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Medical Coding Software: Epic, 3M360,Cerner, Optum, Powerchart

Location:
Newark, DE
Salary:
open
Posted:
January 13, 2021

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Resume:

RICARDO DAMIAN, BA, CCS

MRT-HCC Coder, Educator and Auditor

AHIMA Approved ICD-10 CM/PCS Trainer

AHIMA Certified Coding Specialist #C09290

C: 302-***-****

Address: ** ***** ****, ****** **- 19702

Email:

adjd6r@r.postjobfree.com, adjd6r@r.postjobfree.com

SUMMARY:

Experienced Consultant with a demonstrated history of working in the hospital & health care industry. Skilled in anatomy & physiology, medical terminology, ICD-9, ICD-10, CPT, with a vast knowledge of and aptitude for reasearching and interpreting official coding guidelines. Has excelled in the following HIM roles and functions, coder, lead coder, procees & policy trainer, auditor, coding coordination, denials management, reconciliation of code vs. charge discrepancies, and verification of coded data in the billing system as well as manual revisions to billing data when automated interfacing fails to reflect assigned codes or other abstracted data elements such as POA status, surgeon or dates of procedures. Strong professional with a Associates of Applied Science focused in Health Information Technology at Long Island University, Brooklyn, NY

Dependable and enthusiastic HIM professional with 25 years experience focused on Risk Adjustment HCC coding, Auditing and Training in government and Private Sector

Well respected instructor with ability to convey coding concepts and applications

Excellent experience in the trauma center facility setting with the ability to handle complicated, long stay cases.

Self-motivated, highly organized, works well independently.

EDUCATION AND CERTIFICATIONS:

Health Information Technology – Long Island University, Brooklyn, NY

Bachelor of Arts in Business Administration / Major in Management, Minor in Finance, University of the East Manila, Philippines

CCS (Certified Coding Specialist)

AHIMA Approved ICD-10 / CM-PCS Trainer

EXPERIENCE:

Axis Consultant Group 8/1/2019- Present

Mills Run Circle, Maryland

Client: CMS/DHHS

Contract Auditor

Tour of Duty: Perform coding review on Inpatient and Outpatient Cases

Norwood Staffing, LLC

Client: Marshall Medical Center, Sacramento Ca 11/1/2018 – 7/2/2019

Full time Contract Coder- Inpatient, Day Surgery, ED Coder

Tour of Duty:

oCode and Abstract Inpatient cases and Day Surgery via Epic/ 3M360

HCTEC- Saint Francis Medical Center

Tulsa Oklahoma July 25, 2018- present 11/1 2018

PRN Contract Inpatient Coder- Level 1 Trauma Facility

Tour od Duty: Code and abstract complex cases

Coding Software use: Epic/Optum360

Contract End

Signature Performance May 12,2018 -11/1/2018

Client: Wexner Medical Center, Ohio University Hospital

(Level 1 Trauma- 1800 beds)

Part time Contract (weekend) Inpatient Coder

oCode and Abstract complex inpatient High Dollar cases

oCollaborates with CDI review team and Providers

oNote: contract end 11/1/2018

oCoding software: Epic / Optum 360

Inside Global, LLC Nov 17 2017- July 1, 2018

Client: University Health System, San Antonio, TX( 1220 beds)

oLevel 1 Trauma Facility

oPart Time Contract Inpatient Coder

oCode and Abstract high dollar account cases

oCollaborates with CDI review team and providers

Audit grades as of 4/1- 96.22%

Coding Software: Clintract/ 3M 360

Reason for leaving: No benefits, and not enough work

Department of Veterans Affairs (700 beds)

Wilmington,Delaware Dec 2000-August 9, 2017

Full time Coder, Auditor and ICD-10 Trainer:

Concurrent coder for Transfer Inpatient Cases to Private Hospital

Review charges and Codes based on MS DRG

Day Surgery back up coder

Conduct Documentation Improvement Program to all providers and clinicians ( 8 months)

Coding software: Nuance -Clintegrity 360 software

Standard Technology, INC April 2015- 11/3/2017

7201 Wisconsin Ave.,

Bethesda, MD 20814

Inpatient, Outpatient Coder

PRN Coder

SDV International, LLC Dec 2015- 2018

Department of Veterans Affairs—VISN 4

Surgery Coder (PRN) Weakend coder)

