JUDY A. BIELBY, MBA, RHIA, CPHQ, CCS, FAHIMA

Transcription

1 JUDY A. BIELBY, MBA, RHIA, CPHQ, CCS, FAHIMA CLINICAL INTERESTS Healthcare classification and terminology systems Accurate and consistent application of coding rules, conventions, and guidelines Semantic interoperability EDUCATION THE UNIVERSITY OF KANSAS, Lawrence, Kansas THE UNIVERSITY OF KANSAS, Lawrence, Kansas Master of Business Administration, May 1995 B.S. in Medical Record Administration, August 1987 PROFESSIONAL EXPERIENCE Over 25 years of experience in healthcare industry including coding, compliance, risk management, quality management, survey preparation, documentation improvement, and various special projects Analyze and verify ICD-9-CM, ICD-10-CM, ICD-10-PCS, and HCPCS coding accuracy Evaluate management of coding services and suggest ways to improve delivery of services Management and Coding Projects as a Consultant Develop and review educational materials and resources related to coding Perform coding reviews for hospitals Perform reviews and prepare responses to reimbursement denial determinations Observe organizational structure, department layout, personnel issues, computer programs, and other aspects of the health information management departments in numerous hospitals PROFESSIONAL CERTIFICATIONS, AWARDS AND RECOGNITIONS 2015 KU Medical Center Distinguished Health Professions Alumna Awarded Fellowship in recognition of significant and sustained contributions to the advancement of the health information management profession, October 2013, American Health Information Management Association Shooting Star, October 2010, Missouri Health Information Management Association AHIMA-Approved ICD-10-CM/PCS Trainer since 2010 Shooting Star, December 2005, Missouri Health Information Management Association Outstanding Volunteer, 2003, Missouri Health Information Management Association Certified Coding Specialist since 1997 Certified Professional in Healthcare Quality since 1994 Registered Health Information Administrator since 1987 Leadership Award, 1987, Medical Record Administration Program, The University of Kansas PUBLICATIONS Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: July Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: May Bielby, J Finding Reliable Health Information on the Internet. CodeWrite. AHIMA: June Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: April Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: March Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: January Bielby, J Are Parkinson s Disease and Parkinsonism the Same Thing? CodeWrite. AHIMA: December Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: November Bielby, J. "Reliable Coded Data Require a Reliable Coding Process Framework." Journal of AHIMA 85, no.10 (October 2014):

2 Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: October Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: September Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: August Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: July Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: June Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: April Bielby, J What Influenza Codes Are Being Reported by Your Hospital? CodeWrite. AHIMA: February Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: October Bielby, J The Reporting and Sequencing of V Codes. CodeWrite. AHIMA: August Bielby, J. "Coding with Integrity: Top Coding Tips from AHIMA Experts." Journal of AHIMA 84, no.7 (July 2013): Bielby, J The Essentials on Nonessential Modifiers. CodeWrite. AHIMA: May Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: April Bielby, J Thoracentesis and Other Pleural Cavity Drainage Procedures. CodeWrite. AHIMA: March Bielby, J Documentation and Reporting of Clostridium Difficile Infections. CodeWrite. AHIMA: January Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: January Bielby, J Digoxin Toxicity: Adverse Effect or Poisoning? CodeWrite. AHIMA: December Bielby, J. "The Big Chill: Just One New ICD-9-CM Code Added During Current Freeze." Journal of AHIMA 83, no.10 (October 2012): 92. Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: October Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: September Bielby, J Acute, Subacute, and Chronic Conditions. CodeWrite. AHIMA: August Bielby, J HAC Codes: An Ethical Dilemma for Discussion. CodeWrite. AHIMA: July Bielby, J Colonoscopy Performed on Patient with History of Colon Polyps. CodeWrite. AHIMA: May Bielby, J Reporting Pattern of Use for Alcohol Abuse and Dependence. CodeWrite. AHIMA: March Bielby, J Test Your Knowledge: Facility Reporting of Infusions. CodeWrite. AHIMA: February Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: February Bielby, J Mechanical Ventilator How Do I Code Thee? Let Me Count the Hours (Not Days). CodeWrite. AHIMA: January Bielby, J Coding and Documentation of Obesity. CodeWrite. AHIMA: December Bielby, J Diagnosis Coding of Seizures, Epilepsy and Other Related Terms. CodeWrite. AHIMA: November Bielby, J. "Coding Neoplasms in ICD-10-CM." Journal of AHIMA 82, no.10 (October 2011): Bielby, J Gestational Diabetes. CodeWrite. AHIMA: October Bielby, J Keeping Up with the CPT/HCPCS Changes. CodeWrite. AHIMA: September Bielby, J Diagnosis Coding of Osteoarthritis of the Hip Secondary to Legg-Calvé-Perthes Disease. CodeWrite. AHIMA: August Bielby, J Diagnosis Coding of Charcôt Arthropathy. CodeWrite. AHIMA: July Bielby, J Coding Resources Available at No Extra Cost to AHIMA Members. CodeWrite. AHIMA: June Bielby, J ICD-10 Checkpoint. CodeWrite. AHIMA: March Bielby, J ICD-10 Checkpoint. CodeWrite Community News. AHIMA: October 2004: 3-5. PRESENTATIONS Bielby, J. Overview of SNOMED CT: What HIM Professionals Need to Know. Kansas City Health Information Management Association meeting at North Kansas City Hospital, June Bielby, J ICD-10-PCS Device Key and Device Aggregation Table. Kansas City Health Information Management Association coding roundtable at North Kansas City Hospital, June Judy Bielby, page 2

