Daniel Bivens, CRC, COBGC, CPC
Pflugerville,TX
Summary
Certified Medical Coder with specialties in OB-GYN and Risk Adjustment coding and over a decade of coding experience.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Risk Adjustment Program Specialist
Lone Star Circle Of Care
Georgetown, TX
01.2025 - 06.2025
- Collaborated with external payer auditors to improve provider documentation and diagnosis reporting.
- Conducted mock RADV audits and educated providers on the findings.
- Advised the Population Health team on coding guidelines and service requirements.
Coding Compliance Specialist
Lone Star Circle of Care
Georgetown, TX
06.2016 - 01.2025
- Assisted in developing and presenting educational materials related to medical coding practices.
- Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
- Served as a subject matter expert in reviewing medical records for appropriate diagnosis and procedure code assignment.
Charge Entry Specialist
RC Billing
02.2015 - 06.2016
- Entered client charges from remote locations, ensuring compliance with coding and payer guidelines.
- Coded evaluation and management, imaging guidance, and radiation treatment planning notes.
Education
Medical Coding and Billing certification -
Northeast Technical Institute
07.2013
Skills
- Coding compliance
- Medical coding
- ICD-10 coding
- Audit preparation
- Quality assurance
- Policy development
Certification
- CPC 2013
- COBGC 2018
- CRC 2024
References
References available upon request.
Timeline
Risk Adjustment Program Specialist
Lone Star Circle Of Care
01.2025 - 06.2025
Coding Compliance Specialist
Lone Star Circle of Care
06.2016 - 01.2025
Charge Entry Specialist
RC Billing
02.2015 - 06.2016
Medical Coding and Billing certification -
Northeast Technical Institute
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