Experience

Codex Medical Billing

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Coding Specialist

  • Jan 2021 - Present

  Job Description / Duties and Responsibilities: • Ability to successfully perform professional and facility coding using ICD-10 CM, CPT and HCPCS code Accurately enter patients data on software to create claims • Provide feedback to coding staff on audit results • Perform some basic rejects/denials correction Job Description / Duties and Responsibilities: • Ability to successfully perform professional and facility coding using ICD-10 CM, CPT and HCPCS code Accurately enter patients data on software to create claims • Provide feedback to coding staff on audit results • Perform some basic rejects/denials correction



Global Healthcare Resource

• United States
• Hospitals and Health Care
• 400 - 500 Employee

• Process Coach Home Health/Aud

  • Nov 2018 - May 2021

  Job Description / Duties and Responsibilities : Trains and orients new hire for the account specific process Conduct refresher training for coders below the service level of agreement Participates in the development and implementation of related training programs and policies and procedures. Assists Coding leadership with continuing education for all coding personnel. Facilitates peer review and training for Coding personnel. Reviews Home Health medical records to identify the appropriate diagnosis for PLAN of CARE all other appropriate secondary diagnoses. Show less



BRIGHT HEART HEALTH MEDICAL GROUP A MEDICAL CORPORATION

• United States
• Medical Practices
• 1 - 100 Employee

• E/M Coder (Psychiatric Facility)

  • Apr 2020 - Sep 2020

  • Ability to successfully perform facility coding quality reviews for Psychiatric Facility coding • Assigning/Quality review of E/M level for telemedicine/outpatient visits • Provide feedback to coding staff on audit results • Perform QA reports • Ability to successfully perform facility coding quality reviews for Psychiatric Facility coding • Assigning/Quality review of E/M level for telemedicine/outpatient visits • Provide feedback to coding staff on audit results • Perform QA reports



ARMCO Partners

• Hospitals and Health Care
• 1 - 100 Employee

• Quality Control Analyst/ ED - E/M

  • Aug 2017 - Nov 2018

  Job Description / Duties and Responsibilities : • Ability to successfully perform facility coding quality reviews for Emergency Department coding • Assigning/Quality review of E/M level for ED/outpatient visits • Provide feedback to coding staff on audit results • Perform QA reports. Job Description / Duties and Responsibilities : • Ability to successfully perform facility coding quality reviews for Emergency Department coding • Assigning/Quality review of E/M level for ED/outpatient visits • Provide feedback to coding staff on audit results • Perform QA reports.



UST

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Medical Coding Specialist

  • Mar 2016 - Aug 2017

  Job Description / Duties and Responsibilities : • Assigning E/M level for both inpatient and outpatient visit. • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing. Job Description / Duties and Responsibilities : • Assigning E/M level for both inpatient and outpatient visit. • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing.



Omega Healthcare Management Services Private Limited

• Ortigas, Philippines

• Process Trainer/Quality Auditor

  • Mar 2015 - Mar 2016

  Job Description / Duties and Responsibilities : Trains and orients new hire for the account specific process Conduct refresher training for coders below the service level of agreement Participates in the development and implementation of related training programs and policies and procedures. Assists Coding leadership with continuing education for all coding personnel. Facilitates peer review and training for Coding personnel. Reviews Home Health medical records to identify the appropriate diagnosis for PLAN of CARE all other appropriate secondary diagnoses. Show less



UnitedHealth Group

• Taguig, National Capital Region, Philippines

• Medical Coding Specialist

  • Feb 2013 - Feb 2015

  Job Description / Duties and Responsibilities : • Assigning ICD 10 CM for Hierarchical Condition Category • Analyzes encounter for Healthcare Quality patient Assessment Form (HQPAF) • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing. Job Description / Duties and Responsibilities : • Assigning ICD 10 CM for Hierarchical Condition Category • Analyzes encounter for Healthcare Quality patient Assessment Form (HQPAF) • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing.



NCO Group

• Outsourcing and Offshoring Consulting
• 700 & Above Employee

• Medical Coder

  • Sep 2011 - Feb 2013

  Job Description / Duties and Responsibilities : • Assigning ICD 9 CM, CPT, ICD 9 procedural codes for both inpatient and outpatient encounter • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing. I handled different account like Profee, ED, IP, Ambulatory Coding to name a few. Job Description / Duties and Responsibilities : • Assigning ICD 9 CM, CPT, ICD 9 procedural codes for both inpatient and outpatient encounter • Analyzes and codes patient encounters in a timely and accurate manner to ensure quality data and timely billing. I handled different account like Profee, ED, IP, Ambulatory Coding to name a few.