Aira Mae Gabrillo
Compton,CA
Summary
AHIMA-Certified Coding Specialist (CCS) with 3 years of experience specializing in accurate ICD-10-CM/PCS and CPT code assignment. Dedicated to clinical documentation integrity and compliant revenue cycle management. Skilled in encoder systems with a focus on audit readiness and 95%+ accuracy standards.
Overview
3
3
years of professional experience
Work History
Certified Coding Specialist
MD Connection LLC
CA
02.2023 - Current
- Assigned ICD-10-CM/PCS and CPT codes for inpatient and outpatient records with a consistent 96%+ accuracy rate.
- Validated MS-DRG and APC assignments to ensure compliant reimbursement and optimal Case Mix Index (CMI).
- Collaborated with clinicians through compliant querying to clarify ambiguous documentation and improve chart specificity.
- Consistently met or exceeded daily throughput targets, maintaining a high volume of 35+ outpatient or 12+ inpatient charts per day.
- Applied AHA Coding Clinic and CPT Assistant guidelines to ensure all coding stayed current with federal regulations and NCCI edits.
- Participated in internal quality reviews and assisted in preparing documentation for external RAC and payer audits.
Education
American Health Information Management Association - Certified Coding Specialist
CodeMasters Inc. MD Connections LLC
Santa Ana, CA02.2023
Skills
ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II
MS-DRG & APC Grouping, CC/MCC Capture, and IPPS/OPPS
Anatomy & Physiology, Medical Terminology, and Pathophysiology
AHA Coding Clinic Guidelines, NCCI Edits, and HIPAA Regulations
Physician Querying and Clinical Documentation Improvement (CDI)
Timeline
Certified Coding Specialist
MD Connection LLC
02.2023 - Current
American Health Information Management Association - Certified Coding Specialist
CodeMasters Inc. MD Connections LLC