Code and Abstract Day Surgery complex cases

Outpatient back-up Coder

Coding Software: Nuance- Clintegrity 360

Saint Franciscan Medical Center ( CSI, llc)

Level 1 Trauma

Remote part time Contract Coders ( PRN)

Code and Abstract Inpatient Complex cases September 2013- January 2015

Coding Software: Meditech 6.1 / 3M software

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Methodist Hospital – Risk Adjustment ( CSI,llc) HCC Coder March 2013-August 2015

Coding Software: 3M- EPIC

Code and Abstract Inpatient Cases Utilizing HCC model

Level 1 Trauma

Christiana Care Health System Newark Delaware Feb 6/2012 -2014

(1300 beds)

Level 1 Trauma

Part time- on call coder

Code and Abstract Inpatient Cases

Coding Software: Power Chart/ 3M

Standard Technology, Inc

Client: Department of Veterans Affairs 10/2/2015- 11/3/2017

Remote on call Coder:

Code and Abstract billable Inpatient and Outpatient Cases

Medical Receivable Solutions

Department of Veterans Affairs 6/6/2013- 4/12/2017

Canyon Road, San Francisco, Ca

Coder and ICD-10 Trainer:

Conduct ICD-10 training to coders and providers

Back-up coder for inpatient coding team

Union Hospital - Elkton, MD (Coding Software: Meditech /3M)

ACUTE CARE HOSPITAL – 700 Beds

PRN Coder

Coding and Abstract Outpatient day surgery & Ancillary encounters

Apply APR DRG’s / CPT -HCPCS Codes, Conduct Charge Master Maintenance

ICD-10 Trainer for Various Provider and Clinicians

SUNY- Downstate Health and Sciance Center at Brooklyn, NY

Adjunct Instructor: ICD-9-CM, CPT / HCPCS and BILLING, ICD-10CM/PCS

Allied Health and Science: Advance ICD-9-CM with MS-DRG and CPT/HCPCS

Provided instruction on coding rules, decision making and code application to students enrolled in the HIT program

Audited student work, provides feedback and mentoring

3/07/08 to 12/09

Precyse Solutions, LLC

Alameda Medical Center, CA.

Highland Hospital 437 bed academic Medical Center

Level 1 Trauma

Contract Remote Coder -PRN

Coding Inpatient, Outpatient, Ambulance and ER encounters

2/02/02 to 8/03/03

Christiana Care Health System - Newark DE ( Software: Powerchart/ 3M/ Quadramed)

1,000 bed level I trauma and academic hospital

P/T- HCC Coder Inpatient and Outpatient

Coded inpatient and outpatient charts

8/01/00 to 8/02

New York Harbor Department of Veterans Affairs - New York, NY ( Software: Quadramed/ DSS)

Coding Consultant / Coding Coordinator

Code Inpatient and Outpatient Day surgery

Identified transient conditions that require treatment during hospital stay.

Performed coding audits on inpatient and outpatient cases and provided education to clinicians.

Coding, auditing and training preparations for audit mediations

Reason for leaving: 9/11- disaster

4/6/1999 to 9/1

New York University Hospital- New York, NY

Level 1Trauma

Coder/Analyst

Code and abstracted inpatient charts

8/1998 to 2/1999

Mount Sinai Hospital- New York, NY

Coder/Analyst

Coded inpatient charts

1/1998 to 9/00

Saint Vincent Hospital, New York, NY

Remote Coder

Coded emergency department encounters/Radiology ancilary encounter

Kingsborough Community College - Brooklyn, NY 10/1/1994-12/5/1995

Adjunct Instructor: Medical Coding and Billing

12/1994 to 10/1996

The Long Island College Hospital - Brooklyn, NY

Coder/ Analyst

Coded inpatient and outpatient charts

4/1994 to 4/1996

12/1989 to 10/02

Lutheran Medical Center- Brooklyn, NY Dec 1998- August 2000

Coder/ Analyst for Inpatient and Day surgery

Coded and abstracted inpatient and outpatient Charts

Coding Preceptor for S.U.N.Y.- Health and Science Center at Brooklyn

Coding Software EXPERIENCE:

HPF – EPIC / 3M

Meditech 6.1/ 3M

HBOC/ 3M

Clintract/ 3M360

Epic/ Optum360

Nuance (Quadramed) – Clintegrity 360 government /Optum 360



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