Medical Coder Data
Resume:
GAIL R. SWALLEY (CCS)
PALMDALE CA. 93551
Cell: 818-***-****
Email: aduriv@r.postjobfree.com
Objective: To obtain a position in an established company as an experienced individual where I am able to utilize my previous work experience and will give me the opportunity to further my knowledge.
Education: Bachelor of Science in Nursing (BSN)
School: Quezon City Medical Center and Colleges (Philippines)
Certification: Certified Coding Specialist (CCS)
Work History: Emergency Group Office (EGO) - (2011-2020)
Job Title: Provider Documentation Improvement Review Specialist
●Provide second level review for accounts flagged as downcoded by the production coders.
●Reviewing the coding for appropriate EGO coding guidelines- ICD10 CM, CPT and HCPCS level 1.
●Performs routine and special internal audit chart reviews.
●Identifies coder monthly feedback per established schedule to review the result of each audit and provide feedback to resolve issues found in the audit with re-training or other educational methods.
●Serves as a resource to reimbursement coding staff.
●Accepts and performs other duties and responsibilities upon request of the mgr.
●Works with RCA, laserfische and deficiency PAT to create reports, entering findings.
Work History: Synergistic Systems
Job Title: Medical Coder
●Review medical charts and assign provider number, ICD9, CPT codes, modifiers and e/m level.
●Navigate EMR environment and code from handwritten charts.
Work History: Adecco Technical
Job Title: Coding Auditor
●Auditing/Coding- Identify the appropriate E/M (Evaluation and Management) service and level.
●Provide procedure codes such as surgical procedure, modifiers and Dx test.
●Provide ICD9 coding to the highest of certainty.
Work History: JJ & R Medical data System (2003-2009)
Job Title: Medical Coder
●Check medical charts for accuracy and completion.
●Clarify information or Dx by communicating with healthcare providers.
●Assigning CPT codes for any procedure and being able to link it to the right Dx.
●Assigning E/M and modifiers.
Reference: Catherine Mendiola - 323-***-****
Rowena Mendoza - 323-***-****
Juana Macozzi (Emergency Group Office Human Resources) - 626-***-****
ext. 2287
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