Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KAMELIA B. ALLEN

Swansea,IL

Summary

Experienced Medical Coder with 13 years of expertise in Outpatient Coding, specializing in Family Medicine, Emergency Department, and Outpatient Surgery across various specialties. Proficient in accurately assigning medical codes, ensuring compliance with industry regulations, and optimizing reimbursement processes. Adept at reviewing clinical documentation, identifying coding discrepancies, and collaborating with healthcare professionals to maintain accuracy and efficiency. Highly detail-oriented, with a strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding guidelines.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Profee Outpatient Surgery Coder

Guidehouse Manages Services
11.2024 - Current
  • Responsible for using accurate code according to the ICD-10, CPT, and HCPC guidelines.
  • Coding Outpatient Surgery charts for ENT specialty including Head & Neck, Laryngology, Otology, and Rhinology services for a hospital facility
  • Assist with Deferred Queue coding holds and corrections
  • Provide the most accurate procedure, and diagnosis codes including modifiers when needed.
  • Maintain productivity at 6 charts an hour, with an accuracy of 95% according to company policy.
  • Maintain confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder

Omega Healthcare
11.2024 - 12.2024

· Responsible for using accurate code according to the ICD-10, CPT, and HCPC guidelines.

· Coding Outpatient charts, ancillary labs, radiology report, cardiology mammogram reports, and emergency department for a hospital facility

· Provide the most accurate procedure, and diagnosis codes including modifiers when needed.

· Making sure that all necessary information is included in the physicians note, and sending queries when needed regarding clarification of missing or inadequate information.

· Maintain productivity at 15 ED/ urgent care charts an hour, and 30 ancillary charts an hour with an accuracy of 95% according to company policy.

· Maintain confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder III

Barnes Jewish Hospital
03.2020 - 09.2024
  • Responsible for using accurate code according to the ICD-10, CPT, and HCPC guidelines
  • Coding Outpatient Surgery and Observation charts for, urology, wound care, ophthalmology, cosmetics, orthopedics, and ENT for a hospital facility and outpatient clinic
  • Assist with Priority Queue coding holds and corrections, as well as Inpatient to Outpatient coding for outpatient surgery
  • Assist with coding at a wide range of facilities
  • Provide the most accurate procedure, and diagnosis codes including modifiers when needed
  • Making sure that all necessary information is included in the physicians note, and sending queries when needed regarding clarification of missing or inadequate information
  • Maintain productivity at 4.75 Outpatient Surgery charts an hour, with an accuracy of 95% according to company policy
  • Maintain confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder II

Quorum Health Corporation
10.2018 - 02.2020
  • Responsible for using accurate code according to the ICD-10, CPT, and HCPC guidelines
  • Coding Outpatient charts, ancillary labs, radiology report, ref labs, cardiology reports, disability, sleep studies, OBP, psych, emergency department and urgent care for a hospital facility
  • Assist with BAART corrections for the emergency department/ urgent care
  • Assist with coding at a wide range of facilities
  • Provide the most accurate procedure, and diagnosis codes including modifiers when needed
  • Making sure that all necessary information is included in the physicians note, and sending queries when needed regarding clarification of missing or inadequate information
  • Maintain productivity at 12 ED/ urgent care charts an hour, and 24 ancillary charts an hour with an accuracy of 95% according to company policy
  • Maintain confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder

Gateway Regional Medical Center
08.2017 - 10.2018
  • Responsible for using accurate code according to the ICD-10, CPT, and HCPC guidelines
  • Coding Outpatient charts, ancillary labs, radiology report, ref labs, cardiology reports, disability, emergency department and urgent care for a hospital facility
  • Provide the most accurate procedure, and diagnosis codes including modifiers when needed
  • Making sure that all necessary information is included in the physicians note, and sending queries when needed regarding clarification of missing or inadequate information
  • Maintain productivity at 12 ED/ urgent care charts an hour, and 24 ancillary charts an hour with an accuracy of 95% according to company policy
  • Maintain confidentiality; adheres to all HIPAA guidelines/regulations

Profee Coder/ Medical Biller

Rural Family Medicine
01.2014 - 08.2017
  • Responsible for posting insurance and patient payments to accounts receivable, making sure that copayments, coinsurance, and deductibles are posted correctly
  • Contacting insurance companies and patients about payment issues
  • Posting payments for Medicare, Medicaid, Managed Care Plans, BCBS, Cigna, Aetna, United Health Care, Meritain, and various other insurance companies
  • Responsible for using accurate codes according to the ICD-10, CPT, and HCPC guidelines
  • Coding General Medicine and Labs for a professional based office
  • Provide the most accurate procedure, evaluation and management, and diagnosis codes including modifiers when needed
  • Making sure that all necessary information is included in the physician note, and communicating with physician when needed regarding clarification of missing or inadequate information
  • Maintain productivity at 20-25 charts an hour with an accuracy of 95% according to company policy
  • Maintains confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder

NP Health Resources
02.2013 - 01.2014
  • Responsible for abstracting information from charts to determine accurate diagnosis codes including HCC codes
  • Areas of focus are General Medicine, Emergency Medicine, Mental Health, Urology, GI, and ENT
  • Making sure that all necessary information is included in the chart for proper coding
  • Communicating with production team lead regarding job duties
  • Maintaining productivity at 15-20 charts an hour with an accuracy of 95% according to company policy
  • Maintains confidentiality; adheres to all HIPAA guidelines/regulations

Outpatient Coder

Elite Billing and Coding Services
03.2012 - 01.2014
  • Responsible for abstracting information from charts to determine accurate diagnosis and CPT codes
  • Areas of focus are Emergency medicine, radiology coding, GI Coding, Urology, Ortho, General Surgery, and ENT
  • Provide accurate codes according to ICD 10, CPT, and HCPC guidelines
  • Provide the most accurate procedures, evaluation and management and diagnoses including modifiers when needed
  • Maintain all productivity, accuracy, and performance levels
  • Maintains confidentiality; adheres to all HIPAA guidelines/ regulations

Education

Health Information Technology -

St. Louis Community College
St Louis, MO
12.2017

High School Diploma -

Belleville East Highschool
Belleville, IL
05-2005

Skills

  • 3M
  • Optum
  • Allscripts
  • Meditech
  • e-MDs
  • Epic
  • Paragon

Certification

CPC, AAPC

Timeline

Profee Outpatient Surgery Coder

Guidehouse Manages Services
11.2024 - Current

Outpatient Coder

Omega Healthcare
11.2024 - 12.2024

Outpatient Coder III

Barnes Jewish Hospital
03.2020 - 09.2024

Outpatient Coder II

Quorum Health Corporation
10.2018 - 02.2020

Outpatient Coder

Gateway Regional Medical Center
08.2017 - 10.2018

Profee Coder/ Medical Biller

Rural Family Medicine
01.2014 - 08.2017

Outpatient Coder

NP Health Resources
02.2013 - 01.2014

Outpatient Coder

Elite Billing and Coding Services
03.2012 - 01.2014

Health Information Technology -

St. Louis Community College

High School Diploma -

Belleville East Highschool
KAMELIA B. ALLEN