Karla Winslow
Bella Vista
Summary
Dynamic and detail-oriented Hospice/Palliative Care Coder with expertise from Circle of Life Hospice. Proven track record in performance analysis and coding accuracy, leveraging strong interpersonal skills to enhance team collaboration. Adept at navigating complex coding regulations, ensuring compliance, and optimizing billing processes for improved revenue cycle management.
Overview
17
17
years of professional experience
Work History
Hospice/Palliative Care Coder/Auditor
Circle of Life Hospice
04.2024 - Current
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Verified signatures and checked medical charts for accuracy and completion.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Generated reports to identify coding trends and discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Input data into computer programs and filing systems.
- Generated and maintained statistical data related to medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
Certified Medical Coder
Newton Medical Center
08.2019 - 01.2024
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Verified, coded and added modifiers to diagnoses.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Verified accuracy of patient information in medical records.
- Transcribed and entered patient medical information into electronic medical records systems.
- Scanned and uploaded medical records into electronic medical records system.
- Verified signatures and checked medical charts for accuracy and completion.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Maintained accuracy, completeness, and security for medical records and health information.
Medical Assistant
Mid-KS Family Practice
09.2008 - 08.2019
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
- Followed appropriate procedures to minimize patient's exposure to radiation.
- Measured patient spirometry.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Collected and documented patient medical information such as blood pressure and weight.
- Prepared lab specimens for diagnostic evaluation.
- Completed EKGs and other tests based on patient presentation in office.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging, and compassionate environment.
- Measured patient pulse oximetry.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
Education
Certified Professional Coder -
Wichita State University
Wichita, KSSkills
- Performance analysis
- Network security
- CPC registration
- Code optimization
- Automated testing
- Data structures
Timeline
Hospice/Palliative Care Coder/Auditor
Circle of Life Hospice
04.2024 - Current
Certified Medical Coder
Newton Medical Center
08.2019 - 01.2024
Medical Assistant
Mid-KS Family Practice
09.2008 - 08.2019
Certified Professional Coder -
Wichita State University