Kellie Nienajadly
Auditor Educator @Legacy Health LLC
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WORK HISTORY
Auditor Educator @Legacy Health LLC
Work with offshore and stateside coding team- Third level auditing (audit the auditor) for multispecialty coding, including CPT, ICD-10-CM, HCPCS, medical necessity/payor guidelines- Provide authoritative resources with rationale for any changes (CPT Assistant, CPT/ICD-10-CM Section/Official Guidelines, etc.)- Review/provide feedback for external audit rebuttal rationale prior to finalization- Review current education needs based on internal/external audit findings, update older versions for clarity and with current information as required- Assist with monthly education in-services/training
EDUCATION
Seminole State College of Florida
Health/Health Care Administration/Management
State University of New York at Oswego
English
SKILLS
ABOUT KELLIE NIENAJADLY
Teaching and providing coding support are passions and I bring these to my work. I look for opportunities to close the knowledge gap to support coders and ensure compliant coding, maximizing correct reimbursement for the company. Comfortable and adept at remote work.Coding/Auditing Specialties: GI, Ophthalmology, Urology, Anesthesia, Pain Management, Orthopedic, General Surgery, Neurospine including Neurostimulators, GYN, ENT, Plastics, Podiatry, Bariatric Surgery.Demonstrated Achievements: • Reviewed RAC audits for Second Level Appeal and had negative findings overturned based on documentation not originally submitted by facility on initial review. • Created attestation form for Ophthalmology Surgery Center to use with cataract cases to be sure all points were addressed based on requirements for Medicare LCD.• Utilized Google Forms Quiz for inservices and weekly education to test coder knowledge, and the reports to track staff compliance and support CEU certificate awards.
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