Rebekah Easterly
Alvarado,TX
Summary
Accomplished certified Medical Coder with a full understanding of ICD-10 coding procedures and risk adjustment coding, specializing in providing risk adjustment coding and documentation education. Experienced in Risk Adjustment Coding since 2014 and expertise in education since 2018. Excellent data entry skills allows for accurate coding of medical information. Good interpersonal skills and the ability to function as a team member.
Overview
13
13
years of professional experience
1
1
Certification
Work History
QC Coder II
Episource
Gardena, CA [Remote]
01.2024 - Current
- Reviewed clinical data from medical records to assign ICD 10-CM codes based on specific clinical findings in support of existing diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
- Maintained high accuracy rate on daily production of completed reviews.
HCC Risk Adjustment Medical Coder- Telecommute
Weller
Remote
11.2023 - Current
- Contracted with Reveleer
- Using a platform to validate ICD-10-CM codes from records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation
- Worked remote medical coding while continuing to follow HIPAA standards and regulations for patient privacy
- Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
HCC Risk adjustment Medical Coder- Telecommute
Judge Healthcare
Remote
11.2023 - 01.2024
- Temporary contracted with Ciox health
- Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation
- Worked remote medical coding while continuing to follow HIPAA standards and regulations for patient privacy
- Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
Medical Coding Advisor/ HCC Risk Adjustment Educator
Optum/Wellmed Medicare Advantage
Dallas, TX
01.2018 - 08.2023
- Responsible for effective delivery of training program across organization for Risk Adjustment
- Assists in the designing, managing, implementation and evaluation of training programs to prepare high quality and highly competent staff for meaningful contributions in the workplace
- Provide training during New Employee Orientation and Department Orientation/Education
- Cultivated collaborative and innovative learning environment to meet each Physician's unique coding/documentation needs
- Responding to coding questions from Physicians, Clinic Staff, and Interdepartmental Colleagues
- Communicated with healthcare personnel, including practitioners to promote accuracy in HCC Coding
HCC Risk adjustment Medical Coder- Telecommute Part Time
RCM Health Information Management/Apixio
Gardena, CA
01.2022 - 04.2022
- Temporary contracted with Optum
- Conscientiously audit medical record information to identify appropriate coding based on CMS HCC categories
- Worked remote medical coding while continuing to follow HIPAA standards and regulations for patient privacy
- Performed qualitative analysis of records to ensure accuracy, internal consistency, and correlation of recorded data.
HCC Risk adjustment Medical Coder- Telecommute
The CSI companies / Optum
Jacksonville, FL
05.2017 - 12.2017
- Conscientiously audit medical record information to identify appropriate coding based on CMS HCC categories
- Worked remote medical coding while continuing to follow HIPAA standards and regulations for patient privacy
- Performed qualitative analysis of records to ensure accuracy, internal consistency, and correlation of recorded data.
HCC Risk adjustment Medical Coder- Telecommute
EMSI
Fort Worth, TX
11.2014 - 04.2017
- Conscientiously audit medical record information to identify appropriate coding based on CMS HCC categories
- Worked remote medical coding while continuing to follow HIPAA standards and regulations for patient privacy
- Performed qualitative analysis of records to ensure accuracy, internal consistency, and correlation of recorded data.
Caregiver/ Med Tech
The Gardens at Chisholm Trail Estates
Keene, TX
05.2011 - 10.2014
- Responsible for primary care at Alzheimer facility
- Administer bedside or personal care, such as ambulation or personal hygiene assistance
- Prepare and maintain records of client progress and services performed, reporting changes in client condition to manager or supervisor
- Perform housekeeping duties, such as cooking, cleaning, washing clothes or dishes, or running errands
- Perform healthcare-related tasks, such as monitoring vital signs and medication, under the direction of registered nurses or physiotherapists
- Administer prescribed oral medications, under the written direction of physician or as directed by home care nurse or aide, and ensure patients take their medicine.
Education
Medical Billing and Coding -
HILL COLLEGE
10.2014
High School Diploma -
JOSHUA HIGH SCHOOL
05.1995
Skills
- Extensive Medical terminology
- Strong clinical judgment
- Problem resolution ability
- Expertise with HEIDIS Measures and guidelines
- HCC Risk Adjustment Chart Review/Auditing
- Experienced with Word, Excel, Powerpoint, Outlook, Tableau, Salesforces, Citrix, DataRapV2 and varies EMR systems, including Athena, eCW, Nextgen, Epic and much more
- Knowledge in Clinic Administration and Clinical Work Flow
- Abstraction and Analyze Charts to provide education for documentation improvement
- Cultivate interdepartmental coordination and collaboration
- CPC registration
References
Sally Ross, WellMed Manager, Clinical Data Operations, Coding Educator Program, 817-291-5821, sross@wellmed.net
Certification
American Academy of Professional Coders (AAPC)
• Certified Professional Coder - CPC
Timeline
QC Coder II
Episource
01.2024 - Current
HCC Risk Adjustment Medical Coder- Telecommute
Weller
11.2023 - Current
HCC Risk adjustment Medical Coder- Telecommute
Judge Healthcare
11.2023 - 01.2024
HCC Risk adjustment Medical Coder- Telecommute Part Time
RCM Health Information Management/Apixio
01.2022 - 04.2022
Medical Coding Advisor/ HCC Risk Adjustment Educator
Optum/Wellmed Medicare Advantage
01.2018 - 08.2023
HCC Risk adjustment Medical Coder- Telecommute
The CSI companies / Optum
05.2017 - 12.2017
HCC Risk adjustment Medical Coder- Telecommute
EMSI
11.2014 - 04.2017
Caregiver/ Med Tech
The Gardens at Chisholm Trail Estates
05.2011 - 10.2014
Medical Billing and Coding -
HILL COLLEGE
High School Diploma -
JOSHUA HIGH SCHOOL
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