William Terry Knowlton
1395 Norris Drive, Columbus Ohio 43224
Home: 614-261-0170 - Cell: 614-579-7348 - jmtwtk@wideopenwest.com
Professional Summary
Currently employed at Ciox Health. Started with Care Communications on 3-27-2015. Care
was acquired on 7-1-15 by IOD and rolled into Ciox Health on March 2016. Coding
consultant with Northwestern Memorial Hospital, Chicago starting with employment by Care
and continuing through the present day.
Coding Quality Analyst with 25 years experience at Wexner Medical Center in Columbus,
Ohio with inpatient/outpatient and surgery coding. Extensive experience in ICD-9 and
knowledgeable with some training in ICD-10. Familiar with commercial and private insurance
carriers. Desire a position in inpatient records coding. Passed the CCS certification exam on
January 15, 2015.
Skill Highlights
Maintains strict confidentiality
Knowledge of HMOs, Medicare
Medical Manager Software
Extensive anatomy/physiology knowledge
Electronic Medical Record (EMR) software
Trained in ASC Coding
Neurology billing expertise
Qualified pain management coder
CPT and HCPCS coding
Internal medicine billing
Ophthalmology coding
Interpreting instruction
Quality assessment of coded data
HIPAA compliance
Strong planning skills
Technical expertise
Strong work ethic
Team player with positive attitude
Deadline-driven
Good written communication
Exercises good judgment
Professional Experience
Coding Quality Analyst
December 1989 to Current
Wexner Medical Center - Columbus, Ohio
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and
validating accurate HCC
information. Carefully reviewed medical records for accuracy and completion as required by
insurance companies. Assignedadditional diagnosis codes based on specific clinical findings
(laboratory, radiology and, pathology reports as well as
clinical studies) in support of existing diagnoses. Strictly followed all federal and state
guidelines for release of information. Examined diagnosis codes for accuracy,
completeness, specificity and appropriateness according to services rendered.
Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient
setting.Accurately entered
procedure codes, diagnosis codes and patient information into billing software.
Reviewed diagnostic and procedural terminology for consistency with acceptable medical
nomenclature.Ensured
compliance with medical/legal requirements, JCAHO standards. Consistently ensured proper
coding, sequencing of
diagnoses and procedures.
Quickly responded to staff and client inquiries regarding CPT codes.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient
records. Demonstrated
knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient
information.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Appropriately and correctly
identified errors and re-filed denied/rejected claims as they were received from the Patient
Account Representative.Added modifiers as appropriate, coded narrative diagnoses and
verified diagnoses.Analyzed and interpreted patient medical and surgical records to
determine billable services. Coding Quality Analyst with 25 years experience at Wexner
Medical Center in Columbus, Ohio with inpatient/outpatient and surgery coding. Extensive
experience in ICD-9 and knowledgeable with some training in ICD-10. Familiar with
commercial and private insurance carriers. Desire a position in inpatient records coding
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Evaluated
the accuracy of provider
charges, including dates of service, procedures, level of care, locations, diagnoses, patient
identification and provider
signature.
Performed quality control of the data entry system to verify that claims and payments were
posted correctly.
Education and Training
High School Diploma : College Prep., 1977
Wintersville High School - Wintersviille, Ohio , USA
Member of National Honor Society.

Terry K resume 12-8-16

  • 1.
    William Terry Knowlton 1395Norris Drive, Columbus Ohio 43224 Home: 614-261-0170 - Cell: 614-579-7348 - jmtwtk@wideopenwest.com Professional Summary Currently employed at Ciox Health. Started with Care Communications on 3-27-2015. Care was acquired on 7-1-15 by IOD and rolled into Ciox Health on March 2016. Coding consultant with Northwestern Memorial Hospital, Chicago starting with employment by Care and continuing through the present day. Coding Quality Analyst with 25 years experience at Wexner Medical Center in Columbus, Ohio with inpatient/outpatient and surgery coding. Extensive experience in ICD-9 and knowledgeable with some training in ICD-10. Familiar with commercial and private insurance carriers. Desire a position in inpatient records coding. Passed the CCS certification exam on January 15, 2015. Skill Highlights Maintains strict confidentiality Knowledge of HMOs, Medicare Medical Manager Software Extensive anatomy/physiology knowledge Electronic Medical Record (EMR) software Trained in ASC Coding Neurology billing expertise Qualified pain management coder CPT and HCPCS coding Internal medicine billing Ophthalmology coding Interpreting instruction Quality assessment of coded data HIPAA compliance Strong planning skills Technical expertise Strong work ethic Team player with positive attitude Deadline-driven Good written communication Exercises good judgment Professional Experience Coding Quality Analyst December 1989 to Current Wexner Medical Center - Columbus, Ohio Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Assignedadditional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Strictly followed all federal and state guidelines for release of information. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting.Accurately entered procedure codes, diagnosis codes and patient information into billing software.
  • 2.
    Reviewed diagnostic andprocedural terminology for consistency with acceptable medical nomenclature.Ensured compliance with medical/legal requirements, JCAHO standards. Consistently ensured proper coding, sequencing of diagnoses and procedures. Quickly responded to staff and client inquiries regarding CPT codes. Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information. Received, organized and maintained all coding and reimbursement periodicals and updates. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Analyzed and interpreted patient medical and surgical records to determine billable services. Coding Quality Analyst with 25 years experience at Wexner Medical Center in Columbus, Ohio with inpatient/outpatient and surgery coding. Extensive experience in ICD-9 and knowledgeable with some training in ICD-10. Familiar with commercial and private insurance carriers. Desire a position in inpatient records coding Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Performed quality control of the data entry system to verify that claims and payments were posted correctly. Education and Training High School Diploma : College Prep., 1977 Wintersville High School - Wintersviille, Ohio , USA Member of National Honor Society.