Risk Adjustment Nursing Home
Resume:
Leigh H Fullilove
Memphis,TN 38125
****************@*****.***
OBJECTIVE: I want to secure a full time remote coder position to utilize my skills.
EDUCATION
2002-2005 Southwest Community College Memphis, TN
Associate of Science/General Studies
Graduated 2005
Honors Cum Laude
2005 AAPC /CPC Certification Memphis, TN
1985-1987 Hamilton High School Memphis, TN
Diploma Graduated 1987
SKILLS
Certified Professional Coder (CPC) with 21 years of coding experience which includes IP/OP Profee / Multispeciality OP clinics, Nursing Home/.Ed coding /HCC Coding Experience /Infusions Injections& Hydration coding experience .
CMS Medicare/Medicaid Risk Adjustment experience with HCC/RXHCC Categories
Proficient in 3DM, HDM, 3M, Encoder, Meditech, Laserfiche, Nextgen, Woundexpert, Soarian Clinicals & Financials.,Epic, Cerner, Allscripts.
Prior remote work experience with self-initiative, self-driven, complete task in time manner with little supervision/guidance.
Physician Coding 10 years plus with multispecialty experience
ICD10 trained and certified through AAPC
HEDIS Abstraction Experience
WORK EXPERIENCE
08/2019- Present Corrohealth Plano, Tx
Remote Coding Specialist
Profee EM level /ICD 10 coding
OP Multispecialty Clinics \Nursing Home coding
CPT Coding Profee IP/OP Procedures
Hospitalist Coding.
Review /validates /changes EM level/ICD 10 codes that have been assigned
Renown Health Systems Reno, NV
Teaching Facility
Hospitalist IP Profee Coding
Women;s Health Obgyn Profee OP
WH OP Procedures
Review /validates /changes EM level/ICD 10 codes that have been assigned
Oschner Health Systems Shreveport.LA
Hospitalist Coding.
ED Coding/Infusions/Injections
Some Critical Care
WH OP/OP Clinics
Diagnostics & Rehab
Review /validates /changes EM level/ICD 10 codes
5/2017- 10/14/2020
11/2020-01/21 Himagine Solutions, Inc. Memphis, TN
Remote Coder Consultant
Same Day Surgery Coder To abstract /assign CPT codes and ICD 10 codes.
Inpatient Coding /Nursing Home skilled facility coding
HCC Coder Risk Adjustments Assignment HCC/RXHCC categories
Edits / Worked edit/ denials for multispecialty clinics which included modifiers, profee, procedure
08/2017- 08/06/2020 MModal Inc Remote Coder
Profee E/M Coding Derm/ Neuro
Hospitalist Coder which includes Inpatient/Subsequent/Critical care consultation level coding. Profee/Multispeacialty for outpatient, nursing skilled facilities.
11/01/18- 08/2019 Aviacode
Remote Per Diem HCC Coder (PRN) HHS Risk Adjustment
To review medical chart to verify,capture or change codes that link to HHS risk adjustment coding from 2017/2018 dates of service
06//2018 09/2018 Peak Remote Coder
Complete Code Capture.
To capture codes from medical charts following Cigna Guidelines that include coding acute/ chronic conditions that have support,long term meds, history codes, and status codes .
4/2017 – 1/2018 Optum United Healthcare Group Memphis,TN
Remote Contract HCC Risk Adjustment Coding Specialist
Abstract /Assign ICD 10 risk adjustment codes that are a included in HCC /RXHCC categories from CMS/Medicare and Medicaid.
2/2014- 5/2017 Regional Health One Memphis, TN
Clinical Coding Specialist
Teaching Facility
Assign ICD9/CPT for various Outpatient clinics (40).
Reconcile aged accounts to be coded.
Neurology, Dermatoloy, Vascular, Rheumatology, wounds ( burn, ulcer, hbo treatments,) rehab (Ot, PT, Speech Therapy, Medicine ( General & Internal), Adult Special Care,Same Day Surgery, ED, OBGYN, Sickle Cell, Oncology,Hand, Plastics, Podiatry, Oral Surgery, PATS, Ancillary,Radiology, Protime Clinic, Recurring Accounts, Dialysis, Pain Clinic, Fetal Medicine, and a variety of others.
4/2014-12/2017 Arrohealth
Remote Coder Memphis, TN
HCC/Medicare Risk Adjustment
Complete Capture Code various insurance/provider clients
3/2012 – 11/2013 Altegra Health Los Angeles, CA.
HCC/Medicare Risk Adjustment Remote Coder
To audit medical charts & assign ICD9 codes thru HCC/RXHCC relations
Perform complete coding for some accounts.Some Hedis Abstraction
6/2011 -11/2013 Outcomes Inc. Alpharetta, GA.
Onsite Coder/Field Reviewer
To perform medical review services with healthcare providers for HEDIS/PIA Risk Adjustment.
Assign ICD9 codes to HCC/RXHCC relations
Perform onsite coding audits/ICD9 with healthcare providers.
Uphold HIPAA /Patient confidentiality Requirements.
6/2008-1/2014 Inovalon Bowie, MD.
Remote Consultant Coder
Audit medical charts
Assign and input ICD9 codes to HCC/RXHCC relations
CRG projects complete code capture
Participation in approved AAPC continuing education through
Webinars/training provided on the job.
10/2006-6/2008 Concorde Career College Memphis, TN.
Medical Office Instructor
Taught ICD/CPT/HCPC, medical terminology, insurance,
Transcription, Keypro, and HIPAA.
Assisted students to prepare for AAPC/NCCT exam
5/2003- 10/2006 UT Medical Group Memphis, TN.
Clinical Coder I
Coded Outpatient Clinics, EKG reports, and diagnostic procedures
by assigning ICD9 codes .
Distribution of work to others
1/2001-5/2003 UT Medical Group Memphis, TN.
Call Center Representative
Registered Patients/scheduled appts.
Contact this candidate