3 Bielby, J. What are HIM Students Learning These Days? 2015 Kansas Health Information Management Association Spring Meeting in Junction City, Kansas, April Bielby, J. Accurate Coding and Billing. Guest lecturer at University of Kansas Medical Center Urology Residents Morning Conference, April 2015 Bielby, J. Coding Basics for Clinical Laboratory Science Students. Guest lecturer at University of Kansas Medical Center Clinical Laboratory Science Program, October Bielby, J. and Pulino, L. Preparing HIA Students to Manage a Compliant Coding Process. AHIMA Assembly on Education in Chicago, Illinois, July Bielby, J [kuhealthprofessions]. Ten Minutes on ICD-10-CM [Video File]. June 16, Retrieved from Bielby, J [kuhealthprofessions]. Ten Minutes on ICD-10-PCS [Video File]. June 16, Retrieved from Bielby, J. Overview of SNOMED CT: What HIM Professionals Need to Know. Kansas City Health Information Management Association meeting at University of Kansas Medical Center, May Bielby, J Making the transition from V codes to Z codes: Looking up those codes we have memorized in ICD-9- CM. Kansas City Health Information Management Association coding roundtable at University of Kansas Medical Center, May Bielby, J. Basics of Healthcare Coding and Reimbursement for Speech-Language Pathology Students. Guest lecturer at University of Kansas Medical Center Clinical Laboratory Science Program, March Bielby, J [kuhealthprofessions]. Ten Minutes on ICD-10-PCS [Video File]. December 31, Retrieved from Bielby, J [kuhealthprofessions]. Ten Minutes on ICD-10-CM [Video File]. December 27, Retrieved from Bielby, J. Coding and Clinical Documentation Improvement. Guest lecturer at Johnson County Community College Medical Information and Revenue Management Program, October Bielby, J. Coding Basics for Clinical Laboratory Science Students. Guest lecturer at University of Kansas Medical Center Clinical Laboratory Science Program, September Bielby, J. Coding Basics for Clinical Laboratory Science Students. Guest lecturer at University of Kansas Medical Center Clinical Laboratory Science Program, October Bielby, J. and Koob, K. Preparing Students to Manage a Compliant Coding Process in ICD-10-CM/PCS. AHIMA Assembly on Education in Orlando, Florida, July Bielby, J. Going Viral: Changes in ICD-10-CM Infectious Diseases. AHIMA Audio Seminar. June Bielby, J. ICD-10-CM A&P Focus: Neoplasm Review. AHIMA Audio Seminar. November Bielby, J. ICD-10-CM. Kansas Association of Local Health Departments Mid-Year Meeting, June 2011 Bielby, J. Medicare-Medicaid Prospective Payment Systems for Nonhospitalized Patients: Hospital Outpatient Prospective Payment System. Guest lecturer at University of Kansas Medical Center Health Information Management Program course on Reimbursement, March 2011 Bielby, J. ICD-9-CM Diagnosis Codes Update for FY AAPC of KC Banquet Conference in Blue Springs, Missouri, October 2009 Bielby, J. and Roth, J. Plenary Session: Billing & Coding, Kansas Family Planning Conference in Wichita, Kansas, June 2008 Bielby, J. Medical Record Documentation Pointers for Medical Students. Guest lecturer at University of Missouri- Kansas City School of Medicine course, The Business of Medicine, April 2007 Bielby, J. Seeking Clarification from Physicians: The Physician Query Process, Mid-Missouri Health Information Management Association seminar in Columbia, Missouri, October 2004 Bielby, J. The Importance of Good Medical Record Documentation and Its Impact on Accurate and Complete Reporting of Diagnosis and Procedure Codes, Missouri State Society of Medical Assistants State Convention in Kansas City, Missouri, April 2004 Judy Bielby, page 3

