Dennise Agravantes
@denniseagravantes
Experienced healthcare professional specializing in coding and quality assurance.
What I'm looking for
I am a dedicated healthcare professional with nearly a decade of experience in medical coding and quality assurance auditing. My career has been marked by a commitment to ensuring coding accuracy and compliance with the highest standards of healthcare documentation. Currently, I serve as a Healthcare Billing and Coding Auditor, where I conduct thorough audits of medical records, identify discrepancies, and prepare detailed audit reports for management.
Previously, I worked as a Professional Billing Medical Coder, where I accurately assigned codes to diagnoses and procedures, ensuring compliance with coding guidelines. My experience also includes a significant role as a Quality Assurance Auditor, where I reviewed and validated the accuracy of medical coding performed by coders, provided feedback and training, and generated reports on coding quality. I am passionate about optimizing billing practices and enhancing the overall quality of healthcare documentation.
Experience
Work history, roles, and key accomplishments
Professional Billing (PB) Medical Coder
KMC Mag Solutions
Jul 2023 - Present (1 year 11 months)
Responsible for accurately assigning codes (ICD-10, CPT, HCPCS) to diagnoses and procedures based on clinical documentation. Prepare and submit claims to insurance companies, ensuring compliance and prompt payment.
Healthcare Billing and Coding Auditor
Upwork
Oct 2023 - Present (1 year 8 months)
Freelance healthcare professional specializing in medical coding and quality assurance auditing. Conduct thorough audits of medical records to ensure accurate coding and compliance with billing practices. Identify discrepancies and prepare detailed audit reports.
Quality Assurance Auditor
Lexicode Healthcare, Inc.
May 2019 - Jun 2023 (4 years 1 month)
Reviewed and validated the accuracy of medical coding performed by coders. Ensured compliance with coding standards and regulations, provided feedback and training, and generated reports on coding quality.
Medical Coder
Lexicode Healthcare, Inc.
Jul 2015 - May 2023 (7 years 10 months)
Translated healthcare services, diagnoses, and procedures into standardized codes using classification systems. Ensured accurate coding for billing and insurance reimbursement while maintaining compliance with regulations.
Education
Degrees, certifications, and relevant coursework
KMC Mag Solutions
Professional Billing Medical Coder, Medical Coding
2023 -
Professional Billing Medical Coder role focused on accurately assigning codes to diagnoses and procedures based on clinical documentation, ensuring compliance with coding guidelines.
Lexicode Healthcare, Inc.
Quality Assurance Auditor, Quality Assurance
2019 - 2023
Quality Assurance Auditor responsible for reviewing and validating the accuracy of medical coding performed by coders, ensuring compliance with coding standards and regulations.
Lexicode Healthcare, Inc.
Medical Coder, Medical Coding
2015 - 2019
Medical Coder role involved translating healthcare services, diagnoses, and procedures into standardized codes using classification systems like ICD-10, CPT, and HCPCS.
Angeles University Foundation
Bachelor of Science in Nursing, Nursing
2011 - 2015
Bachelor of Science in Nursing program focused on providing comprehensive nursing education, including clinical practice and theoretical knowledge essential for nursing professionals.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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