MTagayun318
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Hello All 
,
I am currently looking for a part time remote medical coding position. My specialty is radiology (CT, MRI, US and diagnostic).
Attached is a copy of my current resume. For faster response my email is mosesjmtagayun@gmail.com
Objective: Acquire a coding position that allows for personal growth and where existing skills in coding and billing can be utilized.
Skills: Proficient in CPT, ICD-10, HCPCS, E&M, 1995 & 1997 Guidelines. Strong knowledge in the use of Epic, Athena, Cerner, and 3M systems.
Work History:
10/2016– Present – University of Los Angeles (UCLA FPG), Los Angeles, CA- Coder II
• Code Radiology cases utilizing the knowledge of UCLA AHA-Coding Clinic and AMA CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures.
• Code Radiology reports using the ICD-10 with appropriate CPT code.
• Strong experience in coding Diagnostic Radiology, Ultrasound, CT and MRI.
• Knowledge of CMS and local carrier regulations and requirements for documenting/billing physician services at a teaching hospital.
12/2015– 10/2016 - Children’s Hospital, Los Angeles, CA- Coder
5/2015 – 12/2015 - Children’s Hospital, Los Angeles, CA- Medical Biller
• Assign correct insurance packages with CCS (California Children’s Services) with Medi-Cal
• Verify eligibility for insurance coverage
• Audit CPT codes for proper processing to specific types of payors, along with modifiers
• Work via Athena and EPIC hospital systems to attach correct Operative Reports along with updates on patient demographics.
• Review previous billed claims, correcting mistakes and resubmitting claims for payment
• Request authorizations for surgeries
• Code Radiology reports with strong experience in Diagnostic Radiology, Ultrasound, CT, MRI.
• Some experience in surgery such as Ambulatory Surgery Center, Orthopedic and Urology.
2/2014-5/2015 - U.S. Healthworks – Valencia, CA -Surgical Appeals Coding Specialist
3/2010-2/2014- U.S. Healthworks – Valencia, CA- Medical Biller
• Assess each explanation of review and determine appropriateness of possible audit.
• In the event the explanation is auditable, prepare the proper documentation to support the item and prepare the standard auditing form for attachment.
• Document the services appealed in every patient account in the AS400 system.
• File the audit by payor/review company by state for tracking
• Look for payment or resolution. If not resolved, determine if the item should be pursued or for possible write-off.
• Document common occurrences or payment patterns of payors or review companies to be submitted to the RBO Manager for payor profile updates.
• Ensure auditing remain on the established schedule.
• Ensure coding guidelines are followed and executed correctly.
• Process control and data input to computer.
• Scan billing documentation for billing and record.
• Separate and sort medical records and documentation.
• File and organize billing records.
• Sort EOBs (Explanation of Benefits) and denials.
Education:
Present - ITT Technical College
• Courses towards degree in Health Information Management
6/2014-9/2014 Career College Consultants - Los Angeles, CA
• CCS courses for inpatient coding and ICD-9 usage
• MS-DRG calculation and interpretation.
• Coding Rules Guidelines for primary diagnoses.
• Knowledge of combination codes along with underlying conditions.
3/2012-8/2012 Santa Clarita Medical Billing - Valencia, CA
• CPC certification (10/12)
• Gained skills in Coding, Billing, Medical Terminology, Anatomy, Medicare, HCPCS and ICD-9
• Knowledgeable in CMS-1500 and UB-92
• Outpatient coding
6/2006-9/2009 Pasadena City College - Pasadena, CA
• General Education
9/2001-6/2005 Bravo Medical Magnet High School - Los Angeles, CA
• Graduated with Diploma
,I am currently looking for a part time remote medical coding position. My specialty is radiology (CT, MRI, US and diagnostic).
Attached is a copy of my current resume. For faster response my email is mosesjmtagayun@gmail.com
Objective: Acquire a coding position that allows for personal growth and where existing skills in coding and billing can be utilized.
Skills: Proficient in CPT, ICD-10, HCPCS, E&M, 1995 & 1997 Guidelines. Strong knowledge in the use of Epic, Athena, Cerner, and 3M systems.
Work History:
10/2016– Present – University of Los Angeles (UCLA FPG), Los Angeles, CA- Coder II
• Code Radiology cases utilizing the knowledge of UCLA AHA-Coding Clinic and AMA CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment and procedures.
• Code Radiology reports using the ICD-10 with appropriate CPT code.
• Strong experience in coding Diagnostic Radiology, Ultrasound, CT and MRI.
• Knowledge of CMS and local carrier regulations and requirements for documenting/billing physician services at a teaching hospital.
12/2015– 10/2016 - Children’s Hospital, Los Angeles, CA- Coder
5/2015 – 12/2015 - Children’s Hospital, Los Angeles, CA- Medical Biller
• Assign correct insurance packages with CCS (California Children’s Services) with Medi-Cal
• Verify eligibility for insurance coverage
• Audit CPT codes for proper processing to specific types of payors, along with modifiers
• Work via Athena and EPIC hospital systems to attach correct Operative Reports along with updates on patient demographics.
• Review previous billed claims, correcting mistakes and resubmitting claims for payment
• Request authorizations for surgeries
• Code Radiology reports with strong experience in Diagnostic Radiology, Ultrasound, CT, MRI.
• Some experience in surgery such as Ambulatory Surgery Center, Orthopedic and Urology.
2/2014-5/2015 - U.S. Healthworks – Valencia, CA -Surgical Appeals Coding Specialist
3/2010-2/2014- U.S. Healthworks – Valencia, CA- Medical Biller
• Assess each explanation of review and determine appropriateness of possible audit.
• In the event the explanation is auditable, prepare the proper documentation to support the item and prepare the standard auditing form for attachment.
• Document the services appealed in every patient account in the AS400 system.
• File the audit by payor/review company by state for tracking
• Look for payment or resolution. If not resolved, determine if the item should be pursued or for possible write-off.
• Document common occurrences or payment patterns of payors or review companies to be submitted to the RBO Manager for payor profile updates.
• Ensure auditing remain on the established schedule.
• Ensure coding guidelines are followed and executed correctly.
• Process control and data input to computer.
• Scan billing documentation for billing and record.
• Separate and sort medical records and documentation.
• File and organize billing records.
• Sort EOBs (Explanation of Benefits) and denials.
Education:
Present - ITT Technical College
• Courses towards degree in Health Information Management
6/2014-9/2014 Career College Consultants - Los Angeles, CA
• CCS courses for inpatient coding and ICD-9 usage
• MS-DRG calculation and interpretation.
• Coding Rules Guidelines for primary diagnoses.
• Knowledge of combination codes along with underlying conditions.
3/2012-8/2012 Santa Clarita Medical Billing - Valencia, CA
• CPC certification (10/12)
• Gained skills in Coding, Billing, Medical Terminology, Anatomy, Medicare, HCPCS and ICD-9
• Knowledgeable in CMS-1500 and UB-92
• Outpatient coding
6/2006-9/2009 Pasadena City College - Pasadena, CA
• General Education
9/2001-6/2005 Bravo Medical Magnet High School - Los Angeles, CA
• Graduated with Diploma