Hardworking professional experienced in accurately capturing HCC/Risk Adjustment Codes. Implements official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services.
Overview
2
2
years of professional experience
Work History
HCC Coder
Optum, UnitedHealth Group
12.2022 - Current
Auditing/Chart review
Experienced in provider querying
Proficient in navigating various EMR systems.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign risk adjustment diagnostic codes.
Resourcefully used various coding books and on-line encoders.
Reviewed, analyzed, and managed coding of diagnoses in outpatient medical records.
Verified signatures and checked medical charts for accuracy and completion.
Accurately captured HCC within HCR charts according to Medicaid, utilizing inpatient and outpatient guidelines.
Continuously met or exceeded daily chart quota, while maintaining quality and accuracy.
Foreign Claims Processor
WPS Health Solutions
04.2022 - 12.2022
Implemented accurate capturing of ICD-10-CM, HCPCS Level II, CPT.
Maintained confidentiality of patient finances, records, and health statuses.
Applied strong knowledge of basic medical terminology for accurate coding of diagnoses and procedures.
Utilized specialized software to process incoming foreign claims.
Regulatory Compliance Consultant/Manager/Contracts Manager at Optum, UnitedHealth GroupRegulatory Compliance Consultant/Manager/Contracts Manager at Optum, UnitedHealth Group