Ronni Knight

Ronni Knight has experience outpatient and ER coding, hospital ancillary services(labs/x-ray/infusion), and rural health clinic services for family practice, pediatrics, and general surgery using 3M encoder software. She has experience on the management team, during which she trained new staff in the HCC guidelines and review process. Managed projects and team of 10-15 in the field and provided quality checks on coders in the field on those projects.

Skills:

• Facility E.R., clinic, and ambulatory surgery coding using SoftMed for ICD-9-CM and CPT abstraction
• Knowledge in use of MEDICAL MANAGER software
• Knowledge of general surgery using 3M encoder software

Experience:

• Managed own team of 10-12, as well as Lead coder with a team of 10-15. 
• ICD-9 auditing of senior HMO plans for Medicare Risk Adjustment (HCC). Including review of documentation for monitoring, evaluating, assessing, and/or treating of all disease processes found in the member chart. 
• Determining of patient eligibility and approval of physician and DME services based on patient benefits. 
• Review of referrals for medical necessity to meet CMS and other payer guidelines for Radiology services of ALL MODALITIES.
• Pre & post service ICD-9-CM, CPT, and HCPC code assignments. 
• As the only certified coder on staff in the corporate office, responsible for answering staff questions on billing-coding, and compliance
• Heavy phones with physician and their staff in regards to necessary medical records, treatment protocol for all payers. 
• Research of CMS and other payers websites for information on all issues related in the claims process to assist the Director of Patient Service with issuance of company policies. 
• Review of denials for re-bill or appeal.  
• Participated in RADV and Data Validation reviews for health plans.