Summary
Work History
Education
Skills
Timeline
Generic

Roddrick Vaughn

Atlanta,GA

Summary

Experienced, professional medical coder and Certified HCC coder with extensive comprehension of reviewing medical records and practice management code data. Expertise in medical coding regulations. Excellent at juggling multiple tasks and working under pressure. Successful history managing and engaging clients to produce outstanding results. Critical thinker with great planning skills, superb communication skills, prudent judgment. Possess a strong work ethic and the ability to work independent as well as collaboratively. Highly detailed- always maintaining accuracy of 95% or higher.

Work History

Traveling/Remote Coding Consultant

RAM
Atlanta, GA
Sep 2005 - Current
  • Pyramid Healthcare, Maxim Healthcare, Emory Clinic and more Abstract medical records using hospital databases and providers charts to assign proper ICD-10, ICD-9, HCPCS codes as well as CPT diagnostic and operative procedure codes Provide coding services based on various coding guidelines (HCC, ER and Ancillary), followed-up with appropriate staff members, department and/or physicians to obtain required documentation to accurately and timely code all accounts Review all appropriate medical records for MEAT or TAMPER, as applicable, in order to support proper risk adjustment Advise providers of missed opportunities and educate providers in correct documentation and coding Maintain standardized auditing policies and procedures.

Senior Coding Specialist

American Medical Consulting
Atlanta, GA
Apr 2005 - Current
  • Emory Clinic, Grady, Hospital, Outcomes Health Information Solutions, Inc.
  • and more Accurately assign correct principal and secondary codes, primarily HCC codes and abstracted pertinent information from patient records to ensure codes were assigned, for all assigned records Assure compliance with coding rules and regulations according to regulatory agencies, such as centers for Medicare and Medicaid services (CMS) as well as company and applicable professional standards Demonstrate knowledge and ability to assign ICD-9/10 CM codes to the highest specificity ensuring diagnostic codes and documentation accurately reflect and support encounters for various types of medical providers and facilities Adeptly identify ICD-10CM codes with HCC or RxHCC values Review in-home physician evaluations for prospective risk adjustment.

CMS

  • Data Entry & Analysis Quality Assurance & Auditing Risk management processes and analysis MS Office Suite.

Education

Certified Risk Adjustment Coder (CRC) Certification - undefined

American Academy of Professional Coders (AAPC)

Bachelor of Arts - Business Management

Shorter College

Master of Arts - Organizational Leadership

Montreat College

Skills

ICD-9/10 Medical Coding Diagnosis Recognition Code Validation Process implementation
  • Auditing, charts, CMS, CPT, Data Entry, databases, Diagnosis, documentation, ICD-9/10, ICD-10, ICD-9, Medical Coding, MS Office Suite, policies, processes, coding, Pyramid, Quality Assurance, Risk management, Validation

Timeline

Traveling/Remote Coding Consultant

RAM
Sep 2005 - Current

Senior Coding Specialist

American Medical Consulting
Apr 2005 - Current

CMS

Certified Risk Adjustment Coder (CRC) Certification - undefined

American Academy of Professional Coders (AAPC)

Bachelor of Arts - Business Management

Shorter College

Master of Arts - Organizational Leadership

Montreat College
Roddrick Vaughn