Medical Coder with twelve years experience in inpatient/outpatient coding with an emphasis on Medicare and Affordable Care Act HCC coding and auditing. Certified in ICD-9 and ICD-10. Desire a position in HCC records coding.
Certifications and Credentials
Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC), certified in May 2005, expires May 2018; Member ID 01023339
ICD-10 certification in October 2015 through AAPC
Electronic Medical Record (EMR) software
ICD-9 and ICD-10 coding
Medicare and Affordable Care Act HCC coding
Maintains strict confidentiality
Strong work ethic
Team player with positive attitude
HCC Medical Coder07/2015 to 04/2017RCM Health Information ManagementGardena, CAJob duties included performing chart reviews to provide and/or verify accurate Medicare HCC and Affordable Care Act (ACA) HCC diagnostic coding based on services rendered in an outpatient and inpatient setting. Remote position.
HCC Coding Specialist11/2013 to 07/2015PopHealthCareTempe, AZJob duties included performing chart reviews to provide and/or verify accurate Medicare HCC diagnostic coding based on services rendered and performing coding quality reviews to assist in providing timely feedback and education. Coding and quality assurance reviews performed on standard and comprehensive HCC projects as well as inpatient projects. Maintained at least 96% on both coding accuacy and completeness. Remote position.
HCC Coding Specialist08/2011 to 01/2012Peak Health Solutions IncSan Diego, CAJob duties included reviewing medical records, abstracting and assigning proper Medicare HCC Risk Adjustment diagnosis codes from both handwritten progress notes and various EMR systems, auditing records already coded. Remote position.
HCC Coding Specialist11/2010 to 01/2011Maxim HealthcareColumbia, MDJob duties included reviewing medical records, abstracting and assigning proper Medicare HCC Risk Adjustment diagnosis codes, accessing EMR system remotely.
QA Lead, Coding Specialist06/2008 to 11/2013Altegra Health (fka The Coding Source)Los Angeles, CAJob duties included training and mentoring coders, performing coding quality reviews to assure quality performance on a daily basis and providing education to improve performance, completing reports to track coder performance, reviewing medical records, abstracting and assigning proper diagnosis codes to include Medicare HCC and complete code capture projects from both handwritten progress notes and numerous EMR systems. Field position included full-time travel performing onsite reviews as well as working remotely. Maintained at least 96% on both coding accuracy and completeness.
Medical Coding Specialist01/2007 to 06/2007Inland Imaging Business AssociatesSpokane, WAJob duties included CPT and ICD-9 coding, auditing, posting charges to patient accounts, posting private and insurance payments to patient accounts, other billing duties as assigned.
Education and Training
Healthcare Reimbursement Certificate2005University of Alaska FairbanksFairbanks, AK