Jennifer Lago
Miami,FL
Summary
Efficient Risk Adjustment Coder known for high productivity and ability to complete tasks swiftly without compromising accuracy. Possess specialized skills in medical coding standards, healthcare compliance, and data analysis. Excel in critical thinking, problem-solving, and communication, ensuring clarity and efficiency in all coding processes.
Certified Risk Adjustment Coder with 5 years of experience in HCC coding and clinical documentation in outpatients practice.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
Cano Health
Florida, FL
08.2021 - Current
- Identifying diagnosis, medical test, treatments and procedures found in clinical documentation and then transcribing this patient data into standardized codes to bill government and commercial payers for physician reimbursement.
- Reviewed medical records to identify and code diagnosis in accordance with ICD-10 guidelines.
- Documented risk adjustment codes into electronic health record system, ensuring accuracy of data entry.
- Assited physician in the identification of appropriate diagnosis codes based on documentation in the medical record.
- Performed quality assurance audits for assigned providers for coding accuracy and completeness.
- Conducted chart reviews to identify any missing or incomplete information necessary for accurate coding.
- Maintained current knowledge of changes related to ICD-10, CPT and HCPCS codes, modifiers, CMS regulations.
- Participated in team meetings with other coders and supervisors to discuss case studies or review difficult cases.
- Attended seminars and webinars regularly to stay up to date on latest industry trends.
- Maintained a prominent level of productivity while adhering to established standards of quality control.
- Maintained positive working relationship with fellow staff and management.
- Safeguard medical records to maintain patient confidentiality.
Medical Records
Leon Medical Centers
Miami, FL
05.2010 - 08.2020
- 11 years of current experience al Medical Records.
- Provide excellent costumer services to all internal and external customers.
- Maintain strict confidentiality of all medical records.
- Prepare copy of medical records with properly complete medical release forms.
- Knowledge of medical records regulations and release of health information.
- Consult supervisor, team members and apropiate resource to solve heath information questions.
- Request the procedures that the patient did outside out center.
- Knowledge in different systems such as Medical Manager, NextGen 5 and EPIC and ECW.
Education
CDEO Clinical Documentation Expert Outpatient -
AAPC
01-2022
CRC Certified Risk Adjustment -
AAPC
01.2021
CPMA Certified Professional Medical Auditor -
AAPC
01.2021
CPC Certified Professional Coder -
AAPC
01.2013
Social Comunication -
University of Havana
Cuba01.2009
High School Diploma -
01.2003
Skills
- ICD-10 coding
- Risk adjustment
- Electronic health record
- Coding compliance
- Quality assurance audits
- Medical records management
Certification
- CPC
- CRC
- CPMA
- CDEO
References
References available upon request.
Timeline
Risk Adjustment Coder
Cano Health
08.2021 - Current
Medical Records
Leon Medical Centers
05.2010 - 08.2020
CDEO Clinical Documentation Expert Outpatient -
AAPC
CRC Certified Risk Adjustment -
AAPC
CPMA Certified Professional Medical Auditor -
AAPC
CPC Certified Professional Coder -
AAPC
Social Comunication -
University of Havana