CATHY REYES, CCS CPC ICD-** Certified 818-***-**** actpgm@r.postjobfree.com Burbank, CA 91503
Objective: Remote Medical Coder or Auditor, light travel. Contract (any length) or direct hire, part time or full time.
Skills: Type 65+wpm, MS Suite 2010, CPT, ICD-9, ICD-10, 3M, Abstract, Allscripts, Analyze, Ancillary, Audit, CAC, Cerner, Chart Navigator4, Citrix XenApp, Clinic, e-Medsys, Emergency, EMR, EPIC, GEMS ICD-10 Code Mapping, HCC, McKesson, Meditech, Optum EncoderPro, Reconedge.
Memberships: AHIMA, AAPC
Education: ICD-10-CM/PCS Coding, Anatomy and Terminology, (AHIMA, AAPC) 2013
Medical Coding, Anatomy and Terminology, (CCC Los Angeles - Honor Roll) 2012
Bachelor and Master of Arts, HR Management, (Nat’l University – San Diego CA) 2000
Experience: Network Medical Review, Remote Medical Coding Reviewer, part time 10/2013 – present
Reviews inpatient claims in audit status for provider payment integrity and/or fraud, waste and abuse.
Specifically, reviews DRG (Diagnosis Related Group) of claim to determine if correct procedure and
diagnosis codes were billed based on the physician’s documentation in the medical record. If DRG
assignment under audit is found to be invalid, provides correct DRG assignment based on the medical
record. ASP.net web based portal
Outcomes/Altegra Health, Remote HCC Coder 11/2014 – 7/2015
HCC coding for 2014 PIA Audit Project (Payment Integrity Auditing). ODIS iTools
UC San Francisco, Remote Medical Records Auditor 3/2015 – 4/2015
Audit for Pediatric PICU and NICU CPT and Z codes. Epic Apex, Citrix XenApp
CCHC, Medical Auditor, ICD-9 and ICD-10 8/2014 – 12/2014
Audit encounters from EMR using ICD-9, forward and backward mapping and converting
ICD-10 codes, collect and analyze data, prepare detailed Excel reports on audit findings. Educate
providers regarding documentation. e-Medsys, EncoderPro Expert, Ready10 PM
MaineGeneral Health, Remote Medical Coder 4/2014- 6/2014
Radiology, Laboratory, 3M
College Medical Center, Medical Coder (onsite) 1/2014 – 1/2014
Dermatology, ED, Family Health, Observation, Pediatrics, SDS. 3M, Cerner
Verisk Health, Remote HCC Coder 10/2013 – 2/2014
HCC, ED, SDS, Gerontology, Observation, Ophthalmology, Pediatrics, ChartNav4, Reconedge
UCLA, Remote Records Abstractor and Auditor 5/2013 – 10/2013
Transition paper-based medical charts to an EMR/EHR for the hospital's ambulatory, inpatient and
outpatient facilities including all clinics. Analyze, audit, and correct ICD-9 codes. EPIC