MARLEN LEON PENATE
Miami,Florida
Summary
Credentialed Medical Coder with strong expertise in outpatient coding, seeking a challenging position as a Certified Outpatient Coder.
Proficient in ICD-10 CM, CPT and HCPCS level II coding systems, with a solid understanding of outpatient coding guidelines.
Demonstrated ability to ensure accurate code assignment to optimize reimbursement and support clinical documentation.
Achieved productivity and accuracy, committed to continuous learning and coding compliance.
Overview
33
33
years of professional experience
Work History
RISK ADJUSTMENT SPECIALIST
SANITAS MEDICAL CENTER
02.2023 - Current
- Audited patient charts for correct coding and proper documentation.
- Assisted providers in correct HHS-HCCs coding to increase Revenue.
- Identified gaps and captured new HCCs opportunities.
- Identified discrepancies and interacted with providers to improve medical documentation.
- Assigned accurate ICD-10 CM, CPT and HCPCS codes on all procedures and services performed.
- Provided support and compliance with HEDIS specification to maintain high HEDIS scores.
- Ensure compliance with all applicable Federal State laws regulations according to the documentation guidelines.
- Submission of correctly coded daily encounters and billing medical claims for Medicare, Medicaid and Commercial patients seen in outpatient setting (Primary care, Pediatric and Urgent Care visit).
RISK ADJUSTMENT CODER
CANO HEALTH
08.2021 - 02.2023
- Reviewed patient charts (pre-post audit) to identify patients with gaps in care.
- Assisted provider with Gaps and new HCCs opportunities.
- Appropriate coding based on HCCs Risk adjustments model.
- Identified discrepancies and communicate with providers to improve medical documentation.
- Provide support and compliance with each HEDIS specification.
- Submission of correctly coded daily encounters and billing medical claims for Medicare patients.
EXECUTIVE ASSISTANT
GLOBAL GRAND MANAGEMENT Inc
01.2019 - 08.2021
- Provided administrative support, handling basics bookkeeping tasks, ordering supplies.
- Responsible for accounts payable and receivable (receive and prepare invoices, apply payments).
- Responsible for cash bank deposit and petty cash.
- Created financial reports (Profit and loss, customer balance, account details and balance sheet reports).
- Located and notify customers of delinquent account to solicit payment.
- Executed weekly Payroll, payment of payroll tax and submit quarterly and annual tax forms.
- Managed emails, communicating with clients and suppliers.
COMMERCIAL ASSISTANT
PILKINGTON GLASS SERVICE
01.2000 - 09.2009
- Responsible for orders, inventory of products and external purchases.
- Managed account payables and receivables.
- Arrangement for debt repayment or established repayment schedule, based on customers' financial situations.
ASSISTANT FINANCIAL ANALYST
CUBANACAN S.A.
10.1992 - 06.1997
- Financial analysis of foreign investment projects in tourism such as hotels, shopping centers, restaurants, and leisure places.
- Financial management of the cost of works in progress and purchase of materials.
- Evaluation and economic calculation of benefits at the end of the projects.
Education
COC Certified Outpatient Coder - Health Administration
AAPC
Miami, Florida06-2025
CPMA Certified Professional Medical Auditor - Health Administration
AAPC
Miami, Florida02-2023
CRC Certified Risk Adjustment Coder - Health Administration
AAPC
Miami, Florida03-2021
CPC Certified Professional Coder - Health Administration
CCM Coding Academy
Miami, Florida11-2020
Teaching French As A Second Or Foreign Language
French Alliance
07-2016
DALF C1 Advanced Diploma French Language - Foreign Languages Education
French Alliance
07-2016
DELF B2 Intermediate French language - Foreign Languages Education
French Alliance
01.2014
English Certification - Foreign Languages Education
Abraham Lincoln
La Havana01.1995
Bachelor of Arts - Economics
University of Havana
La Havana07-1992
Skills
- eClinicalWorks (ECW) software, Optum EncoderPro, Codify by AAPC tools, Google Workspace, Microsoft Outlook, Quickbooks
- ICD10 CM, CPT, HCPCS, modifiers and guidelines for coding professional fee services
- Ability to work with minimal supervision (work remotely) accuracy and attention to detail
- Good interpersonal relationships, facility to function as a team member helping to solve problems
- Meet established coding productivity standards as outlined in department policies with accuracy of 97% and more
- English fluent, Bilingual Spanish-French
Timeline
RISK ADJUSTMENT SPECIALIST
SANITAS MEDICAL CENTER
02.2023 - Current
RISK ADJUSTMENT CODER
CANO HEALTH
08.2021 - 02.2023
EXECUTIVE ASSISTANT
GLOBAL GRAND MANAGEMENT Inc
01.2019 - 08.2021
COMMERCIAL ASSISTANT
PILKINGTON GLASS SERVICE
01.2000 - 09.2009
ASSISTANT FINANCIAL ANALYST
CUBANACAN S.A.
10.1992 - 06.1997
COC Certified Outpatient Coder - Health Administration
AAPC
CPMA Certified Professional Medical Auditor - Health Administration
AAPC
CRC Certified Risk Adjustment Coder - Health Administration
AAPC
CPC Certified Professional Coder - Health Administration
CCM Coding Academy
Teaching French As A Second Or Foreign Language
French Alliance
DALF C1 Advanced Diploma French Language - Foreign Languages Education
French Alliance
DELF B2 Intermediate French language - Foreign Languages Education
French Alliance
English Certification - Foreign Languages Education
Abraham Lincoln
Bachelor of Arts - Economics
University of Havana
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