Karen Criste

Conducts comprehensive chart audits in Kinnser to ensure accurate clinical documentation and coding compliance. Reviews OASIS assessments, identifies documentation gaps, and supports quality improvement initiatives.

Monitored home health care service quality, ensuring compliance with agency policies and payer requirements. Analyzed OASIS documentation for data integrity and accuracy, and verified medical coding accuracy.

Assigned ICD-10-CM codes for physician and facility services in observation settings, ensuring proper sequencing and payer policy compliance. Collaborated with clinical and revenue cycle teams to resolve coding discrepancies and reduce denials.

Secured benefits verification and pre-certifications/authorizations through payer portals, fax, and phone communication. Coordinated across departments to ensure order accuracy and timely authorization submissions.

Motivated and coached agents to achieve client-defined KPIs and quality targets. Tracked, analyzed, and reported team performance metrics while implementing action plans to address performance gaps.

Maintained and updated training materials and application documentation. Delivered end-user training and provided ongoing application support.

Served as the primary point of contact for Malaysia government reports, electronic panels, and panel invoices. Validated and maintained pharmaceutical data accuracy within the IMS NDF database.

Provided exceptional customer service by assisting guests with hotel reservations, inquiries, complaints, and service requests. Ensured a positive guest experience through effective issue resolution and customer support.

Grade: 1.83