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KJones resume19

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KAREN JONES, RHIT, CCS
2643 Marquette Trl Katy, TX 77494
619-871-1501 ▪ [email protected]
Objectives
To obtain a position in the Healthcare field that will offer me an opportunity to utilize my
excellent communication skills, various abilities, and expertise.
Education
Houston Community College – Houston, TX
Associate in Applied Science, Health Information Technology (CAHIIM Accredited),July 2014
RHIT Certified, 2015
CCS Certified, 2016
Professional Experience
ED Coding Coordinator (Full-Time/Permanent​)
04/2019 - Present, Memorial Hermann Hospital, Houston, TX
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Coordinate completion of all clinical documentation from Physician/PA’s/NP’s
and proactively work with medical director to ensure complete documentation
and signatures.
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Oversee 9 ED facilities and assist in keeping ED unbilled report down.
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Work closely with ED clinical managers to verify patient’s disposition.
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Work closely with ED business offices to verify patient’s charges.
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Help facilitate training with the ED staff in 3M CAC system and other coding
applications.
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Reviews and identifies any Local Coverage Determination issues with outpatient
accounts and rectifies issues.
Adapts to changes in the work environment and re-prioritizes work, as necessary.
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Performs other duties as assigned by the HIM Director/ Manager.
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Oversee over 20 ED coders and review/code accounts as needed.
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Outpatient ED Coder (Full-Time/Permanent​)
11/2013 - 04/2019, Memorial Hermann Hospital, Houston, TX
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Responsible for complete and accurate assignment of ICD-10-CM and CPT
codes in accordance with current internal and external coding guidelines.
Determines the appropriate infusion/injection codes for hospital services
provided by care providers based on hierarchy rules.
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Abstract clinical, demographic, and quality information from medical records for
statistical, indexing and third party payer reimbursement purposes.
Capable of meeting daily productivity of 85+ charts per day.
Capable of maintaining 95% accuracy rate for ICD-10-CM and CPT coding
assignments.
Reviews and identifies any Local Coverage Determination issues with outpatient
accounts and rectifies issues.
Competency in computer applications and 3M 360 encoder system.
Reviews documentation to extract and enter data accurately for other
abstracting fields.
Familiar with Outpatient Imaging and Sports Rehab & Rehab coding guidelines.
Outpatient ED Coder (PRN/Contract)
02/2019 - Present, Maxim Healthcare Services
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Responsible for complete and accurate assignment of ICD-10-CM and CPT
codes in accordance with current internal and external coding guidelines.
Capable of meeting daily productivity of 95+ charts per day.
Capable of maintaining 95% accuracy rate for ICD-10-CM and CPT coding
assignments.
Competency in computer application and Optum CAC encoder system.
Reviews documentation to extract and enter data accurately for other
abstracting fields.
Familiar with Outpatient Imaging and Sports Rehab & Rehab coding guidelines
Outpatient ED Coder (Full-Time/Permanent​)
07/2018 – 12/2018, Dignity Health, Phoenix, AZ
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Responsible for complete and accurate assignment of ICD-10-CM and CPT
codes in accordance with current internal and external coding guidelines.
Abstract clinical, demographic, and quality information from medical records for
statistical, indexing and third party payer reimbursement purposes.
Capable of meeting daily productivity of 95+ charts per day.
Capable of maintaining 95% accuracy rate for ICD-10-CM and CPT coding
assignments.
Inpatient Coding (Part-Time/Internship)
01/2014 – 05/2014, Michael E. DeBakey VAMC, Houston, TX
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Assigned ICD -9, ICD-10 CM, ICD-10 PCS, and CPT codes to inpatient medical
records for department using 3M coding system.
• Worked with the Senior Lead HIM Coding Professional to understand the flow and
structure of the department.
• Gained knowledge of all areas of VA medical center including hospital structure,
organization, and responsibilities of each unit.
Medical Staff Coordinator Assistant (Part-Time/Internship)
08/2012 - 05/2013, Memorial Hermann Rehab Hospital, Katy, TX
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Assisted with reviewing physician credentialing files for current state licensure
and malpractice insurance.
Audited medical records for History and Physical compliance timeliness in
accordance with Joint Commission standards, regulatory agency standards, and
hospital bylaws.
Reviewed patient logs for consult compliance timeliness in accordance with
Joint Commission standards and hospital bylaws
Assisted with maintaining excel spreadsheet for physicians’ On-going Professional
Practice Evaluations and Focused Professional Practice Evaluations compliance.
Assisted with maintaining hospital physician roster.
Assisted with maintaining and sending out Physician On-call Schedule, monthly.
Skills
Skill Name
Skill Level
Experience
Cerner Care4 EMR
Average
5+ year
3M 360 CAC Encoder
Intermediate
5+ year
Optum CAC Encoder
Intermediate
1+ year
eCharms Abstract
Intermediate
5+ year
Microsoft Excel
Expert
10+ years
Microsoft Outlook
Expert
10+ years
Microsoft Word
Expert
10+ years
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