Rayma Cuerva
MRA Senior Coding Educator at Humana
- Role
- Mra Coding Educator ll at Humana
- Location
- Hampton Roads, VA, US
- LinkedIn followers
- 500 followers
Experience
Mra Coding Educator ll
Nov 2020 — Present · US
Training and education tailored to providers and healthcare staff on risk adjustment, accurate coding and documentation, specializing on HCC categories and diagnoses-Analyzing and solving barriers to improve accuracy of HCC coding; performing and/or collaborate with internal teams on analysis of trend issues, cost savings opportunities, utilization patterns, incentives programs. etc-Running and analyzing reports of providers/organizations risk adjustment performance. Presentation of performance results and propose strategies to improve-Retrospective and concurrent review of medical records to identify coding issues and missed coding and documentation opportunities-CPC Workshop instructor of several topics such as Integumentary system, Radiology, OBGYN, Pediatrics, Anesthesia, Nervous system, ICD-10-CM coding guidelines, Endocrine system. Create presentations and other materials with different teaching styles for this program-Administering monthly webinars creation process, surveys links, ceu’s certificates approved list, selecting topics, flyers with webinar information and distribution-Meeting key performance indicators and objectives-Reviewing progress toward goals and collaborating with leader on improvement
Education
The College of St. Scholastica
Health Data Analytics with Microsoft Excel
2015 — 2015
The College of St. Scholastica
SNOMED CT
2016 — 2016
Santa Barbara City College
Associate’s Degree, Health Information/Medical Records Technology/Technician
2011 — 2015
MedPartner HIM University
ICD-10-CM/PCS Advance Training, Medical Coding
2015 — 2015
MedPartners HIM University
CPT-4 / HCPCS, Training
2016 — 2016
Glendale Community College
Certificate, Healthcare
2010 — 2011
Glendale Community College
Certificate, Business
2009 — 2010
Santa Barbara City College
Medical Coding Specialist, Health Information/Medical Records Technology/Technician
2011 — 2013
Skills
- Familiar with 3m Encoder Software.
- Medical Terminology
- Icd-9
- As/400 Software
- Healthcare Information Technology
- Electronic Medical Record (Emr)
- File Systems
- Healthcare Information Technology (Hit)
- Microsoft Word
- Muws System
- Familiar with Medisoft and Cerner Software
- Cpt
- Current Procedural Terminology (Cpt)
- Filing Systems
- Software Documentation
- Microsoft Office
- Training
- Icd-9-Cm Coding
- Customer Service
- Hipaa
- Healthcare
- Icd-9-Cm
- U.s. Health Insurance Portability and Accountability Act (Hipaa)
- Invoicing
- Hospitals
- M.modal
- Medical Records
- Health Information Management
- Familiar with Icd-10-Cm/Pcs
- Medical Billing
- Healthcare Management
- Customer Service Experience
- Microsoft Excel
- Epic Systems
- Emr
- Medical Coding
- Ehr
- Cpt Coding
- Quickbooks System
- Isg-Star System
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