Medical Coding & Risk Adjustment Specialist
Resume:
PAMELA
KENNERLY
*************@*****.***
Charlotte, NC 28213
linkedin.com/in/pamela-kennerly-cpc-a-a2510aa
SKILLS
CPT, ICD-10-CM, and HCPCS Level II Coding Guidelines
Medical Terminology
Records accuracy
Computerized Indexing Systems
Compliance Requirements
Inpatient and Outpatient Coding
Medical Histories and Vital Statistics
Medical Billing and Coding
Epic EMR Systems
Diagnostic Codes
Project Management
Microsoft Office Proficiency
Data entry and management
Speed typing
Telecommunications Systems
EDUCATION
John Jay College of Criminal Justice of The City University of New York
New York, NY • 06/1996
Bachelor of Science: Criminal Justice
Fiorello H Laguardia Community College
Queens, NY • 01/1987
Associate of Science: Office Technology
Central Piedmont Community College
Charlotte, NC • 2020
Certificate: Medical Reimbursement Specialist
PROFESSIONAL SUMMARY
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Detail-oriented team player with strong organizational skills. Twenty-six years of management experience with the ability to handle multiple projects simultaneously with a high degree of accuracy.
WORK HISTORY
United Health Group, Optum - Risk Adjustment HCC Coder
Charlotte, NC • 06/2022 - 06/2023
Assigned appropriate ICD-10-CM codes, mapping to applicable risk adjustment HCC modes.
Coded all diagnoses and services accurately and completely from medical records in accordance with ICD-10-CM coding classification systems.
Selected and accurately recorded all appropriate records and data on assigned chart abstraction projects.
Assigned Event codes when documentation in records were inadequate, ambiguous, or otherwise unclear for medical coding purposes.
Complied with Standards of Ethical Coding as set forth by American Health Information Management Association and adhered to official coding guidelines.
Complied with HIPPA laws and regulations.
Maintained quality and production standards of 95% accuracy on all projects required by company.
Remained current in diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.
Processed and tracked requests for medical records from external organizations.
Communicated effectively with staff and insurance companies via email and telephone.
Proven ability to learn quickly and adapt to new situations.
Skilled at working independently and collaboratively in a team environment.
Verizon - Network Engineer
Charlotte, NC • 01/2001 - Current
Project Manager.
Subject Matter Expert (SME) in provisioning of SONET/DWDM Rings including UPSR, BLSR, Point to Point, NGADM, including Fujitsu, ADTRAN, LUCENT and Flashwave multiplexers.
Provisioned Ethernet circuits and Ethernet Private lines (EPL) from 10mbs up to and including 10gige utilizing Flashwave 9500 SONET systems.
Responsible for provisioning Hi-Capacity facilities in NY Liberty Region.
Participated in FOA design of QDFR/QDFC ADTRAN 3000 in corporation's central office.
Utilized disconnected muxes to maintain reduction in V-Cam cost.
Partnered with Inter Office Facility Mangers to manage network elements on Flashwave in NY LIberty Region to prevent exhaustion of subtending capacity.
Project Manager for AT&T and T-Mobile Wireless projects.
Project Managed approximately 1500 spans on weekly CCR Hotlist.
Responsible for meeting daily metrics of RID-1, CDDD, TFAS.
Provide excellent support to Outside Plant Engineering counterparts.
Bell Atlantic - Specialist- Administrative Supervisor
New York, NY • 01/1997 - 01/2001
Administered payroll process for Sales Call Center's personnel of over 300 employees and oversaw work of three administrative clerks.
Monitored, reviewed and edited payroll for accuracy.
Answered questions, resolved inquiries and made corrections related to payroll as needed.
Acted as a liaison between Sales Call Center and Human Resources, Labor and Medical Departments.
Administered Bell Atlantic's Absence and Tardy Control Plan, up to and including eliminating personnel found abusing such plans.
Scheduled and monitored all vacations, absences, and other time and personal leave requests to ensure appropriate coverage for call center.
Provided administrative support to Call Center's sales managers.
New York Telephone - Customer Service Representative
New York, NY • 02/1991 - 01/1997
Provided customer service to both large and small business customers in General Business Service Call Center.
Consistently met and exceeded sales objectives.
Negotiated high capacity complex orders.
Trouble-shot customer related inquiries acting as liaison between General Business Service Call Center and other internal customers.
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Provided training for customer service representatives.
AFFILIATIONS
American Academy of Professional Coders CPC-A
National Notary Association-Certified Notary Public
National Notary Association-Certified Electronic Notary Public
National Notary Association-Certified Loan Signing Agent
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