Vanessa Ocasio
Colorado Springs,CO
Summary
Respectful Medical Records Specialist with superior attention to detail and skill in evaluating and correcting health records. Go-getter with expertise scanning and indexing medical records to appropriate chart. Excellent work ethic and exemplary time management skills, demonstrated over 6 years of industry expertise.
Overview
5
5
years of professional experience
Work History
Medical Records Technician Remote Contract Coder-Outpatient
RM Coding Solutions
2018.04 - 2020.09
- Remotely code outpatient services for the Department of Veteran Affairs
- Services include Evaluation and Management, Laboratory, Pathology, Cytopathology, Microbiology, Radiology, Prosthetics (DME), Mental Health, Physical Therapy, Behavioral Health, Podiatry, Ophthalmology, Chemotherapy, and Audiology, along with other various outpatient services
- Maintain a 95% or above coding accuracy on audits
- Adhere to Veterans Health Administration (VHA) standards and guidelines, as well as ICD-10-CM, CPT and HCPCS guidelines
- Comply with remote coding agreement and met turnaround times weekly
- Code Prosthetics weekly
- Coded Outpatient Surgeries, to include Anesthesia and Surgical Pathology.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Reviewed charts and flagged incomplete or inaccurate information.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
Medical Records Technician Coder GS-7- Surgery/Outpatient
South Texas Veterans Health Care System
2016.04 - 2020.05
- Review patient medical records to accurately input the most applicable procedure and diagnosis codes into the coding software systems for various medical services
- Proficient in computer applications and encoder systems, to include Nuance and Vista
- Adhere to Veterans Health Administration (VHA) standards and guidelines, as well as ICD-10-CM, CPT and HCPCS guidelines, when coding medical records
- Coding a minimum of 30 surgeries daily, to include General Surgery, Gastroenterology, Urology, Orthopedics, Podiatry, Thoracic, Otolaryngology (ENT), Neurology, Gynecology, Plastic and Reconstructive, Vascular, and Cardiovascular services
- Perform the duties of Outpatient services to include Evaluation and Management, Laboratory, Pathology, Cytopathology, Microbiology, Radiology, Prosthetics (DME), Mental Health, Physical Therapy, Behavioral Health, Podiatry, Ophthalmology, Chemotherapy, and Audiology, along with other various outpatient services
- Utilize the ASA crosswalk to link the surgical procedure with the appropriate anesthesia code and appropriate anesthesia modifiers for the Anesthesiologist, Resident Anesthesiologist, and Certified Registered Nurse Anesthetists (CRNA)
- Code the Surgical Pathology
- Maintain a 95% or above coding accuracy on audit
- Ensure healthcare providers meet specific documentation requirements that are essential, through physician queries
- Trained incoming surgery coder on the coding application as well as on the guidelines of surgery and anesthesia.
- Processed medical records requests from outside providers according to facility, state, and federal law.
Medical Records Technician Remote Contract Coder-Outpatient
Healthcare Resolution Services
2017.04 - 2017.06
- Remotely coded outpatient services for the Department of Veteran Affairs Atlanta South Carolina
- Services included were Evaluation and Management, Laboratory, Pathology, Cytopathology, Microbiology, Radiology, Prosthetics (DME), Mental Health, Physical Therapy, Behavioral Health, Podiatry, Ophthalmology, Chemotherapy, and Audiology, along with other various outpatient services
- Maintained a 95% or above coding accuracy on audits
- Adhered to Veterans Health Administration (VHA) standards and guidelines, as well as ICD-10-CM, CPT and HCPCS guidelines
- Complied with remote coding agreement and met turnaround times weekly.
Medical Billing and Coding Specialist
DML Medical Billing- Texas Bariatrics
2015.08 - 2016.03
- Applied knowledge of medical terminology, human anatomy/physiology, and disease processes to accurately assign codes (ICD9, ICD10, CPT, and HCPCS) from the interpreted data in the patient’s electronic medical
- Utilized the medical practice management software to capture patient demographics, maintain lists of insurance payers, perform billing tasks, and generate reports
- Made independent judgement in selection of codes, based on medical documentation and coding guidelines for procedures performed
- Coded Evaluation and Management, Bariatric Surgery, Anesthesia, as well as ancillary services
- Worked directly with the insurance company, healthcare provider, and patient to accurately complete medical claim
- Consulted with physician on clarification of notes that were conflicting or unclear
- Created patient files to manage proper accountability of all medical claims
- Produced excel spreadsheets to track payer payments and average reimbursement amounts
- Followed up, reviewed, and corrected claims, ensuring payment was received.
Medical Billing and Coding Externship
DML Medical Billing- Texas Bariatrics
2015.07 - 2015.08
- Assisted in coding and billing for patient accounts for over 80 patients
- Provided data entry of patient information, demographics, diagnosis and procedure codes in the billing software program
- Confirmed ICD-9, CPT, and HCPCS codes using the coding handbooks, to check for accuracy
- Verified patient status with insurance company
- Identified unpaid accounts and assisted in follow-up.
Education
Certified Professional Coder Certificate - Medical Insurance Coding
American Academy of Professional Coders
08.2016
Medical Billing And Coding Certificate - Medical Billing And Coding
Southern Careers Institute
San Antonio, TX08.2015
High School Diploma -
Raton High School
Raton, NM05.2006
Skills
- Strong knowledge of CPT procedures, HCPCS, ICD-10-CM diagnosis codes, medical terminology, anatomy and physiology, and disease processes
- Ability to understand the content of the medical record to accurately abstract appropriate information for coding
- Adaptable
- Effective time management
- Medical Terminology
- Medical Terminology Understanding
- EMR / EHR
- Data Security
- Medical Office Administration
Timeline
Medical Records Technician Remote Contract Coder-Outpatient
RM Coding Solutions
2018.04 - 2020.09
Medical Records Technician Remote Contract Coder-Outpatient
Healthcare Resolution Services
2017.04 - 2017.06
Medical Records Technician Coder GS-7- Surgery/Outpatient
South Texas Veterans Health Care System
2016.04 - 2020.05
Medical Billing and Coding Specialist
DML Medical Billing- Texas Bariatrics
2015.08 - 2016.03
Medical Billing and Coding Externship
DML Medical Billing- Texas Bariatrics
2015.07 - 2015.08
Certified Professional Coder Certificate - Medical Insurance Coding
American Academy of Professional Coders
Medical Billing And Coding Certificate - Medical Billing And Coding
Southern Careers Institute
High School Diploma -
Raton High School
Similar Profiles
Renjini JohnRenjini John
Senior Project Lead at RM India (RM Education Solutions India Pvt. Ltd)Senior Project Lead at RM India (RM Education Solutions India Pvt. Ltd)
Priya M PremanPriya M Preman
Customer Relationship Manager at RM Education SolutionsCustomer Relationship Manager at RM Education Solutions
JENNIFER McKNIGHTJENNIFER McKNIGHT
AAPC Approved Instructor-CPC Prep Course at Carolina Coding Solutions LLCAAPC Approved Instructor-CPC Prep Course at Carolina Coding Solutions LLC