Doris Mbarine, CPC,CRC
Plano,TX
Summary
Detail-oriented Certified Medical Coder with strong ICD-10 knowledge and HIPAA compliance expertise, committed to enhancing coding accuracy and minimizing claim denials.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Unio Healthcare Partners
Remote
06.2019 - 12.2025
- Reviewed and analyzed medical records to ensure accurate coding and compliance with regulations.
- Collaborated with healthcare providers to clarify documentation for optimal coding accuracy.
- Trained junior coders on coding practices, documentation requirements, and software usage.
- Conducted regular audits of coded data to identify discrepancies and implement corrective measures.
- Facilitated communication between clinical staff and billing department to enhance revenue cycle efficiency.
- Led initiatives to streamline workflow procedures, resulting in enhanced turnaround times for claims processing.
Certified Medical Coder
Vital Health & Chiropractic
San Pedro, CA
01.2018 - 06.2019
- Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
- Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
- Coded APV charts at rate of 13 per hour.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Certified Medical Coder
Schumacher Group
Remote
01.2007 - 07.2009
- Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
- Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
- Correctly coded and billed medical claims for various hospitals.
Education
Bachelor of Arts - Business Studies
Kenyatta University
Certified Professional Coder -
AAPC
RemoteCertified Risk Adjustment Coder -
AAPC
RemoteSkills
- Strong ICD 10 Knowledge
- Appeals and adjustments handling
- ICD-10 and CPT coding proficiency
- HIPAA compliance awareness
- Clinical documentation review
- Continuing education commitment
- Medical terminology
- Denial management strategies
- Certified risk adjustment coder (CRC)
- Provider communication and feedback
Accomplishments
- Reviewed clinical documents for completeness and communicated with providers when their charts were missing some elements.
- Ensured all rendered services were billed within 3 days.
- Maintained 97% coding and billing accuracy constituently through my work tenure.
- Resolved 100% of denials by appealing and correcting unpaid claims.
- correctly linked ICD -10 codes to the respective CPT codes to ensure timely payment.
- Provided supporting documentation whenever insurance companies required our providers to proof medical necessity for billed services.
- Provided provider education and feedback whenever they undercoded or overcoded for services documented.
Affiliations
American Association of Professional Coders.( AAPC)
Certification
- CPC- - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
Timeline
Certified Medical Coder
Unio Healthcare Partners
06.2019 - 12.2025
Certified Medical Coder
Vital Health & Chiropractic
01.2018 - 06.2019
Certified Medical Coder
Schumacher Group
01.2007 - 07.2009
Bachelor of Arts - Business Studies
Kenyatta University
Certified Professional Coder -
AAPC
Certified Risk Adjustment Coder -
AAPC