1. Denise Santillan, CCS
Denise Santillan, CCS
20125 E. Traveler Circle, Walnut CA 91789
Email: Coder0319@gmail.com
Objective: Responsible for assigning codes to diagnoses and procedures in order to ensure proper
financial reimbursementfrominsurance companiesandgovernmentagencies. And is available to work
from home or other remote site locations, or within a medical or healthcare facility.
Professional Certification
Certified Coding Specialist (CCS), AHIMA
Skills & Expertise
3M
Anatomy & Physiology
CPT Coding
HCC Coding
ICD-9 Coding
ICD-10 Coding
Medical InsuranceBilling
Medical Terminology
Medi-Tech
MicrosoftExcel
MicrosoftOffice
Power Point
Education
January 2009 – October 2009 Tri-County Allied Health School
506 Queensland Cir.Corona CA 92879
*Medical Coding Certificate of Completion
January 2011 – May 2011 Rowland Adult and CommunityEducation
2100 Lerona Ave.Rowland HeightsCA 91748
*Medical Insurance BillingCertificate of Completion
April 2012 – Present Hope of Saint James
599 N.Barranca Ave,Covina 91723
*Medical Coding/HCCCoding/ICD-9,ICD-10
Employment History
December 2015 – April 2016 OutpatientMedical Coder (Temp) - Ontario Departmentof
PublicHealth/KellyServices
Ontario,California
Continuously maintained strict patient, physician and hospital confidentiality by following
federal, states and hospital HIPPA guidelines. I understand physician and clinical operations
including insurance and manage care and well as patient account systems and how correct
medical coding affects billing and collections.
Ensures charts are properly coded according to Insurance type.
Identifies trends and root causes and suggest process changes to prevent continued problems
Prepared department reports on coding cases that were reviewed and submitted for billing.
Resolved pre/post billed coding denials.
2. Denise Santillan, CCS
June2015 – December2015 Medical Coder(Temp)– Capital Coding
WestCovina,California
Abstract and code diagnoses and procedures from health medical records
Demonstrates knowledge of various document types – e.g. paper records and electronic
records.
Meet department standards by demonstrating sustained accuracy of 97% and sustained
completeness of 97%
Perform medical record audits in order to validate coding accuracy. Validating accurate HCC
(Hierarchical Condition Coding) and conducting physician-based outpatient Evaluation and
Management auditing in order to validate coding accuracy.
Resolves un-reconciled visits by obtaining necessary information for charge entry and coding
March 2013 – December2014 Medical Coder- CaliforniaCodingSpecialist
Covina,California
Abstract ancillary encounters
Attend weekly revenue cycle meetings
Audit patient records
Performdiagnosticandprocedural coding for all Emergency Services, Outpatient and Ancillary
medical charts in accordance to ICD-9-CMand CPT coding principles
Utilizedinternational Classification of Diseases (ICD-9-CM) and (CPT) coding systems and other
coding references to ensure accurate coding
October2014 – February 2015 HCC Medical Coder – PVT International
Remote Medical Coder(Seasonal)
AbidedstrictlybyHIPAAlawbymaintainingconfidentialityandonlyaccessinginformationneeded
for the job function
Analyze diagnosestodecide whetheritmeetsreporting criteriaforeachmappedHCC
(Hierarchical ConditionCategory)code withineachchart.
Engaged in coding inpatient charts for various hospitals at a rate of two charts per hour
Metdepartmenttimelineguidelinesinensuringmedicalrecordswere coded in a timely fashion.
Work closely with Coding Supervisor/Auditor during audit process