.

• Analyzed key metrics and developed actionable solutions to close gaps, reduce operational deficiencies, and financial risks.

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