Jared Koukal
9689 Caney Trials Road, Conroe,TX
Summary
Detail-oriented certified professional coder (CPC) and certified risk adjustment coder (CRC) with 7 years of experience in medical coding across military and civilian healthcare sectors. Proficiency in HCC risk adjustment coding. Skilled in ICD-10-CM, ICD-10-PCS, CPT, and CMS guidelines, ensuring compliance and accuracy in coding practices.
Overview
7
7
years of professional experience
2
2
Certifications
Work History
Risk Adjustment Coder Prof Billing I
Prisma Health
Greenville, South Carolina
09.2023 - Current
- Perform HCC risk adjustment coding for Medicare Advantage and value-based populations
- Conduct comprehensive chart abstraction and retrospective reviews to ensure accurate RAF capture
- Apply ICD-10-CM and CMS-HCC guidelines to validate chronic condition documentation
- Identify missed diagnoses and documentation gaps; collaborate with providers to improve capture rates
Certified Coder II
Providence Health System
Lubbock, Texas
02.2022 - 09.2023
- Coded inpatient and outpatient encounters for neurosurgery and cardiology service lines to support accurate billing and compliance
- Assigned ICD-10-CM, ICD-10-PCS, and CPT codes for surgical and procedural services to enhance coding accuracy and reimbursement processes
- Performed detailed medical record abstraction and operative report review
- Collaborated with physicians to ensure compliant documentation, facilitating optimized reimbursement and reducing risk of audit discrepancies
- Supported Chronic Care Management program coding initiatives
Medical Coder/ Administrator
United States Army
Marysville, Washington
01.2019 - 02.2022
- Assigned ICD-10 and CPT codes for military treatment facility encounters, enhancing accuracy and compliance
- Conducted medical record abstraction and ensured regulatory compliance
- Supported inpatient and outpatient coding operations, streamlining processes and maintaining coding integrity
- Assisted with coding audits, inspections, and compliance reviews, ensuring adherence to regulatory standards
- Advised leadership on medical documentation standards and healthcare administration processes
- Supervised patient administration operations and ensured data accuracy across health systems
Education
Doctorate's - Health Administration
University of Phoenix
Tempe, AZ11-2027
Master of Science - Health Administration
University of Phoenix
Tempe, AZ06-2024
Certification
Certified Professional Coder CPC
Timeline
Risk Adjustment Coder Prof Billing I
Prisma Health
09.2023 - Current
Certified Coder II
Providence Health System
02.2022 - 09.2023
Medical Coder/ Administrator
United States Army
01.2019 - 02.2022
Doctorate's - Health Administration
University of Phoenix
Master of Science - Health Administration
University of Phoenix