Medical Coder Records

DENISE BLACK, CCS

Los Angeles, CA 323-***-****

***************@*****.***

EXPERIENCE

Amergis Healthcare Staffing, Gardena, CA

HCC Medical Coder, August 2024-Oct 2024

•Assign appropriate codes for Inpatient and Outpatient medical records.

•Capture acute and chronic conditions that mapp to HCC V08, V24, V28.

•Input HCC codes into EHR system and MS Excel spread sheet.

Norwood Healthcare Solutions, Austin, TX

HCC Risk Adjustment Medical Auditor, July 2024-September 2024

•Validate HCC diagnoses in provider notes in compliance with RADV audits.

•Confirm acute and chronic conditions that mapp to HCC V08, V24, V28.

•Follow MEAT guidelines to ensure dignoses in notes are supported.

•Correct coding discrepencies providing feedback to clinicians.

The Judge Group Healthcare Staffing, Wayne, PA

HCC Risk Adjustment Medical Coder, July 2021-June 2023

•Ensure documentation in medical records are accurate and complete.

•Retrospective review of diagnoses submitted to CMS by providers for audits.

•Code acute and chronic conditions that mapp to HCC V08, V24, V28.

•Consistent accuracy rate of over 95%.

•Completed HEDIS records ensure that clinical quality data meet standards.

•Verify accuracy of measures A1c, Cervical Cancer, CHTN screening.

AHF Healthcare Center, Los Angeles, CA

HCC Risk Adjustment Medical Coder, July 2018-Feb 2019

•Validate diagnoses for RADV audits submitted to CMS by providers.

•Audit Medicare outpatient clinic records with aquired accurarcy rate of 95%.

•Assign acute and chronic conditions that map to Rx V08, CMS V24, V28.

•Perform CMS/HHS sweeps for Commercial and Medicare Advantage.

•Assist team leader and coders in completing back logged medical records.

Change Healthcare, Atlanta, GA

HCC Risk Adjustment Medical Coder, Feb 2018-April 2018

•Assign codes for chronic conditions that mapp to CMS-HCC V24, V28.

•Analyze documentation in the medical record to ensure correct interpretation.

•Review diagnoses submitted for validation by CMS for RADV audits.

Aviacode, Salt Lake City, UT

HCC Medical Coder, Nov 2017-Jan 2018

•Code Medicare and Commercial medical records according MEAT criteria.

•Confirm that documentation in progress notes are complete and accurate.

•Assign codes for acute and chronic conditions mapping to CMS-HCC V28.

HCTEC Healthcare Partners, Brentwood, TN

Emergency Room-HCC Medical Coder, Nov 2014-Mar 2017

•Assign codes for acute and chronic diagnosis according to coding guidelines.

•Condut RADV audits validate supported diagnoses that is submitted to CMS.

•Query physicians to resolve discrepancies and provide them with feedback.

•Abstract diagnostic data from ER, Trauma, and Inpatient records.

EDUCATION

East Los Angeles College

Monterey Park, CA

Completed coursework in ICD-CM Advance Medical Coding, Basic Medical Coding, and Current Procedural Terminology Coding. (2001-2002)

ADDITIONAL SKILLS

•EPIC

•Microsoft (Excel Word Outlook)

•Cerner

•Meditech

•3M

•ICD-10

•Medical Terminology

CERTIFICATIONS

•AHIMA-Certified Coding Specialist-CCS (May-2008/Dec-2026)

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