Open to opportunities

Kandi Smith

@kandismith

Message

Detail-oriented medical coding and revenue cycle specialist improving claim accuracy.

United States

Message

What I'm looking for

I want to support revenue cycle performance by delivering clean, compliant coding, reducing denials, and partnering with providers and compliance teams to streamline workflows.

I’m a medical billing and coding professional with multiple years of experience across healthcare administration, patient service support, and revenue cycle management. In my roles, I focus on accurate documentation capture and clean claim submission that helps protect reimbursement and compliance.

At MedStar Health as a Coding Specialist, I coded emergency department, outpatient, and inpatient surgical encounters using ICD-10-CM, CPT, and HCPCS within the 3M 360 Encompass platform. I assigned and validated MS-DRG and APR-DRG classifications, initiated physician queries to resolve documentation deficiencies, and completed final coding and DRG reviews before billing release.

I’ve also supported revenue cycle performance at GBMC and patient accounts work at GBMC-Gilchrist Hospice and GBMC-ENT/Speech Pathology—processing electronic medical claims, resolving claim edits and payment variances, and managing ADR audits by gathering records within deadlines. I maintain strong compliance with CMS regulations, payer policies, and Official Coding Guidelines, with a consistent emphasis on reducing denials, streamlining workflows, and enhancing the patient experience.

Experience

Work history, roles, and key accomplishments

Coding Specialist

MedStar Health

Apr 2019 - May 2025 (6 years 1 month)

Accurately coded emergency department, outpatient, and inpatient surgical encounters using ICD-10-CM, CPT, and HCPCS within the 3M 360 Encompass platform. Assigned and validated MS-DRG and APR-DRG classifications, initiated physician queries to resolve documentation gaps, and supported denials investigation and appeals.

ICD 10 CM CPT HCPCS DRG APR DRG Physician Compliance Denials Audit Support Appeals

Revenue Cycle Specialist

GBMC

Aug 2018 - Mar 2019 (7 months)

Assigned and entered diagnosis and procedure codes to support timely claim submission and reimbursement. Reviewed and coded outpatient, emergency department, and ancillary service encounters, validated coding against NCCI edits and payer policies, and resolved coding-related billing issues to optimize revenue cycle performance.

ICD 10 CM CPT HCPCS NCCI Claim Edits

Patient Accounts Coordinator

GBMC-Gilchrist Hospice

Nov 2017 - Aug 2018 (9 months)

Processed and entered electronic medical claims to support timely reimbursement and payer compliance. Coordinated Medicare hospice election/revocation notifications, assigned E/M codes based on documentation, and addressed claim edits, denials, and ADR audit requests.

Claim Edits Account Reconciliation Additional Documentation Request Audits

Patient Accounts Coordinator

GBMC-Ent/ Speech Pathology

Jun 2012 - Nov 2017 (5 years 5 months)

Performed charge entry and claim review activities to ensure accurate documentation and timely reimbursement. Managed referrals and prior authorizations, resolved billing inquiries, and investigated and appealed denials using documentation and coding validation for CPT and ICD-10-CM.

Charge Entry Claims Review Referrals Prior Authorizations Appeals CPT ICD 10 CM Insurance Processing

Education

Degrees, certifications, and relevant coursework

Community College of Baltimore County

Associate's Degree, Health Informatics and Information Technology

Earned an associate’s degree with a major in Health Informatics and Information Technology and a minor in Medical Billing and Coding. Coursework included ICD-10-CM/PCS, CPT/HCPCS coding, healthcare reimbursement, and health information management.