Medical Coding

FERNANDO A. CALIBUYOT, CPC

**** ********* ****** #** * Honolulu, Hawaii 96822 n 808-***-**** n **********@*****.***

CAREER OBJECTIVES

I am seeking employment with a progressive, reputable company that will provide challenges and

opportunities for growth and advancement, utilizing my Coding and Auditing experience.

QUALIFICATIONS

• Highly adaptable and dependable employee with professional skills that include:

Using proactive leadership abilities to manage Auditing / Coding operations.

• 8 years coding background in various Primary and Specialty outpatient clinics.

• Very knowledgeable with AHLTA/CHCS, CCE, Quadra Med, ICode/Edoma, Medrium systems,

• Current/active DOD Security Clearance.

• Excellent written, verbal, PC communication skills, analytical, organizational and time

management abilities.

• AAPC CPC Certification August 2004

PROFESSIONAL EXPERIENCE

Lead Medical Coding Auditor (12/10–09/12)

Signature Performance, Hickam AFB, Hawaii

Lead Medical Coding Auditor for MTF OPD clinic with 39 provider averaging 3240 encounters a

month. Conduct monthly audits and provide E&T on deficiencies in documentation, diagnosis and

procedure codes, using ’97 Guidelines. Provider accuracy levels increased from 88% to 97% in 1.5

years’ time.

(10/2012-current)

Instructor/Introduction to Medical Coding

Hawaii Technology Institute

Currently serving as a college instructor, providing guidance using ICD-9-CM, CPT, HCPCS

text books to new students interested in pursuing a new career as a medical coder. Will also teach

Medical Terminology as needed.

Medical Coder/Auditor (02/09-12/10)

UCERA, Honolulu, Hawaii

Served as a Medical Coder/Auditor using CMS guidelines for all coding issues. Review

and validate coding and billing for providers of various specialties. Educate and train Providers,

clinical staff on proper documentation using ICD-9, CPT, HCPCS coding manuals, and ‘95

Guidelines for E/M code selection for accurate coding and reimbursements.

Remote Coder/Self Employed

iTotalSolutions, LLC (07/08-03/09)

Subcontracted as remote coder and bill reviewer for providers/specialty groups at various locations.

Currently medical coding and billing for providers at various locations. Systems; Edoma/iCode,

Medrium. Use CMS, CPT, ICD-9, HCPCS coding guidelines for accurate coding and reimbursements.

Submitted by Write Away Resume and Business Support

Coded 175 encounter per day.

Auditor/medical Coder/Team Leader (05/07-

07/08)

DomaTechnologies, LLC/Sparky Matsunaga Veteran’s Clinic, Honolulu, Hi.

Government Contract

Using VA Coding Guidelines, reviewed and validated procedure, diagnostic codes for Veteran’s clinical

encounters. QuadraMed and Encoder software systems as well as required ICD-9, CPT, HCPCS

coding manuals, CMS/Medicare guidelines. Auditing using ’95 Guidelines worksheet for E/M process

selections.

Auditor/Med Coder Reviewer -HCRS, Inc. (02/07-05/07)

Onsite Auditor at Pearl Harbor Makalapa Clinic, Honolulu. Hi

Government Contract

Experience using CCE, CHCS and AHLTA programs to code Billable and Non-Billables, audit minimum

of 120 outpatient charts daily, educate and train Providers on proper documentation using ICD-9, CPT,

HCPCS resources along with ’97 Guidelines for E/M code selection process, DOD Guidelines for code

selection.

Peer Auditor/Trainer –TCAssociates, LLC (02/06-02/07)

Government Contract

Remote auditor, various AF/NAVY MTFs. Reviewed scanned documents of auditor’s work using the

CPT, ICD-9, HCPCS, CHCS and AHLTA, DOD guidelines. Conducted coding classes at various MTFs

on use of ’97 E/M guidelines, coding concepts, documentation quality and DOD guidelines.

Coder Coach/Auditor-TMI System Mgmt, Inc. (11/05-

02/06)

Onsite Auditor Coder/Tripler Army Medical Clinic, Honolulu, Hi

Government Contract

Serve as clinic POC to resolve coding issues. Review CHCS and AHLTA notes; assign procedural and

diagnostic codes for TAMC Urology, Family Practice clinic encounters. Educate and train clinic

providers on documentation, review and validate TAMC services provided.

Medical Coder/Abstractor-Hawaii Pacific Health (11/04-07/05)

Kapiolani Hospital, Honolulu, Hi

Abstract from inpatient medical records all diagnoses and medical procedures provided. Assign DRG

for the hospital stay.

EDUCATION

P.O.S.T. Basic Police Dispatcher Academy San Mateo County Public Safety/Redwood City, CA

Basic Police Dispatching Academy and Criminology Evergreen Valley College/San Jose, CA

University of Hawaii Community College System, 2002-2004: keyboarding 1&11, Word 2002,

Windows XP, Biology 130, Medical Terminology, Medical Billng, Professional Medical Coding

AWARDS

OSPAR winner, 4th Quarter, 2011 Signature Performance MASS Contract

100% coding accuracy for 2nd quarter, FYI 2012 signature Performance MASS Contract

References upon request

**Held other dispatching positions with Federal Gov’t Civil Services**

Contact this candidate