Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
Datavant
Phoenix, AZ
12.2022 - Current
Reviewed medical records to identify and code diagnoses in accordance with ICD-10 guidelines.
Documented risk adjustment codes into electronic health record systems, ensuring accuracy of data entry.
Evaluated patient charts for completeness, accuracy and compliance with applicable rules and regulations.
Assisted physicians in the identification of appropriate diagnosis codes based on documentation in the medical record.
Analyzed provider documentation to ensure accurate coding of diagnoses and procedures according to CMS Medicare Risk Adjustment Coding Guidelines.
Performed quality assurance audits for assigned providers for coding accuracy and completeness.
Conducted chart reviews to identify any missing or incomplete information necessary for accurate coding.
Risk Adjustment Coder
Optum
Minneapolis, MN
10.2020 - 12.2022
Reviewed medical records to identify and code diagnoses in accordance with ICD-10 guidelines.
Documented risk adjustment codes into electronic health record systems, ensuring accuracy of data entry.
Evaluated patient charts for completeness, accuracy and compliance with applicable rules and regulations.
Assisted physicians in the identification of appropriate diagnosis codes based on documentation in the medical record.
Maintained current knowledge of changes related to ICD-10, CPT and HCPCS codes, modifiers, CMS regulations.
Patient Financial Services Representative
Kaiser Permanente
Pasadena, CA
08.2017 - 03.2021
Answered incoming calls from patients regarding billing inquiries and resolved customer service issues.
Processed payments accurately and efficiently in a timely manner.
Assisted in the maintenance of patient accounts to ensure accuracy of information including demographic, insurance and financial data.
Conducted follow-up on outstanding insurance claims and worked with other departments to resolve payment issues.
Education
Associate of Science - Health Information Technology
ITT Technical Institute - Indianapolis
Indianapolis, IN
03-2013
Skills
HIPAA Compliance
Electronic Health Records Management
Anatomy and physiology
Epic Systems
Certified Professional Coder
Electronic Health Records
Analytical Skills
Professionalism
Critical Thinking
Troubleshooting abilities
Certification
AAPC - CPC #01328357
Timeline
Risk Adjustment Coder
Datavant
12.2022 - Current
Risk Adjustment Coder
Optum
10.2020 - 12.2022
Patient Financial Services Representative
Kaiser Permanente
08.2017 - 03.2021
Associate of Science - Health Information Technology