Certified Coding Specialist
Resume:
GLENN ADONIS M RICO
MsF, BsFPE, Certified Coding Specialist (AHIMA)
Email: ***************@*****.***, 213-***-****
WORK EXPERIENCE
CALIFORNIA CODING SPECIALISTS 06//2015 – 06/2017
*** * *******a Avenue, Suite 573, Covina, CA, 91723
626-***-****, Manny Santiago, MD, CIRCC, CCS
KEY DUTIES AND RESPONSIBILITIES
Accurately codes multispecialty treatments, diagnoses and procedures abstracted and verified from patients’ electronic medical health record based on ICD9/10 CM and HCPCS Guidelines for Coding and Reporting for inpatient encounters and CPT codes for outpatient setting and ancillary services to obtain accurate reimbursement for healthcare claims.
Abstracts, assigns and sequences codes for diagnoses, treatments and procedures in accordance with appropriate classification system for all encounters and services based on documentation utilizing 3M Coding and Reimbursement System
Reviews physician notes to ensure an accurate and error-free complete report and are duly signed
Reviews medical charts to obtain comorbidities and complications information for risk adjustment use and accurate reimbursement claims
Assigns present on admission (POA) value for inpatient diagnoses
Verifies attending physicians and dispositions as well as operating physician’s Citrix Database used for central access to applications, 3M HDM Data Entry used for coding, abstracting and documenting and Centricity for additional abstracting/data entry.
Reviews and compares CDS DRG/APR-DRG’s for matching, queries, changes or comments made thru CDI DRG Monitor
Strictly observes confidentiality policies and procedures on patient information
SKILLS
Certified Coding Specialist (AHIMA Credential), HCC Coding
Proficient in WORD, EXCEL, Power-point, 3M Coding Software
Trauma Level 1 & 2 coding, Inpatient, Outpatient, Same Day surgery, E&M, ED, Labs, Radiology and Ancillary Services. Analytical Problem Solving skills. Experienced in coding Surgical Procedures, Physician Services and Medical Procedures including appropriate modifier assignment
Knowledge of medical terminology, abbreviations, anatomy, physiology and disease processes
Good communication skills, report writing, interpersonal relations, team player
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