VALERIE DELGADO-AGUEBOR

• Conduct audits of medical records, claims, and coding practices to ensure compliance with coding guidelines, regulations, and payer requirements
• Review and analyze coded data to identify coding errors, discrepancies, and areas for improvement
• Provide feedback and education to coding staff and healthcare providers on correct coding principles, documentation requirements, and coding guidelines
• Collaborate with compliance officers, billing managers, and clinical staff to address coding issues and implement corrective actions as needed
• Analyzed medical charts for completeness and codes diseases and operations for abstracts
• Audited records to ensure proper submission of services prior to billing on pre-determined selected charges.

• Assigned diagnostic and procedural codes to patient encounters using ICD-10-CM, ICD-10-PCS coding systems
• Reviewed medical records and documentation to ensure accuracy, completeness, and compliance with coding guidelines and regulations
• Resolved coding-related denials and inquiries from payers, including providing additional documentation and appealing denied claims
• Participated in coding quality improvement initiatives, including coding accuracy reviews and ongoing education sessions for coding staff
• Stayed updated on changes to coding guidelines, regulations, and industry trends through continuing education and professional development activities

Participates in departmental and hospital programs for quality assessment and improvement and works with department management to improve services provided.

• Assigned diagnostic and procedural codes to patient encounters using ICD-10-CM, ICD-10-PCS coding systems
• Analyze and interpret medical records to ensure accuracy and completeness
• Review Inpatient charts for compliance with legal and regulatory requirements
• Maintain confidentiality of patient information and adhere to HIPAA guidelines
• Collaborate with healthcare providers to clarify documentation and resolve discrepancies
• Utilize electronic health record systems to input and retrieve patient data.

• Responsible for accurate coding and abstracting of clinical information from medical records
• Accurately assign ICD-10-CM and sequence diagnosis and procedures per patient medical record
• Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
• Attending webinars that conduct training, in-service and other education regarding diagnosis, procedure code assignment, regulatory requirements, for compliance and data quality
• Provides weekly reports to colleague and Manager of Coding Department
• Works hand-in-hand with cross-functional department managers and supervisors to meet company goals and objectives
• Establishes personal growth goals on an annual basis including training opportunities for self-improvement.

• Centura Hospital, Colorado Springs, Colorado
• Miriam Hospital, Providence, Rhode Island
• Parkland Hospital, Dallas, Texas
• University Hospital, Newark, New Jersey
• Phoebe Medical Facility, Albany, GA
• Peach Health Hospital, WA
• Mt Sinai Hospital, NY (Teaching Facility)
• Long Island Jewish Hospital (Teaching Facility)
• Beth Israel Medical Center, NY (Teaching Facility)
• Long Island College Hospital, NY (teaching Facility)
• Froedtert Healthcare, WI (Level I Trauma and Teaching Facility)
• Southern New Hampshire Medical Center, NH
• The Hospital of Central Connecticut, CT (Teaching Facility)
• Berkshire Medical Center, MA Level I trauma and teaching
• Mary Greely Medical Center, IA
• Oswego Hospital, NY
• Scott and White Memorial Hospital, TX (teaching facility)
• Community Medical Center, PA
• St Mary's Hospital, Grand Rapid, MI
• St Catherine's of Sienna, NY (Teaching Facility)
• Falmouth Hospital, MA
• Cape Cod Health Care, CC
• University of Michigan, Ann Arbor, MI.