Priscilla Villanueva
Buena Park,CA
Summary
Adept at HCC and E/M coding, I leveraged Microsoft Office to maintain a 95% accuracy rate in coding. My self-directed approach and proficiency in remote work have driven improvements in coding processes and data accuracy, showcasing my commitment to excellence and efficiency in healthcare documentation.
Overview
7
7
years of professional experience
Work History
Coder II
Hoag Memorial Hospital Presbyterian
Costa Mesa, CA
04.2022 - Current
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures in EPIC.
- Supported external side projects as assigned, providing coded data and documentation as requested.
- Kept abreast of updates and changes in coding guidelines and reporting requirements.
- Monitored and analyzed coding error trends to improve coding accuracy.
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Crossed trained in Evaluation and management (E/M) coding to process the use of Current Procedural Terminology (CPT) codes to document services that evaluate and treat a patient's health.
Coding Analyst
Caremore Medical Group - Anthem
Cerritos, CA
05.2019 - 04.2022
- Maintained current working knowledge of CPT and ICD-10 coding principles.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Communicated with healthcare personnel, including practitioners to promote accuracy and assisted with questions and problems related to coding, documentation, and related issues.
- Assigned procedure and diagnosis codes for insurance billing using NextGen
- Captured HCC coding to help healthcare providers predict future healthcare expenses for patients with chronic conditions.
- Maintained 95% accuracy rate on daily production of completed reviews.
Medical Biller
Southern California Alcohol & Drug Programs, Inc.
Downey, CA
05.2018 - 05.2019
- Reviewed all intake billing- related documentation in SAGE software system.
- Verified timely completion and data entry of treatment notes to ensure accurate billing claims.
- Compiled weekly and monthly data reports.
- Monitored and reviewed denied claims and resubmitted treatment services .
- Maintained and stored all billing supportive documentation.
Education
CPC - Certified Professional Coder -
AAPC
2018
Certificate: Medical Billing and Coding -
Downey Adult School
2018
Skills
- Microsoft Office proficiency
- HCC diagnostic coding
- Self-directed
- E/M coding
- Remote work experience
- Excellent filling and data archiving
References
References Available upon request.
Timeline
Coder II
Hoag Memorial Hospital Presbyterian
04.2022 - Current
Coding Analyst
Caremore Medical Group - Anthem
05.2019 - 04.2022
Medical Biller
Southern California Alcohol & Drug Programs, Inc.
05.2018 - 05.2019
CPC - Certified Professional Coder -
AAPC
Certificate: Medical Billing and Coding -
Downey Adult School
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