4 Bielby, J., and Kennebeck, J. Clinical Coding Meets Patient Safety, Missouri PRO seminars in Kansas City, Columbia, Springfield, and St. Louis, Missouri, May 2003 RESEARCH AND GRANT SUPPORT Interprofessional Team Member. KUMC SON/SHP Faculty Practice Committee, Interprofessional New Clinical Investigator Faculty Research Grant, Attitudes, Skills, and Behaviors towards Interprofessional Collaboration when Developing a Patient-Centered Plan of Care, University of Kansas Medical Center, March 2014-present. PI and CoPI: Dory Sabata and Kelli Kramer Jackman. OTHER CONTRIBUTIONS Dykes Library Research and Learning. Healthcare Classifications and Terminologies Subject Guide (April 2015). Available at Dykes Library Research and Learning. ICD-10, ICD-10-CM & ICD-10-PCS Subject Guide (March 2015). Available at AHIMA. "Clinical Documentation Guidance for ICD-10-CM/PCS." Journal of AHIMA 85, no.7 (July 2014): Kramer-Jackman, K.L., Bielby J., Gibbs H., Sabata D., and Shrader, S. (May, 2014). Academic EHR as Simulation Environment for Interprofessional Collaborative Teams. American Medical Informatics Association: Academic Forum. Detroit, Michigan. University of Kansas Medical Center ICD-10 Resources for Students Webpage (2014). Available at AHIMA. ICD-10-CM/PCS Implementation Toolkit. (2012) AHIMA. "Understanding Governmental Audits." Journal of AHIMA 82, no.7 (July 2011): AHIMA. "ICD-9-CM Coding Guidance for LTC Facilities." Journal of AHIMA 81, no.10 (October 2010): AHIMA Clinical Terminology and Classification Practice Council, et al. "Key Points of the UB-04 (Updated)." Journal of AHIMA (Updated March 2010). Performed technical review for a number of books published by AHIMA. PROFESSIONAL DEVELOPMENT ACTIVITIES Scholarship of Discovery Participate in formal continuing education relevant to ICD-10-CM, ICD-10-PCS, SNOMED CT and other coding systems. Continuously remain informed of the latest rules and guidelines concerning coding systems as well as various reimbursement systems for both inpatients and outpatients. Continuing education also includes the study of MS-DRGs, APCs, revenue cycle management, and documentation improvement techniques. Scholarship of Teaching Responsible for development of coursework HEIM 565 Healthcare Coding Systems I, HEIM 635 Healthcare Coding Systems II, and HEIM 604 Professional Practice Experience II. Created teaching materials for HEIM 565 which the students find especially effective for learning the course topics. Serving on the KUMC HIM Curriculum Committee. Teaching Activities at University of Kansas Medical Center Course Title Instruction Year HEIM 485 Independent Study in Health Information Online and independent study ( Management credit hours) HEIM 604 Professional Practice Experience II Lab (2 credit hours) 2013-present HEIM 635 Healthcare Coding Systems II Lecture (3 credit hours) 2013-present Judy Bielby, page 4

5 HEIM 635 Healthcare Coding Systems II Online Lecture (3 credit hours) 2015-present HEIM 565 Healthcare Coding Systems I Lecture (4 credit hours) 2012-present HEIM 565 Healthcare Coding Systems I Online Lecture (4 credit hours) 2014-present HEIM 580 Reimbursement Lecture (3 credit hours) HEIM 580 Reimbursement Online Lecture (3 credit hours) 2012 and 2014 Teaching Activities at Missouri Western State University Course Title Instruction Year HIT 277 Coding & Classification Systems II Lecture (3 credit hours) 2008 HIT 278 Coding & Classification Systems II Lab Lab (1 credit hour) 2008 HIT 240 Principles of Management Lecture (3 credit hours) Authored AHIMA Distance Education Courses Course Title Instruction Year ICD-10- CM A&P Focus Anatomy and Physiology for ICD-10-CM: Neoplasms Online (2 continuing education units) 2011 Coding Focus Identifying and Managing Ethical Challenges in Coding Online (2 continuing education units) Provide technical review for numerous distance education continuing education courses Attendance at Continuing Education Programs Relevant to Teaching Profession Sponsored by Interprofessional Faculty Scholars Retreat Kansas Reynolds Program in Aging 2015 KU Teaching Summit The University of Kansas 2014 KUMC Diversity Resources for Faculty and Students KUMC SHP Diversity and Cultural Enrichment Committee Innovations in Teaching and Learning The University of Kansas 2013 Applying the Quality Matters Rubric Workshop KUMC Teaching and Learning Technologies 2013 Teaching and Learning Online at Kansas KUMC Teaching and Learning Technologies 2012 University Medical Center Assembly on Education Annual Meeting American Health Information Management Association 2012 Online Exams: Opportunities and Challenges IAMSE Web Seminar 2012 Copyright and Fair Use in Terms of Social IAMSE Web Seminar 2012 Media Apple in Health Sciences Presentation Apple 2012 Click, Tweet, and Connect: Strategies to KUMC Teaching and Learning Technologies 2012 Increase Student Engagement Assembly on Education Annual Meeting American Health Information Management Association 2011 AHIMA Virtual Lab Regional Training Session American Health Information Management Association 2007 Assembly on Education Annual Meeting American Health Information Management Association 2007 Year 2014 Judy Bielby, page 5

