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Title Remote HCC Risk Adjustment Coder
Target Location US-TN-Knoxville
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name , BS, RHIT, CRCContact InformationStreet Address  Grassy Meadow BlvdKnoxville, TN Street Address -4742PHONE NUMBER AVAILABLEEMAIL AVAILABLEEducationRoane State Community College  Harriman, TNCompleted ICD-10 course Spring 2015Associate of Applied Sciences in Health Information TechnologyMajor GPA: 3.5 Deans List  Fall 2004Graduated Cum Laude May 2006East Tennessee State University  Johnson City, TNBachelor of Science in Psychology with Minor in FinanceGraduated May 2000CertificationRHIT September 2006  PresentAmerican Health Information Management AssociationMember, August 2003  PresentCRC October 2021  PresentAmerican Academy of Professional CodersMember, September 2021  PresentWork ExperienceEvolent  Arlington, VADecember 2022 PresentRisk Adjustment Coding Support SpecialistRemote work-from-home HCC Coding for annual physicals and general office visits utilizing ICD-10-CM. Insurance plans worked include Traditional Medicare Shared Savings Program and BCBS (Medicare Advantage and Commercial).Summit Medical Group  Knoxville, TNJune 2016  November 2022Coding Support SpecialistHCC Coding for Medicare Advantage annual physicals and general office visits utilizing ICD-10-CM. Insurance plans worked include Humana, BCBS, CPC+ and NextGen..Candidate's Name , BS, RHIT, CRCEMAIL AVAILABLEApex Systems Inc.  Glen Allen, VAJanuary 2016  February 2016Remote Radiology CoderRemote work-from-home coding general radiology procedures utilizing CPT-4 and ICD-10-CM.Faculty Internal Medicine  Knoxville, TNMay 2015  December 2015Payment PosterPosting payments, scanning documents, and answering phones for billing department.Accenture  Louisville, TNNovember 2014  May 2015Claims ProcessorProcessing claims for client in California.Zotec Partners (formerly CBIZ Medical Management Professionals)  Knoxville, TNDecember 2003-June 2008, March 2011  August 2014Radiology CoderMedical coding of general radiology procedures and diagnoses for TN, FL, and NC clients utilizing CPT4/ICD9 guidelines, PQRS, LCDs, CCI edits, and quarterly teleconference seminars.April 2005  June 2008Radiology Coder IMedical coding of general radiology procedures and diagnoses for TN, GA, KY, NC, and NY clients utilizing CPT4/ICD9 coding guidelines, LMRPs, CCI edits, and current information through monthly teleconference seminars and team meetings. Volunteered for interventional radiology PRN March  September 2006. Updated coding team with daily workflow logs. Sent coding articles/discussion threads provided by AHIMA member website.November 2004  April 2005Charge PosterCharge entry with familiarity of CPT4/ICD9 coding guidelines and health insurance guidelines for proper reimbursement of radiology, average 80 charges per hour.March 2004  November 2004Account Representative/Charge PosterPulling charge reports for Medicare CO-50 denials and charge entry for radiology and downloading patient demographics from hospital files, also backup duties for phone work and filing secondary insurance claims.December 2003  March 2004Account RepresentativeSubmitting claims for Workers Compensation, processing patient bankruptcies and Attorney/Auto Insurance requests for release of private health information, receiving inbound calls for patient account inquiry, follow-up on final-notice collection accounts for radiology.Candidate's Name , BS, RHIT, CRCEMAIL AVAILABLETeamHealth  Alcoa, TNJune 2008 - March 2011ED CoderMedical coding of emergency department visits, procedures, and diagnoses for Medicare patients of TN, KY, NC and CA clients utilizing CPT4/ICD9 coding guidelines, CCI edits, and current information through periodic team meetings and training sessions.

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