Medical Coding & Billing Specialist (MCBC/CPC-A)

Brianna Lizarazo CPC-A, MCBC Medical Coding and Billing Professional

719-***-**** ***.*********@*****.*** Pueblo, CO 81008

Professional Summary

Certified Medical Coding and Billing Specialist (MCBC, CPC-A) with hands-on experience in risk adjustment coding, medical record review, and healthcare documentation analysis. Skilled in ICD-10-CM, CPT, HCPCS Level II, and CMS-HCC risk adjustment models with a proven ability to maintain high coding accuracy and compliance with regulatory standards. Background includes clinical support roles in dental and oral surgery environments as well as high-volume customer service positions. Recognized for strong analytical skills, attention to detail, and commitment to coding accuracy and compliance.

Professional Skills

•Risk Adjustment Coding (HCC)

•ICD-10-CM, CPT, HCPCS Level II

•Medical Record Review & Documentation Analysis

•CMS-HCC & Medicare Advantage Models

•Coding Compliance

•Coding Audits & Quality Assurance

•Electronic Health Records (EHR)

•Customer Service & Communication

Certifications

•Certified Medical Coding and Billing Specialist (MCBC) – American Medical Certification Association (AMCA)

•Certified Professional Coder – Apprentice (CPC-A) – American Academy of Professional Coders (AAPC)

Education

•Medical Coding and Billing Professional Program – MedCerts, Livonia, MI Apr 2024 – Nov 2024

•Associate of Applied Science – Pikes Peak Community College, Colorado Springs, CO Aug 2011 -Dec 2013

Professional Experience

Medical Coder – Risk Adjustment (Remote) UnitedHealth Group – Optum Aug 18, 2025 – Present

• Perform comprehensive Medical Record Management (MRM) reviews to analyze and abstract clinical documentation for accurate ICD-10-CM code assignment

•Review and code inpatient and outpatient records in alignment with CMS, HCC, and Official Coding Guidelines

•Identify and validate appropriate Hierarchical Condition Categories (HCCs) and chronic conditions

•Maintain 95%+ coding accuracy while meeting quality benchmarks

•Conduct documentation audits to capture missed diagnoses and suspect conditions

•Ensure compliance with CMS-HCC, Medicare Advantage, and commercial risk adjustment models

Customer Service Representative (Remote) Bank of America – Charlotte, NC Apr 2024 – Nov 2024

•Resolved account inquiries and service issues while adhering to financial regulations and company policies

•Documented customer interactions and resolutions using CRM systems

•De-escalated customer concerns and provided effective solutions to improve satisfaction

Customer Service Representative (Remote) Globus Family of Brands – Denver, CO Oct 2019 – Jun 2020

•Assisted clients with reservations, itinerary updates, and travel policy questions

•Managed bookings and payments using CRM and internal systems

Oral Surgery Assistant Colorado Springs Oral Surgery – Colorado Springs, CO Aug 2018 – Nov 2018

•Assisted surgeons during procedures including extractions, implants, grafting, and biopsies

•Maintained sterile surgical environments and infection control compliance

Dental Assistant Benning and Mathews Orthodontics – Colorado Springs, CO Apr 2015 – Mar 2018

•Provided chairside assistance during orthodontic procedures including braces adjustments and removals

•Performed dental radiographs and maintained sterilization protocols

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