Medical Coder/medical virtual Assitant
Laguna
Certified Medical Virtual Assistant with 1 year and 6 months of experience in a bedside setting, 6 months in denial management, and 1 year as a risk adjustment medical coder. A detail-oriented and highly organized with a solid foundation in medical coding and denials management. Skilled in reviewing claims, identifying discrepancies, and ensuring compliance with healthcare regulations and insurance requirements. Demonstrate strong analytical and problem-solving abilities developed through hands-on experience in resolving claims denials. Knowledgeable in EMR and Epic. Eager to leverage technical knowledge and healthcare expertise to support providers in delivering efficient, high -quality virtual care.
Optum, full_time
Apr 2025 to Apr 2026
Expertise in ICD-10-CM coding guidelines, specifically for identifying chronic conditions that impact HCC scores. Ensuring compliance with regulatory standards and coding guidelines, often supported by certifications Evaluating patient medical records for accuracy and completeness, with high attention to detail. Identifying documentation deficiencies and ensuring medical records accurately reflect the patient's severity of illness.