KAREN JONES, RHIT, CCS 2643 Marquette Trl Katy, TX 77494 619-871-1501 ▪ KHEBRON@GMAIL.COM 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 ● Coordinate completion of all clinical documentation from Physician/PA’s/NP’s and proactively work with medical director to ensure complete documentation and signatures. ● Oversee 9 ED facilities and assist in keeping ED unbilled report down. ● Work closely with ED clinical managers to verify patient’s disposition. ● Work closely with ED business offices to verify patient’s charges. ● Help facilitate training with the ED staff in 3M CAC system and other coding applications. ● 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. ● Performs other duties as assigned by the HIM Director/ Manager. ● Oversee over 20 ED coders and review/code accounts as needed. ● Outpatient ED Coder (Full-Time/Permanent) 11/2013 - 04/2019, Memorial Hermann Hospital, Houston, TX ● ● 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. ● ● ● ● ● ● ● 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 ● ● ● ● ● ● 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 ● ● ● ● 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 • 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 ● ● ● ● ● ● 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