Jessica Diaz
Medical coding
Lansdale,PA
Summary
Detail-oriented certified medical coder with expertise in population health management, RADV audits, CDI review, and provider education. Adept at improving coding accuracy, ensuring compliance with billing regulations, and optimizing clinical documentation to support high quality care and reimbursement efficiency. Seeking to leverage my skills in a dynamic healthcare organization to contribute to coding accuracy, audit preparedness, and provider education initiatives.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Owner
Medical Coding Solutions (MCS)
03.2023 - Current
- Provide consultation services to medical practices, focusing on proper documentation and coding compliance, as well as comprehensive review of ACO codes
- Process and procedure improvement to enhance management by ensuring that all documentation and coding practices meet or exceed the latest industry standards
Coding Manager
Tandigm Health
Conshohocken, PA
03.2021 - Current
- Created and maintained coding databases to ensure efficient retrieval of information.
- Conducted regular audits on coding processes for quality assurance.
- Provided training and support to coding staff on current industry standards.
- Resolved coding issues in a timely manner, including discrepancies between codes used by different departments.
- Collaborated with other teams to identify opportunities for streamlining code management process.
- Assisted in developing documentation regarding various aspects of the coding system, such as user guides, technical specifications.
- Ensured compliance with applicable laws and regulations pertaining to coding practices.
- Reviewed coded documents for accuracy before submitting them for processing.
Medical Coding Team Leader
Tandigm Health
Conshohocken, PA
03.2018 - Current
- Developed and implemented training programs for new medical coding staff members.
- Maintained up-to-date knowledge of coding regulations, guidelines, and standards.
- Reviewed and audited coded data to ensure accuracy and compliance with established policies and procedures.
- Assigned tasks to medical coding team members based on individual skill sets and capabilities.
Medical Coder
Tandigm Health
Conshohocken, PA
03.2016 - Current
- Retrospective audit of medical records with a focus on HCC and risk adjustment adhering to RADV criteria
- Assisted in the development of coding guidelines and policies.
- Provide education to internal and external shareholders around coding and documentation
Education
Medical Billing And Coding Certificate -
Montgomery County Community College
Blue Bell, PA08-2015
Skills
- Medical coding
- Risk adjustment
- Population Health
- Regulatory Compliance
- KPI Management
- Staff Management
- Customer Relations
- Verbal and written communication
- Process improvement
- Provider education
Certification
- Certified Professional Coder- CPC, 11/2015-Present
- Certified Professional Biller- CPB, 10/2017-Present
- Certified Risk Adjustment Coder- CRC, 04/2019- Present
- Certified Documentation Improvement Expert Outpatient- CDEO, 11/2022- Present
- Certified Professional Compliance Officer- CPCO, 06/2024-Present
- Advanced HCC Auditor- AHCCA, 03/2021-Present
Professional Highlights
- Provide education to Medical providers regarding documentation and coding in Population Health and Risk Adjustment, 03/2016 - Present
- Published in AAPC Healthcare Business Monthly Magazine, 07/2023, 08/2024
- Panel speaker for AAPC Riskcon Conferences:
- Discussion regarding 2024 Advance Notice and Final Rule, 06/2023
- Discussion regarding Risk Adjustment coding, 06/2024
References
References available upon request.
Timeline
Owner
Medical Coding Solutions (MCS)
03.2023 - Current
Coding Manager
Tandigm Health
03.2021 - Current
Medical Coding Team Leader
Tandigm Health
03.2018 - Current
Medical Coder
Tandigm Health
03.2016 - Current
- AAPC, Certified Professional Coder- CPC, 11/2015, Present
- AAPC, Certified Professional Biller- CPB, 10/2017, Present
- AAPC, Certified Risk Adjustment Coder- CRC, 04/2019, Present
- AAPC, Certified Documentation Improvement Expert Outpatient- CDEO, 11/2022, Present
- AAPC, Certified Professional Compliance Officer- CPCO, 06/2024, Present
- RISE ASSOCIATION, Advanced HCC Auditor- AHCCA, 03/2021, Present
Medical Billing And Coding Certificate -
Montgomery County Community College
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