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Medical Records

Location:
Hialeah, Florida, United States
Salary:
60000
Posted:
October 08, 2016

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Resume:

Deyris Arias

***** ** ** *** ******* FL *****. Tel: 786-***-****. E-mail: acwy0w@r.postjobfree.com

Objective: To obtain a position to give me the opportunity to grow professionally, as a Certified Professional Coder.

Education:

AAPC Certified Risk Adjustment (CRC) Miami FL 2016

AAPC Certificated Professional Medical Auditor (CPMA). Excelsior Technician Doral FL, 2014

AHIMA Clinical Documentation Improvement (CDI). Miami FL, 2013

AAPC Certified Professional Coder (CPC). Excelsior Technician Doral FL, 2013

SUMMARY OF QUALIFICATIONS:

ICD10-CM Diagnostic Coding, ICD9 –CM Diagnostic Coding, CPT Procedural Coding, HCPCS, HIPAA, Insurance & Claim Processing, Medical Front Office Procedures, Patient Information Management.

Work Experience:

Certified Professional Auditor and HCC Specialist, Comprehensive Health (Remote Position-Part time) 05/2016- Present Time

Review the medical chart of the patient to find new HCC, including a list of medications, hospitalizations and diagnostic studies, to increase the patient's score.

Certified Professional Auditor (Team Leader), Pasteur Medical Center (HMO) 06/2015 – Present Time

Review the medical chart of the patient to find new HCC, including a list of medications, hospitalizations and diagnostic studies, to increase the patient's score.

Education to physician’s appropriate documentation. Provides Medicare Risk Adjustment education to

physicians. Constantly updated with the procedures and codes accepted by CMS

Review medical records to assure proper coding of submitted claims.

Training new employees and monthly audit of their work

Process monitoring and billing for each chart and work in the rejected claim.

Certified Professional Coder, Interamerican Medical Center (HMO) 11/2011 –06/2015

Ensure all services documented in the patient’s medical record are coded with the appropriate and procedures codes in constant communication with the doctor.

Education to physician’s appropriate documentation. Provides Medicare Risk Adjustment education to

physicians

Review the medical history of the patient to find new HCC, including a list of medications, hospitalizations and diagnostic studies, to increase the patient's score.

HEDIS capture as important dimensions of care and better patient care.

Process monitoring and billing for each chart and work in the rejected claim.

Review medical records to assure proper coding of submitted claims.

Conduct a review of medical records to ensure compliance with coding and documentation guidelines.

Confection and Coding annual wellness visits for adults and children

Coding specialists, pediatric and adult care

Referral Coordinator,Clinical Care Center (HMO) 10/2010- 11/2011

Referring Physicians and Insurance Authorizations (involved in the management of ICD9-CM codes, CPT and HCPCS codes books for the assignment of codes for diagnoses and procedures ordered by the doctor).

Control and Protection of Medical Records. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.

Immigration Office Assistant for Youth CO-OP, Inc. Miami. (05/2010- 10/2010)

Office Manager for “C & A” Immigration Attorney. Miami. Fl. (2009)

Skills:

ICD10, ICD9, DRG, HCPCS,HIPAA, Insurance & Claim Processing, Patient Information Management

Office Management experience. (filing, scanning, answering and directing phone calls, etc)

Positive Attitude, Flexible and Adaptable (Self-Starter, Self-Directed, Self-Motivated).

Communication Skills (Written and Verbal both in English and Spanish)

Advanced Computer Skills (Keyboarding, Office Applications, Internet Explorer, etc).

Problem Solving Skills (Creative, Practical, Helpful).

Team Work (Respectful, Collaborate, Cooperate)

References Available Upon Request



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