Jesse Gallop, LPN, CDIP, CCS, CCS-P, CPB, CPMA, CRC, HCS-D, HCS-O
Founder at The Coding Nurse®️- Claim this Profile
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Spanish -
Topline Score
Bio
Credentials
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Certified Coding Specialist (CCS®)
AHIMAFeb, 2020- Nov, 2024 -
Certified Coding Specialist- Physician-based (CCS-P®)
AHIMAApr, 2018- Nov, 2024 -
Certified Documentation Improvement Practitioner (CDIP®)
AHIMASep, 2019- Nov, 2024 -
AHIMA-Approved CDI Trainer
AHIMAMar, 2022- Nov, 2024 -
AHIMA-Approved ICD-10-CM/PCS Trainer
AHIMAOct, 2021- Nov, 2024
Experience
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The Coding Nurse®️
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United States
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Education
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1 - 100 Employee
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Founder
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Sep 2021 - Present
Instruct nurses in basic through advanced ICD-10 CM/PCS, CPT, and HCPCS coding principles for hospital and physician-based coding in preparation for national certification exams. Apply Official Guidelines of Coding and Reporting principles to assist students and clients in accurately assigning diagnostic codes from clinical case scenarios. Implement proactive and/or retrospective strategies to prevent/resolve coding issues for clients. Ensure environment promotes learning through interactive coding modules and practical scenarios according to curriculum objectives leading to increased knowledge retention. Show less
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Peirce College
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United States
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Higher Education
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100 - 200 Employee
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Professional Tutor, Medical Coding
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Feb 2020 - Aug 2021
Provided non-classroom, academic instruction to students on an individual or small group basis for proactive or remedial purposes. Organized tutoring environment to promote productivity and learning. Prepared lesson plans or learning modules for tutoring sessions, according to students’ needs and goals. Taught students study skills, note-taking skills, and test-taking strategies. Participated in training and development sessions to improve tutoring practices and learn new tutoring techniques. Provided non-classroom, academic instruction to students on an individual or small group basis for proactive or remedial purposes. Organized tutoring environment to promote productivity and learning. Prepared lesson plans or learning modules for tutoring sessions, according to students’ needs and goals. Taught students study skills, note-taking skills, and test-taking strategies. Participated in training and development sessions to improve tutoring practices and learn new tutoring techniques.
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AmeriHealth Caritas
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medical Coding Auditor
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Jul 2019 - Aug 2019
Contract, medical coding auditor position. Conducted first level, quality checks on clinical reviews. Validated ICD-10-CM, CPT and HCPCS codes documented in medical records. Determined appropriateness of billing and reimbursement. Documented findings for each claim line in an Excel spreadsheet. Complied with privacy and security standards. Contract, medical coding auditor position. Conducted first level, quality checks on clinical reviews. Validated ICD-10-CM, CPT and HCPCS codes documented in medical records. Determined appropriateness of billing and reimbursement. Documented findings for each claim line in an Excel spreadsheet. Complied with privacy and security standards.
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Oak Street Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medicare Risk Adjustment Nurse Coder
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Sep 2018 - Nov 2018
Conducted remote electronic medical record reviews utilizing ICD-10-CM codes to the highest level of specificity for CMS-HCC project. Interfaced with providers to discuss documentation and to recommend suggested codes for inclusion into the medical record. Performed medical record reviews while meeting productivity and accuracy standards. Abided by all HIPAA and associated patient confidentiality requirements. Conducted remote electronic medical record reviews utilizing ICD-10-CM codes to the highest level of specificity for CMS-HCC project. Interfaced with providers to discuss documentation and to recommend suggested codes for inclusion into the medical record. Performed medical record reviews while meeting productivity and accuracy standards. Abided by all HIPAA and associated patient confidentiality requirements.
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Inovalon
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United States
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Software Development
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700 & Above Employee
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Clinical Abstractor Traveler
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Jan 2016 - Sep 2018
Traveled to medical facilities nationwide to complete review services as assigned. When not traveling, remote medical record reviews were completed. Accurately and efficiently conducted medical record review/abstraction services, utilizing ICD-10-CM codes for HCC, CRG, HIX reviews and HEDIS measures. Scanned relevant components of the medical record to support reviews performed. Electronically downloaded review assignments to the laptop and data collection tool; daily upload of completed assignments and scanned medical records. After initial reviews were completed, performed chart audits for accuracy. Abided by all HIPAA and associated patient confidentiality requirements. Show less
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Inovalon
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United States
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Software Development
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700 & Above Employee
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Site Review Consultant
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Apr 2014 - Jul 2015
Reviewed medical records in physician's offices and hospitals. Abstracted medical information using ICD-9-CM codes. Traveled nationwide to abstract medical information for HEDIS reviews. Reviewed medical records in physician's offices and hospitals. Abstracted medical information using ICD-9-CM codes. Traveled nationwide to abstract medical information for HEDIS reviews.
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Education
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Chester Upland School District Adult Programs
Diploma, Practical Nursing -
American Academy of Professional Coders
Certificate, Certified Risk Adjustment Coding (CRC) -
American Academy of Professional Coders
Certificate, Certified Professional Biller (CPB) -
American Academy of Professional Coders
Certificate, Certified Professional Medical Auditor (CPMA) -
2018 - 2023
Camden County College
Associate of Arts and Sciences - AAS, Health Science
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