Experience

Health Plan of San Joaquin

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Intermediate Configuration Auditor

  • Jul 2016 - Present

  French Camp, California

• Provider Network Auditor

  • May 2012 - Jun 2016



Medical Coder

• United States
• Hospitals and Health Care

• Consultant - Medical Coder

  • Jun 2013 - Present

  Stockton, California Area Claims analysis; comprehensive coding review to assess over coding and compliance. Analyze clinical, billing, and reimbursement documentation in making determinations. Submitted healthcare claims are compared against medical records and governing regulations to verify that the treatment claimed for reimbursement was actually performed and documented as required. Provide assistance through strategic cost containment and a comprehensive claims review approach which utilizes the expertise of a… Show more Claims analysis; comprehensive coding review to assess over coding and compliance. Analyze clinical, billing, and reimbursement documentation in making determinations. Submitted healthcare claims are compared against medical records and governing regulations to verify that the treatment claimed for reimbursement was actually performed and documented as required. Provide assistance through strategic cost containment and a comprehensive claims review approach which utilizes the expertise of a certified professional coder. Show less