Feb 2025 – Jul 2025 · 5 mos

May 2022 – Feb 2025 · 2 yrs 9 mos · Jackson, Tennessee, United States

Sep 2020 – Apr 2022 · 1 yr 7 mos · United States

• · CRC
• · Vast understanding of HCC codes and RAF hierarchal models
• · Ability handling ICD 10 CM, CPT and HCPCS books to code with a maximum specificity
• · Qualified to determine if medical records are in support of individual patient risk-adjustment score
• accuracy
• · Proficient in educating providers and their practice staff in Medicare coding guidelines
• · Review of medication lists to verify if there are correlating conditions and if conditions are still being
• treated
• · Review all specialist and hospital consults and lab or pathology reports for new and more specific conditions
• · Worked during HEDIS seasons at the highest level of review while maintaining 100% accuracy rate

Jan 2018 – Oct 2020 · 2 yrs 9 mos · United States

• · Thoroughly analyzing patient information to properly apply CPT, ICD-10 and HCPCS codes for billing
• purposes.
• · HCC Risk Adjustment Coding
• · Assure that all ICD 10/CM high risk chronic/acute conditions diagnoses are reported in accordance
• with CMS payment and Risk Adjustment Guidelines.
• · Clinical chart investigator.
• · Properly coding infusions, arthrocentesis, vaccinations, intradermal medication administration, iv-
• pushes, and medication measurements.
• · Applying CPT and ICD-10 guidelines to make sure codes used are age, procedure, and guideline
• appropriate.
• · Selecting appropriate modifiers and E/M levels.
• · Knowing insurance guidelines for what codes are billable.
• · Maintaining professional relationships with physicians to properly solve any problems that may arise.
• · Diagnostic Imaging coding for CT, X-Ray, Mammog