Patrick Carlin

• Performed daily auditing and review of provider documentation and coding for CRC's value based contracts.
• Audited outpatient records for coding accuracy and completeness and used that data to educate the coding staff and providers
• Reviewed, analyzed and managed coding of CPT Category II procedures contained in outpatient medical records.
• Verified signatures and checked medical charts for accuracy and completion.
• Used Cerner Millenium and RCx Rules to input information into computerized patient record system.
• Trained and mentored 2 new coders for compliance with ICD-10-CM classification system and coding guidelines.

• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed patient charts to better understand health histories, diagnoses and treatments.
• Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.

• Responsible for remote coding of Prospective Health Risk Assessments (in home visits) and Retrospective charts from multiple Medicare Advantage clients Including HCC code capture, HCC Part C capture, Complete Code Capture, RADV audits with varying scopes

• Medicaid coding following state and payor guidelines

• Responsible for provider queries to ensure accuracy of documentation and coding

• Responsible for recognizing and reporting provider documentation and clinical errors

• Maintained accuracy and proficiency of over 97%

• Traverse, Traverse Edge and Salesforce platforms

• Supported student learning objectives through personalized and small group assistance.
• Assisted teachers with classroom management and document coordination to maintain positive learning environment.
• Assisted teachers with supervision and care of group of children.
• Promoted physical, mental and social development using classroom games and activities.