Katrina C. Email and Phone Number
Experienced Manager, Certified Coding Specialist and Clinician Educator, with a demonstrated history of working in the hospital and health care industry. Strong education, professionally skilled in Internal Audit, Medical Compliance, Charge Entry, Medical Coding Educator and Healthcare Revenue Cycle Management.• In-depth knowledge of CPT and ICD-10-CM coding principles, government regulation, protocols and third-party requirements, CMS, Federal Registers, NCCI claims management• Revenue Cycle Management experience with proven ability to increase revenue by submitting clean claims timely, researching thoroughly and appealing denied claims while consistently keeping record of trends that impact revenue cycle negatively• Strong communication skills in internal audit findings and recommendations of areas for documentation improvement with physicians in a professional, concise, but time conscientious manner• Creation of educational training material related to coding, documentation, accounts receivables. This includes but is not limited to reference tools, newsletters, coding alerts, prerecorded webinars, lunch and learn sessions as well as virtual/in person one on one and group sessions • Skilled in analyzing, identifying solutions and implementation of new processes and/or procedures• Data analytics; pivot table such as the E/M bell curve • Ability to evaluate production to ensure work is completed efficiently and with minimal errors • Goal oriented capable of performing effectively with other team members and independently
Wellstar Health System
View- Website:
- leehealth.org
- Employees:
- 5035
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Coding Compliance Auditor And EducatorWellstar Health SystemTampa, Fl, Us -
Lpg Physician Coding EducatorLee Health Oct 2021 - PresentFort Myers, Florida, United States• Acts as an internal resource for Lee Physician Group for professional service coding and documentation education. • Performs medical record audits to ensure compliance with all applicable federal, state and local regulations, as well as with institutional/organizational standards, practices, policies and procedures. • Engages with providers for elbow-to-elbow support with coding and documentation through phone calls, electronic communications and the creation of specialty or individual provider tip sheets, virtual presentations, and other educational resources. • Provides guidance and advice for reporting policies mandated by government entities and other payers for completion of coded data including level of service, diagnosis, procedure and diagnostic code assignments. • Analyzes data, communicates findings, and facilitates improvement efforts. • Independently develops and maintains educational materials and training programs. • Works in conjunction with the clinical, operational and coding leadership teams. Systems currently being used in my role are EPIC, 3M Encoder, Citrix, WebEx for training, OneNote, PowerPoint, Excel Spreadsheet -
InstructorThe Coding Connection Oct 2022 - PresentJacksonville, Florida, United StatesThe Coding Connection is a leading source of training for the healthcare workforce. We provide on-demand services to medical professionals and assist with provider education, medical billing & coder, auditing and documentation improvement. We provide education for medical coding, anatomy and physiology, and medical terminology. This is to prepare students for the Certified Professional Coder (CPC) examination. Additionally, we offer Certified Professional Medical Auditor (CPMA) and Certified Professional Compliance Officer exam preparation courses. We offer a one-on-one session, tutoring and providing an additional mock exam.
