Jennifer Ramos
Wesley Chapel,FL
Summary
Coding Professional skilled at recognizing and launching the steps needed to seek a career opportunity within your organization. Offering diverse business and medical coding
Experienced with risk adjustment methodologies and healthcare data analysis. Utilizes analytical skills to identify and address risk factors, improving patient outcomes and financial performance. Knowledge of regulatory compliance and data-driven decision-making.
Overview
13
13
years of professional experience
1
1
Certification
Work History
HCC Coding and Risk Adjustment Specialist
Mass Advantage
01.2024 - Current
- Facilitated cross-functional collaboration among departments with a shared goal of minimizing exposure to potential risks affecting both patients'' health outcomes and financial stability.
- Increased operational efficiency by creating standardized protocols for risk assessment, evaluation, and management.
- Supported healthcare providers in navigating complex regulatory guidelines related to risk adjustment policies and procedures.
Online Teaching Assistant
AAPC
03.2023 - Current
- Observes and evaluates assigned individual students' performance in meeting course objectives and learning outcomes through assignments, Practical assignments, Quizzes or examinations; provide feedback in a timely manner on student progress. Use AAPC’s learning management system to access syllabus, assignments, and other materials and to communicate with students. Prepare/schedule students to take their CPC exam.
- Coordinated with lead instructor to provide additional resources and support materials for struggling students.
HCC Medical Coder-Remote
Advantasure
03.2021 - 03.2025
- Reviewed assigned BCBS of Michigan medical charts for coding and abstracting HCC diagnoses. Responsible for coordinating/supporting Prospective, retrospective, and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data.
Quality Assurance Coding Auditor-Remote
Optum/United Health Group
03.2019 - 02.2021
- Identified provider query opportunities and created compliant queries to rendering providers. Provided support on various coding initiatives, including concurrent review and retrospective coding quality reviews.
Coding Specialist-Remote
Florida Medical Clinic
10.2017 - 03.2019
- Remote coding for multi-specialty group practice. Abstracted coding from physicians rounding reports for hospitalists, palliative care, orthopedics and cardiology. Worked closely with the Cardiology team to assist in, inpatient and outpatient coding.
Program Director Allied Health Programs
Everest University
02.2013 - 03.2017
- Teaching courses as assigned, instructing and evaluating students, developing students' skills and encouraging growth, and tracking their attendance, performance, and grades. Observing and evaluating students' work to determine progress, providing feedback, and making suggestions for improvement. Responsible for preparing students to work as a Certified Coder by teaching from a standardized curriculum utilizing a combination of lecture and lab activities. Preparing MIBC students to pass the CPC exam and coordinate monthly AAPC meetings.
Medical Billing and Coding Instructor
Concorde Career College
09.2012 - 01.2014
- Ensuring the curriculum, equipment, and supplies for the Medical Billing and Coding program are current and continue to meet ACICS accredited program requirements. Developing appropriate and effective assessment strategies to measure student learning. Instructed Pharmacy Program and Coding and Medical Assisting when needed/ one night /per week. Teaching 15 to 18 credits hours a semester or an equivalent schedule of instruction and curriculum development.
Education
Bachelor's of Business Management - Business Management/Healthcare
Strayer University Tampa
Tampa, FL01.2012
Skills
- ICD-10 proficiency
- Medical record review
- HIPAA compliance
- Healthcare data management
Certification
- CRC-AAPC July 2023-Present
- CPC -AAPC July 2010-Present
Timeline
HCC Coding and Risk Adjustment Specialist
Mass Advantage
01.2024 - Current
Online Teaching Assistant
AAPC
03.2023 - Current
HCC Medical Coder-Remote
Advantasure
03.2021 - 03.2025
Quality Assurance Coding Auditor-Remote
Optum/United Health Group
03.2019 - 02.2021
Coding Specialist-Remote
Florida Medical Clinic
10.2017 - 03.2019
Program Director Allied Health Programs
Everest University
02.2013 - 03.2017
Medical Billing and Coding Instructor
Concorde Career College
09.2012 - 01.2014
Bachelor's of Business Management - Business Management/Healthcare
Strayer University Tampa