Alma Bolden
Katy,TX
Summary
Accomplished and energetic Medical Coder with a solid history of achievement in Medical Coding. Motivated with strong organizational and prioritize abilities with 12yrs of expert knowledge and established career working in professional and facility setting.
Overview
20
20
years of professional experience
Work History
Medical Coding Specialist
Houston Methodist
Katy
10.2022 - 01.2026
- Analyzed medical records for accurate coding of diagnoses and procedures.
- Implemented compliance checks to ensure adherence to regulatory guidelines.
- Collaborated with healthcare providers to clarify documentation discrepancies.
- Coding, Telemedicine, Hospitalist , E&M and Modifer.
Medical Coder
Texas Children Hospital
06.2018 - 08.2018
- Review records for completeness, accuracy, and compliance with regulations.
- Retrieve patient medical records for physicians.
- Enter data, diagnosis, diagnostic procedures, or treatment.
- Assigning ICD-10CM and CPT to generate DRG codes
- Review documentation in Medical Record to assign appropriate Dx and Procedure
- Utilitizing EMR, 3M
- Coding Professional and Facility Charges.
ED CODER
TMMS
New Jersey, TX
09.2017 - 03.2018
- Review records for completeness, accuracy, and compliance with regulations.
- Review documentation for emergency room encounter.
- Applying ICD-10, CPT, HCPC and MODIFER
- Coding Injection/ Infusion and any minor procedure
- Staying abreast with coding guidelines and updates
- Coded professional and facility encounter
- Protect the security of medical records to ensure that confidentiality is maintained.
RISK ADJUSTMENT AUDITOR
The CSI Companies
Jacksonville, FL
05.2016 - 06.2017
- HCC CODER- review medical charts nd translate patient History, symptoms ,diagnosis and treatment into codes.
- Make sure provider signature on each note ,date of service are within the date collection period, making sure Diagnosis supported by medical record documentation.
- Selects the correct HCC/Rx accurately.
- Identify any supporting document in the progress notes and query the provider if necessary.
- Review notes for Medicare Risk Adjustment Payment System.
Whitter
NEW BEGINNING STAFFING
Whittier, CA
01.2016 - 07.2016
- Review medical documentation and assign ICD9-10, CPT E/M and Modifier.
- Also wor Hedis Coding.
- Software was Sosoka electric records.
- Pro-fee and Facility charges.
Medical Coding Specialist (3 mo. Contract)
EPIC MANAGEMENT
Redlands, CA
10.2015 - 01.2016
- Assign ICD9/10, CPT, HCPC and Modifiers for all lines of business.
- Coding charts using Encoder System, Codery and Meditech, software.
- Staying abreast to the coding guidelines.
- Remote Medical Coder-, New Beginning Staffing- MacArthur Medical.
- Protect the security of medical records to ensure that confidentiality is maintained.
- Review records for completeness, accuracy, and compliance with regulations.
Professional Medical Coder II
Kaiser Hospital
Fontana, CA
06.2006 - 11.2015
- Review and verify documentation supports diagnosis ,procedure ,and treatment.
- Using ICD-9, CPT, HCPC and Modifier.
- Audit clinical documentation and coded data to validate documentation supports service rendered for reimbursement and report purpose.
- Coded Pro-fee and Facility fee for service.
- Coded all line of business , coding Pro-fee and Facility charges.
- Protect the security of medical records to ensure that confidentiality is maintained.
- Review records for completeness, accuracy, and compliance with regulations.
- Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by querying the doctor.
Education
Coding Specialist Certificate - undefined
Loma Linda University
12.2005
Medical Assistant - undefined
Riverside Occupational Program
Riverside08.1998
High School Diploma - undefined
Terrebonne High School
Houma, LA05.1976
Skills
- Critical Thinking
- Time Management
- Encoder 3M Epic software
- ICD-10 Training
- Other Various Software
Languages
English
Professional Working
Timeline
Medical Coding Specialist
Houston Methodist
10.2022 - 01.2026
Medical Coder
Texas Children Hospital
06.2018 - 08.2018
ED CODER
TMMS
09.2017 - 03.2018
RISK ADJUSTMENT AUDITOR
The CSI Companies
05.2016 - 06.2017
Whitter
NEW BEGINNING STAFFING
01.2016 - 07.2016
Medical Coding Specialist (3 mo. Contract)
EPIC MANAGEMENT
10.2015 - 01.2016
Professional Medical Coder II
Kaiser Hospital
06.2006 - 11.2015
Coding Specialist Certificate - undefined
Loma Linda University
Medical Assistant - undefined
Riverside Occupational Program
High School Diploma - undefined
Terrebonne High School