Patrick John Reyes

I reviewed medical records to identify and document claims and encounter coding information related to Hierarchical Condition Categories (HCC), ensuring compliance with CMS and HIPAA regulations.

As a Medical Coding Specialist, I assigned appropriate codes for diagnoses and procedures using ICD 10 and CPT for outpatient and ancillary coding. I adhered to Official Coding Guidelines and ensured client production and quality expectations were met.

In this role, I reviewed claims filed by policyholders for completeness and accuracy, verified coverage, and checked ICD-10 data to ensure compliance with policies.

Responsible for reviewing medical records to identify and document claims and encounter coding information, confirming diagnosis codes from provider documentation in accordance with industry standards.

Analyzed patient records and extracted important information for physicians and researchers, ensuring all work met defined productivity and quality standards.

Assigned codes for diagnoses and procedures in the emergency department using ICD 10 and CPT, adhering to coding guidelines and ensuring quality expectations were met.

Reviewed and validated customer disputes on credit cards, processing transactions accurately and efficiently while adhering to productivity standards.

Provided customer support through chat, assisting agents and managing customer orders while ensuring high service quality.

Completed a Bachelor of Science in Nursing, which enhances hands-on coding experience. The program provided a strong foundation in medical knowledge and patient care, essential for a career in medical coding.