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Medical Coding Risk Adjustment

Location:
Plainsboro, NJ
Posted:
February 26, 2024

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Resume:

609-***-****

ad3xt9@r.postjobfree.com

*** ***** **, **********, ** 08536

PROFILE

I am a team player who is passionate about

compliant medical coding and problem

solving. My attention to detail helps me

work efficiently to keep up with standards

or productivity. I am able to maintain 95%

accuracy and completeness.

CONTACT

LANGUAGES

English - Fluent

CERTIFCATION

CPC-A - AAPC, Member ID # 01992560

EDUCATION

Amity University, Noida, UP (India)

Master of Arts (Counseling Psychology), 2007-2009

Patna University, Patna, Bihar (India)

Bachelor of Arts (Honors) Psychology, 2004-2007

WORK EXPERIENCE

Amima Hussain

CERTIFIED

PROFESSIONAL CODER-A

KEY SKILLS

ICD-10-CM, ICD-10-PCS, CPT, HCPCS II

CMS Coding Guidelines

Modifiers

Medical Record Manager (MRM), Gamma Suite-Gemstone Encoder-HCC Coder

Proficient in medical terminology of diseases, anatomy & physiology, pharmacology, medical procedures, abbreviations and terms

Knowledge of Chronic, Non chronic, Acute, Lifelong illnesses Microsoft Office-Word, PowerPoint, Outlook, Excel, MS365, OneNote, Teams

CareerStep Online Training Program, USA

Medical Coding & Billing for Outpatient Services, Aug 2021-Aug 2022 CSI/Optum - United Healthcare, USA

HCC/Risk Adjustment Coder (Sep 2023 - Jan 2024)

As a Senior Medical Coder, I provided services to perform code abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures.

Reviewed all aspects of Outpatient and Inpatient charts of multiple hospital departments, including but not limited to clinical documentation, lab results, procedures etc.

Was responsible for coding and submitting the required documentation for the healthcare delivery system.

Worked on multiple programs like Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).

Have experience working on AIER audit, Open Suspect, FTR and PHY review charts.

Shared skills, knowledge, and expertise with other team members as well as worked individually in the remote role. Was updated about new coding guidelines and rules as they change from time to time and regularly took Coding Mastery Assessments (CMAs), maintaining 95% Accuracy &

Completeness.

Action For Autism-National Center for Autism, New Delhi (INDIA) Associate Psychologist/Research Associate (Feb 2010 - May 2011) Worked as an Associate Psychologist/Research Associate for Action for Autism, an NGO which provides services to people with Autism and related disorders. Projects involved in included translation and validation of Autism screening tools in India, as well as an epidemiological study to determine the prevalence rate of Autism in India. Job responsibilities included performing diagnostic assessments, psycho-educating parents, working with teachers and special educators in an interdisciplinary system, data collection, translation, formatting and performing of Autism tests. Trained in performing ADOS (Autism Diagnostic Observation Schedule) for research purposes, as well as M-CHAT (Modified Checklist for Autism in Toddlers), VABS (Vineland Adaptive Behavior Scale) and SCQ (Social Communication Questionnaire). Fortis Hospital, Noida, UP (INDIA)

Internship (July 2008 - October 2009)

Worked in hospital setting under the Clinical Psychologist, gaining hands-on training in Jacobson’s Progressive Muscle Relaxation

(JPMR) and professionally administered structured and projective psychological tests to clients, including Cattell’s 16 Personality Factor Inventory, Thematic Apperception Test, Sentence Completion Test, Beck’s Depression Inventory, Beck’s Anxiety Inventory as well as conducted scoring.



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