Kim Sullivan Email and Phone Number
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I'm an accomplished Medical Coder and Auditor with 20 years of experience in medical coding in both Facility and professional settings in the Healthcare industry. I conduct reviews of clinical documentation while interacting with physicians, coding managers, coding auditors, and coders to ensure compliance with documentation requirements for medical necessity and coding guidelines. I serve as an educational resource for physicians regarding detailed documentation compliance guideline support, quality control, HCC, CPT, Evaluation and Management, and ICD-10 compliance, including: Physician Documentation Improvement Training, EMR Workflow Training, and Physician Documentation/Workflow Training. Technical Skills:➤ Coding Systems: ICD-10-CM/PCS, CPT, HCPCS, SNOMED, RxNorm, LOINC➤ Encoders: 3M Encoder, Optum EncoderPro, TruCode➤ EHRs: Cerner, Paragon, McKesson EMR, Quantim, Practice Fusion, Medisoft➤ CACs: LifeCode (now Optum CAC Professional), M*Modal NLU Coding (Fluency Reveal) ➤ Software: Microsoft Office (Excel, Word, PowerPoint, Outlook), Google Apps, OpenOffice, Fluency for Coding, Jira Software, Confluence, Trello, Remedy, TechExcel CRM, other PC and Mac applications
Grossmont College
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Grossmont CollegeSan Diego, Ca, Us
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InstructorGrossmont College Jan 2024 - PresentEl Cajon, Ca, UsTeaching online course in Medical Insurance and Billing using Canvas and McGraw-Hill Connect software -
FounderSullicode Healthcare Llc May 2021 - PresentStarted this business to provide medical coding and billing education and consulting services to the San Diego community at affordable prices.I provide tutoring services, courses in medical coding and billing, practice management consulting, and other services -
Medical Practice Management And Coding ConsultantIndependent Contractor For Healthcare Sep 2005 - Present➤ Audit coding procedures and diagnoses using ICD-10, CPT, and HCPCS ➤ Advise Physicians on guidelines-based EHR template use➤ Create improved EHR templates ➤ Advise physicians up-to-date federal and state guidelines relating to their practices➤ Instruct physicians and clinical staff on documentation improvement➤ Train new employees in ICD-10 coding, and update ICD-10 codes annually in the practice management system➤ Customize and fix issues in the Practice Management system (Medisoft)➤ Train employees on integration of Practice Fusion EMR with Medisoft ➤ Implement and advise CMS MIPS quality measures annually➤ Research feasibility of implementation of new services the practice is considering offering -
Clinical Development Analyst - Remote3M Nov 2020 - Apr 2021St Paul, Mn, Us➤ Supported customers' use of our CAC-based HCC coding product, HCC Collaborate by researching, reporting, and fixing customer-reported issues. ➤ Worked with NLP and engineering to improve the software➤ Wrote additional HCC Category rules to augment HCC Collaborate. -
Content Specialist – CodingM*Modal May 2014 - Apr 2019Franklin, Tn, Us➤ Came aboard in the Coder II position in 2014, assigning ICD-9/10, CPT, and HCPCS for emergency department and multiple outpatient specialties and emergency department for customers around the country Promoted to CAC Analyst in 2015➤ As CAC Analyst, audited CAC output of ICD-9/10, CPT, and HCPCS to ensure high quality code assignment, while working as a key member of a team of coding professionals who worked closely with the Content Development, NLP, and Software Engineering teams.Promoted to Content Specialist in 2017➤ Advanced to a new role specifically created by the Development team when the previous Coding Development Department was dissolved➤ Worked on a variety of inpatient, outpatient, CDI, and HCC coding development projects, using high-level programming to ensure quality coding assignment by the CAC➤ Created HCC Category rules to help NLP in identifying relevant ICD-10-CM codes within clinical documentation that were lacking justification for an HCC code -
Coding Quality AnalystOptuminsight Apr 2012 - Sep 2013Us➤ Audited the assignment of radiology and emergency department ICD-9, CPT, and HCPCS codes in LifeCode (a CAC using NLP)➤ Worked closely with NLP linguists and software engineers to recommend improvements for the CAC➤ Worked as a subject matter expert in customer support, answering complicated customer coding inquiries, educating customers on current coding guidelines ➤ Made documentation decisions by using Coding Guidelines, Coding Clinic, CPT Assistant, DecisionHealth and other resources➤ Performed coding analysis reviews through regular audits, and programmed customer-specific billing rule configurations and logic in the CAC -
Teaching Assistant / ResearcherUc Irvine 2005 - 2011Irvine, Ca, UsTaught, ran discussion sessions, and graded undergraduate courses in the department of Anthropology. Courses included: Intro to Sociocultural Anthropology, Music and Culture, Economic Anthropology, and Linguistic Anthropology -
Office ManagerPankaj M. Khemka, Md, Inc Jun 2002 - Sep 2005Supervised 3 employeesCreated practice policies and manualsPosted payments and reconciled with depositsTrained employees on coding, billing, claims and collections processesStarted a "Patient First" policy to start treating patients as valued customers
Kim Sullivan Skills
Kim Sullivan Education Details
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Uc IrvineAnthropology -
Uc IrvineClassics
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California State University, Long BeachLong Beach
Frequently Asked Questions about Kim Sullivan
What company does Kim Sullivan work for?
Kim Sullivan works for Grossmont College
What is Kim Sullivan's role at the current company?
Kim Sullivan's current role is Medical Coder | Auditor | Instructor | Healthcare Industry | Head of Sullicode Healthcare LLC.
What is Kim Sullivan's email address?
Kim Sullivan's email address is su****@****bal.net
What is Kim Sullivan's direct phone number?
Kim Sullivan's direct phone number is +161579*****
What schools did Kim Sullivan attend?
Kim Sullivan attended Uc Irvine, Uc Irvine, California State University, Long Beach.
What are some of Kim Sullivan's interests?
Kim Sullivan has interest in Children, Civil Rights And Social Action, Education, Science And Technology, Arts And Culture.
What skills is Kim Sullivan known for?
Kim Sullivan has skills like Medical Coding, Healthcare, Informatics, Natural Language Processing, Microsoft Office, Higher Education, Research, Ethnography, Cpt, Icd 9, Ehr, Medical Billing.
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