Quality Assurance Customer Service
Resume:
Roberto Basa
Email: ********@**********.***
Address:
City: Culver City
State: CA
Zip: 90230
Country: USA
Phone: 818-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
CCS Certified Medical Coder with years experience in HCC Compliance Auditing & Coding, hospital outpatient coding, Data Validation, HEDIS, and various special projects. Desire a position as a compliance auditor, hcc coder outpatient/inpatient. Available for remote or on site.
Educational Background:
High School Dipolma from HSJ Medical Coding School, Glendale CA 1/2001 to 8/2007 (Medical Coding)
High School Dipolma from University of Santo Tomas, Glendale CA 1/2001 to 9/2012
Job History / Details:
Professional Summary
CCS Certified Medical Coder with years experience in HCC Compliance Auditing & Coding, hospital outpatient coding, Data Validation, HEDIS, and various special projects. Desire a position as a compliance auditor, hcc coder outpatient/inpatient. Available for remote or on site.
Licenses
Certified Coding Specialist
Skill Highlights
Lead Coder - currently supervising a team of coders
Compliance Auditing
Handles training & education for new projects
Implements project-specific coding guidelines
ICD-9 Coding with high accuracy and completeness
HEDIS
Data Validation
Quality assessment of coded data
HIPAA compliance
Strong planning skills
Technical expertise
Strong work ethic
Leadership skills
Strong attention to detail
Multi-tasking
Customer service
Excellent verbal communication
Maintains strict confidentiality
Professional Experience
August 2010 to Current
Altegra Health, Inc. formerly The Coding Source Los Angeles, CA
Lead Coder / Compliance Auditor / Chart Audit and Coding Group Risk Adjustment Division
Project Management
Responsible for supervising 13 coders in my team.
Quality Assurance Specialist
Project specific coding guidelines Implementation
Handles training and education for various project.
Maintains 95 percentage and up Accuracy and Completeness for the team
Coded charts at a rate of per hour or
Assigned appropriate medical codes with high accuracy and completeness rate
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
April 2007 to June 2010
California A-plus Coders Northridge, CA
HCC Medical Coding and Auditing
Hcc coding and Auditing
Quality Assurance Specialist
HEDIS
Outpatient, ER coding
Education and Training
HSJ Medical Coding School Glendale, CA
CCS - Certified Coding Specialist Medical Coding
University of Santo Tomas Manila,
Business Administration and Accounting
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