Open To Work
LISA ALLEN
Norco,USA
Work Preference
Overview
14
14
years of professional experience
Work History
Certified Professional Coder
Virtix Health
Plano, TX
09.2024 - 02.2025
- Reviewed and abstracted ICD-10-CM codes to ensure precise mapping to HCCs and RxHCCs, supporting accurate patient risk assessments.
- Reviewed medical records for accurate coding and compliance with regulations.
- Executed coding tasks independently from home, showcasing proficiency in coding standards and practices.
Certified Professional Coder
Exam One / Quest Diagnostics
San Juan Capistrano, CA
01.2023 - 02.2024
- Verified accurate entry of patients' demographic information to support coding accuracy.
- Conducted quality checks on provider documentation for Diabetic Retinopathy and Osteoporosis exams to uphold integrity per CMS and health plan guidelines.
- Assigned ICD 10-CM codes to medical records to ensure accurate billing.
Certified Professional Coder
Quest Diagnostics / Quest HealthConnect
Santa Ana, CA
08.2014 - 01.2023
- Ensured accurate capture of all HCC and non-HCC Risk Adjustment diagnoses and conditions.
- Updated providers on CMS, ICD-10-CM, AHA Coding, and health plan guidelines to enhance validation of HCC diagnoses and identify documentation trends for chart improvement.
- Facilitated provider communication through verbal and written queries to enhance specificity and compliance in medical records.
- Coded all other signs and symptoms that were documented according to CMS coding guidelines and health plan guidelines.
- Assisted providers in using our Legacy system to make corrections with their documentation in their charts.
Administrative Assistant to President/Owner of the company
Advanced Medical Management
Long Beach, CA
01.2011 - 08.2013
- Supported administrative management in developing and managing five provider network contracts, ensuring streamlined operations.
- Collected and verified credentialing documents for Physicians, Specialists, and Ancillary Providers to maintain compliance and support onboarding.
- Set up meetings including JOC meetings in and out of the office with doctors, health plans, and other groups.
- Transcribed Board Meetings minutes. Composed letters to Physicians, and Physician groups.
- Assisted in researching CPT codes to make sure the correct RVUs were applied to each Provider Network Contract.
- Researched and resolved claims issues on Ezcap, providing clear findings to claims department for timely resolution.
- Applied understanding of HCC Risk Adjustment Scores and RAF Scores to ensure accurate reporting and compliance.
- Resolved challenging support and contract issues by collaborating with team members and stakeholders.
Education
CPMA Course -
MCHC
Medical Coding Course -
HCPro
Insurance Agent Training Course -
AD Banker
Orange Coast College
Skills
- Certified Professional Medical Coder
- ICD-10-CM
- HCC Risk Adjustment Coding
- EMR Auditing
- Medicare and Healthcare Insurance
- Communication Skills
- Interpersonal Communication
Affiliations
- Member of AAPC
- Corona Chapter of AAPC
- Coding Certification.Org member
- Past President of South Coast Metro Rotary Club
Technology Skills
- Codify
- Microsoft Office
- Microsoft Word Documents
- Various types of office software and equipment
Additional Relevant Experience
- Administrative Assistant to President/Owner, Lehmann & Associates Insurance, Inc., Costa Mesa, CA
- Financial Compliance Specialist, University of Phoenix, Costa Mesa, CA Campus, Costa Mesa, CA
- Senior Sales Team - Medicare Expert, BlueCross of California/Humana Market Point, Orange County, CA, Created and presented an educational seminar for CEU credit on Medicare Insurance, Medicare Advantage Plans, and Part C Rx Plans for a group of over a hundred Financial Planners., Also did in home presentations.
- Designer/Sales, Homestead House, Laguna Hills, CA
Timeline
Certified Professional Coder
Virtix Health
09.2024 - 02.2025
Certified Professional Coder
Exam One / Quest Diagnostics
01.2023 - 02.2024
Certified Professional Coder
Quest Diagnostics / Quest HealthConnect
08.2014 - 01.2023
Administrative Assistant to President/Owner of the company
Advanced Medical Management
01.2011 - 08.2013
CPMA Course -
MCHC
Medical Coding Course -
HCPro
Insurance Agent Training Course -
AD Banker
Orange Coast College