Stefanie H. Nevarez
Riverside,Ca
Summary
Highly motivated individual with 2+ years of experience seeking a full-time Medical Coding position, bringing exceptional ability to follow established criteria in prioritizing and managing tasks; ability to work independently and collaboratively within a team setting; and excellent interpersonal and communication (verbal and written) skills to effectively perform the roles of the position that may be assigned.
Overview
2
2
years of professional experience
3
3
Certifications
Work History
Risk Adjustment Specialist I
Optum Redlands
06.2022 - Current
- Acquires medical record documentation required for coding analysis and reviews documentation (paper & electronic) for accurate diagnosis coding
- Inputs additional supported diagnosis codes into practice management and claims system
- Maintain communication with department leadership to identify areas of deficiencies in documentation, provider participation, and member encounters.
- Processed 30+ medical records per day and handled other various work queues while maintaining an organized and detailed work log within Microsoft Excel.
- Skilled at working independently and collaboratively in a team environment
- Developed and maintained courteous and effective working relationships
- Managed time efficiently in order to complete all tasks within deadlines
Coding Compliance Specialist Trainee
EPIC Management, L.P
03.2021 - 06.2022
- Performed analysis of current coding practices at the individual physician, department, and organization level
- Performed prospective and retrospective audits in Healthicity auditing software.
- Assisted in committee meetings with reference to correct coding practices
- Communicated audit findings to providers as needed including providing additional coding education.
- Proven ability to learn quickly and adapt to new situations
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Gained extensive knowledge in data entry, analysis and reporting
- Demonstrated strong organizational and time management skills while managing multiple projects
Education
Medical Coding & Billing Program -
06.2020
Pre-Nursing - Pre-Nursing
05.2016
Pre-Nursing - Pre-Nursing
05.2007
Skills
- Microsoft Excel
- Microsoft Word
- EPIC EMR
- Allscripts EMR
- Medtech EMR
- 47 WPM Typing Speed
- Medical Records and Documentation
- Coding Understanding
- Excellent Communication
- Compliance Knowledge
- Regulatory Compliance and Documentation
- Auditing Processes
Certification
Certified Professional Coder (CPC) - AAPC
Valid June 2020 - Feb 2024
Certified Professional Medical Auditor (CPMA) - AAPC
Valid Feb 2023 - Feb 2024
Certified Coding Specialist (CCS) - AHIMA
Valid March 2023 – March 2025
Timeline
Risk Adjustment Specialist I - Optum Redlands
06.2022 - Current
Coding Compliance Specialist Trainee - EPIC Management, L.P
03.2021 - 06.2022
CSUSB School of Continuing Education - Medical Coding & Billing Program,
Golden West College - Pre-Nursing, Pre-Nursing
California State University San Bernardino - Pre-Nursing, Pre-Nursing
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