Medical coder
Resume:
Denise Black, Certified Coding Specialist
Los Angeles, CA US
Cellphone: 310. 591.9442
***************@*****.***
OBJECTIVE
Remote Medical Coder with over ten years of progressive experience in Health Information Management. I am a flexible team player with the proven ability to multi-task and meet medical coding deadlines. I translate medical diagnosis and procedures into medical code form and assure that information documented by the provider is accurate. Successful in coding required charts each day and meeting coding goals for several different projects. Current knowledge of Medical Terminology Physiology, Pharmacology and the disease process. Demonstrate proficiency using ICD-9 and ICD-10 CM Official Guidelines for Coding. My most recent responsibility was to code over 100 Clinic notes, Emergency Room records, Outpatient charts, HCC (Hierarchical Condition Category) encounters, or HEDIS reviews per day for multispecialty groups. Previously assign to Cedar Sinai, Kaiser, LAC-USC, Wake Forest Baptist Medical Center, Medicare Advantage Medical Groups and various trauma and teaching facilities has provided me with knowledge in many areas of Medical Coding. I'm confident that my healthcare experience will be valuable to your facility.
Technical Summary: 3M, EPIC, Meditech, Cerner, Citrix, Optum, Affinity, Paragon, I-Manager, McKesson,
Quadra-Med, AS-400, People Soft, Excel, Word
EMPLOYMENT HISTORY
Remote HCC Medical Coder
Aviacode, Salt Lake City, UT
November 2017 January 2018
Review medical records select codes for acute and chronic conditions.
Capture diagnosis in the progress notes that risk adjust.
Verify that provider documentation in progress notes follow MEAT guidelines.
Remote Emergency Room-HCC Medical Coder-RADV Auditor
HCTEC Partners, Franklin, TN
November 2014 March 2017
Assign correct codes for diagnosis and procedures in ER notes according to guidelines.
Determine if diagnosis and procedures are complete and accurate.
Query physicians on discrepancies and provide them with educational feedback.
Code acute and chronic conditions mapping to CMS-HCC, V22, and Rx models.
Validate hierarchical condition categories codes that have been previously reported.
Utilize Epic, 3-M, Meditech and Cerner software systems.
Emergency Room Medical Coder
Insight Global-Robert Half-California Hospital Medical Center, Los Angeles, CA
February 2012 January 2013
Code Emergency Room, Observation, Trauma and Ancillary records.
Select correct medical codes for diagnosis and procedures in medical records.
Abstract and pre-code Inpatient medical records for Inpatient Medial Coders.
Health Information Director impressed with my ability to exceed my quota.
Office suites 3-M, AS-400, Emergency-soft ED.
Emergency Room/Inpatient Medical Coder
New-leaf Healthcare Staffing-Mission Community Hospital, Long Beach, CA
June 2011 November 2011
Assign codes and abstract diagnostic data from ER, Trauma and Inpatient records.
Review concurrent encounters to collect diagnosis and procedures.
Queried providers confirm and resolve documentation deficiencies in records.
Translate diagnosis and procedures into medical code form.
Office suites: 3M, McKesson, Paragon, Affinity, I-Manager.
HCC Coder & RADV Auditor
Protocol Healthcare-Scan, Long Beach, CA
October 2011 December 2011
Assure provider documentation support acute and chronic conditions in progress notes.
Verify and validate risk adjustment codes which have been previously reported to CMS.
Correct payment errors related to risk adjustment data for payment recovery.
Document appeals information and give feedback to providers on excel spread sheet.
Outpatient/ER Coder
AE & Associates, LAC+USC Medical, Los Angeles, CA
January 2011 April 2012
Assure diagnosis and procedures in the progress notes are complete.
Assign correct diagnosis and procedural codes for ER and Outpatient encounters.
Worked collaboratively with healthcare providers.
HCC Medical Coder
The Coding Source, Los Angeles, CA
November 2008 April 2011
Code acute and chronic conditions in progress notes mapping to the CMS/HCC and Rx models.
Assign accurate codes for diagnosis following MEAT or TAMPER guidelines.
Assist Cedar Medical Center on three separate occasions in meeting coding deadlines.
Measure and monitor HEDIS data for chronic care, preventive screenings, immunizations, etc.
Coding and HEDIS software systems, 3-M, EPIC, Centricity, and Hot Pursuit.
Outpatient Medical Coder
AE & Associates- Kaiser, Los Angeles, CA
May 2008 March 2009
Monitor diagnoses and procedures documented in the progress notes.
Review and assign medical codes in ER, Outpatient, Inpatient and PSC medical records.
Select appropriate evaluation and management (E/M) and HCPCS codes for encounters.
Office suites: 3M, and EPIC.
Medical Coder
Peak Health Solutions-Kaiser, Los Angeles, CA
June 2007 January 2008
Review and code concurrent information in Emergency Room notes.
Code Outpatient and Inpatient records for HCC full charge capture coding projects.
Responsible for assigning E/M and HCPCS codes for pro-fee medical records.
Access and code medical diagnosis efficiently utilizing 3M and EPIC systems.
HCC Coder
Care First Health Plan/Office Team, Monterey Park, CA
April 2007 May 2008
Select codes for diagnosis in progress notes that risk adjust.
Audit diagnostic data in records for Medicare Advantage organizations.
Provide medical coding training to clinicians.
Measure and monitor HEDIS data for chronic care, preventive screenings.
Collect HEDIS data verify information follows performance measures.
Assist information technology in the development of company coding software.
EDUCATION
East Los Angeles College
Completed Medical Coding Courses
February 2001 December 2002
Completed Advanced Coding, Basic Coding and CPT medical coding classes.
LICENSES / CERTIFICATIONS
Certified Coding Specialist (CCS)
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