Nino Dave Bonsato, CCS
Sterling,United Arab Emirates
Summary
Seeking for job opportunities. QUALIFICATIONS SUMMARY I have 8 years experienced as a Medical Coder and 2 years Clinical Experience as a Staff Nurse ER department. Registered Nurse and Certified Coding Specialist (CCS). Broad and Extensive experienced with regards to Medical Coding and Billing guidelines and coding techniques (ICD-10-CM, ICD-9, CPT-4, HCPCS, and DRG's) and medical terminology, anatomy and physiology, reimbursement, HIPAA policies, insurance verification, and report creation. Expert and exposed on different coding and billing software (3M, CAC, Varian, G4, Centricity and OncoEMR.
Overview
12
12
years of professional experience
Work History
RN Certified Coder
California
08.2016 - 09.2019
- Neurosurgery Coding and directly communicates with the neurosurgeon
- Assisting and providing correct codes for urology surgical procedures
- Linking and providing correct ICD codes to link to laboratory codes based on medicare/insurance guidelines
- Revising unspecified codes to most specific codes in OncoEMR for the purpose of billing
- Handled Physician Quality Reporting System (PQRS) and providing status of physicians in cCARE
- Provide an audit in coding surgical cases (neurosurgery and urosurgery)
- Answers to queries from coding and billing department regarding clinical, medical and billing concerns
- Directly reporting statistical data to manager and COO for overall status daily.
Inpatient Medical Coder
09.2015 - 06.2016
- Back Up OP Coder e4e Global Services Philippines/Auxilio Mutuo, Worked in a fast-paced medical coding company dealing with 1000 bed capacity hospital that handles acute complex cases
- Review medical records and accurately assigns and sequences diagnosis and procedure codes in accordance with coding books using ICD-10-CM, PCS, CPT-4, Medicare policy, CCI Edits, and Client coding guidelines; ICD 10 CM ProficientProvide answers to queries from coding and billing department regarding clinical, medical and billing concerns
- Maintains 24 IP charts/40 OP charts per day adhering to AHIMA/CPC guidelines production with 97% up accuracy
Inpatient Medical Coder
UnitedHealth Group
04.2015 - 09.2015
- Reads through the hospital/medical records and accurately assigns and sequences diagnosis and procedure codes in accordance with coding books using ICD-10-CM, CPT-4, Medicare policy, CCI Edits, and Client coding guidelines;
- Maintains no less than 97% coding accuracy for all specialties and no less than the CPH (Chart Per Hour) target on designated specialty
- Risk Adjustment coder/Claims Triager/Fraud, Waste and Abuse Clinical Investigator
UST Global Inc
01.2014 - 04.2015
- Review medical records for same DOS and provide codes according to Risk Adjustment coding guidelines; Applying F codes and add secondary diagnosis related to encounter
- Assure the assignment of complete, accurate, timely and consistent codes by the medical coding unit
- Reconcile clinical notes, patient encounter form, health information for compliance with HIPAA rules
- Analyze billing to improve coding data accuracy for Medicare compliance reimbursement
- Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse.
Outpatient Medical Coder/Quality Assurance Validator/Team Leader
Equicom Information Technology Inc
06.2010 - 01.2014
- Responsible for complete and accurate assignment of ICD-10-CMand CPT codes in accordance with current internal and external coding guidelines in Outpatient setting
- Abstract clinical, demographic, and quality information from medical records for statistical, indexing and third party payer reimbursement purposes
- Support Coding Supervisors auditing, reporting and educational functions as appropriate
- Excellent working knowledge of Diagnostic Related Groups, sequencing of procedure and diagnosis codes and selection of Principal diagnosis and procedure codes in addition to an understanding of Peer Review Organization quality initiatives and Medicare reimbursement guidelines.
Emergency Nurse/Staff Nurse
Aleosan District Hospital
02.2008 - 04.2010
- Utilized the nursing processes; assessed, planned, provided and evaluated nursing care based on staff and patient interviews
- Provided and managed goal-oriented patient care by utilizing established nursing processes and principles
- Established nursing diagnoses and wrote out plan for treatment
- Implemented cure and evaluated care
- Collaborated with other ER professionals to ensure effective patient care delivery – Identified patients’ conditions and addressed nursing care.
Education
Bachelor of Science - Nursing
Cotabato Medical Foundation College Inc.
Midsayap, North Cotabato, Philippines04.2007
Certified Coding Specialists - Medical Coding
American Health Information Management Association
Chicago, IL08.2018
Skills
- SPECIAL SKILLS:
- Proficient skills with 97% and above accuracy and maintains above expectation production in the execution of Outpatient and Inpatient Hospital Coding including Surgical Procedure and Facility
- Handled simple - complex coding specialties (Inpatient, Outpatient (SDS), E and M, Neurosurgery coding
- Profound ability to work with computers and popular medical coding software (3M Coding Software, Computer Assisted Coding, EncoderPro, Optum, and Selectcoder)
- Handled Team efficiently and maintains professionalism
- Excellent Entry Data Skills
Timeline
RN Certified Coder
California
08.2016 - 09.2019
Inpatient Medical Coder
09.2015 - 06.2016
Inpatient Medical Coder
UnitedHealth Group
04.2015 - 09.2015
UST Global Inc
01.2014 - 04.2015
Outpatient Medical Coder/Quality Assurance Validator/Team Leader
Equicom Information Technology Inc
06.2010 - 01.2014
Emergency Nurse/Staff Nurse
Aleosan District Hospital
02.2008 - 04.2010
Bachelor of Science - Nursing
Cotabato Medical Foundation College Inc.
Certified Coding Specialists - Medical Coding
American Health Information Management Association
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