Inpatient Coding Facility

Prince Ezebuiro (CPC, CIC, CPMA) (********)

********.**@*****.***; 832-***-****

Professional Summary

Over 10 years of coding experience

About 8 year of ICD10 PCS coding and DRG review

Proficient in inpatient coding

Inpatient and Outpatient profee (facility coding experience)

Systems:

EPIC, Epic-HDM, EPIC-3M, 3M-CAC, Optum-360, 3M-360, Optum CAC, Dolby, One Content, Paragon, eClinical Works, Solarion, Athena, HPF, Centricity, Cerner-Powerchart, IDX, Meditech, Clintegrity, Medisoft, Allscripts, 3M-CodeRyte, Trucode, Encoderpro, NextGen

Professional Experience

Oxford– Providence (Part Time-Flex Hours) June. 2024 – December 2024

IP Coder – III (Remote)

Coding abstracting: POO, Admit date, DOD, Attending physician etc

Resolves DRG mismatches with CDIs

POA and HAC assignment

ICD-10 PCS coding and Query writing

Diagnostic coding for all ICD-10 codes on all charts and assigns all procedural codes.

Participates in Teams huddles.

Comforce – Henry County Medical Centre (PRN) Aug. 2023 – June 2024

IP Coder (Remote)

POA coding with DRG and POA assignment

ICD-10 PCS coding

Diagnostic coding for all ICD-10 codes on all charts and assigns all procedural codes.

Participates in Teams huddles / Query physicians where and when necessary.

Medovent - Memorial Hermann Health System Mar. 2022 – Apr. 2024

Hospitalist/IP Coder (Remote)

POA coding with DRG

ICD-10 PCS coding

E/M leveling for all OBS, IP, OP, profee charts. Relates with Claims Officer for POA assignment.

Codes Observation, Inpatient and Outpatient charts

Diagnostic coding for all ICD-10 codes on all charts and assigns all procedural codes.

Participates in Teams huddles / Query physicians where and when necessary.

Harmony -Berkshire Medical Centre (part-time) May 2022 – Oct. 2022

IP (Acute) Coder

Coded inpatient charts at the production rate of 3 - 4 charts per hour depending on encounter length.

Coded Observations, ED and Surgical charts

Used EPIC-3M, 3M-360 encoder for code assignment and Used EPIC basket for physician queries.

Principal dxs assignment applying DRG principal for better facility reimbursement.

Getix June 2016 – June 2022

Remote Acute Inpatient Coder - Santa Clara Medical Centre March 2017 – June 2022

E/M leveling for all OBS, IP, OP, profee charts

Resolution of DRG mismatch through client portal

Maintained great communication with my Supervisor and Managers

Assigned appropriate POAs and principal diagnosis using the MS-DRG reimbursement guidelines

Maintained about 95% accuracy and productivity

Remote IP/OP and Professional Auditor/Coder - HenryFord Hospital June 2016 – March 2021

Claim edits resolution

Charge review (OP/IP) & ER/ED & Ancillary

E/M leveling with 1997 guidelines

Edit - Responsible for auditing and resolving all billing edits which include LCDs, CCI edits on EPIC.

Reconcile immunization accounts. Audit and resolve edits for both private and commercial insurances

Specialties include: Oncology, Cardiology, OB/GYN, Primary Care, Ophthalmology, Radiology, Podiatry, Immunization and Vaccines, applying CMS rules in resolving edits.

Remote Professional Coder - Claim Edits - Vanderbilt Teaching Hospital June 2018 – Dec. 2021

Coding & Reviewing Diagnoses, Procedures, E&M, Modifiers & Edits.

Specialties include but are not limited to Cardiology, Urgent Care, Family Medicine, Psych, Ortho & ED

Standard physician practice E&M coding

Physician practice ED experience

Worked backlogs due to an Epic install for OCE, CCI and LCD edits for hospital account works ques

Experienced with 59 Modifiers and CCI’s edits for CPT and procedure codes

Experienced with Outpatient Code Editor (OCE’s) out of 3M+CodeRyte

Experienced with Local Coverage Determinations

Olmsted Medical Centre April 2016 – Oct. 2018

Remote Professional Coder- Emergency Room

CPT coding based on procedure documentation

Responsible for coding outpatient ED, SDS and ancillary visits.

Independently leveled emergency room accounts

Edit resolution – EM, Cardiology, Oncology, Pathology

E&M and procedure coding

Participated in company meetings and activities and participated in monthly quality reviews.

Communicated weekly productivity numbers to management via email.

Maintained a quality score of 98%.

New York-Presbyterian and TriHealth Hospital Jan. 2014 – Sept. 2017

Remote Coder

New York-Presbyterian/Queen is a 535- Bed acute care hospital

TriHealth Cincinnati is a combination of two hospitals with over 700 beds

Pathology, Anesthesia, Interventional Radiology

ER/ED coding, SDS

Performed Multispecialty Coding and Hospital Outpatient Coding.

Achieved 96% accuracy in all quality reviews.

Maintained excellent communication with colleagues and managers while working remotely.

BEN Taub Hospital and LBJ Hospital Oct. 2012 – May 2014

Remote Professional Coder

Harris county group of hospital has two Hospitals – LBJ with 207 beds and level III trauma center and Ben Taub with 500 Beds and provides multi-specialty outpatient care. Coded inpatient pro fee, outpatient, same day surgeries, emergency room (trauma registry), and diagnostic ancillary services.

Performed Hospital Inpatient Coding and Outpatient Pro fee

Responsible for coding Emergency room, ambulatory, OBGYN and multispecialty charts for Harris county (LBJ) (over 207 beds).

Audits medical records for appropriate HCC codes

Responsible for abstracting data from medical records from patient’s chart.

Maintained and achieved a quality score of 97% monthly.

Education

Health information specialist certification (HIS) 2012

Houston Community College, Houston, Texas, United States

Master of science: environ. Chemistry 2011

University of Houston, Clearlake, Clearlake, Texas, United States

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