Marcelle Viator, CPC, CRC

Medicare Risk Adjustment Coder at MedKoder, LLC
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Contact Information
us****@****om
(386) 825-5501
Location
Mandeville, Louisiana, United States, US
Skills

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Credentials

  • Certified Risk Adjustment Coder
    AAPC
    Oct, 2015
    - Nov, 2024
  • Certificate of ICD-10 Proficiency
    AAPC
    Jun, 2015
    - Nov, 2024
  • Certified Professional Coder
    AAPC
    Jan, 2002
    - Nov, 2024

Experience

  • MedKoder, LLC
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Medicare Risk Adjustment Coder
      • Jan 2015 - Present

      • Abstract and code diagnosis and documentation information• Research and resolution of coding projects as assigned• Document requested information from the medical record• Determine valid encounters including legibility and valid signature requirements• Identify valid face to face encounters• Perform ongoing analysis of medical record charts for the appropriate coding compliance• Provide effective feedback to providers and clients through power point presentations, reports, and education• Coder is responsible for meeting daily production goal and quality goal of averaging 95% accuracy rate on a consistent basis

  • ArroHealth
    • United States
    • Information Services
    • 100 - 200 Employee
    • Medicare Risk Adjustment Coder
      • Oct 2014 - Dec 2014

      -Reviews, analyzes, and codes ICD-9 diagnostic information in a patient's medical record based on client specific guidelines for the specified project. -Ensure compliance with established ICD-9 CM coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. -Reviews, analyzes, and codes ICD-9 diagnostic information in a patient's medical record based on client specific guidelines for the specified project. -Ensure compliance with established ICD-9 CM coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

  • Humana
    • United States
    • Insurance
    • 700 & Above Employee
    • Medicare Risk Adjustment Coder/Auditor
      • Jan 2003 - Jun 2010

      Medical Risk Analyst:-Review Medical Record documentation to identify all appropriate coding based on CMS HCC categories-Ensure and verify the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered-Complete appropriate paperwork regarding diagnosis information-Demonstrate analytical and problem solving ability regarding barriers to receiving and validating accurate HCC information-Provides education and training for physician groups/offices and internal colleagues to increase awareness and proficiency and importance of accurate Medicare codingMedical Coding Coordinator:-Head of ClaimCheck Committee and departmental coding-In charge of making changes and updates to ClaimCheck software-Work closely with the Fraud and Abuse Department to detect deliberate healthcare abuse-Work closely with the Provider Relations Department to assist providers in understanding codingpractices and policies-Reviews claims and supporting documentation for appropriate use of medical coding-Provides an evaluation of coding errors detected and recommends corrective action to address the issues noted -Maintains detailed records of coding errors, including types of errors by provider, frequency and the impact of error patterns on claims payment-Determines potential causes of errors, such as insufficient training, potential abuses, or system issues and recommends corrective actions-Provides internal medical coding consultation to various departments to assist with new product development, provider contracting, and system configuration-Monitors regulatory changes associates with coding compliance-Identifies coding educational needs and coordinates medical coding training-Recommends coding policy and procedure changes/additions to improve coding compliance and customer satisfaction

  • Associates in Plastic Surgery
    • Certified Professional Coder/Compliance Officer
      • Jan 2002 - Dec 2002

      -In charge of reorganization for HIPAA compliance-Reading and analyzing medical records to help identify all diagnoses and procedures relevant to the current episode of patient care, including inpatient and outpatient care-Clarifying inconsistent, ambiguous or non-specific information in a medical record by consulting with the responsible medical practitioner-Education of physicians and staff on correct coding methods-Assessment of the medical record content and reorganization of any inadequacies after notification to management-Maintenance of all coding manuals to ensure that they are all updated and current-Yearly updating of codes in computer system and on charge slips-Appealing denied claims-Liaise between the computing and finance staff-Submission of actual claims-Assistance with medical research

  • HCA Healthcare Physician Services
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Medical Office Manager/Medical Coder
      • Dec 2000 - Dec 2001

      -Coding all surgical procedures with accurate ICD-9, CPT, and HCPCS codes-Retrospective chart auditingMaintenance of Charge master-Updating all charge encounter forms and medical codes in the computer system-Handling of finances, overseeing day-to-day operations, and supervision of staffers-Financial management-billing, accounts receivable and payable, monthly financial statements-Interviewing, training, and supervision all the clerical staffers, and managing the paperwork for clinical staffers as well-Scheduling and running periodic staff meetings, including performance and salary reviews, and approving time off-Ordering and maintaining all clinical and office supplies in office-Maintaining physicians certifications and licenses-Negotiation with the insurance company-Handling patient problems or inquiries

  • Paragon Health
    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Medical Office Manager
      • Jan 2000 - Nov 2000

      -Review of evaluation and management coding before data entry-Medical management-Supervision of clinical staff-Liaison between attorneys and physician-Maintenance of handling all physicians incoming mail-Liaison between physician and biller-Scheduling patient appointments-Handling patient problems or inquiries -Review of evaluation and management coding before data entry-Medical management-Supervision of clinical staff-Liaison between attorneys and physician-Maintenance of handling all physicians incoming mail-Liaison between physician and biller-Scheduling patient appointments-Handling patient problems or inquiries

  • Jan P. Jumonville, Attorney at Law
    • Part Time Legal Secretary
      • Mar 1992 - Dec 1999

      -Organization of all correspondence and legal documents-Typing of legal letters and filing of court documents-Scheduling of appointments-Legal research for attorney-Filing and bookkeeping -Organization of all correspondence and legal documents-Typing of legal letters and filing of court documents-Scheduling of appointments-Legal research for attorney-Filing and bookkeeping

Education

  • Louisiana State University
    Bachelor's degree, Speech-Language Pathology
    1994 - 1999
  • Louisiana State University
    Minor, Psychology
    1994 - 1999

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