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Medical Project

Location:
Fontana, CA, 92336
Posted:
July 25, 2011

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Resume:

EILEEN GARCIA JUBANE, CCS

***** ********* ***** ******* ** 92336

Cellphone no. 909-***-****

abg3ua@r.postjobfree.com

OBJECTIVE

Certified Coding Specialist with more than 4 years of coding experience in

Acute Care Hospital and Physician-based coding, seeking a position in which

I can utilize my knowledge and skills.

PROFESSIONAL EXPERIENCE

Accurate Coding Specialist Huntington Beach March 15, 2011

to present

Medical coder

(Mission Viejo Medical Center OC)

Abstracting and Coding Emergency records utilizing 3M

software ICD-9-CM, CPT, APC classification systems & Outpatient

Ancillary Coding. Use Meditech software.

Competent Coding Specialist Arcadia, CA

October 2007-February 2011

Compliance Auditor

( Kaiser Permanente Fontana/ Pasadena )

HCC Unrefresh List ( Office Visit)

. Screening & Review Medicare MRN, Physician Alert Generation, Deliver

Physician Alert, Alert pick-up, Post Review, Meet with Provider to

request Addendum based on Regional guidelines. Working with Provider

to correct Diagnosis Assignment & Documentation for obtaining

Medicare Reimbursement. Clean -up Problem List and Suppress Diagnosis

which are Error & Resolve coming from Providers recommendations. Use

3M software for ICD -9 Diagnosis and CPT Procedure. Use Epic

(Healthconnect)

Self-funding Project

. Review and audit medical records for E&M Procedure & Diagnosis

reporting, Meet with Provider to request Addendum based on Regional

guidelines and providing education on proper documentation.

Neoplasm Audit Project

. Review & Audit MRN, Meet with Provider to request Addendum for

appropriate Neoplasm Reporting. Post Review.

Evaluation & Management project

. E&M Review & Audit MRN for Family Medicine, Internal Medicine, E&M

for Specialty Department: Behavioral Health,Opthalmology,

Dermatology, OB-GYN, Orthopaedics, Plastic Surgery, General Surgery,

Preventive Medicine, Gastroenterology. HCC Concurrent, HCC

Neoplasm, Long Term Care. Utilized 3M software for ICD 9 codes and

CPT Procedure. Used Epic (Healthconnect) system.

California Coding Solutions Covina, CA

February 2007-November 2007 Medical Coder

. Abstracting and coding Emergency and Outpatient Ancillary records

utilizing ICD-9-CM, CPT, APC and classification systems.

A & E Associate

Corona, CA July 2007-December 2007

Compliance Auditor (on call)

. Charge Capture for Mini project, E & M Coding, ER coding, Acute

Hospital Medical Record Abstaction. Use 3M Software and

Healthconnect.(Epic)

Grand Terrance Healthcare Center Grand Terrace, CA

April 2007 to Sept. 2007 Medical Record Clerk/Unit

Coordinator

. Review & Audit MRN, Chart Completion from Admission to Discharge

Summary, Care plan, Audits CNA Adl, Nursing Notes, Medication sheet,

Provider HPI Notes & Progress Notes. Call provider for new Admission

for their HPI and Evaluation during stay in the facility. Order

Laboratory request. Transportation request. Review Notes Completion

for OT, ST, PT Evaluation. Chart filing, Chart assembling. ICD- 9

Coding for face sheet. Meet with provider for signing HPI, Progress

Note, Discharge Summary Notes & other Documentation.

Reche Canyon Rehab Center Colton, CA

June 2004-February 2007

Medical Record Clerk/Supervisor Assistant

. Review & Audit MRN Chart, Chart Completion from Admission to

Discharge Summary. Audit CNA ADL, Careplan, Social Services Notes,

Nursing Notes, Medication sheet, Activities, Dietary, Serve for

Medicare/Medical Disability Request, Court Request, Printing Notes,

Assembling, Lab Reports . Meet with Provider for Signing HPI, Progress

Notes, Discharge Summary.

EDUCATION

. Bachelor of Science in Commerce major in Business Administration

(March 1988)

. St. Theresa's C ollege, Don Ramon Aboitiz St. Cebu City Philippines

. San Bernardino Valley College, 701 Mt. Vernon Ave. San Bernardino CA

92411(Sept 2005 to Mar. 2006)

. Medical Terminology, Anatomy&Physiology, Pharmacology, Health Record

Science, Basic Computer

Loma Linda University(June 2006 to Mar. 2007)

. Tri-County Allied Health School, AE Associate,LLC 1390 West St. Corona

Ca 92882 ( Nov. 2006 to June 2007). Taking Medical Record Coding.

Credentials: Certified Coding Specialist by Ahima

Skills: Ms Office ( Word, Excel, Access

Reference : Upon Request



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