Corelita Codrington
Medical Coder
Silver Spring
Summary
Outgoing and detail-focused individual with firm grasp of medical terminology and healthcare regulations. Possesses knowledge of ICD-10 and CPT coding systems, coupled with strong computer skills and proficiency in medical billing software. Dedicated to ensuring accurate coding and billing to support efficient healthcare operations.
Seasoned collaborator experienced in meeting needs, improving processes and exceeding requirements in team environments. Diligent worker with strong communication and task prioritization skills.
Overview
17
17
years of professional experience
2029
2029
years of post-secondary education
2
2
Certifications
Work History
Data and Reporting Analyst
AmeriHealth Caritas
09.2022 - 12.2024
- Prepared monthly ad hoc reporting in alignment with client needs.
- Used SQL to generate required reports and optimize query creation.
- Utilized in-depth analysis and creative problem solving to troubleshoot reporting issues.
- Managed guidelines for calculations for metrics and analysis.
- Created visually appealing dashboards that effectively communicated key metrics to stakeholders.
- Drove strategic development by deeply analyzing data trends and observed patterns from reports.
Data Analyst
Noridian Healthcare Solutions
10.2019 - 09.2022
- Apply statistical methods to support consulting projects
- Perform analyses of data and interpret results to ensure validity of conclusions
- Extract or process internal or external data to support client projects through application of internal tools and externally provided software (i.e., SAS, ORACLE PL/SQL)
- Develop different reports and presentations based on project specifications for delivery to clients
- Perform statistical quality assurance review and program validation for each project
- Interact with other departments to ensure a high level of client satisfaction through successful execution of projects
- Solve complex problems and develops innovation solutions
- Provide explanations and information to others on most complex issues
- Specific highlights include:
- Data cleaning and integrations
- Data manipulations and variable transformation projects
- Descriptive analysis to accomplish data trending and basic
- Descriptive statistics for business communications purposes
- Used SAS to prepare statistical report for Medicare/Medicaid claims data
- Reviewed statistical reports prepared by statisticians
- Prepared Medicare/Medicaid claims data requested by law enforcement
- Work with request initiators to provide billing information for specific providers
- Used various statistical technique to produce Medicare/Medicaid reports for providers
- Created customize scripts to produce summary and claims data for specific providers
- Used SAS macros to create claim reports in excel and access databases
- Used ICD9 and ICD10 codes to analyze Medicare and Medicaid claims data
Informatics Specialist
Oscar Health
01.2016 - 10.2019
- Created and executed SAS codes using ESP and Cron to select claims of high dollar savings to investigate before payments were made
- Created, maintained, and executed batch jobs to ensure smooth functioning of claims inventory process
- Specific highlights include:
- Provided daily claims inventory for investigation and statistical analysis
- Used SAS to prepare statistical report for claims data
- Reviewed statistical reports prepared by other statisticians
- Worked with request initiators to provide billing information for specific providers
- Used various statistical technique to produce reports for providers
- Created customize scripts to produce summary and claims data for specific providers
- Used SAS macros to create claim reports in excel and access databases
- Used ICD9 and ICD10 codes to analyze medical claims data
- Developed of programs and projects through SAS
- Conducted validation and other checks of data
- Reviewed historical codes and modernizing it within the context of the task
- Conferred with client on as-needed basis
- Data cleaning and integrations projects
Medical Coding and Billing Specialist
Dr Natasha Lamming-Lee
08.2007 - 01.2016
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements
- Read patients' health data, histories, physician diagnoses and treatments to gain understanding for coding purposes
- Communicated with health care personnel, including practitioners to promote accuracy
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses
- Assigned procedure and diagnosis codes for insurance billing using Athena Software
- Reviewed accounts information to confirm patient and insurance information is accurate and complete
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal
Education
Master of Science - Health Administration Informatics
University of Maryland University College
Adelphi, MD05-2016
Bachelor of Science - Healthcare Administration
Washington Adventist University
Takoma Park, MD05-2013
Associate of Science - Health Information Management
Montgomery College
Takoma Park, MD 05.2001 -
Skills
Data validation
Reporting efficiency and accuracy
Microsoft Excel
Quantitative analysis
Medical Billing
Attention to Detail
Organizational Skills
Patient confidentiality
Medical terminology expertise
ICD-10 proficiency
Insurance verification
Procedural coding
Certification
Maryland, Registered Health Information Technician, 2018
Timeline
Data and Reporting Analyst
AmeriHealth Caritas
09.2022 - 12.2024
Data Analyst
Noridian Healthcare Solutions
10.2019 - 09.2022
Informatics Specialist
Oscar Health
01.2016 - 10.2019
Medical Coding and Billing Specialist
Dr Natasha Lamming-Lee
08.2007 - 01.2016
Associate of Science - Health Information Management
Montgomery College
05.2001 -
Master of Science - Health Administration Informatics
University of Maryland University College
Bachelor of Science - Healthcare Administration
Washington Adventist University
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