*** ** ***** ** ***** FL ***** Tel: 786-***-****. ad0316@r.postjobfree.com

OBJECTIVE:

To secure a challenging position the allied health field, where I can utilize my work experience, education, and skills to develop a long-term career adding to the success and productivity of the company.

EDUCATION:

Foreigner Associate Degree Business Administration

Specialist Coding and Billing (Florida Career College)

CERTIFICATIONS:

AAPC Certified Documentation Expert (CDEO)

AAPC Certified Risk Adjustment Coder (CRC)

AAPC Certified Professional Medical Auditor (CPMA)

AAPC Certified Professional Coder (CPC)

SUMMARY OF QUALIFICATIONS:

Administrative Skills:

Experience with quality reporting and compliance submissions, including CMS Medicare and Medicaid Plan Quality, HEDIS and STARS,10-Key Numeric Data Entry, Appointment Scheduling/Rescheduling, Bookkeeping, Client Confidentiality, Client File Maintenance, CMS 1500, CPT Procedural Coding ICD-9-CM Diagnostic Coding, DRG, HCPCS, HIPAA, Insurance & Claim Processing, Medical Billing & Collections, Medical Front Office Procedures, Patient Information Management, typing (Accurate 30 WPM), Typing. EMR Management: Care 360, Prime Suite, Advanced MD, NextGen, EClinical Works, Greenway Health, Office Ally, MD Now, EPIC

Clinical Skills:

Anatomy & Physiology, Microbiology, Pharmacology, X-Ray, EKG, Hematology, Hygiene, Infection Control, Lab Requisitions, Medical History, Medication Administration, Methods of Documentation, Nutrition, Patient Charting, Phlebotomy, Physical Examinations, Universal Precautions/OSHA, Vital Signs.

EMPLOYMENT HISTORY:

Secondwaveds Sep 2022 /Oct 2023

Evaluates documentation to ensure that diagnosis coding is supported.

Review medical records to assure proper coding of submitted claims

Village MD : Project

Evaluates documentation to ensure that diagnosis coding is supported

Identifies knowledge gaps in coding and documentation

AvMed better health

Coding Specialist –CDI Nov 2018 / March 2022

Provides proper documentation and Medicare Risk Adjustment education to physicians.

Evaluates documentation to ensure that diagnosis coding is supported.

Identify and clarify missing, conflicting, or nonspecific physician documentation related to diagnosis and procedures.

OAK Street Health

CDI Consultant Sep 2015 / Nov 2018

Provides proper documentation and Medicare Risk Adjustment education to physicians.

Identifies knowledge gaps in coding and documentation and provides feedback.

Reviews provider encounters concurrently for coding & documentation accuracy and providers feedback and education to providers on an ongoing basis.

Evaluates documentation to ensure that diagnosis coding is supported

Global Health Advisors

MRA Consultant Feb 2014 /March 2016

Provides proper documentation and Medicare Risk Adjustment education to physicians.

Identifies knowledge gaps in coding and documentation and provides feedback.

Reviews provider encounters concurrently for coding & documentation accuracy and providers feedback and education to providers on an ongoing basis.

Leon Medical Centers, Miami FL May 2009 / Jan 2014

Certified Professional Coder Specialist

Ensure all services documented in the patient’s medical records are coded with the appropriate ICD-9-CM codes and procedures codes, conduct a review of medical records to ensure compliance with coding and documentation guidelines.

LANGUAGES:

Spanish, English References Available Upon Request

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