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Medical Part Time

Location:
Camp Hill, PA
Posted:
February 26, 2016

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Resume:

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



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