Elizabeth Presson
@elizabethpresson
Detail-oriented Risk Adjustment Coder with expertise in healthcare coding.
What I'm looking for
As a highly skilled Risk Adjustment Coder, I have years of experience in accurately applying ICD-10-CM, CPT, and HCPCS codes for risk adjustment models, including HCC and CMS-HCC. My proficiency in reviewing clinical documentation and conducting audits has enabled me to optimize risk scores, supporting value-based care initiatives. I possess a strong understanding of regulatory guidelines and compliance standards, which ensures that I contribute to efficient coding practices and high-quality patient care.
Throughout my career, I have demonstrated excellent analytical skills, focusing on improving documentation accuracy and ensuring proper reimbursement. My commitment to continuous learning is evident through my certifications as a Certified Professional Coder (CPC) and Certified Professional Biller (CPB), along with my role as an Exam Review Officer Facilitator for AAPC. I actively engage with the community by organizing educational events and newsletters, fostering a collaborative environment for coding professionals.
Experience
Work history, roles, and key accomplishments
Risk Adjustment Medical Coder
Amergis Healthcare Staffing - Reveleer
Oct 2023 - Present (1 year 7 months)
As a Risk Adjustment Medical Coder, I abstract data from medical records and apply ICD-10-CM, CPT, and HCPCS II coding procedures. I ensure full code capture and validate HCC cards with a focus on accuracy and compliance across various medical specialties.
Member Services
Logisticare
May 2023 - Jan 2024 (8 months)
As a Member Services representative, I fulfilled transportation requests, verified insurance eligibility, and maintained HIPAA compliance while handling a high volume of calls and ensuring policy adherence.
Medical Coder I
Blue Cross Blue Shield MI
Aug 2023 - Oct 2023 (2 months)
In my role as a Medical Coder I, I abstracted data from medical records, ensuring compliance with ICD-10-CM and CPT coding guidelines. I maintained high accuracy while processing a variety of cases across multiple specialties.
Certified Child Welfare Case Manager
Lifestreams Behavioral Health Center
Jan 2021 - Nov 2021 (10 months)
In my role as a Certified Child Welfare Case Manager, I managed family cases, conducted home visits, and coordinated with various stakeholders to ensure the safety and well-being of children in care.
Education
Degrees, certifications, and relevant coursework
AAPC
Certified Credentialing Specialist, Medical Coding
2024 - 2024
Completed certification programs including Certified Credentialing Specialist, Certified Professional Biller, and Certified Professional Coder, enhancing skills in medical coding and billing.
Barry University
Juris Doctorate, Law
2019 - 2020
Grade: Top 10% of my class for all semesters attended
Pursued a Juris Doctorate at Dwayne O. Andreas School of Law, focusing on legal principles and practices, achieving top academic performance.
University of Central Florida
Bachelor of Science, Criminal Justice
2016 - 2018
Grade: Top 10% of my class for all semesters attended
Completed a Bachelor of Science in Criminal Justice with a minor in Psychology, focusing on the study of crime, its causes, and societal responses.
Lake Sumter State College
Associate of Applied Science, Office Management
2012 - 2016
Earned an Associate of Applied Science in Office Management and an Associate of Arts in Office Management and General Studies, providing foundational skills in administrative practices.
Availability
Location
Authorized to work in
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