Medical High School

Karen Thomas Cummings

Highwood Pass Grovetown, Georgia .30813

Email:***************@*****.***

Home: 706-***-****

Dwight Eisenhower Army Medical Center

Medical Records Technician (Coder)

Administrator Annecia McNeil

March 27, 2006 to Present

As a Certified Coder, I perform a variety of technically complex duties to review and analyze ambulatory/outpatient medical data; code medical diagnoses and procedures; and provide assistance to the professional staff. Knowledge of coding accreditation references and complex medical terminology, anatomy, and physiology in addition to DoD and Army medical regulations.

On a daily basis codes disease and injury diagnoses, acuity of care, and procedures in a wide range of ambulatory/outpatient settings and specialties. References used for coding include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Current Procedural Terminology (CPT); Health Care Financing Administration Common Procedure Coding System (HCPCS); Physicians' Desk Reference; and Department of Defense unique codes. Selection of the appropriate codes and modifiers requires determining from several possible codes and references the one which most accurately describes the proper primary and subsequent diagnosis when multiple diagnoses are present; and selecting the proper descriptive code when more than one anatomical location is indicated. Ensures that coding is performed in a manner which allows input of data into the computer system. Train new employees.

Determines that diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature. Assigns additional diagnosis codes based on specific clinical findings (laboratory reports, radiology reports, pathology reports, and clinical studies) in support of existing diagnoses. Contacts appropriate medical staff members to rectify inconsistencies, deficiencies, and discrepancies in medical documentation. Performs audits of coded records and provides direct feedback to coders. Reviews content of diagnostic and procedural templates in ADM to ensure diagnoses and procedures meet current coding requirements and are an accurate reflection of the scope and practice for each unique specialty. The specialty services are Emergency Room and Intervention Radiology and Neurosurgery Veterans Administration. Performs other duties as assigned.

September 2003 -March 2006, Coder, Medical College of Georgia, Augusta, Georgia

Supervisor: Michelle Newman 706-***-****

Abstracting data from computerized medical records to analyze physician notes

and reports to review monthly backlog accounts. Consult physician when medical

records documentation is lacking in sufficient data for coding purposes.

Education:

High School Diploma, Hephzibah High School, Hephzibah, Georgia, June 1987

Medical Terminology, Medical College of Georgia, September 1992

Developing Service Relations, Certificate-July 1993

Phlebotomy, Certificate, Aiken Technical College, Augusta, GA, August 1997

Medical Billing Specialist, Kerr Business College, Augusta, GA, August 2001

Radiation Protection & Biology and Basic Positioning of Routine X-Ray

Procedures, March 2003

CPT Coding Curriculum, University Hospital, Augusta, GA, May 2004

American Academy of Professional Coders, December 4, 2004

American Academy of Professional Coders ID#00101370

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