Marinella Villanueva

Assigned accurate ICD-10-CM and CPT codes for ED, clinic, and ancillary encounters, including complex trauma cases. Maintained a 96% coding accuracy rate, met/exceeded productivity benchmarks, and reduced coding-related denials and edits through timely review and corrections.

Assigned ICD-10 codes for HCC diagnosis for outpatient and inpatient encounters across Anthem, BCBS, Aetna, and Premera. Extracted diagnoses using processing software that suggests diagnoses based on progress-note text.

Read and abstract physician notes from radiology and laboratory reports to apply correct ICD and CPT codes for ancillary encounters.

Assigned ICD-9 codes and procedures for emergency and outpatient encounters, including E&M with I&I, HCPCS, ancillary labs/radiology, OBS perinatal, wound care, and same-day surgery. Resolved denials/claims and NCCI edits and communicated with providers for missing documentation.

Assigned diagnosis and procedure codes, including CPT and E&M with I&I and related emergency department procedure coding, according to appropriate classification rules.

Assigned ICD-9 and CPT codes for emergency, ancillary, and radiology accounts supporting Mission Hospital workflows.

Assigned and audited ICD-9, CPT, and HCPCS codes across multiple specialties (e.g., gastroenterology, family medicine, urology, cardiology, OB, and surgery) using EPIC and computerized patient records. Extracted HCC diagnoses using clinical NLP software, educated providers on proper documentation, and ensured compliance with coding rules for Medicaid state programs and CMS.

Completed a certification for medical coding at Hope of St James.

Completed a certification for medical billing and coding at La Puente Adult School.

Completed training/certification for nursing assistant and home health aide at Preferred College of Nursing.

Earned a Bachelor of Science in Foreign Service in the Philippines.