ALLAN PAVINO
Long Beach,CA
Summary
An experienced Medical Coder for over seventeen years since 2009. Possesses education, certification, training and experience in Inpatient & Outpatient medical coding from ICD10-CM, CPT, Modifiers, HCPCS and E/M coding which also includes intensive auditing of progress notes and providing feedbacks through comprehensive data reporting, physician education and documentation training driven by Medicare Guidelines. Understands disease processes, advanced medical terminology, diagnostic descriptions and procedures.
Overview
16
16
years of professional experience
1
1
Certification
Work History
CODER III
Mission Community Hospital
Panorama City, CA
08.2020 - 11.2025
- Reads, reviews and evaluates medical records/medical charts and accurately code the primary/secondary diagnoses and procedures utilizing the latest ICD10 and CPT & HCPCS; Provides physician education and work with them and other employees to ensure complete and accurate information and optimal reimbursements based on coding and abstracting of medical records; Evaluating charts for completeness and accuracy in conformance with current standards and regulations; Contacting hospital staff to complete charts and/or clarify information for coding purposes; Perform the full scope of duties involving the coding of both Outpatient and Inpatient medical records, and may perform other special assignments as related to the Health Information Management division; Assisting in special projects as required.
CODER II
Mission Community Hospital
Panorama City, CA
10.2011 - 08.2020
- Codes mainly outpatient medical record information, identifies and codes secondary diagnoses and/or procedures using ICD, CPT, HCPCS, APC structure and regulatory requirements; Ensures compliance with all mandates and reporting requirements; Incumbents initially work under close supervision and learn to perform the more routine coding functions pertaining to outpatient medical records; Maintains knowledge of current and required coding certifications as appropriate; Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association; Performs other related duties as assigned.
MEDICAL CODER
Health Management and Wellness Center
Pomona, California
10.2010 - 10.2011
- Reviews and validate assigned ICD-9-CM codes in medical charts; Making sure that the chronic conditions are captured and documented per CMS guidelines; Monitor RAF (Risk Adjustment Factor) score; Perform monthly RAF score report; Provide Physician education in documentation requirement.
- Supervisor: Vanessa Pascual
ENTRY-LEVEL OUTPATIENT CODER
Orthopedic Consultant Medical Group
Encino, California
06.2009 - 09.2010
- Interpret PR2 / SOAP notes per encounter; Ensuring correct assignment of ICD-9-CM and CPT procedural codes and modifiers; Checks and Reviews codes for medical charts.
- Supervisor: G. Jorge
Education
MEDICAL CODING COURSE PROGRAM -
TRI-COUNTY ALLIED SCHOOLS
Corona, CaliforniaBACHELOR OF SCIENCE - INFORMATION TECHNOLOGY
AMA UNIVERSITY
Antipolo, Rizal, PhilippinesSkills
- PROFICIENT IN THE FOLLOWING SYSTEMS: 3M; McKESSON, MPF, HIC, PARAGON, ALLSCRIPTS, ENCODER PRO, E-CLINICALS, MICROSOFT WORD, EXCEL AND POWERPOINT
Certification
AHIMA – Certified Coding Specialist
Timeline
CODER III
Mission Community Hospital
08.2020 - 11.2025
CODER II
Mission Community Hospital
10.2011 - 08.2020
MEDICAL CODER
Health Management and Wellness Center
10.2010 - 10.2011
ENTRY-LEVEL OUTPATIENT CODER
Orthopedic Consultant Medical Group
06.2009 - 09.2010
BACHELOR OF SCIENCE - INFORMATION TECHNOLOGY
AMA UNIVERSITY
MEDICAL CODING COURSE PROGRAM -
TRI-COUNTY ALLIED SCHOOLS