Kelly V. Butler, M.D., C.C.S.

Dr. Butler is an independent professional consultant with a broad-based background in medical administration and compliance practices. His rare and complementary combination of “Medical Doctor” and “Medical Coder” skills has resulted in his unique ability to interface coding and documentation practices. Additionally, Dr. Butler has development Physician and Coder education programs in ICD-9-CM coding, CPT Coding, and E & M Documentation and |Coding practices. The development and management of education-based review programs has improved compliance, database accuracy, documentation quality, and DRG assignment. Education programs for physicians and coders are database driven and specific to the facility and its practitioners. Reviews, audits, and education programs result in:

• Improved accuracy of the database
• Higher case-mix index
• Accurate ICD-9-CM Coding
• Accurate CPT Coding
• Increased severity-of-illness indexes for facility and every physician
• Appropriate reflection of intensity of service
• Accurate demonstration of utilization
• Appropriate Documentation and Coding of Provider Evaluation and  Management Services
• Creation of Accurate and Easily Used Superbills
• Greater ability to compete for contracts in the managed care environment
• Enhanced reimbursement (averaging annual increases of $ 1,250,000.00)
• Improved compliance
• Decreased regulatory exposure

Excellence in practice and leadership, professional and volunteer are reaffirmed by awards from the Mayor of the City of Long Beach and the Long Beach Public Health Department, a commendation from the Senate of the State of California, and multiple annual “Teacher of the Year” awards for participation in the Family Practice Resident Training Program.

PROFESSIONAL EXPERIENCE:

          OWNER – MANAGER – REVIEWER – EDUCATOR

April, 2001 to Present
Dr. Coder & Associates Long Beach, California

DIRECTOR – CLINICAL RESOURCE MANAGEMENT

December, 1998 to April, 2001
Certus Corporation Long Beach, California

VICE PRESIDENT / DIRECTOR OF MEDICAL STAFF / DIRECTOR OF EDUCATION PROGRAMS
November, 1994 to October, 1998
Venture Healthcare, Inc – Formerly Reimbursement Resources Chattanooga, Tennessee

DRG COORDINATOR / DATA QUALITY MANAGER

August, 1985, to November, 1994
Long Beach Memorial Medical Center Long Beach, California

DIRECTOR / HIV ANTIBODY TESTING PROGRAM January, 1989, to November, 1994
The Center/Long Beach Long Beach, California

DATA QUALITY MANAGER–DRG SPECIALIST–CODER

March, 1984, to August, 1985
LDS Hospital Salt Lake City, Utah

GENERAL PHYSICIAN

July, 1983, to October, 1983
Cosmopolitan Medical Center La Canada, California
 

DEGREES AND CREDENTIALS:

          DOCTOR OF MEDICINE 1982
              University of Utah – School of Medicine Salt Lake City, Utah

          BACHELOR OF SCIENCE – MEDICAL BIOLOGY 1979
              University of Utah Salt Lake City, Utah

          CERTIFIED CODING SPECIALIST
              American Health Information Management Association Chicago, Illinois

           HIV COUNSELOR AND HIV COUNSELOR TRAINER
               State of California – State Office of AIDS Sacramento, California
 

PUBLICATIONS AND SEMINARS:

           Over 1,000 Seminars and over 120 Publications/Articles

 
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