Results-driven coding specialist proficient in ICD-10-CM, ICD-10-PCS, and CPT coding within various healthcare environments. Focused on improving coding accuracy and compliance, while effectively resolving edits and optimizing workflows that contribute to departmental quality enhancement and prompt claim submissions.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Coding Specialist
Kapiʻolani Medical Center
08.2023 - Current
Review complete health records and assign ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient, outpatient, ED, OB, neonatal, pediatric, and ancillary encounters.
Abstract and sequence diagnoses and procedures to support accurate MS-DRG/APC assignment.
Identify documentation deficiencies and issue CDI queries for clarification.
Monitor coding quality through edit resolution and random audit review.
Maintain compliance with Joint Commission, federal/state regulations, and internal coding guidelines.
Support departmental quality improvement and maintain timely coding turnaround.
Patient Access Specialist – Registration
CorroHealth
12.2024 - 06.2026
Completed post-triage patient registration, ensuring accurate verification of insurance coverage and demographic details to facilitate smooth patient processing.
Supported authorization and eligibility follow-up while maintaining proactive communication with payers to resolve issues efficiently.
Document account actions to prevent cash loss and ensure clean claim submission.
Acted as knowledge resource for team members, contributing to adherence to productivity standards and fostering a collaborative environment.
Medical Coder / Billing Specialist
Hawaii Billing Service
06.2024 - 06.2025
Translate clinical documentation into ICD-10-CM and CPT codes for billing purposes.
Verified insurance coverage and identified third-party payers for billing purposes.
Submit claims, review payer responses, and ensure compliance with insurance requirements.
Maintain confidentiality and accuracy in all coding and billing workflows.
Staffing Resource Specialist
Kapiʻolani Medical Center
04.2020 - 08.2023
Managed staffing levels, payroll administration, and timekeeping accuracy using Kronos.
Supported nursing and technical departments with scheduling and payroll needs.
Developed training materials for new staff on resource management systems.
Ensured compliance with organizational policies and labor standards.
Patient Registrar
Kapiʻolani Medical Center
08.2018 - 04.2020
Registered patients in Epic, updating insurance and demographic information to ensure accurate billing.
Merged accounts, conducted pre-registration calls, and scanned documentation to maintain organized patient records.
Collaborated with healthcare staff to streamline patient intake processes.
Monitored compliance with HIPAA and hospital policies to protect patient privacy and uphold institutional standards.
Health Records Clerk (Intern)
Kapiʻolani Medical Center
02.2019 - 05.2019
Processed and maintained inpatient and outpatient medical records to ensure accurate patient information.
Assisted with third-party requests and conducted documentation completeness checks to facilitate timely access to medical records.
Managed patient health records using electronic health record systems.
Ensured compliance with HIPAA regulations during record handling.
Education
CCS Exam Prep & ICD-10-CM/PCS Training -
Online CodeMasters
06-2022
A.S. - Health Information Technology
Leeward Community College
05-2019
A.A. - Liberal Arts
Leeward Community College
05-2013
Skills
Inpatient and outpatient coding (ICD-10-CM/PCS, CPT)
Emergency department coding
Same-day-surgery coding
Obstetrics and pediatrics coding
Neonatal coding expertise
MS-DRG and CC/MCC
Severity of illness analysis
Outpatient code editor (OCE)
Outpatient prospective payment system (OPPS)
Ambulatory payment classifications (APC)
Clinical documentation review
Electronic health record platforms
Epic systems proficiency
Encoder and CAC tools usage
HIPAA compliance knowledge
Attention to detail
Critical thinking
Time management
Certification
Certified Coding Specialist (CCS), AHIMA
Registered Health Information Technician (RHIT), AHIMA
Medical Coding Specialist – Certified CPC, MU PC&R at University of Missouri SystemMedical Coding Specialist – Certified CPC, MU PC&R at University of Missouri System