Bibi Olivieri

Davie, FL *****

Tel: 954-***-****

Email: advkk9@r.postjobfree.com

Career Objective:

Seeking a full-time Medical Coding position at an established Healthcare Organization utilizing skills and experience in Medical Coding.

Core Qualifications:

ICD-10 CM Coding

CPT and HCPCS Coding

BCBS, CMS, and EDI Claims Processing

Quality Assurance and Auditing

Medical Billing

Medical Records Management

Patient Confidentiality

Microsoft Windows and Office Suite

Education:

LaGuardia College, New York - Computer Science Degree

AAPC (CPC) - Certified Professional Coder

AAPC (CRC) – in progress

Broward College, Florida - Medical Billing and Coding Certification +

Medical Terminology,

an extensive 12-month Program which I

completed in only 8 months.

National Healthcareer Association (NHA) - Certified Billing and Coding Specialist

(CBCS)

References:

Available upon request.

Professional Experience (1990 - Present):

Medical Coding Analyst – Quest Diagnostics, Santa Ana, CA (8/2022 – 11/2022)

Reviewed medical documentation for appropriate applications of ICD-10-CM codes.

Verified diagnosis codes are accurately assigned based on provider documentation, coding guidelines, AHA coding clinics, and health plan policies.

Queried physicians whenever code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.

Medical Risk Adjustment Coder – Internal Medicine Associates of South Florida, (09/2020 – 07/2022

Responsible for reviewing medical records and identifying, collecting, assessing, monitoring and documenting claims and encounter coding information as it pertains to Clinical Condition Categories.

Performed clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding coordination with the physician.

Verified and ensured the accuracy, completeness, specificity and appropriate coding based on CMS HCC categories.

Analyzed and translated medical and clinical diagnoses, procedures, injuries and illnesses into designated numerical codes.

Reviewed medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries.

Medicare Risk Adjustment coding in outpatient settings including HEDIS.

Overseas Medical Coder - Global Medical Management, Inc (GMMI), Pembroke Pines, FL (12/2018 – 4/2020)

Worked on FEP (Federal Employee Program) for Care First, a Blue Cross/Blue Shield Program examining a variety of inpatient and outpatient International Claims and Medical Records to appropriately apply ICD-10 Codes for all diagnosis, HCPCS, CPT, and modifier information, to all treatments and procedures based on the classification system used for inpatient/outpatient encounters.

Used Flash Code software and Revenue Codes.

Medical Coder - Hallandale Medical Center, Hallandale, FL (08/2018 – 11/2018)

Used eClinical Works (ECW) EHR System to review documentation for accuracy in the support of coding, quality measures, and clinical requirements. Conducted chart reviews, validated diagnosis codes, identified missing diagnoses, and queried physicians and other healthcare providers for more specifics so that documentation accurately reflects the patient’s severity of illness. Reviewed the Chief Complaints, HPI, Assessments and Plans to determine whether the correct diagnosis and CPT Codes were used.

Medical Coder - Array Enterprises, Orlando, FL (08/2017 – 07/2018)

Used Point Click Care (PCC) EHR System to verify that all Ancillary and Cash payments for Medicare Managed Care with AARP, BCBS, Humana and UHC Claims for Air Beds, X-rays, Tube Feeding, Swallowing and Respiratory payments are posted correctly.

Updated Nursing Home Lab information on SIGMA American Health Associates System.

Worked with various insurance companies to resolve incorrectly-denied Claims.

Cleveland Clinic Hospital volunteer, Weston, FL (03/2017 – 07/2017)

Updated, maintained and scheduled employees for various classes on the COMET LMS system.

Created tables and spreadsheets for new students on Microsoft Word and Excel.

Medical Coder - Array Enterprises, Orlando, FL (10/2016 –03/2017)

Provided part-time remote support for the validation of ICD-10 Coding by staff only experienced with ICD-9 Coding.

Used abstracted information to accurately assign ICD-10 Codes.

Followed applicable coding conventions to accurately assign numeric codes to each diagnosis.

Used Memorial Healthcare System to retrieve Demographics, Insurance Coverage, and Benefits for patients.

Updated the NUE MD Billing System for insurance payments.

Used Practice Fusion EHR to schedule appointments and retrieve SOAP notes for Patients.

Kept patient information confidential.

Computer Programmer - Metropolitan Life Insurance, New York, NY (06/1990 – 10/2005)

Provided mainframe programming support for the maintenance and enhancement of the Online (CICS) and Batch (COBOL) Producer Claims and Billing Systems.

Updated and expanded existing programs to include new claims.

Wrote and maintained computer programs to handle new policies.

Experienced in troubleshooting problems with existing programs.

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