I have completed AAPC accredited courses in medical coding, and passed my Certified Professional Coding (CPC) exam in November of 2013. I have extensive knowledge and experience in insurance policies and regulations, denials and follow-up on unpaid claims. I began medical coding for hospital-based physicians in the radiology department and also the emergency department assigning the E/M Levels, CPT codes, ICD-9 codes and modifiers. I have coded for the orthopedic department and have worked on the follow up for coding denials also.I am ICD-10 certified and currently working as a medical coding auditor for HCC diagnosis coding. I am very excited to continue to grow and learn more in the medical coding field. I am a very fast learner and very dedicated and excited to take my career to the next level!
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Coding Educator 2HumanaUnited States
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Risk Adjustment Medical Coder/AuditorHumana Oct 2015 - PresentUnited States-Medical Risk Adjustment Coder/Auditor-Review and code medical records to ensure that they are properly risk adjusted prior to sending to CMS.-Trained and executed HEDIS calls during our HEDIS season to help in the retrieval of HEDIS measures.-Trained and helped work with the claims edits for provider payment integrity department.-Maintain 95% accuracy while achieving established productivity goals.
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Coding SpecialistMercy Health (Formerly Catholic Health Partners) Apr 2014 - Oct 2015Blue Ash, Ohio-Code inpatient consultations, office consultations, observations and EM consults for orthopedic surgeons.-Follow up on orthopedic coding denials.-Appeal denials.-Code orthopedic surgeries.-Code ED visits using the '97 guidelines.-Charge entry. -ICD 10 training.
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Medical Billing Agent/Medical CoderThe Consult Inc. Oct 2012 - Feb 2014• Review patient charts for accuracy and completeness and obtain any missing information.• Bill medical claims to insurance companies in an accurate and timely manner.• Understand and stay current with insurance policies for billing appropriately.• Follow-up on unpaid claims and denials.• Make calls to insurance companies to find out why patient's bills were denied.• Medical Coder• Manage coding for hospital based physicians for the radiology department.-Code ED using the '95 guidelines.• Handle claims denied for incorrectcoding.• Ensure all diagnosis codes will be covered under the procedure codes that are being billed out together.• Participate in all available continuing educational activities to improve coding skills and knowledge.
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Court ReporterAce-Merit, Llc Oct 2011 - May 2013Ohio•Accurately record and transcribe deposition work by computer-aided equipment.•Administer oaths.•Edit and proofread transcripts.•Mark and store all exhibits.
Ana W. Education Details
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Aapc Coding CoursesMedical Insurance Coding Specialist/Coder -
Miami Jacobs Career CollegeCourt Reporting/Court Reporter
Frequently Asked Questions about Ana W.
What company does Ana W. work for?
Ana W. works for Humana
What is Ana W.'s role at the current company?
Ana W.'s current role is Coding Educator 2.
What schools did Ana W. attend?
Ana W. attended Aapc Coding Courses, Miami Jacobs Career College.
Who are Ana W.'s colleagues?
Ana W.'s colleagues are Jayna Hopkins, Anthony Choate, Ezinwa Maryjane, Peggy Meister, Diana De Jesus, Janet Garcia, Lymarie Febles.
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