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Manager, Certified Coding Specialist And Clinician EducatorCarespot Urgent Care Jan 2019 - Oct 2021Jacksonville, Florida, United States• Manager of the coding team which performs internal audits to ensure billing and coding compliance as well as identify trends, training and areas of risks. • Auditing of medical records and claims (either pro or retrospective); resolving documentation and coding questions; issues and reporting results; gathering and analyzing information skillfully such as E/M bell curve; and developing solutions. • Developing educational training material, reference tools, and webinars for coders, clinicians as well as other departments. • Achievements include the implementation and execution of an internal compliance program to ensure coding, documentation, and revenue cycle adherence, which subsequently passed an external audit in 2020.Systems used during my tenure were Solar, Systoc, NextGen, Availity, Emdeon, Codify, GoToMeeting for training, SnagIt Tool, SharePoint, OneNote, PowerPoint, Excel Spreadsheet. -
Lead, Certified Coding Specialist And Clinician EducatorCarespot Urgent Care Apr 2017 - Jan 2019Jacksonville, Florida, United StatesLeading the coding team which performs internal audits to ensure billing and coding compliance as well as identify trends, training and areas of risks. Auditing of medical records and claims (either pro or retrospective), resolving documentation, coding questions, claims issues and reporting results; gathering and analyzing information skillfully such as E/M bell curve; and developing solutions. Developing educational training material, reference tools and webinars for coders, clinicians as well as other departments. -
Certified Coding Specialist And Clinician EducatorCarespot Urgent Care Mar 2016 - Apr 2017Jacksonville, Florida, United StatesResponsible for internally auditing medical charts and claims, resolving documentation, coding questions, claims issues and reporting results; gathering and analyzing information skillfully then developing solutions. Also, responsible for clinician education as it relates to documentation and coding. -
Medical Billing And Coding SpecialistCarespot Urgent Care Sep 2014 - Mar 2016Jacksonville, Florida, United StatesResponsible for reviewing medical charts and claims, resolving documentation and coding questions and issues and reporting results; gathering and analyzing information skillfully; and developing solutions. -
Accounts Receivable SpecialistCarespot Urgent Care Jan 2014 - Sep 2014Jacksonville, Florida, United StatesResponsible for medical billing, insurance verifications and claim adjudication follow up. Responsible for working claim denials, appeals and correspondence. Responsible for posting payments, adjustments, denials and completing refunds to insurance carriers in a timely manner. In addition, handling inbound calls from internal and external customers. -
Occupational Medicine SpecialistCarespot Urgent Care Oct 2012 - Jan 2014Jacksonville, Florida, United StatesResponsible for accurately invoicing employers per their contract. Managed fee schedule and contract updates within the employer protocol in the EHR. Provided customer service and administrative duties to employer accounts. Executed collection activities for aged invoices. -
Hims AssociateMayo Clinic Mar 2011 - Nov 2011Scanned the loose records into the patient’s electronic chart. I also help the physicians’ with their deficiencies. Printed the transfer packets for the patients leaving our facility. Maintained the phone lines as well and on the PERT team. -
Unit Clerk/HimsSt Vincent'S Hospital Jul 2009 - Mar 2011Prep, assemble and maintain the medical records of the hospital. Scanned in the documents for the coders to drop the bills. Responsible for unit secretary duties on the infectious disease floor by order entry, maintaining medical records, multi phone lines and assisting patient’s as well as their families. -
Insurance SpecialistFlagler Hospital May 2007 - Jun 2009Insurance follow up, insurance verification, EOB's, collections, bad debt reports, customer service, medical records, registrar, referral coordinator, medical records -
Police Emergency Communications OfficerJacksonville Sheriff'S Office Nov 2008 - May 2009Answering 911 and non emergency lines for call taking and the dispatching of officers to calls for service, remaining calm and must provide accurate information to officer and citizens -
Unit Secretary/Er RegistrationUnited Hospital Systems Apr 2005 - Nov 2006Registrar, maintain ER's multi phone line, medical records and ER physician billing, page doctors that are on call, verify insurance, order entry for labs, X-rays and cat scans
Katrina C. Education Details
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Health/Health Care Administration/Management
Frequently Asked Questions about Katrina C.
What company does Katrina C. work for?
Katrina C. works for Wellstar Health System
What is Katrina C.'s role at the current company?
Katrina C.'s current role is Coding Compliance Auditor and Educator.
What schools did Katrina C. attend?
Katrina C. attended Devry University, Florida State College At Jacksonville.
Who are Katrina C.'s colleagues?
Katrina C.'s colleagues are Katie Hensley, Nick Martinez, Stephanie Kohlhagen, Crystal Gleason, Yanara Perez, Kaylee Evans, Erika Yaya.
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Katrina C.
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Katrina R.
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