Prince Ezebuiro (CPC, CIC, CPMA) - ********

ad0ysn@r.postjobfree.com; 832-***-****

Professional Summary:

Over 10 years of coding experience

About 6 year of ICD10 PCS coding and DRG review

Proficient in inpatient coding

Proficient in Emergency room, Observations, SDS and Outpatient profee (facility coding experience)

SYSTEMS:

EPIC, EPIC-3M, 3M-CAC, Optum-360, 3M-360, Athena, Dolby, OneContent, Paragon, Centricity, Cerner-Powerchart, IDX, NextGen, Meditech, Medisoft, Allscripts, 3M-CodeRyte, Trucode, Encoderpro,

Professional Experiences:

Brundage Group – Beacon Health Systems 06/2023 – 10/2023

Observation/SDS Coder (Remote)

Coded Injections and Infusions

E/M leveling for all OBS, and profee charges.

Codes Observation as well as SDS charts

Diagnostic coding for all ICD-10 codes on all charts and assigns all procedural codes.

Participates in Teams meetings.

Reports documentation deficiencies to the Manager

Medovent - Memorial Herman Hospital 03/2022 – 10/2023

Hospitalist/IP Coder (Remote)

POA coding with DRG

ICD-10 PCS coding

E/M leveling for all OBS, IP, OP, profee charts. Relates with Claims Officer for POA assignment.

Codes Observation, Inpatient and Outpatient charts

Diagnostic coding for all ICD-10 codes on all charts and assigns all procedural codes.

Participates in Teams huddles / Query physicians where and when necessary.

Getix- Santa Clara Medical Centre 03/2017 – On-going

Remote Acute Inpatient Coder (PRN)

E/M leveling for all OBS, IP, OP, profee charts

Resolution of DRG mismatch through client portal

Maintained great communication with my Supervisor and Managers

Assigned appropriate POAs and principal diagnosis using the MS-DRG reimbursement guidelines.

Maintained about 95% accuracy and productivity.

Getix - HenryFord Hospital 06/2016 – 03/2021

Remote Inpatient/Outpatient and Professional Auditor/Coder

Claim edits resolution.

Charge review (OP/IP) & ER/ED & Ancillary

E/M leveling with 1997 guidelines.

Edit - Responsible for auditing and resolving all billing edits which include LCDs, CCI edits on EPIC.

Reconcile immunization accounts. Audit and resolve edits for both private and commercial insurances

Specialties include: Oncology, Cardiology, OB/GYN, Primary Care, Ophthalmology, Radiology, Podiatry, Immunization and Vaccines, applying CMS rules in resolving edits.

New York-Presbyterian and TriHealth Hospital 1/2014- 9/2017

Remote Coder

New York-Presbyterian/Queen is a 535- Bed acute care hospital

TriHealth Cincinnati is a combination of two hospitals with over 700 beds

Pathology, Anesthesia, Interventional Radiology

ER/ED coding, SDS

Performed Multispecialty Coding and Hospital Outpatient Coding.

Achieved 96% accuracy in all quality reviews.

Maintained excellent communication with colleagues and managers while working remotely.

Baylor Scott and White 08/2018- 10/2020 IP/OP Coder

Coded inpatient charts at the production rate of 3 - 4 charts per hour depending on encounter length.

Coded Observations, ED, and Surgical charts

Observations admit and discharge.

Injections and Infusions

Used EPIC-3M, 3M-360 encoder for code assignment and Used EPIC basket for physician queries.

Principal dxs assignment applying DRG principal for better facility reimbursement.

Harmony Healthcare - Vanderbilt University Teaching Hospital 06/2018- 12/2021

Remote Professional Coder- Emergency Room/Claims Edit

Specialties include but are not limited to Cardiology, Urgent Care, Family Medicine, Psych, Ortho & ED

Coding & Reviewing Diagnoses, CPT, E&M, Modifiers & Edits

Injections and Infusions

ICD 10 abstraction from ED notes.

E/M leveling ( Profee and Facility)

Physician practice ED experience.

Worked backlogs due to an Epic install for OCE, CCI and LCD edits for hospital account works queues.

Experienced with 59 Modifiers and CCI’s edits for CPT and procedure codes.

Experienced with Outpatient Code Editor (OCE’s) out of 3M+CodeRyte.

Experienced with Local Coverage Determinations

Olmsted Medical Centre - 04/2016 - 10/2018

Remote Professional Coder- Emergency Room

CPT coding based on procedure documentation.

Responsible for coding outpatient ED, SDS and ancillary visits.

Independently leveled emergency room accounts

Edit resolution – EM, Cardiology, Oncology, Pathology

E&M and procedure coding

Participated in company meetings and activities and participated in monthly quality reviews.

Communicated weekly productivity numbers to management via email.

Maintained a quality score of 98%.

BEN Taub Hospital and LBJ Hospital 10/2012- 5/2014

Remote Professional Coder

Harris county group of hospital has two Hospitals – LBJ with 207 beds and level III trauma center and Ben Taub with 500 Beds and provides multi-specialty outpatient care. Coded inpatient pro fee, outpatient, same day surgeries, emergency room (trauma registry), and diagnostic ancillary services.

Performed Hospital Inpatient Coding and Outpatient Pro fee

Responsible for coding Oncology, Emergency room, ambulatory, OBGYN and multispecialty charts for Harris county (LBJ) (over 207 beds).

Audits medical records for appropriate HCC codes

Responsible for abstracting data from medical records from patient’s chart.

Maintained and achieved a quality score of 97% monthly.

Education

Health information specialist certification (HIS) 2012

Houston Community College, Houston, Texas, United States

Master of science: environ. Chemistry 2011

University of Houston, Clearlake, Clearlake, Texas, United States

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