Proven HCC Coder with expertise in HIPAA compliance and document management, demonstrated at UST Healthproof Inc. and Advantasure. Excelled in applying AMA and CMS coding conventions, enhancing medical record accuracy by 96%. Has successfully worked remotely for 12 years.
Overview
19
19
years of professional experience
1
1
Certification
Work History
HCC Coder
Advantasure/UST Healthproof
07.2019 - 09.2024
Utilized electronic medical record systems to store, retrieve and process patient data.
Verified accuracy of patient information in medical records.
Maintained accuracy, completeness, and security for medical records and health information.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid to assign diagnostic codes.
Reviewed medical charts and documentation to extract relevant information for retrospective HCC coding.
Worked remotely.
Assigned appropriate HCC diagnosis codes according to industry standards and coding guidelines.
Stayed up to date with changes in HCC coding guidelines.
Medical Coder
Dominion Women's Health
02.2015 - 07.2019
Reviewed medical charts and documentation to extract relevant information related to OB Gyn medical coding.
Communicated with insurance companies to research and resolved coding discrepancies.
Adhered to compliance regulations and guide lines in coding practices.
ensured accuracy and completeness of coded medical records.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in medical records of all types.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Remote Ambulatory Coder
University Medical Center of Southern Nevada
04.2005 - 08.2012
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Correctly coded and billed medical claims for various hospital and ambulatory care facilities.
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.
Verified accuracy of patient information in medical records.
Education
Administrative Assistant Certification - Medical Terminology, Billing And Coding
Heritage College
Las Vegas, NV
06.1996
Skills
HCC/RA coding with background in Primary care, ER and OB Gyn coding
Data Verification
Document Management
Claims Processing
Medical claims coding
HIPPA compliant
Medical Terminology
Certification
COC - Certified Outpatient Coder AAPC
Timeline
HCC Coder
Advantasure/UST Healthproof
07.2019 - 09.2024
Medical Coder
Dominion Women's Health
02.2015 - 07.2019
Remote Ambulatory Coder
University Medical Center of Southern Nevada
04.2005 - 08.2012
Administrative Assistant Certification - Medical Terminology, Billing And Coding