Certified Professional Coder with three years of medical assisting experience in family medicine and one year in Medical Coding. Expert with EHR system and skilled at learning new processes to meet job requirements. Motivated with a strong work ethic and determination to complete tasks in a timely manner and a team player with a positive attitude.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Coder - Risk Adjustment /HCC Coder
Optum
07.2023 - 01.2024
Reviewed and accurately coded medical records and encounters for diagnoses related to Risk Adjustment and HCC coding guidelines.
Validated and ensured the completeness, accuracy, and integrity of coded data.
Stayed up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
Participated in coding education and training programs to enhance coding skills and knowledge.
Maintained high accuracy rate and CPI on daily production of completed reviews.
Credentialing Specialist
Sunbelt Staffing LLC
Oldsmar, FL
09.2022 - 06.2023
Ensuring that travel healthcare workers are credentialed prior to their assignment start dates.
Establish and maintain electronic credential files for travel nurses and nurse practitioners, Sterile Processing Techs and administrative positions.
Complete the data gathering process within established guidelines for turnaround time, accuracy, and in accordance with external requirements (federal, state, and Joint Commission).
Ensure that credentialing data base is updated and current every 30 days.
Performed primary source verifications such as criminal histories, licenses and board certifications.
CERTIFIED MEDICAL ASSISTANT
Mercy Women's Health Center
Mason City, Iowa , United States
09.2018 - 05.2021
Providing clinical and administrative support
Supporting doctors and patients through variety of tasks related to patient care management
Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
Using electronic health records
Arranging for hospital admissions and laboratory services
Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
Referring patients to specialty doctors as needed by faxing referral forms that include appropriate ICD-10-CM diagnosis codes
Obtaining prior authorizations from various insurance companies for medical services by providing appropriate ICD-10-CM codes and CPT codes
Completed clinical procedures and gathered patient data for interpretation by physician.
Obtained client medical history, medication information, symptoms and allergies.
Giving out medications to patients as requested by physicians such as vitamin B12, Prolia, vaccines, contraceptive injections and assigning their HCPCS codes to appropriate ICD-10-CM codes
Called and faxed pharmacies to submit prescriptions and refills.
Submitting detailed electronic claim forms that outline services patients receive in clinic such as pap smears, ECGS, vision screening, contraceptive implants, joint injections and continence services
Assigning correct CPT codes for in-house laboratory testing
Assigning correct CPT codes for outpatient radiological services
Documenting ICD-10-CM diagnoses dictated by physicians accurately in medical records and maintain patient confidentiality
Working with supervising physicians to complete and submit medical records