Open to opportunities

Victoria Fountain

@victoriafountain

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Certified professional coder and experienced social services case manager.

United States

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What I'm looking for

I seek a patient-focused, collaborative role where I can apply coding expertise and case management skills to improve outcomes, maintain compliance, and contribute to a reliable, service-oriented team with opportunities for professional growth.

I am a Certified Professional Coder (CPC) and seasoned social services specialist with experience across medical coding, case management, and administrative support in public health settings. I combine meticulous attention to detail with strong organizational skills, HIPAA-aware practices, and the ability to work independently from a remote home office.

My background includes coding clinical records using ICD-10/CPT and EPIC, managing cases for elderly, disabled, and developmentally disabled individuals, and supporting health-plan operations and facility-based teams. I hold an Associate’s Degree in Human Services (cum laude), AAPC CPC certification, and a track record of producing accurate documentation, person-centered care plans, and compliant coding abstracts.

Experience

Work history, roles, and key accomplishments

Current

Certified Professional Coder

Current

Bayhealth Medical Group

Sep 2025 - Present (5 months)

Codes and abstracts clinical data from patient records using computerized systems, ensures accurate ICD-10/CPT assignments, and corrects documentation to maintain regulatory compliance and billing accuracy.

ICD 10 CPT Epic Attention To Detail

Health & Human Services Case Manager II

Delaware Division of Services for Aging and Adults with Phys

Jun 2024 - Sep 2025 (1 year 3 months)

Provided case management for elderly and disabled clients, completed home assessments, developed person-centered care plans, and connected individuals to community resources to maintain service eligibility and support.

Case Management Assessments Home Visits Client Advocacy Documentation

Health & Human Services Case Manager II

Delaware Division of Developmental Disability Services

Mar 2023 - Jun 2024 (1 year 3 months)

Coordinated supports for individuals with developmental disabilities on Medicaid waiver programs, conducted quarterly home visits, and managed Person Centered Plans with interdisciplinary teams.

Waiver Program Coordination Person Centered Planning Home Visits Care Coordination Team Collaboration Case Documentation

Client Support Specialist

CVS Caremark

Jul 2022 - Feb 2023 (7 months)

Supported health plan clients by researching benefits requests, executing pharmacy benefit overrides, managing claims and prior authorizations, and coordinating with pharmacies and clients.

Benefits Administration Claims Management client support Research Communication

Administrative Specialist

Delaware Division of Services for Aging and Adults with Phys

Mar 2021 - Apr 2022 (1 year 1 month)

Provided administrative support to Neurobehavioral Health staff, maintained resident case files and medical records, coordinated scheduling and requisitions, and assisted with virtual visits and outings.

Administrative Support Medical Records Scheduling MS Office Resident Coordination Record Maintenance

Social Services Technician

Delaware Division of Medicaid and Medical Assistance

Mar 2015 - Feb 2021 (5 years 11 months)

Processed Medicaid and waiver applications, prepared case files for social workers, managed client communications, and maintained and archived client records to support service delivery.

Client Communication Administrative Support Medicaid Documentation