hcc risk adjustment coder remote based resume example with 20+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
Summary
Certified Professional Coder seeking full-time employment. Extensive knowledge of anatomy, physiology, and medical terminologies acquired from 20+ years in the medical field. Motivated with a strong work ethic and determination to complete tasks in a timely manner, and a demonstrated team player with a positive attitude.
Skills
Excellent oral and written communication
Critical thinking and decisive judgment
Ability to perform in deadline-driven environment
Great multi-tasking abilities
Strong command of ICD-10-CM, CPT, HCPCS Level II, and Coding Guidelines
Extensive knowledge of medical terminology, anatomy, and physiology
Excellent data entry skills
Typing 75 WPM
Strong attention to detail
Effectively able to work independently with minimal supervision
15 years' experience working remotely from home
HIPAA/Patient confidentiality
Proficient in using Microsoft Office (Word, Excel, Outlook)
Education
Certified Professional Coder (CPC): , Expected in - American Academy of Professional Coders (AAPC) - , GPA: Status -
Relevant Coursework: Medical Terminology, Anatomy and Physiology, and Medical Coding Training: CPC.
Practicode: , Expected in - American Academy of Professional Coders (AAPC) - , GPA: Status -
Performed hands-on coding of redacted patient charts to determine accurate diagnoses and procedures. Assigned appropriate ICD-10-CM, CPT, and HCPCS Level II codes following both CMS services and private payer guidelines.
Bachelor of Arts: Psychology, Expected in - University of Texas At San Antonio - , GPA: Status -
Dean's List and Psi Chi Honor Society
Experience
HCC Risk Adjustment Coder - Remote Based, 11/2019 - Current St. Joe Company – Shalimar, FL,
Maintains updated knowledge of coding requirements, which include continuing education and certification renewal
Reads through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes
Interprets medical terminology and pharmacological information to translate information into coding system
Assigns additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses
Actively maintains current working knowledge of ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing
Maintains high accuracy rate on daily production of completed reviews
HCC Coder/Auditor - Remote Based, 02/2019 - 10/2019 Matrix Medical Network – City, STATE,
Abstracted pertinent information from patient medical records and assigned appropriate ICD-10-CM codes, creating HCC and/or RxHCC group assignments as applicable
Proficiently reviewed medical records and determined the accuracy and completeness of each entry
Queried when documentation in the record was inadequate, ambiguous, or otherwise unclear for medical coding purposes
Reviewed medication lists to verify if there was a correlating condition and if conditions were still being treated
Met productivity requirements while maintaining a minimum accuracy rate of 98%
Certified Professional Coder - Remote Based, 05/2018 - 01/2019 Managed Care Concepts – City, STATE,
Reviewed use of modifiers in clinical claims reviews; specifically reviewed claims with E/M modifier 25 and modifier 59 for post-pay approval or denial
Abstracted and assigned proper HCC and RxHCC codes
Reviewed medication lists to verify if there was a correlating condition or if an active condition was being treated with medication
Performed chart reviews, aimed at identifying missed diagnoses
Utilized EncoderPro software program for NCCI edits
Utilized Retro DRG Validation
Reviewed medical records for accuracy of ICD-10-CM, CPT, and HCPCS Level II codes
Adhered to and maintained required levels of performance in both coding accuracy and productivity
Medical Language Specialist - Remote Based, 07/2015 - 05/2018 Scribe/HIM Services – City, STATE,
Clinical transcription
Straight typing as well as speech-recognition editing of documents such as consultations, history and physicals, progress notes, and procedure notes
Multi-specialty including orthopedics, pain medicine, and physical medicine and rehabilitation
Entry-Level Coder/Associate , 05/2014 - 11/2015 Transcriptions Unlimited, Inc. – City, STATE,
Entry-level coding for family practice, as well as HCC auditing
Responsible for accurately coding/auditing patient records for reimbursement
Applied ICD-9/ICD-10 coding under direct supervision
Complied with regulations and requirements for coding guidelines and CMS policies
Medical Language Specialist - Remote Based, 03/2010 - 06/2015 Chronicle Transcripts – City, STATE,
Hospital transcription
Straight typing as well as speech-recognition editing of documents such as consultations, history and physicals, progress notes, operative reports, procedure notes, death summaries, and discharge summaries
Answered incoming phone calls and assisted physician offices with queries
Managed clerical needs of owner, including copying, faxing and file management
Identified and solved problems impacting operations management
Clinical transcription
Straight typing of documents such as history and physicals,consultations, SOAP notes, progress notes, procedure notes, EMG/NCV, and sleep studies
Multi-specialty in the fields of family practice, internal medicine, podiatry, OB/GYN, physical medicine and rehabilitation, orthopedics, oncology, chiropractic, ophthalmology, psychiatry, pulmonology, ENT, urology, allergy,asthma and immunology, sleep medicine, neurology, radiology, and nephrology
PBX Operator, 08/1995 - 12/1997 Hyatt Regency Hill Country Resort And Spa – City, STATE,
Responsible for incoming and outgoing calls to the hotel as well as internal calls between rooms and/or departments
Monitored alarms and communicated emergency messages
Provided callers with information
Received and sent faxes for guests and employees
Memberships
American Academy of Professional Coders (AAPC)
Certification #01488618
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