ANGELA GALBERTH, CPC, CANPC

**** *. **** *****

Rd

Laveen, AZ 85339

Mobile: 602-***-****

Email: acd1xs@r.postjobfree.com

QUALIFICATIONS

I am a certified professional coder and have over eight years' experience

in coding medical records, op reports, and charge tickets at various

companies throughout Arizona. I have a professional demeanor and

appearance, strong work ethic, and I am reliable, resourceful, and

enthusiastic.

EXPERIENCE

CIGNA

PHOENIX, ARIZONA

MAY 2011 TO CURRENT-HCC CODER/AUDITOR

Primary responsibilities: Perform physician chart audits, chart analysis,

and abstracting pertinent information from records for accuracy of HCC ICD-

9-CM codes for three centers with minimum supervisory oversight. I monitor

accuracy of physician documentation and coding for compliance. I assist

with the continuous quality improvement process to identify coding training

needs and assure timeliness of encounter completion. Responsible in the

communication and training to physicians and medical staff on the

importance of documentation and coding accuracy. Also, identify

inefficiencies in physician billing to enhance encounter capture. Research

and help with denials for both diagnosis and procedures.

Currently in AHIMA training for ICD-10-CM.

SECUREDOCIMAGING

SCOTTSDALE, ARIZONA

JUNE 2010 TO MAY 2011 -CODING AUDITOR

Primary responsibilities: Remote coder, second reviewer of HCC coding for

Medicare Risk Adjustments. HCC coding involves abstracting ICD-9 codes

from PCP, hospital, and specialist medical records.

HUMANA

PHOENIX, ARIZONA

JUNE 2009 TO MAY 2010 -MEDICAL REVIEW ANALYST/CODER

Primary responsibilities: Identified, collect, assess, monitor and document

claims and encounter coding information as it pertains to Clinical

Condition Categories. Verify and ensure the accuracy, completeness,

specificity and appropriateness of diagnosis codes based on services

rendered. Review medical record information to identify all appropriate

coding based on CMS HCC categories. Complete appropriate

paperwork/documentation/system entry regarding claim/encounter information.

Demonstrate analytical and problem-solving ability regarding barriers to

receiving and validating accurate HCC information. Support and participate

in process and quality improvement initiatives.

PHOENIX HEART

GLENDALE, ARIZONA

NOVEMBER 2008 TO JUNE 2009 - CARDIOVASCULAR CODER

Primary Responsibilities: Abstracting the diagnosis and procedure codes

from the medical records and op reports. I conducted the coding for in-

patient, out-patient, office and emergency room department evaluation and

management services. Other responsibilities include researching coding

problems, identifying techniques, and assisting Accounts Receivables with

past denials.

ARIZONA ANESTHESIA CONSULTANTS

GLENDALE, ARIZONA

APRIL 2005 TO JULY 2008 - ANESTHESIA/PAIN MANAGEMENT CODER

Primary Responsibilities: Identified, collected, assessed, and monitored

document claims and research coding information as it pertains to

anesthesia. Other duties included verifying and ensuring the accuracy,

completeness, and specificity and appropriateness of diagnosis and

procedure codes, based on services rendered; reviewing medical record

information to identify all appropriate coding; and supporting and

participating in process and quality improvement initiatives.

VALLE DEL SOL, INC

PHOENIX, ARIZONA

FEBRUARY 2003 TO MARCH 2005 - BILLING SPECIALIST

Primary Responsibilities: Account receivables, which included billing and

reconciling client services to contractors and payers. Other duties

included manual and electronic billing, working with ICD-9 and CPT coding,

researching and correcting denied claims, keeping aging report current,

posting payments, creating and filing folders and documents, and receiving

incoming and making outbound calls to doctors and insurance companies.

DEIS SOURCE CORPORATION

PHOENIX, ARIZONA

DECEMBER 2001 to JUNE 2002 - MEDICAL KEYER

Primary Responsibilities: Home base medical keying, working with ICD-9 and

CPT coding and inputting patient and insurance information.

EDUCATION.

January 2014:In AHIMA training for ICD-10-CM

July 2008: American Academy of Professional Coders, Specialty Certified

Anesthesia & Pain

Coder - Phoenix, Arizona.

May 2007: American Academy of Professional Coders, Certified Professional

Coder -

Phoenix, Arizona.

July 2003: Lamson College (Dean's List), Medical Billing Certificate -

Tempe, Arizona.

May 1997: Camelback High School, Diploma (Honor's Graduate) - Phoenix,

Arizona.

SKILLS

Medical Billing Forms: HCFA 1500, UB92 and ADA.

Coding: ICD-9, CPT-4, and HCPCS.

Software: Medisoft, Microsoft Office, Inergy, 3M and Centricity.

Insurance: Knowledge of Medicare/Medicaid Insurance and HMOs and PPOs.

Medical Law & Ethics, and Medical Records: Medical and Dental Terminology.

Front Office: Data Entry, Payroll Procedures, Account Receivables, and

Account Payables.

AFFILIATIONS

Grand Canyon Coders, Phoenix, Arizona

Mentoring All Americans for Leadership (MAAFL), Phoenix, Arizona

REFERENCES

Available upon request

Contact this candidate