Caitlin Gooden
North Chesterfield,VA
Summary
Experienced certified medical coder through AAPC who works seamlessly with coworkers, insurance companies, patients, and providers to ensure a rapid turnaround with a high degree of accuracy. I have a long history of medical experience prior to coding, I'm very goal oriented, professional, and an energetic worker.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Certified Risk Adjustment Coder
Bon Secours Mercy Health
Remote
09.2024 - Current
- Reviewed medical records for accuracy in risk adjustment coding
- Increased coding accuracy by maintaining up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Accurately input data into computer programs for various assignments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
HCC Risk Adjustment Coder
McKesson
Remote
12.2023 - 08.2024
- Proficient in HCC Risk Adjustment coding for Medical Oncology. Proficient in identifying eligible HCC's when appropriate with provider documentation and coding guidelines. Maintain great communication with providers when querying for documentation and support for diagnosis when information is not reported.
HCC Risk Adjustment Coder - Contract to Hire
McKesson
Remote
07.2023 - 12.2023
- Proficient in HCC Risk Adjustment coding for Medical Oncology. Worked well with other team members and managers to ensure the best coding service for the providers. Continued to educate self in updated coding guidelines and procedures.
- Contract to hire through A-line Staffing
HCC Risk Adjustment Coder
Optum
Remote
04.2022 - 07.2023
- Proficient in HCC Risk Adjustment coding for both Medicare and Medicaid. Experience with both PY22 and PY23 HCC guidelines to assign the proper codes corresponding to year charted.
- Contract through CSI Companies
Phlebotomist
Midlothian Family Practice
Midlothian, Virginia
08.2018 - 04.2022
- Built my skills in medical terminology, ICD-10 codes, ABN forms, and medical requisitions as well as becoming familiar with an outpatient medical office setting.
Phlebotomist | Patient Care Technician
Bon Secours St. Francis Outpatient Infusion Center
Midlothian, Virginia
02.2018 - 08.2018
- Gained exposure to hospital setting in the OPIC unit and gained experience with cancer terminology and procedures.
Phlebotomist
Quest Diagnostics
Dunkirk, NY
10.2016 - 08.2017
- Excelled in completing medical triage and billing with patients along with phlebotomy. I demonstrated excellent attention to detail, working independently and with a team, documenting information accurately in company software while providing great customer service.
- Associated Clinical Laboratories
Education
Certification - Certified Risk Adjustment Coder (CRC)
AAPC
ChesterfieldCertification - Certified Professional Coder (CPC)
AAPC
Chesterfield, VACertification - Phlebotomy
ECCB2
Jamestown, NYCertification - Personal Care Aide
Willcare
Jamestown, NYHigh School Diploma - High School
Westfield Academy Central School
Westfield, NYSkills
- Efficient with CPT, ICD-10, HCPCS codes
- Strong knowledge of medical terminology and anatomy
- Detail oriented focusing on provider documentation ensuring accurate support for diagnostic and procedural codes assigned
- Experienced with querying provider and their clinical staff for clarification when support for diagnosis is unclear
- Well versed with various EMR programs to accurately abstract records, assign codes, and submit the data
- Compliant with State and Federal Regulations
- Experience in both outpatient and inpatient settings
- Good customer service
- Very organized and self-disciplined with strong multi-tasking abilities when working in a group and independently
- Excel with meeting both productivity and accuracy in internal audits
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- Certified - Phlebotomist
- Certified - Patient Care Technician
Timeline
Certified Risk Adjustment Coder
Bon Secours Mercy Health
09.2024 - Current
HCC Risk Adjustment Coder
McKesson
12.2023 - 08.2024
HCC Risk Adjustment Coder - Contract to Hire
McKesson
07.2023 - 12.2023
HCC Risk Adjustment Coder
Optum
04.2022 - 07.2023
Phlebotomist
Midlothian Family Practice
08.2018 - 04.2022
Phlebotomist | Patient Care Technician
Bon Secours St. Francis Outpatient Infusion Center
02.2018 - 08.2018
Phlebotomist
Quest Diagnostics
10.2016 - 08.2017
Certification - Phlebotomy
ECCB2
Certification - Personal Care Aide
Willcare
Certification - Certified Risk Adjustment Coder (CRC)
AAPC
Certification - Certified Professional Coder (CPC)
AAPC
High School Diploma - High School
Westfield Academy Central School