Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Uche Obute

Houston

Summary

Experienced and certified Medical Coding and Billing Specialist with a 7-year track record in payer and provider settings. Proficient in ICD-10-CM, CPT, HCPCS, and HCC coding, specializing in Medicare Advantage, commercial insurance, and hospital billing. Skilled in managing high-volume claims processing, minimizing denials, and upholding strict adherence to healthcare regulations. Acknowledged for precision, meticulousness, and self-sufficiency in work approach.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Medical Billing and Coding Specialist

Humana Inc.
02.2020 - Current
  • - Assign accurate ICD-10 and HCC codes to patient charts for Medicare Advantage risk adjustment.
  • - Ensure coding compliance through detailed reviews of medical records and provider documentation.
  • - Consistently maintain a 98%+ accuracy rate in audits.
  • - Participate in team calls and coder QA programs.
  • Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
  • Assisted in training new staff on medical record processing and filing procedures.
  • Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
  • Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.

Medical Billing and Coding Specialist

WellStar Health System
01.2017 - 01.2020
  • - Coded and billed outpatient visits, diagnostic testing, and surgical procedures.
  • - Conducted charge entry, reconciled denials, and managed claim follow-ups.
  • - Reduced claim denial rate by 23%.
  • - Used EPIC and Athenahealth platforms for billing workflows.
  • Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Education

Bachelor of Science - Microbiology

University of Nigeria
Nsukka
05-1998

Skills

  • - ICD-10-CM, CPT, HCPCS, HCC Coding
  • - EPIC, Athenahealth, Cerner, AdvancedMD, Medisoft
  • - Availity, Novitas, TMHP, Medicare/Medicaid Portals
  • - Microsoft Excel, Outlook, Adobe Acrobat
  • - Remote Tools: VPN, Secure EHR Access, Zoom, Teams

Certification

  • - Certified Professional Coder (CPC) - AAPC
  • - Certified Billing and Coding Specialist (CBCS) - NHA
  • - HIPAA Compliance Certification
  • - HCC Risk Adjustment Coding Certificate
  • - Texas Medicaid Claims Compliance Training

Timeline

Medical Billing and Coding Specialist

Humana Inc.
02.2020 - Current

Medical Billing and Coding Specialist

WellStar Health System
01.2017 - 01.2020

Bachelor of Science - Microbiology

University of Nigeria

Similar Profiles

CREATE PROFILE