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HCC Coder, CPC & CCS certified

Location:
Bowie, Maryland, 20721, United States
Posted:
May 30, 2018

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Resume:

PETAL BRUSCH CCS & CPC 917-***-**** ac5osp@r.postjobfree.com

Objective: Obtain a position where my experience, skills, and training will assist my career development and contribute

effectively to the progress of the organization.

Skills include:

Certified Coding Specialist

3M Encoder Knowledge

EMR experience

ICD-10 Certification

Medisoft Software

Medical Terminology

Anatomy & Physiology

Medicaid and Medicare Knowledge

Certified Professional Coder

Microsoft Office Certification

Education

Pace University Master in Public Administration (Health Care) GPA 3.81

St Francis College Bachelor of Science in Business Management

Certified Billing and Coding Specialist (CBCS) Valedictorian

Medicare & Medicaid Certificates (CMS)

Certified Professional Coder (AAPC)

Certified Coding Specialist (AHIMA)

Professional Experience

Verscend Health –Morrisville, NC

Remote HHC Coder 01/2015- present

Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered

Assigns diagnosis codes according to the appropriate classification system for inpatient and outpatient encounters

Maintain the required accuracy rate of 95% with 4 charts per hour productivity

Responsible for maintaining current knowledge of coding guidelines through the use of the current ICD-10 material

Determine valid encounters including legibility and valid signature requirements

Medsave – Long Island, NY

Remote HCC Coder/Auditor 03/2015 – 07/2016

Reviewed, analyzed, and coded the patients medical record based on client specific guidelines for the project.

Responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient and inpatient data

Worked to improve the quality of coding documentation and data in the medical record and HCC database

Reported on the accuracy and consistency of the data in accordance with accepted and established standards.

Providence Hospital – Washington, D.C

Remote Coding Specialist 03/2014 – 03/2015

Analyzed patient records to assign and sequence accurate ICD-10 CM, ICD-10 PCS, and CPT for each diagnosis and procedure

Reviewed appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, and surgical procedures

Submitted reports and query physicians for clarification for incomplete and ambiguous documentation

Maintained a working knowledge of coding guidelines and reporting requirements to ensure coding compliance & maximum reimbursement

Metro Plus Medicaid Managed Health Plan – New York, NY

Claims Coding 03/2013– 03/2014

Assigned corrected ICD-9 CM, ICD-PCS, and CPT codes for payment

Provided in depth research and adjudication of underpaid and/or denied claims for accurate processing

Reviewed claims for coding accuracy and medical appropriateness in support of payment policies and cost containment initiatives

Completed a minimum of 90 adjustments of Inpatient and Outpatient claims daily



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