Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Chelsea Belcher, CPC, CRC

Midlothian,VA

Summary

To provide meticulous and efficient medical coding and billing, in a team or individual environment, by applying my skills and knowledge of the subject to achieve the company’s tasks while being flexible with different company wide goals.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Risk Adjustment Coder Specialist

Oscar Health Insurance
02.2022 - Current
  • Maintain a strong understanding of the constantly evolving guidelines ensuring that all risk adjustment practices remain in compliance with standards.
  • Maximize accuracy in capturing patient diagnoses for risk adjustment purposes and achieving a >97% yearly quality score.
  • Achieve production standards of >110% set forth by Oscar yearly.
  • Guide new risk adjustment specialists through comprehensive onboarding training. Enabled cross-division collaboration through work shadowing to optimize workflow.
  • Support team in achieving timely deadlines through extended work hours.
  • Keep updated on coding clinics and trends in field.
  • Engage with superiors and teammates to streamline tasks and fulfill goals.

Coding Quality Risk Adjustment Auditor

Optum United Healthcare
02.2016 - 02.2022
  • Demonstrate knowledge and ability to assign appropriate ICD 9 and ICD 10 codes to the highest specificity ensuring that diagnostic codes and documentation accurately reflect and support the encounter
  • Ability to identify ICD 9 and ICD 10 codes with HCC (V21, V22 and V24) or RxHCC values
  • Investigate and fix denied charts while assigning correct ICD 9 or ICD 10 codes when applicable
  • Review medical records for the determination of accurate assignment of all documented diagnoses and procedures
  • Maintain high level of productivity while complying with completeness and accuracy standards
  • Adhere to strict confidentiality of patients/clients while following HIPPA guidelines and regulations
  • Exhibit effective communication with onsite staff and attends required training via the Internet

Nuclear Medicine Technologist

HCA Healthcare Inc.
05.2013 - 02.2022
  • Charge patients for exams and injections preformed, scanning/processing paperwork in compliance to HIM standards
  • Verify orders with insurance companies and doctors’ offices, researched and resolved errors, sent reports to outside physicians
  • Extensive knowledge in medical terminology, anatomy and physiology as well as reading exam/radiology reports
  • Works collaboratively with HIM, IT, Transcription, Parallon, etc

Education

Mid-Atlantic Coding LLC
Richmond, VA
05.2015

Bachelor of Science - Clinical Radiation Sciences- Magna Cum Laude

Virginia Commonwealth University
Richmond, VA
05.2013

Skills

  • Pulse 8, MRM, HCC Coder, Gemstone, Encoder Pro, 3M, NPI Registry, Encoder Pro, Salesforce, DataRap
  • EMR/Projects Worked: Advent, Memorial, UK, Progeny, Methodist, Banner, Cleveland Clinic, Honor, DAP, Signify, Montefiore, Ciox, Docstor, AI
  • MS Office, Google Applications, MAC and PC Computers
  • Specialized Training in Guidelines: ACA/MA, UHC, Humana, Medicare/Medicaid, Chart Review, Centene, IOA, Aetna, Anthem
  • ICD 9 and ICD 10, CPT and HCPCS

Certification

  • Certified Risk Adjustment Coder (CRC)- 2025-Present
  • Certified Professional Coder (CPC) - 2015-Present
  • Certified Nuclear Medicine Technologist, NMTCB & ARRT(N) - 2013-Present

Timeline

Risk Adjustment Coder Specialist

Oscar Health Insurance
02.2022 - Current

Coding Quality Risk Adjustment Auditor

Optum United Healthcare
02.2016 - 02.2022

Nuclear Medicine Technologist

HCA Healthcare Inc.
05.2013 - 02.2022

Mid-Atlantic Coding LLC

Bachelor of Science - Clinical Radiation Sciences- Magna Cum Laude

Virginia Commonwealth University

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Chelsea Belcher, CPC, CRC