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Medical Staff

Location:
Jacksonville, FL, 32218
Posted:
May 17, 2012

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Resume:

Wendy Kurth, CPC, CCS-P

***** ****** ****** ***** ************, FL 32218

262-***-**** Cell#

f3c2c8@r.postjobfree.com

PROFESSIONAL EXPERIENCE

Over 19 years in the healthcare profession with fluent knowledge and experience in ICD-9-CM, CPT 4, and HCPCS coding systems. Strengths include and are not limited to a vast knowledge of Medicare and Medicaid regulations, compliance guidelines, and multi-specialty coding.

EDUCATION and CERTIFICATION

AAPC Independent Study Program CPC 1998 – present

AHIMA Independent Study Program CCS-P 2001 – present

EXPERIENCE

NEMOURS, Jacksonville, FL

Coding & Compliance Auditor-April 2011

• Prepared educational materials and conducted in-services for coding staff, non-physician practitioners, residents, and faculty.

• Perform ICD-9-CM/CPT-4 coding audits on a routine basis for the coding staff, non-physician practitioners, residents and fellows, and faculty physicians for multi-specialties. (Allergy/Pulmonary, Primary Care, Ob/Gyn, Nephrology, Pathology, Dietary, Pediatrics, Cardiology-E/M only, Endocrine, Hospitalists)

• Research coding/compliance issues that appear on the OIG’S Work Plan yearly.

• Up-dating the health system of the on-going changes in Medicare/Medicaid regulations

• Orientation for new physicians on coding and documentation guidelines

THE CODING NETWORK, LLC

Contract Coding & Auditing - February 2008

• Contract with multiple Health Systems throughout the United States to analyze, evaluate and audit medical records and billing records to ensure the accuracy of ICD-9-CM and CPT codes. Provide focused specialty audits, daily abstracting of services, and coding support to assigned clients.

• Provides quality reviews for new hires and responsible for coding support for assigned coders in specialty areas.

UW MEDICAL FOUNDATION, Madison, WI

A 1200+ physician group practice with over 2,300 employees and 60 clinic locations.

Compliance Analyst February 2001 – April 2011

• Prepared educational materials and conducted in-services for coding staff, non-physician practitioners, residents, and faculty.

• Perform ICD-9-CM/CPT-4 coding audits on a routine basis for the coding staff, non-physician practitioners, residents and fellows, and faculty physicians for multi-specialties. (Allergy/Pulmonary, Primary Care, Ob/Gyn, Nephrology, Pathology, Dietary, Pediatrics, Cardiology-E/M only, Endocrine, Hospitalists)

• Research coding/compliance issues within the organization that are focused on the OIG’S Work Plan.

• Provider education based for the on-going changes in Medicare/Medicaid regulations and commercial payer issues.

• Orientation for new physicians and residents/fellows on coding and documentation guidelines

Coding Educator May 2000 – February 2001

• Assisted in the process of coding backlogs for multi-specialty inpatient/outpatient services and surgical procedures

• Developed, coordinated, and conducted staff training, both in group and one-on-one settings

• Evaluated the quality of coding new employees and transfers within the organization

• Prepared educational materials and conducted in-services for basic, intermediate, and advanced levels of coding for coding staff, clinic staff, and physicians.

Coding Coordinator March 1998 – February 1999

• Pre-authorization of surgical procedures

• Training new employees

• Daily abstracting of inpatient/outpatient records, assisted and familiarized medical staff of proper documentation techniques and guidelines, advised medical staff on the sequencing of diagnosis coding.

• Performed random chart reviews to assure that correct coding and documentation guidelines were utilized

MERCY HEALTH SYSTEM, Janesville, WI

A 400 physician group practice, 30 facilities covering IL & WI

Review and Education Specialist August 1992-2001

• Developed, coordinated, and conducted staff training, both in group and one-on-one settings

• Prepared educational materials and conducted in-services for basic, intermediate, and advanced levels of coding for coding staff, clinic staff, and physicians.

• Performed random chart reviews to assure that correct coding and documentation guidelines were utilized.

• Up-dating the health system of the on-going changes in Medicare/Medicaid regulations

• Orientation for new physicians on coding and documentation guidelines

TECHNOLOGY SKILLS

Computers

*EPIC EHR *Microsoft Office 2007 *Cerner *Streamline

PROFESSIONAL ASSOCIATIONS

• American Academy of Professional Coders

• American Health Information Management Association



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