Certified Outpatient Coder (COC), Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA), with a strong understanding of hospital Outpatient Evaluation and Management (E/M).

  Ensured clean claims by coding and auditing specific diagnosis and charge entries pertaining to clinic; hospital; consultations; subsequent stays; and critical care, among others.

  Advanced understanding of medical terminology; pharmacology; body systems/anatomy; physiology; concepts of disease processes; and Centers for Medicare and Medicaid (CMS) Risk Adjustment Model.

Active Member, American Academy of Professional Coders (AAPC) and the National Alliance of Medical Auditing Specialists (NAMAS).

  Certified Outpatient Coder (COC)

  Certified Professional Coder (CPC)

  Certified Professional Medical Auditor (CPMA)

  Certified Medical Computerized Insurance Billing 

Hierarchical Condition Categories (HCC) Medicare Risk Adjuster, Optum 2015-Present

  Follow HCC payment methodology to properly code procedures pertaining to the Medicare Advantage health plan according to the Centers for Medicare and Medicaid (CMS) Risk Adjustment Model. 

  Thoroughly review patient medical history and medical records, including physical exams, progress notes, consultation reports and diagnostic reports.

Medical Coder/Chart Auditor, ER/Inpatient Rounds, Sterling Medical Corp. 2014-2015

  Followed hospital Outpatient Evaluation and Management (E/M) codes working at Nellis Air Force Base.

  Adhered to external cause of injury (E-codes) to identify how patient injury occurred.

  Coded for Intramuscular (IM) or Subcutaneous (SQ) injections and IV infusions.

Medical Chart Auditor/Physician Education, Nevada Neurosciences Institute 2012-2014

  Audited charts daily at Sunrise Hospital pertaining to E/M for clinic and hospital coding.

  Ensured accurate coding of physician education pertaining to clinic; hospital; consultations; subsequent stays; critical care; outpatient testing such as electroencephalogram (EEG); nerve conductions with Electromyogram (EMG); occipital blocks for migraine headache treatments; Botox injections for Dystonia; and Hyperhidrosis, and conducted yearly CPT updates for billing sheets.

Medical Auditor/Coding Educator, Memorial PromptCare                  2008-2011

  Coded and audited physician chart notes for specific diagnosis and charge entries to ensure clean claims.

  Followed CMS 95 guidelines to educate physicians on proper E/M level.

Medical Coder/Billing Specialist, Medivision     2007-2008

  Performed coding of OB/GYN procedures, including infertility; infectious disease; and oncology specialties.

Medical Coding Specialist, Newport Heart Medical Group  2002-2007

  Handled coding/billing for general cardiology; echocardiogram; and nuclear stress tests.