6 Scholarship of Application/Practice Maintain expertise in coding and coding management by working as an independent contractor and consultant with Durst & Associates with a primary focus in the coding of inpatient and outpatient visits at hospitals Maintain recognition as AHIMA Academy ICD-10-CM/PCS Certificate Holder Maintain credential as RHIA, a registered health information administrator, 1987-present Maintain certification as CPHQ, a certified professional in healthcare quality, 1994-present Maintain certification as CCS, a certified coding specialist, 1997-present Scholarship of Integration/Service Organization/Activity International Federation of Health Information Management Associations 2014-present American Health Information Management Association 1987-present Coding Community Council: Served as co-facilitator for Coding Community of Practice; Provided advice on where to find official coding guidance for challenging coding questions ( ) American Medical Informatics Association 2014 Kansas Health Information Management Association 2015-present Information Governance Committee Member (2015-present) Healthcare Information and Management Systems Society Heart of American Chapter 2014-present Missouri Health Information Management Association ICD-10 Task Force Member ( ) ICD-10 Regulatory Review Subgroup Chair ( ) Student Forum at the Annual Meeting: Assisted students with developing and improving their resumes (2006) Coding Roundtable Coordinator: Organized coding roundtables and wrote coding roundtable articles for the MHIMA newsletter and for AHIMA s CodeWrite Community News ( ) Kansas City Health Information Management Association 2011-present Nominating Committee (2014) Scholarship Committee (2012) Pony Express Health Information Management Association Program Committee Chairperson (2007) Program Committee Chairperson (2005) Developed list of meeting topics for monthly meetings and organized 2005 and 2007 annual seminar Kansas City Health Information Management Association Past-President and Seminar Coordinator (1998) President (1997) President-elect and Continuing Education Chairperson (1996) Year Judy Bielby, page 6

7 Public Relations Committee (1991) Finance Committee (1990) Publications Committee (1989) Kansas City Area Society for Healthcare Risk Managers Secretary ( ) Nominating Committee (1995) Kansas Health Information Management Association The KMRA Record Committee Other Member, Search Committee for Dean of School of Health Professions (2015) Participant, HIM Curriculum Update Committee (2014-present) Inter-professional Plan of Care Asynchronous Simulation Team Member, University of Kansas Medical Center (2013-Present) HIM Program Advisory Board, University of Kansas Medical Center (2011-Present) Coding Basics Advisory Committee Member, American Health Information Management Association ( ) HIT Program Advisory Committee Member, Missouri Western State University ( ) Participant, HIM Planning Session, University of Kansas Medical Center HIM Program (2003) Class Secretary, University of Kansas Medical Record Administration Program ( ) PROFESSIONAL HISTORY THE UNIVERSITY OF KANSAS, Kansas City, Kansas Clinical Assistant Professor, Department of Health Information Management DURST & ASSOCIATES Health Information Management Consultant Contract Coder 2011-present 1996-present MISSOURI WESTERN STATE UNIVERSITY, Saint Joseph, Missouri Adjunct Faculty/Health Information Technology Instructor HEALTH MIDWEST/BAPTIST MEDICAL CENTER, Kansas City, Missouri Risk Manager Quality Assessment/Risk Management Coordinator Medical Records Concurrent Coding Analyst BETHANY MEDICAL CENTER, Kansas City, Kansas Medical Records Senior Coder ST. JOHN HOSPITAL, Leavenworth, Kansas Utilization Review/DRG Coordinator Medical Records Technician Judy Bielby, page 7

8 CHILDREN S MERCY HOSPITAL, Kansas City, Missouri 1987 PRN Medical Record Coder PROFESSIONAL ORGANIZATIONS International Federation of Health Information Management Associations American Health Information Management Association Kansas Health Information Management Association Kansas City Health Information Management Association Healthcare Information and Management Systems Society Heart of America Chapter Judy Bielby, page 8