Kimberly Hornaday, CCS-P

• Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Verified signatures and checked medical charts for accuracy and completion.

• Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
• Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
• Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
• Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
• Verified proper coding, sequencing of diagnoses and accuracy of ED procedures.

• Used OPTUM CAC to assign procedure and diagnostic codes to patient records for billing purposes.
• Resourcefully used various coding books, procedure manuals and on-line encoders.
• Maintained missing documentation logs.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.

• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Accurately selected proper descriptive code when more than one anatomical location was indicated.

•Worked accounts receivable/denials for the General Surgery service line.

•Credentialed new providers with Medicare, Medicaid and Commercial payers

• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Resourcefully used various coding books, procedure manuals and on-line encoders.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Accurately selected proper descriptive code when more than one anatomical location was indicated.

• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
• Led a team of 3 coders for large hospital system.
• Maintained missing documentation logs.

• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Resourcefully used various coding books, procedure manuals and on-line encoders.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Accurately selected proper descriptive code when more than one anatomical location was indicated.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Entered payments from insurance companies and patients.
• Worked denials and collections.