Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Jessica DeGracia

Margate

Summary

Certified coding professional with strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Adept at ensuring precise and accurate code assignment, optimizing reimbursement processes, and maintaining high standards of data integrity. Known for collaborative teamwork and adaptability in dynamic environments, contributing to team success and achieving organizational goals.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Medical Coder (Remote Contract)

Vaco LLC
02.2025 - Current
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reduced claim denials, meticulously verifying coding accuracy before submission.
  • Enhanced coding accuracy by meticulously reviewing patient records and applying correct medical codes.

Certified Medical Coder

Insight Global (Remote Contract With UHG)
01.2024 - 01.2025
  • Ensured compliance with HIPAA regulations and coding standards
  • Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Verified, coded and added modifiers to diagnoses.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Coded APV charts at rate of 10 per hour.
  • Followed up with medical staff regarding missing information in patient records.

Medical Coder and Billing Coordinator

Aslam M Khan, MD
05.2022 - 10.2023
  • Managed cardiology billing and coding for diagnostic procedures, including echocardiograms and vascular ultrasounds
  • Utilized eClinical Works (eCW) for coding and claims submission
  • Ensured timely and accurate reimbursement through claim creation and submission
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Medicare Risk Adjustment (MRA)/Fee for Service (FFS) Coder

NeighborMD Group, LLC (Remote)
10.2021 - 05.2022
  • Coded encounters for Primary Care Physicians and Nurse Practitioners, including ancillary services
  • Created claims post-coding for submission and reimbursement
  • Used eClinical Works (eCW) for efficient coding and claim management
  • Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.

Medical Coding and Billing Specialist

Arrhythmia & Interventional Cardiology Clinic
03.2018 - 01.2021
  • Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
  • Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
  • Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.

Medical Billing Specialist

Dr. Mazhar Majid, Md. PA
02.2016 - 03.2018
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Collected payments and applied to patient accounts.
  • Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.

Education

Graduate Certificate - Medical Billing And Coding

Florida Career College
Lauderdale Lakes, FL
05-2007

Skills

  • Medical terminology
  • HIPAA compliance
  • HCPCS coding
  • Medical billing
  • Insurance verification
  • Data entry
  • Knowledgeable in Epic, eClinical Works, Cerner, Codify
  • Medical coding and abstracting
  • EMR systems
  • Hospital inpatient and outpatient records

Certification

  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).

Languages

Spanish
Full Professional

Timeline

Medical Coder (Remote Contract)

Vaco LLC
02.2025 - Current

Certified Medical Coder

Insight Global (Remote Contract With UHG)
01.2024 - 01.2025

Medical Coder and Billing Coordinator

Aslam M Khan, MD
05.2022 - 10.2023

Medicare Risk Adjustment (MRA)/Fee for Service (FFS) Coder

NeighborMD Group, LLC (Remote)
10.2021 - 05.2022

Medical Coding and Billing Specialist

Arrhythmia & Interventional Cardiology Clinic
03.2018 - 01.2021

Medical Billing Specialist

Dr. Mazhar Majid, Md. PA
02.2016 - 03.2018

Graduate Certificate - Medical Billing And Coding

Florida Career College
Jessica DeGracia