Kailey Sharp, Cpc Email & Phone Number

Fargo, North Dakota, United States

Manages external audits for Sanford North and South Clinics; Target Probe and Educate (TPE), Medicare Administrative Contractor (MAC), Unified Program Integrity Contractor (UPIC), and Comprehensive Error Rate Testing (CERT) auditsAnalyzes financial reports and adjust if they are overpayments, underpayments, or no changeSends out quarterly education to Sanford’s Compliance Department that includes Center for Medicaid (CMS) updates and any new information pertaining to ComplianceIdentifies and documents sequence of events and diseases using appropriate coding classifications for the level of care received by the patient,Demonstrates strong computer skills and attention to detail with ability to prioritize to meet deadlines and knowledge of information systems.Conducts research, gathers relevant information, and analyzes data to identify problems and propose solutions.Working knowledge of anatomy, physiology, and pathophysiology to understand International Classification of Diseases, treatment or management of medical or surgical conditions in coding schemes and prospective payment systems, clinical practices and technology.Works with leadership for continual process enhancement and feedback. This includes feedback and education processes to coding management, patient financial services, clinical departments and/or provider leadership.

Fargo, North Dakota, United States

Effectively communicated with Providers on a day to day basis while assessing their needs and created professional relationships and rapport with internal and external peers and higher-level managementAnticipated potential problems and risks related to commercial product operations, investigate solutions, and implement preventative actions.Ability to analyze claims, referrals from Pharmacy, denials, etc. to advise Providers what may need to be done as I was the direct contact for them.Trained others regarding policies, procedures, online tools and other resources.

Fargo, North Dakota, United States

Revised all internal Audits by simplifying, redesigning, with the use of collaboration and individual work.Actively performed Chart, Bed Cane, PPE and Life Safety audits to create a better work environments for staff and Residents.Created a monthly audit summary page to show what was done, how it was fixed, and who was contacted to ensure quality control.Prepared reports for management summarizing the results of the audit and/or projectComputer Software Experience: Sharepoint, Eldermark, Excel, and Word.

Bachelor'S Degree, Health Services Administration

Certified Professional Coder, Medical Insurance Coding Specialist/Coder