Mary LaLonde
Danville,KY
Summary
Proven HCC Coder with a track record of enhancing coding accuracy and efficiency at CSI Companies, leveraging ICD-10 proficiency and a continuous learning mindset. coordinated/supportrd retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data. Demonstrated expertise in HIPAA compliance and quality assurance practices, achieving significant improvements in data integrity and operational workflow. showcasing professionalism and critical thinking capabilities. With the focus on achieving year over year improvement on Risk Adjustment coding and documentation
.
Overview
22
22
years of professional experience
1
1
Certification
Work History
HCC Coder
CSI Companies
Jacksonville, FL
06.2022 - 06.2023
- Review all available patient medical records: Medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, discharge summaries and any other available medical records. Determine whether the diagnosis codes are supported by the documentation and are within the guidelines for coding and reporting (M.E.A.T).
- Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable
- Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
- Maintained strict compliance with HIPAA regulations, ensuring the privacy and security of patient information during the coding process
- Maintained quality and production standards required by company
- Enhanced coding accuracy by consistently reviewing and updating knowledge of HCC guidelines and regulations.
- Implemented quality improvement measures within the coding process, including the use of advanced software tools, to minimize errors while increasing overall efficiency.
Reverse Mortgage Consultant
American Advisors Group
Remote
01.2017 - 01.2018
- Stayed current on industry trends and regulations, maintaining a high level of expertise in reverse mortgage lending practices.
- Ensured compliance with federal and state regulations in all aspects of the reverse mortgage process, mitigating risk for both clients and the company.
- Conducted thorough financial assessments for prospective clients, determining eligibility for reverse mortgage products.
- Maintained organized records of all client interactions, preserving confidentiality and adhering to regulatory requirements for document retention policies.
- Fostered positive working relationships with internal teams to streamline operations and improve overall efficiency.
- Presented educational seminars on reverse mortgages at local realtor associations, expanding knowledge on available options.
- Assisted clients throughout the entire loan process, addressing any questions or concerns that arose along the way.
- Collaborated with loan officers and underwriters, expediting the loan approval process for clients.
Mortgage Loan Officer
C2 Financial Corporation
San Diego, CA
01.2001 - 09.2017
- Remote position
- Oversaw mortgage loan processing, maintaining expert knowledge of A paper, FHA, VA Conventional underwriting guidleines
- Enhanced client retention by providing outstanding service throughout the mortgage process, from pre-approval to closing.
- Utilized Automated Underwriting Systems for Wholesale lenders
- Collaborated with underwriting and processing teams to resolve issues and expedite loan approvals.
Owner
San Diego Houses And Loans
San Diego, CA
01.2001 - 09.2006
- Managed day-to-day business operations.
- Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
- Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members.
- Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
Education
Certified Risk Adjustmnet Coder - Risk Adjustment Coding
AAPC
Online09.2023
Cwrtifies Profeaaional Coder - General Medical Coding
AAPC
Online08.2021
CA REal Estazter Broker - Real Estate
Real
Online01.2001
High School Diploma -
Mater Dei HIgh School
Santa Ana, CA06.1967
Skills
- ICD-10 Proficiency
- HIPAA Compliance
- Professionalism and Integrity
- Continuous learning mindset
- Electronic Health Records Familiarity
- Anatomy and Physiology Knowledge
- Critical Thinking Capabilities
- Quality Assurance Practices
- Medical Terminology Mastery
- CMS Guidelines Adherence
- Risk Adjustment Understanding
- HCC Coding Knowledge
- Computer-Assisted Coding Experience
- Data Entry
- Medical Terminology
- Workflow Management
- Knowledgeable in HCC Coder OPUtlook,
- Continuing education
- Inpatient records coding
- Attention to Detail
- ICD-10 Coding
- Microsoft Excel, OUtlook, Word, Notes
- EMR Systems
- Records Scanning
- Word Processing Software
Certification
- CRC - Certified Risk Adjustment Coder
- CPC - A Certified Professional Coder
Timeline
HCC Coder
CSI Companies
06.2022 - 06.2023
Reverse Mortgage Consultant
American Advisors Group
01.2017 - 01.2018
Mortgage Loan Officer
C2 Financial Corporation
01.2001 - 09.2017
Owner
San Diego Houses And Loans
01.2001 - 09.2006
Certified Risk Adjustmnet Coder - Risk Adjustment Coding
AAPC
Cwrtifies Profeaaional Coder - General Medical Coding
AAPC
CA REal Estazter Broker - Real Estate
Real
High School Diploma -
Mater Dei HIgh School