Summary
Overview
Work History
Education
Skills
Websites
Certification
Languages
Timeline
Career Highlights
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Kristina Duprey

Abington

Summary

As a Certified coding professional with solid background in revenue cycle management, deep understanding of medical coding, billing processes, and healthcare regulations. Experienced with interpreting and applying coding guidelines and regulations. Utilizing analytical skills to ensure accuracy and compliance in coding and contributing significantly to optimized revenue cycles. Knowledge of ICD-10-CM, CPT coding, and medical terminology to support effective healthcare operations. Strong focus on team collaboration and adaptability to changing needs. Trusted for reliability, thoroughness, and effective communication in fast-paced environments. My diligent approach to documentation and review minimizes claim denials and boosts reimbursement processes. Proficient in managing pre-authorization and optimizing claims processing to ensure efficient patient care coordination and strong financial outcomes.


Overview

14
14
years of professional experience
1
1
Certification

Work History

Urology Professional Coder

Greater Boston Urology
09.2023 - Current
  • Enhanced revenue integrity by ensuring accurate capture and coding of professional services, reviewing operative notes, procedure notes, and visit notes for inpatient and outpatient urology across nine locations.
  • Upheld ICD-10-CM compliance by rigorously reviewing critical documentation for 20 providers, mitigating risk, and safeguarding against potential audits.
  • Demonstrated expertise in HCPCS, CPT, and ICD-10-CM coding, maintaining coding accuracy for 20 providers which directly impacted reimbursement rates and minimized claim denials.
  • Managed pre-authorization processes for outpatient urology surgeries, enhancing patient access to necessary surgical interventions and supporting timely care delivery.
  • Proficient in billing and coding using the Athena electronic medical record system, optimizing claim processing efficiency and accuracy, thereby reducing turnaround time on revenue generation.
  • Used advanced knowledge of quality standards to minimize errors and streamline the coding procedure.
  • Enhanced the efficiency of the medical records system through the correct abstraction and application of procedure codes.
  • Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.

Billing and Coding Acupuncture Specialist

New England Wellness Solutions
10.2021 - 03.2023
  • Accurately coded ICD-10-CM and CPT for 40-50 charts daily, improving coding practices through comprehensive reviews and targeted provider training, which enhanced billing accuracy and reduced claim rejections.
  • Efficiently processed and posted remittances, managed patient invoicing, and handled electronic and paper claims submissions, significantly improving cash flow.
  • Played a pivotal role in credentialing acupuncturists with commercial health insurance and implemented a new EHR system, which improved practice operations and patient data management.
  • Addressed and resolved insurance documentation requests and appeals, securing necessary reimbursements and reducing financial losses from denied claims.
  • Supported front desk operations and performed administrative tasks, ensuring smooth practice operations and continuity of patient care.
  • Demonstrated proficiency in adhering to regulatory requirements in the submission of accurate medical claims.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

Senior Medical Biller, Child Health Foundation, OB/GYN and Family Medicine

Boston Medical Center
05.2015 - 09.2020
  • Enhanced coding accuracy by assisting coders with patient medical claims, achieving approximately 95% accuracy annually and significantly reducing billing errors.
  • Developed and implemented billing process improvements, collaborating with coders and billing departments to resolve coding issues, which enhanced operational efficiency and compliance.
  • Facilitated effective information gathering from multiple clinics and third-party payers to complete missing data, enhancing claim approval rates and minimizing delays.
  • Ensured coding compliance and accuracy by providing guidance to billing vendors and staff, directly impacting revenue cycle efficiency and reducing compliance risks.
  • Strengthened collaborative relationships within the medical practice, fostering a teamwork environment that ensured the integrity of billing and coding processes.

Team Lead, Child Health Foundation

Boston Medical Center
01.2012 - 05.2015
  • Led a team of 12 staff, optimizing patient flow and reducing wait times, thereby enhancing patient satisfaction and operational efficiency.
  • Promoted effective communication between front desk and clinical personnel, improving service delivery and patient care coordination.
  • Managed scheduling for a departmental staff of ten, ensuring full coverage and adherence to departmental obligations, which maximized resource utilization and patient service.
  • Executed administrative duties for a large department of 20+ physicians, maintaining smooth daily operations and supporting healthcare delivery.
  • Coordinated with management to optimize work schedules and address operational inefficiencies, improving departmental performance and patient care.

Administrative Coordinator, Pediatric Endocrinology and Gastroenterology

Boston Medical Center
12.2011 - 01.2012
  • Scheduled patient appointments, ensuring accurate registration and referral management, which enhanced patient preparation and clinic readiness.
  • Maintained effective patient communication by confirming appointments and procedures, reducing no-show rates, and optimizing clinic schedules.
  • Provided timely phone response and document management, ensuring efficient operation of clinical services and support to healthcare providers.
  • Supported chart management and filing, contributing to the maintenance of accurate and accessible patient records, which facilitated timely medical review and patient care.
  • Assisted in various administrative tasks, ensuring the smooth operation of the clinic and enhancing patient and provider satisfaction.
  • Demonstrate strong verbal and written communication skills, exceptional organizational skills, and meticulous attention to detail while maintaining patient confidentiality and effectively problem-solving in a process-driven environment.
  • Possess in-depth knowledge of CMS rules and regulations, as well as HIPAA compliance requirements, ensuring adherence to healthcare industry standards and protecting patient privacy and data security.

Education

Bachelor’s Degree - Management

University of Massachusetts Boston
01.2012

Skills

  • Coding Accuracy
  • Compliance
  • Revenue Integrity
  • Process Improvement
  • Documentation Review
  • Data Entry
  • Electronic Health Records
  • Health Insurance
  • Claims Management
  • Pre-authorization Handling
  • Leadership
  • Effective Communication
  • Medical billing code accuracy
  • Problem Solving
  • Time Management
  • Patient Relations
  • Administrative Support
  • Detail-Oriented
  • Decision Making Skills
  • Epic systems
  • MS Word
  • MS Outlook

Certification

  • Absolute Medical Coding Institute
  • Certified Professional Coder (CPC)
  • American Academy of Professional Coders (AAPC)

Languages

Spanish
Native or Bilingual

Timeline

Urology Professional Coder

Greater Boston Urology
09.2023 - Current

Billing and Coding Acupuncture Specialist

New England Wellness Solutions
10.2021 - 03.2023

Senior Medical Biller, Child Health Foundation, OB/GYN and Family Medicine

Boston Medical Center
05.2015 - 09.2020

Team Lead, Child Health Foundation

Boston Medical Center
01.2012 - 05.2015

Administrative Coordinator, Pediatric Endocrinology and Gastroenterology

Boston Medical Center
12.2011 - 01.2012

Bachelor’s Degree - Management

University of Massachusetts Boston

Career Highlights

  • Revenue Integrity and Compliance Leadership at Greater Boston Urology: Spearheaded coding accuracy and compliance across multiple facilities, significantly reducing risk and enhancing audit readiness by overseeing documentation and coding for 20 providers.
  • Operational Excellence at New England Wellness Solutions: Implemented a new EHR system and led credentialing efforts, dramatically improving operational efficiencies and reducing claim rejections through enhanced provider training and accurate daily coding of 40-50 charts.

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Kristina Duprey