John Daniel, Cpc, As
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John Daniel, Cpc, As Email & Phone Number

Risk Adjustment Coder and Clinical Documentation Improvement Specialist at Pathways Health Partners, LLC
Location: Winter Haven, Florida, United States 4 work roles 4 schools
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Role
Risk Adjustment Coder and Clinical Documentation Improvement Specialist
Location
Winter Haven, Florida, United States
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Who is John Daniel, Cpc, As? Overview

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John Daniel, Cpc, As is listed as Risk Adjustment Coder and Clinical Documentation Improvement Specialist at Pathways Health Partners, LLC, a company with 46 employees, based in Winter Haven, Florida, United States. AeroLeads shows a matched LinkedIn profile for John Daniel, Cpc, As.

John Daniel, Cpc, As previously worked as Risk Adjustment Coder & Clinical Documentation Improvement Specialist at Pathways Health Partners, Llc and Medical Coding Professional at Central Florida Health Care, Inc.. John Daniel, Cpc, As holds Professional Certificate, Medical Insurance Coding Specialist/Coder, 1110 Credit Hours With All Core Competencies Completed from Ridge Technical College.

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Email format at Pathways Health Partners, LLC

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Pathways Health Partners, LLC

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Profile bio

About John Daniel, Cpc, As

I am a passionate Medical Coding Professional with five years of clinical coding experience in various specialties. Throughout my career, I have worked as a Coding Professional for a Multi-Specialty FQHC Community Clinic and, more recently, as an HCC Coder and CDI Specialist for a Medicare ACO Company. I have gained extensive knowledge in specialties such as Pediatrics, Obgyn, General Practice, Family Practice, and Behavioral Health. My expertise lies in utilizing HEDIS/CPT/CPTII codes and ICD-10 Diagnosis codes to ensure the submission of clean claims and exceed NCQA Health-Care Measures in today's value-based healthcare industry. Additionally, I have conducted audits, collaborated with Providers and Revenue Cycle Directors, and provided guidance to promote best practices for coding and clinical documentation.I stay updated on coding systems, ensuring I'm well-informed about any practice-changing updates. With meticulous attention to detail and a commitment to precision, I consistently deliver accurate coding results. My strong organizational skills and deep understanding of medical terminology allow me to efficiently code complex procedures. I maintain a proactive learning approach, staying informed about the latest coding standards and regulations. In summary, my expertise, precision, and commitment make me a highly skilled and versatile medical coder.Combining my experience as an Army Veteran with 5 years of expertise in medical coding, I am actively pursuing opportunities in specialties such as Risk Adjustment, Family Practice, Obgyn, Behavioral Health, orthopedics, and other outpatient specialties. Additionally, I am highly interested in roles as a Clinical Documentation Specialist, Auditor, and Data Analyst. With a passion for Health Information Management, I am eager to tackle long-term, challenging, and stimulating positions, working alongside talented individuals and contributing to an amazing team. Please feel free to message me here on LinkedIn, and I will respond promptly.

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John Daniel, Cpc, As's current company

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Pathways Health Partners, LLC
Pathways Health Partners, Llc
Risk Adjustment Coder and Clinical Documentation Improvement Specialist
Winter Haven, FL, US
Website
Employees
46
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4 roles

John Daniel, Cpc, As work experience

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Risk Adjustment Coder & Clinical Documentation Improvement Specialist

Current

Leesburg, Florida, United States

  • Analyze medical records and identifie documentation deficiencies.
  • Review and verify documentation supporting diagnosis, procedures, and treatment results.
  • Recommend ICD-10-CM Dx's for research and compliance with regulatory requirements utilizing coding clinic guidelines.
  • Identifie discrepancies, potential quality of care, and billing issues.
  • Research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors.
  • Serve as resource and subject matter expert to other coding staff, providers, and other key stakeholders.
Jan 2023 - Present

Medical Coding Professional

Winter Haven, FL

♦Assessed adequacy of health record documentation in order to support accurate, complete and specific assignment of modifiers, ICD-10 Diagnosis, CPT and HCSPCS codes to maximize reimbursement.♦Properly assigned and correct warranted procedure, modifier and diagnosis codes supported by provider documentation. Appropriately queried provider for clarification.

Feb 2018 - Dec 2022

Military Police

Ft. Leonardwood, MO

♦Mentor and maintain accountability of soldiers within the Team, providing positive guidance, personal empowerment and professional development♦Assisted in operational planning for combat missions and security planning for convoy escorts during OIF. ♦Served as member of a compound control team during OIF to assist the needs of detainees as well keep.

Apr 2002 - Apr 2010
Team & coworkers

Colleagues at Pathways Health Partners, LLC

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4 education records

John Daniel, Cpc, As education

Professional Certificate, Medical Insurance Coding Specialist/Coder, 1110 Credit Hours With All Core Competencies Completed

Ridge Technical College

Activities and Societies: HOSA-, National Technical Honors Society Courses in Anatomy and Physiology, Medical Terminology, ICD-10-CM/PCS.

B, Health Services Administration And Management

Courses in A&P I &II, Medical Terminology, Radiographic Positioning 1 & 2, Radiographic Clinical 1 & 2, Principals of Radiographic.

Associate Of Arts - Aa, Multi-/Interdisciplinary Studies, General

College Algebra, Introductory to calculus/Trig, applied calculus, intro to humanities, intro to literature, world mythology, General.

Associate Of Science - As (Hs Dual Enrollment), Physics

Activities and Societies: MAT111 College Alebra, with intro into Trig. MAT121 Calculus and Analytical Geomotetry MAT211 Linear Algebra

FAQ

Frequently asked questions about John Daniel, Cpc, As

Quick answers generated from the profile data available on this page.

What company does John Daniel, Cpc, As work for?

John Daniel, Cpc, As works for Pathways Health Partners, LLC.

What is John Daniel, Cpc, As's role at Pathways Health Partners, LLC?

John Daniel, Cpc, As is listed as Risk Adjustment Coder and Clinical Documentation Improvement Specialist at Pathways Health Partners, LLC.

Where is John Daniel, Cpc, As based?

John Daniel, Cpc, As is based in Winter Haven, Florida, United States while working with Pathways Health Partners, LLC.

What companies has John Daniel, Cpc, As worked for?

John Daniel, Cpc, As has worked for Pathways Health Partners, Llc, Central Florida Health Care, Inc., and Us Army.

Who are John Daniel, Cpc, As's colleagues at Pathways Health Partners, LLC?

John Daniel, Cpc, As's colleagues at Pathways Health Partners, LLC include Aiyana Valenzuela, Nhi Hoang, Anita Colon, Madeline Mccanna, and Brandon Bradford.

How can I contact John Daniel, Cpc, As?

You can use AeroLeads to view verified contact signals for John Daniel, Cpc, As at Pathways Health Partners, LLC, including work email, phone, and LinkedIn data when available.

What schools did John Daniel, Cpc, As attend?

John Daniel, Cpc, As holds Professional Certificate, Medical Insurance Coding Specialist/Coder, 1110 Credit Hours With All Core Competencies Completed from Ridge Technical College.

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