Wilma Macaraeg
@wilmamacaraeg
I audit clinical records and code risk adjustment and HEDIS data accurately.
United StatesWhat I'm looking for
I've supported Omega Healthcare Management Services as an Executive-AR HEDIS Abstractor, reviewing clinical information for HEDIS abstraction and compliance.
Previously, I worked at EXL Service Drive West as an Executive Clinical Auditor/Medical Coder and at Optum Global Solutions as a Clinical Appeals Reviewer focused on risk adjustment. I also served as a Medical Coder Specialist for home health accounts at Omega Healthcare.
I'm a nursing graduate, Philippine Nursing Licensure Exam board passer, and AAPC Certified Professional Coder. I collaborate with coding teams, participate in quality reviews, and apply ICD-10-CM and CMS-HCC guidelines.
Experience
Work history, roles, and key accomplishments
Executive - AR (HEDIS Abstractor)
Omega Healthcare Management Services
Jul 2024 - May 2026 (1 year 10 months)
Worked as an Executive in Accounts Receivable with a focus on HEDIS abstraction, ensuring compliance with healthcare guidelines.
Education
Degrees, certifications, and relevant coursework
University of Perpetual Help System
Bachelor of Science in Nursing, Nursing
Bachelor of Science in Nursing degree from the University of Perpetual Help System, Philippines, completed in 2008. Passed the Philippine Nursing Licensure Exam and earned the AAPC Certified Professional Coder (CPC) credential.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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