Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
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Sudartha Jessie CPC, CRC, CDEO

Knoxville,TN

Summary

Professional with expertise in medical coding and risk adjustment. Proven track record in analyzing and interpreting complex medical records to ensure accurate coding and compliance with regulatory standards. Strong team collaborator focused on achieving measurable results and adapting to evolving requirements. Skilled in ICD-10, CPT, and HCC coding, with keen eye for detail and commitment to maintaining high standards of accuracy and efficiency.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Risk Adjustment Coder

University Health Network
03.2022 - Current
  • Analyzed medical documentation to assign accurate diagnosis and procedure codes according to ICD-10-CM, CPT and HCPCS coding guidelines
  • Generated reports summarizing findings from reviews conducted on medical records
  • Queried providers regarding missing, unclear, or conflicting health record documentation using approved templates
  • Assisted with training new coders on proper use of ICD-10-CM, CPT and HCPCS codes
  • Collaborated with physicians, nurses, other healthcare providers and staff on coding issues
  • Conducted audits of coded medical records in order to identify errors or discrepancy
  • Resolved medical coding edits or billing item rejects in relation to code assignment
  • Interviewed and evaluated applicants' responses against established criteria such as experience, technical abilities, problem-solving capabilities, cultural fit
  • Contributed to ongoing process improvements within the department by identifying inefficiencies or inconsistencies in current workflows and suggesting practical solutions.

Hospital Medicine E/M Coder

Team Health
12.2020 - 03.2022
  • Reviewed medical records to assign codes according to classification systems
  • Used ICD-10-CM and CPT coding to complete records
  • Interpreted clinical documentation from providers for accurate assignment of diagnosis codes
  • Reviewed records for completeness, accuracy and compliance with regulations
  • Protected security of medical records to ensure that confidentiality was maintained

Education

Certification - HIM Program

Roane State Community College
Oak Ridge, TN
05.2020

Skills

  • HCC Coding Proficiency
  • Microsoft Office Suite
  • Leadership Qualities
  • Training and Mentoring Abilities
  • Medical Record Auditing
  • Continuous Learning Attitude
  • Self-motivation and discipline
  • Process improvement strategies

Certification

  • Certified Professional Coder
  • Certified Risk Coder
  • Certified Documentation Expert Outpatient

References

  • Natalie Galvin, University Health Network, CPC, CRC Coder II Team Lead, Co-Worker, (865) 964-6198, ngalvin@utmck.edu
  • Mandy Grubb, University Health Network, CPC, CRC Risk Adjustment Coder, Co-Worker, (865) 386-1971, mandygrubb@gmail.com
  • Allyson Graves, University Of Tennessee, Assistant Director Of Sponsored Programs, Past Co-worker, Past Client, (865) 591-0599, agrave14@utk.edu

Timeline

Risk Adjustment Coder

University Health Network
03.2022 - Current

Hospital Medicine E/M Coder

Team Health
12.2020 - 03.2022

Certification - HIM Program

Roane State Community College
Sudartha Jessie CPC, CRC, CDEO