Carley Batista Iturriaga
Miami, FL *****
**********@*****.**
Interested on full time job as a coder in a Home Health Agency, More than 10 years of experience in Home Health Agencies work and Coder specialist. BCHH-C, AHCC Member Work Experience
Certified Medical Coder
Careforce Home Health - Lincolnwood, IL
August 2017 to Present
Assigning codes, following Coding Official Guidelines and Conventions and suggesting changes on Oasis M items if necessary
Certified Medical Coder
Allied Home Health of Illinois - Des Plaines, IL
August 2011 to Present
Assigning codes, following Coding Official Guidelines and Conventions and suggesting changes on Oasis M items if necessary
Senior Medical Coder
Fazzi Associates, Inc - Northampton, MA
August 2011 to March 2020
In addition to coding suggestions and OASIS recommendations, the reviews include a look at vital signs, physician parameters, additional discipline referrals, and more for Home health and Hospice cases. Also reviewing OASIS data, clinical notes, patient records, and doctor’s orders to provide coding following ICD-10 guidance to increase your clinical accuracy and maximize reimbursement with new PDGM model.
Certified Home Health Coder Specialist, HCS-D
Ever Caring Home Health Nursing Agency - Arlington Heights, IL August 2011 to November 2013
Responsible for entering and coding patient services into a computer system, generating plan of care according to coding rules so that health care practitioners and providers can receive payment for services rendered under Medicare/Medicaid Guidelines and for private insurances. Reviewing first patient health information to determine the patient's diagnosis assigned and procedures performed and reading through medical reports, physician and nursing notes, reviewing laboratory reports, pharmacology notes, X-rays and other information that provide supportive documentation as well as reviewing oasis looking for inconsistencies and speaking directly with nurses to correct assessments. Case Manager/Coder/Quality Assurance
St Rita Home Health Care - Elk Grove Village, IL
June 2008 to August 2011
Worked as an employee with vast medical knowledge from years as a doctor who coordinate with RN supervisor and DON the planning and documenting for the home health agency client,whether Medicare or medicaid patients followed from the referral/admission day though the day of discharge, utilizing physician's orders and coordinating with the disciplines providing direct patients care. Also developing and implementing a working schedule that meet each patients specific needs as ordered by the MD. Maintaining compliance with Federal and State regulations, reimbursement guidelines, as well as agency policies and procedures.
Quality Assurance Coordinator
Caring Tree LLC - Chicago, IL
February 2008 to June 2008
Monitoring, reviewing and evaluating the quality of patient care and ensuring that it met the agency standards and Federal/State regulations. Made plans in consultation with the manager for the resolution of identified issues and pursue opportunities to improve patient care. Doctor in Medicine
Carlos Manuel de Cespedes Hospital - Cuba, MO
September 1994 to August 2007
I Worked in a provincial Hospital as an obstetrics and gynecology specialist with 14 years of experience as a doctor.Came to this country in 2007.
Education
Obstetric and Gynecology specialist
Filial of Medical Sciences "Celia Sanchez Manduley" - Cuba, MO 1999 to 2003
Family Medicine
Filial of Medical Sciences "Celia Sanchez Manduley" - Cuba, MO 1996 to 1999
Doctor in Medicine
Institute of Medicine Santiago de Cuba - Cuba, MO
1989 to 1994
Skills
• Extensive knowledge of medical terminology, the human disease process, anatomy and physiology. Bilingual (Spanish and English). Responsable and mature with excellent work ethics. Vast knowledge of computer software applications and ability to maintain average productivity standars. Willing to learn something new every day.
• Hospital Experience
• Case Management
• ICD-10
• Medical Coding
• ICD-9
Certifications and Licenses
Home Care Coding Specialist – Diagnosis (HCS-D)
March 2012 to March 2014
BCHH-C
June 2015 to September 2021
Board certified Home Health Coding by The National Credentialing Board of Home Health and Hospice Additional Information
I have worked with Epic, Genie, Careficient, Healthwise, Allscript, Synergy, Visitrack, Kinnser, McKesson, Axxess, Cerner, De Vero, Meditech software's and more.