Email: ady0d9@r.postjobfree.com

Mobile No.: 949-***-****

Address: *** *** ***** ** ********* 92506

OBJECTIVE:

Detail-oriented individual looking for a medical coder position with 5 years of active medical coding experience to deliver accurate coding effective for proper diagnosis and procedures.

Proficiency in ICD-10-CM, PCS, and CPT coding.

Ability to work independently with minimum supervision, excellent reliability, positive attitude and demonstrated ability to work timely and effectively under strict deadlines, are all a must.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

Maintain minimum accuracy rate of 98% while meeting internal productivity standards set by the company.

3M Coding and Reimbursement system expert

EXPERIENCE

CSI Company

Risk Adjustment Coder

July 2021- Present

Research and provide courteous, accurate and timely response to inquiries by providers as related to HCC Risk Adjustment projects and reports.

Maintain compliance with CMS risk adjustment diagnosis coding guidelines

Ensure all captured diagnoses is properly documented and supported within progress note according to CMS rules and regulations including but not limited to encounter date, legibility, proper provider signature and member identification requirements.

Advanced Medical Management

Risk Adjustment Coder

February 2018-July 2021

Determine appropriate codes and assigning codes to their diagnosis and procedures so relevant insurance company, patient, or third party can be billed for the claims

Responsible for coding HCC and outpatient medical records, reviewing patient medical notes, and documentation

Set priorities and establish goals and objectives to ensure all work is completed accurately and on time

Always ensure a high level of patient data confidentiality

California Coding Specialists

Risk Adjustment/HCC Coder

March, 2017 to 2018

Perform or participate in special projects as directed by management.

Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).

Maintain compliance with CMS risk adjustment diagnosis coding guidelines.

Accurate and properly supported by clinical documentation within the health record.

Assess adequacy of documentation and query providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding

Perform HCC coding at an average 2-3 charts per hour

Ensure all captured diagnoses is properly documented and supported within progress note according to CMS rules and regulations including but not limited to encounter date, legibility, proper provider signature and member identification requirements.

Research and provide courteous, accurate and timely response to inquires by providers as related to HCC Risk Adjustment projects and reports.

LICENSURE AND CERTIFICATIONS

Certified Coding Specialist – CCS Ahima #2510035

Reference:

Maritess Gamboa 562-***-****

Alex Vu 310-***-****

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