**** ******* ****** * EASTVALE, CA *****

HOME PHONE (909) 509- 3336 • CELL PHONE (909) 816- 5295

E -MAIL aduvn1@r.postjobfree.com

SUSAN L.YAO,CPC, CCS

OBJECTIVE

To work in a full service medical field as a coder utilizing my extensive training and experience in all aspects

SKILLS

Experience in various company database

Fluency in English, Mandarin, Taiwanese, and Tagalog languages Knowledge of medical terminology, medical billing and coding, and alpha numeric filing system

Proficiency in quality customer service

SUMMARY OF QUALIFICATIONS

Goal driven individual with coding and medical billing skills. Exceptional personality with strong abilities to interact with physicians/patients from all walks of life. Capable of performing with frequent interruptions /distractions with the ability to set priorities and meet deadlines

Excellent communication and writing skills, with fluency in English, Mandarin, Taiwanese, and Tagalog languages. Special ability to learn various job duties within an organization in a short period of time.

Knowledge and experience of terminal digit filing

Licensed Certified Professional Coder

Certified Coder Specialist

EDUCATION

Jan 2007 – Dec 2007 Hope of St. James

Covina, CA

Certified Coding Specialist Review Class

Nov 2003-Feb 2004 Hacienda La Puente Adult School La Puente, CA

Medical Billing and Coding Specialist

Jan 2003-Nov 2003 Hacienda La Puente Adult School La Puente, CA

Medical Terminology Certificate

Sep 2002-June 2004 Mt. San Antonio College

Walnut, CA

Medical Insurance Billing Specialist Certificate

June 1974-June 1978 Centro Escolar UniversityManila, Philippine Doctor of Optometry

WORK EXPERIENCE

November, 2021- present

Canyon Ridge Hospital Chino, CA

Inpatient Coder

Assignment of accurate & complete ICD 10 codes

Proficient code assignments on inpatient visits are the primary duties

Apply knowledge of the conventions, rules, and guidelines of multiple classification systems to accurately code diagnosis & services

Review charges assigned by providers for accuracy & completeness

December 2013 – June, 2014

Mawi Consulting, LLC Las Vegas, Nevada

Coder

Reviewing medical records to validate ICD-9 codes for HCC reports are supported with correct documentation

Perform chart audits & gathers unreported diagnosis codes August 2013- February, 2019

AE and Associates, LLC Corona, CA

Inpatient Coder

Responsible for the timely coding and abstracting of medical records

Code in accordance with current principles of ICD-10-CM and CPT guidelines using 3M coding system

Responsible for accurate abstract of patient data into computerized database in accordance with department policies and guidelines and OSHPD discharge date reporting

requirements

Ensure the accuracy of ICD-10-CM coding of diagnoses which fall into HCC model as required by CMS for Medicare Advantage plans

See to it that the provider documentation of ICD-10-CM codes meets both established coding standards as well as CMS Risk Adjustment guidelines

Code inpatient charts of high dollar account

Meet the productivity guidelines of the hospital

February, 2008- June, 2021 Kaiser Permanente

Riverside, and Fontana CA

Coder II

Responsible for the timely coding and abstracting of medical records

Code in accordance with current principles of ICD-9-CM/ICD-10- CM and CPT guidelines using 3M coding system

Responsible for accurate abstract of patient data into computerized database in accordance with department policies and guidelines and OSHPD discharge data reporting

requirements.

Ensure the accuracy of ICD-9-CM coding of diagnoses which fall into HCC model as required by CMS for Medicare Advantage plans.

See to it that the provider documentation of ICD-9 CM codes meets both established coding standards as well as CMS Risk Adjustment guidelines.

Code inpatient charts of high dollar account.

Meet the productivity and accuracy guidelines of Kaiser Permanente

May, 2006-Feb, 2008 Kaiser Permanente Baldwin

Park, CA

Records Clerk III

Analyze and abstract hospital charts to meet hospital, state, and federal compliances

Create deficiency for providers

Re-check and correct charts if necessary

Pull charts for medical providers as requested

June, 2006-Dec, 2007 Bright Medical Associates

Whittier, CA

Auditor

Review the medical record documentation to determine the reason for the patient visit

Analyze medical record documentation to see if it supports risk adjustment for accurate risk adjusted payment

Audit charts that the physicians reported to see if all diagnoses impact the patient’s care, and ensure these diagnoses are accurately documented in the medical records

Report the main reason for the episode of care, including all co- existing, acute or chronic conditions, pertinent past conditions that has an impact on the clinical evaluation and therapeutic treatment

Audit HCC chart to ensure that the coding is to the highest degree of specificity in order that the most accurate coding and appropriate grouping in the risk adjustment model can be provided

December 2004–November, 2006 St. Jude Medical CenterFullerto Health Information Clerk

File loose papers into charts

Filing and delivering charts

Make charts

Answering telephone calls

April 2004–April, 2006 Kaiser Permanente Baldwin Park, CA Records Clerk I

Responsible for census desk

Create discharges chart

Pull charts for medical providers

File loose papers

Collect charts from various departments

Provide quality service on the telephone to any inquiries Train new employees

July 2003–April 2004 Kaiser Permanente Baldwin Park, CA Appointment Clerk

Assisted Kaiser members in making appointments with and sending messages to their healthcare providers

Provided high quality service to Kaiser members on the telephone regarding other inquiries

Feb 2003–Dec 2004 Chino Anesthesia Billing ServiceClaremont, C Medical Biller and Records Clerk

Followed-up unpaid claims with various companies

Performed data entry of patient billing information Coded patient diagnoses for appropriate account charging Filed medical records

Dec 1996–Nov 2002 June Chern Insurance Agency Rowland Heigh Office Assistant

Served as a back-up to the insurance agent by providing quotes and discussing various insurance policies and plans with clients Ensured a high level of clerical and administrative support in the office through training new employees and delegating responsibilities

Provided high quality customer service to clients in-person and on the phone

Troubleshot any discrepancies in client policies for problem resolution

September 2001–March 2002 RSVP Security SystemsDiamond Bar Customer Service Representative

Performed data entry of client information into data base Scheduled and confirmed alarm installation appointments Provided customer service over the telephone

VOLUNTEER WORK EXPERIENCE:

October, 2006 – April, 2007 Corona Regional Medical Center Corona, CA

Medical Records Department

Code ER charts

Feb 2000-Oct 2001 Chino Medical Billing Services Diamond Bar, Office Secretary

Performed data entry of patient billing information into system Followed-up on outstanding patient bills by interacting with patients and insurance companies

Responsible for office records management through the use of database technology

Dec 1996-Dec 1997 Lua and Lua Dentistry Hacienda Heights, CA Biller

Booked appointments for dental clients

Performed dental billing duties

Verified clients’ dental insurance status

July 1993-Nov 1996 Credit Data Information Irwindale, CA Customer Service Representative

Provided quality customer service through interaction with escrow company representatives

Analyzed reports from credit reporting agencies for credit approvals or denials

Generated credit reports using analyzed information for various lending companies

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