Hi, I’m
Tracy Perez
Tacoma,WA
Summary
Certified Professional Coder with a bachelor’s degree in Health Services Administration; dedicated professional with proven leadership skills along with over 25 years of professional coding experience seeking a challenging and rewarding opportunity to work within a successful organization.
Overview
27
years of professional experience
1
Certification
Work History
USFHP at Pacific Medical Centers
Interim Director of Operations
02.2024 - Current
Job overview
- Responsible for the daily health plan operations.
USFHP at Pacific Medical Centers
Manager Claims, Coding and Compliance
01.2021 - Current
Job overview
- Manages coordination of all work, quality improvement activities, projects, objectives, and staffing of the claims, coding, and integrity and compliance departments.
USFHP at PacMed-WA
Senior Coding Specialist
01.2020 - 01.2021
Job overview
- Provide education to contracted physicians/facilities, coding and PacMed CBS staff
- Validate reimbursement to third parties for service through accurate CPT and ICD-10 coding; and ensures appropriate medical record documentation supports billed charges.
Attest Health Care Advisors
Senior Coding Consultant – HHS RADV
01.2015 - 01.2020
Job overview
- Review, interpret and apply updates from HHS RADV protocols and attend standing REGTAP meetings as the IVA
- Develop policy and procedures for HHS RADV audit.
Humana Inc.
Medicare Risk Adjustment Market Manager
01.2008 - 01.2014
Job overview
- Remotely Managed a team of HCC coders, educators, record retrieval staff and administration support staff.
University Nevada School of Medicine
Certified Professional Coder/Auditor
01.2007 - 01.2008
Job overview
- Reviewed medical records coding CPT and ICD 9-CM codes as per documentation utilizing NCI edits and payer guidelines for professional claims in multispecialty such as family practice, pediatrics, ENT, gastroenterology, trauma, plastics, general surgery, Ob-gyn, E&Ms and other specialties as requested.
Medical Management Systems of Michigan
Certified Professional Coder/Biller
01.2004 - 01.2007
Job overview
- Perform chart reviews assigning appropriate CPT and ICD 9-CM codes for anesthesia, pain management, otolaryngology, and ob-gyn providers
University of Michigan Medical Center
Health Record Analyst
01.1997 - 01.2004
Job overview
- Abstract Coder performing chart reviews for anesthesia and pain management, E&Ms, critical care and ventilator management
Education
American Academy of Professional Coders (AAPC)
Certified Professional Compliance Officer
01.2022
American Academy of Professional Coders (AAPC)
Certified Professional Medical Auditor (CPMA)
01.2020
Baker College
Bachelor’s Degree from Health Services Administration
01.2013
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC)
01.2000
Baker College
Associates Applied Science from Medical Insurance Specialist
01.1998
Skills
- Over 25 years coding/auditing experience
- Experience in ACA-HHS Commercial RADV and Medicare Risk Adjustment/HCC Coding, Integrity Auditing, Provider Education
- Management/leadership experience
- 5 Years HEDIS audit experience
- Medicare Advantage and Tricare Health Plan experience
- Development of Policies and Procedures targeting Process Improvement
- Perform and monitor quality reviews and productivity expectations
- Implement and review Business Associate Agreements
- Experience with Microsoft Office: Word, Excel and PowerPoint
- Experience using Encoder Pro and 3M
- Regulatory Compliance
Certification
- Certified Coding Professional
- Certified Professional Coder
- Certified Professional Medical Auditor
- Certified Professional Compliance Officer
Timeline
Interim Director of Operations
USFHP at Pacific Medical Centers
02.2024 - Current
Manager Claims, Coding and Compliance
USFHP at Pacific Medical Centers
01.2021 - Current
Senior Coding Specialist
USFHP at PacMed-WA
01.2020 - 01.2021
Senior Coding Consultant – HHS RADV
Attest Health Care Advisors
01.2015 - 01.2020
Medicare Risk Adjustment Market Manager
Humana Inc.
01.2008 - 01.2014
Certified Professional Coder/Auditor
University Nevada School of Medicine
01.2007 - 01.2008
Certified Professional Coder/Biller
Medical Management Systems of Michigan
01.2004 - 01.2007
Health Record Analyst
University of Michigan Medical Center
01.1997 - 01.2004
American Academy of Professional Coders (AAPC)
Certified Professional Compliance Officer
American Academy of Professional Coders (AAPC)
Certified Professional Medical Auditor (CPMA)
Baker College
Bachelor’s Degree from Health Services Administration
American Academy of Professional Coders (AAPC)
Certified Professional Coder (CPC)
Baker College
Associates Applied Science from Medical Insurance Specialist
Similar Profiles
Dawn LeeDawn Lee
Patient Account Representative at Pacific Medical CentersPatient Account Representative at Pacific Medical Centers
Joseph TomasJoseph Tomas
Medical Office Representative at Pacific Medical CentersMedical Office Representative at Pacific Medical Centers
Adrian SignaterAdrian Signater
Advanced Process Mapping Specialist at Humana Military/Medicaid/USFHPAdvanced Process Mapping Specialist at Humana Military/Medicaid/USFHP