MARIA KATRINA MAE PATIŇO SALVADOR, RN, CPC

Mobile No.: 093*-****-***

Email: acvyai@r.postjobfree.com

Address: ***-* **** **. ********, Manila

PROFILE

Logical, analytical and experienced professional coder in the field of medicine for medical claims, health insurance and meets tight deadlines.

WORK EXPERIENCED

OMEGA HEALTHCARE MANAGEMENT SERVICES INC -August 10, 2015 to Present

Inpatient Medical Coder

Assigns diagnostic and procedural codes to patient records using ICD 10 CM, PCS and any other designated coding classification system in accordance with UHDDS coding guidelines

Select the DRG for each inpatient care

Verifies and abstracts all medical data from the record to complete a data abstract on hospital encounters and ensure that all data are consistent with guidelines outlined by CMS and other regional and local policy

Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedure

Assign present on admission (POA) value for inpatient diagnoses

Maintain or exceed established coding accuracy and productivity standards while meeting department goals

Initiates physician queries for clarification of diagnosis and additional documentation if needed

Evaluate assigned coding work queue and work collaboratively with team members to resolve accounts with the expected resolution timeframe

EQUICOM INFORMATION TECHNOLOGY INC. (EITI) –December 27, 20 to August 8, 2015

Quality Assurance Specialist – Team Leader (June7, 2013 to August 10, 2015)

Responsible for ensuring the team is effectively performing and meeting the required quota

Provides appropriate training to develop and maintain a high performance team that meet unit objectives.

Sets challenging work goals and high standards for the team; continually evaluates team’s performance targets, striving to exceed expectations.

Ensure team members are approximately managing claims and utilizing the appropriate resources.

Leads team in identifying and resolving customer issues.

Conducts regular meeting with team members utilizing monthly performance results.

Provide team status report to management.

Quality Assurance Specialist (February 25, 2013 to June 6, 2013)

Ensure to utilize claim oversight and continuous coaching to create learning environment that can effectively execute work processes and drive ongoing improvement of claim quality.

Receives escalated customer concerns, identifying and resolving customer issues, validating processed claim as well as adjusting claims escalated by customers.

Medical Document Specialist (December 27, 2011 to February 24, 2013)

(Work experienced as a Medical Document Specialist was acknowledge by AAPC as equivalent to 1 year Outpatient Coding experience. This was used to remove my Apprentice)

Utilize and interpret medical terminologies, anatomy and physiology to review the documents accurately.

Define diagnostic treatments and procedure for proper application of health benefits of the member or patient.

Evaluate the medical documents to verify the medical necessity of the procedure done and whether the insurance policy covers the procedure.

Translating the diagnosis of the member or patient into alphanumeric data using ICD 10 CM.

Encode the diagnostic & therapeutic procedure rendered to the member or patient by using correct CPT.

Process medical documents within validity period for timely reimbursement.

Assess medical documents to ensure that correct data was entered (eg. Name of Physician, Provider Name, Availment or Date of consultation )

Evaluate overall medical record, raise query & pend if necessary.

EDUCATIONAL BACKGROUND

Registered Nurse (RN) – September 2011 to Present

Tertiary: Bachelor of Science in Nursing

Mary Chiles College – Sampaloc Manila

2007 - 2011

AWARDS / RECOGNITIONS

Certificate of Excellence

June 20, 2012

Certificate of Excellence

February 2016

SEMINARS/TRAININGS

“2015 Physician Coding for CPC Certification”

35th Floor Robinsons Equitable Tower ADB Avenue, Pasig City

January to May 2015

“ISO 9001: 2008 Internal Quality Audit”

CIBI Information Center, Zapote corner Mascardo Street Makati City

February 2014

“ISO 9001: 2008 Appreciation Seminar”

CIBI Information Center, Zapote corner Mascardo Street Makati City

February 2014

“Basic and Advance Supervisory Course”

CIBI Information Center, Zapote corner Mascardo Street Makati City

November 2013

“Basic Leadership Training”

Manila Chapter, Intramuros

November, 2010

“Leadership Formation Course”

Manila Chapter, Intramuros

November, 2010

“Youth Volunteer Orientation Course”

Manila Chapter, Intramuros

November, 2010

PERSONAL DATA

Age: 25 Civil Status: Single

Gender: Female Height: 5’1”

Date of Birth: October 30, 1990 Weight: 52 kg

Character references are available upon request.

I hereby certify that the above information are true and correct to the best of my knowledge and belief.

Ms. Maria Katrina Mae P. Salvador

Applicant’s Signature

Contact this candidate