Reena Shah
Advantmed
Laguna Niguel,CA
2
Languages
1
Certification
24
years of professional experience
Certified Professional Coder (CPC) and Medical Laboratory Scientist with over two years of specialized experience in risk adjustment (HCC), ICD-10-CM, CPT, and HCPCS coding. Expertise in reviewing and abstracting complex medical records while ensuring compliance with CMS, federal, and state regulations to support quality reporting initiatives. Strong background in clinical documentation, medical terminology, and maintaining data accuracy in both remote and high-volume coding environments. Committed to enhancing operational efficiency and improving patient outcomes through meticulous coding practices.
Work History
CERTIFIED HCC PROCEDURAL CODER
1 Year 10 Months- Abstracted medical records to assign ICD-10-CM codes for HCC risk adjustment, enhancing accuracy in patient risk profile assessment
- Ensured adherence to CMS, federal, and state coding guidelines to maintain regulatory compliance and mitigate audit risks
- Ensured compliance with CMS, federal, and state coding guidelines
- Achieved high productivity and accuracy in remote coding environment, contributing to timely processing of medical claims
- Supported audit readiness and quality assurance initiatives
- Worked in a remote coding environment
CERTIFIED PROCEDURAL CODER
8 Months- Coded 200+ anesthesia charts daily using ICD-10-CM and CPT codes to support accurate billing
- Interpreted physician documentation for precise and compliant coding, minimizing claim denials
- Processed high-volume charts using AS400 and OnBase systems to maintain workflow efficiency
- Ensured adherence to payer and regulatory billing guidelines
LABORATORY TECHNOLOGIST I (CHEMISTRY)
8 Months- Processed samples for analysis, ensuring timely and accurate results
- Conducted routine tests, calibration, and quality control on laboratory equipment to maintain precision and reliability
- Collaborated with laboratory staff to optimize workflow and support consistent operational standards
LABORATORY TECHNOLOGIST I (CHEMISTRY)
1 Year 3 Months- Calibrated instruments and performed quality control procedures to maintain accuracy in laboratory analyses
- Processed and analyzed multiple sample types, troubleshooting issues to ensure reliable results
- Collaborated with colleagues to streamline workflow and enhance laboratory operations
INSTRUCTOR (INTERIM) – CHEMISTRY
- Delivered complex scientific concepts through structured instruction, hands-on learning and facilitated group discussions
- Delivered complex scientific concepts through structured instruction and hands-on learning, enhancing student understanding through facilitated group discussions
- Provided actionable feedback and monitored student progress, adjusting instruction to effectively address learning gaps
LABORATORY ASSISTANT – CLIENT RESPONSE
1 Year- Prepared, labeled, stored, and transferred clinical specimens for testing, serving as a liaison between patient-care units and the laboratory
- Prepared, labeled, stored, and transferred clinical specimens for testing, facilitating communication between patient-care units and laboratory
- Tracked specimens using laboratory software to maintain data accuracy, confidentiality, and regulatory compliance
Education
Certification, CPC
BSc - Medical Laboratory Science
Skills
ICD-10-CM Coding
CPT and HCPCS coding
EMR/EHR SystemsCoding
Procedural Coding
Coding compliance
Coding Software Applications
HIPAA compliance
Remote Coding Standards
Data quality assurance
Record review
Medical terminology expertise
HIPAA compliance
Microsoft Office (Word
Excel)
Time management
Microsoft Office (Word
Excel)
Certification
AAPC: CPC ID: #01487488, ASCP License ID: #205072
Personal Information
Title: Certified Procedural Coder, CPC and Clinical Laboratory Scientist, ASCP
Languages
English
Full Professional
Gujarati
Limited Working
Timeline
CERTIFIED HCC PROCEDURAL CODER
Advantmed
11.2019 - 09.2021Read More
CERTIFIED PROCEDURAL CODER
RC McLean and Associates
03.2018 - 11.2018Read More
LABORATORY TECHNOLOGIST I (CHEMISTRY)
Northwest Community Hospital
08.2000 - 04.2001Read More
INSTRUCTOR (INTERIM) – CHEMISTRY
Dept. of Medical Laboratory Science, University of Alberta
04.1999 - 04.1999Read More
LABORATORY TECHNOLOGIST I (CHEMISTRY)
University of Alberta Hospital
05.1998 - 08.1999Read More
LABORATORY ASSISTANT – CLIENT RESPONSE
University of Alberta Hospital
05.1997 - 05.1998Read More
University of Alberta
BSc from Medical Laboratory Science
Read More
American Academy of Professional Coders
Certification, CPC
Read More