Risk Adjustment Medical Records
Resume:
Vlada Bell
Cell: 310-***-****
Email: *************@*****.***
PROFESSIONAL EXPERIENCE
HCLA IPA
Coding Analyst April 2023 to Present
Conducting a thorough review of medical records to ensure they are complete, and compliant with regulations. Identify documentation deficiencies and communicate them to health care providers in order to enhance documentation for precise risk adjustment coding and increase RAF score as a result.
OPTUM
HCC/Risk Adjustment Coder October 2019 to April 2023
Review assessment to identify appropriate coding based on ICD10, CPT coding guidelines, complete appropriate documentation/system entry regarding claim/encounter information, research and enter ICD10, CPT codes into MRM applications
CALIFORNIA CODING SPECIALIST
Responsible for coding, abstracting clinical and demographic information from Outpatient records, Inpatient records, ER Ancillary records, Same-day surgery records, CMS HCC and RxHCC to identify diagnosis and procedures, accurately assign and sequence ICD-10-CM, ICD-10-PCS and CPT codes and according to guidelines
DR. EDWIN MANGUNE FAMILY MEDICINE
Receptionist February 2018 to May 2019
Welcome and greet all patients and visitors in person or over the phone. Checking patients in, obtain insurance information, schedule appointments and setting up automated appointment reminder calls. Process co-payments. Keeping reception area clean and organized. Adhering to HIPA guidelines for patient confidentially.
EAGLE COMMUNITY CREDIT UNION
Member Services Representative January 2017 to January 2018
Provide exemplary service to members by accurately and efficiently handling member financial and loan related transactions. Assessing needs of members and matching them with right products and service
LICENSE/EDUCATION
Certified coding specialist under AHIMA Certification
Hope of St. James Medical Coding School
Vladivostok University: Bachelors of Science in Construction Technology
SKILLS
Knowledgeable of coding techniques and guidelines (ICD-10 CM; ICD-10 PCS and CPT) of medical coding. Proficient in Microsoft suites. Software: Epic, Cozeva, Alignment Health,
Ez-cap, Strong commitment to team environment dynamics, equally efficient and self-motivated and goal oriented.
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