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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.
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

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2016 Resume

  • 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