SlideShare a Scribd company logo
1 of 3
OGHENETEGA F. NEDDERMAN, CPC
12140 235th
Street Rosedale, NY 11422
347.703.6921 onedderman@yahoo.com
MEDICAL CODING  QUALITY ASSURANCE  DUE DILIGENCE & BANKING
Accuracy  Confidentiality
Highly capable, resourceful, insightful and detailed oriented professional dedicated to providing the highest possible
standards of customer service and quality assurance. Proven ability to meet deadlines in high pressure environments
with a keen attention to detail, backed by academic qualifications, including extensive course work in medical coding.
CORE COMPETENCIES
 Certified Professional Coder  Medical Terminology  ICD-10, ICD- 9
 Banking  Research and Analysis  Recordkeeping
 Review of Trends and Denials  HIPPAA Compliance  HCPCS , CPT-4
EDUCATION
Major: Social and Behavioral Science
Medgar Evers College, Brooklyn New York 2012
High School Diploma
Lafayette High School, Brooklyn, New York 2001
American Academy of Professional Coders
Certified Professional Coder-CPC 2016
WORK EXPERIENCE
Medical Coding Employment:
CAC Solutions Medical Coder - Jamaica, NY, 2/16-Present
Coder Compliance Representative
• Provide coding documentation improvement and auditing approach to the correct selection of E/M codes, helping
ensure that providers are performing the most relevant components of the history and examination while placing
ultimate emphasis on the complexity of the medical decision making for the visit.
• Collaborate with physicians and internal staff in development of improved capabilities in the areas of
documentation, coding and compliance issues.
• Correct inaccurate data as needed, reviews and evaluates existing coding and abstracted policies, policies,
procedures and government guideline to ensure compliance with various regulation, coding policies and third party
payer requirements. Adheres to clean claims act and HIPPA policy and procedures.
• Analyze and reconcile claims to ensure medical necessity of services is documented, resolve coding and billing
discrepancies problem regarding coding and compliance issues.
• Review and analyzes information contained in the medical records to ensure accurate used of ICD-10-CM and CPT
codes can be assigned for principle diagnosis, complications, procedures and surgery codes.
• Extract required information from source document and enter into encoder and abstracting system.
• Use official coding guidelines and reimbursement expertise to assign appropriate ICD-9/ICD-10, CPT-4 and HCPCS
diagnosis and procedure.
D&S Medical Auditing and Compliance Services - Brooklyn, NY 5/13- 2/16
Medical Coder Specialist (Part-time remotely)
• Interpreted provider’s progress notes and assign the appropriate diagnostic and procedural codes for accuracy
• Assigned and make sure diagnosis codes are supported by the documentation and ensure adherence with ICD-9 and
ICD-10CM Guidelines for Coding and Reporting.
• Assigned the diagnosis codes for each chronic or major medical condition have been captured and submitted within
the permitted timeframe (HCC).
• Reviewed for clinical indicators and query providers to capture the severity of illness of the patient.
• Prioritize work to ensure timeframe for coding meets regulatory requirements. Scope of outpatient coding includes
patient’s types Observation, Ambulatory/Same Day Surgery, Emergency Department (treat and release),
Recurrent/Series, and Outpatient/Ancillary.
• Kept tract of provider’s coding pattern to reduce any insurance fraud claims, clarifying information or diagnosis by
communicating with healthcare providers as well as assign and identify the information by using and coding the
accurate ICD-9-CM-PCS, HCPCS and CPT-4 codes.
• Educated providers on understanding documentation criteria guidelines; provide educational assistance and/or
serves as a resource regarding coding and documentation issues, reviewed encounter form to ensure compliance
and reporting information.
• Coded services visit using the EMR database and assigning the appropriate diagnosis and procedural codes.
Banking Employment:
Doral Bank/Popular Community Bank – New York, NY 08/14-Present
Sales & Service Banker
• Follow the established policies in accordance with the bank and supervisor’s discretion
• Cross-sell bank services and products and provide bank services to a diverse customer base
• Accountable for personal achievement of monthly new account production as assigned by upper
management
• Process deposits and pay out funds in accordance with bank procedures, to record all
transactions accurately and balance each day’s operation
• Answer telephone inquiries from customers
• Open/Close CDs, Checking and Savings account
• Send statements to clients upon request
• Sort and organize client files for easy retrieval
• Sell and prepare money orders, cashier’s checks, bank to bank wires, savings bonds, traveler
checks and certificate of deposit
• Explain, advise on and promote bank products and services to customers
• Ensure compliance with all internal controls and established policies and procedures
Signature Bank – New York, NY 01/09-12/12
Client Associates
• Responsible for receiving and processing transactions to and from customer’s accounts
• Accepted cash and checks for deposit and check accuracy of deposit slip
• Maintained daily log of cash and checks that go in and out of the bank's vault during the course of
a day
• Recorded transactions performed during the day using bank software/system and
settle/reconcile accounts at the end of day by filling out a settlement sheet
• Explained, advised on and promoted bank products and services to customers
• Ensure compliance with all internal controls and established policies and procedures
• Worked as a team player and backup to other tellers
• Cross-sell banking services and products to clientele
• Send statements to clients upon request
• Answer telephone inquiries from customers
JPMorgan Chase – Brooklyn, NY 11/07-01/09
Teller
• Processed deposits, withdrawals, payments, and referrals
• Recorded all transactions promptly, accurately and in compliance with bank procedures
• Performed specialized tasks such as preparing cashier's checks, personal money orders, issuing
traveler's checks and exchanging foreign currency
• Answered inquiries regarding checking and savings accounts and other bank related products
• Work as a team player and backup to other tellers
ADDITIONAL CREDENTIALS
References: Available Upon Request
  
TECHNICAL SKILLS
CERTIFICATIONS
LANGUAGES
Microsoft Office: Word, Excel, Power Point, Outlook, 85 WPM
Certified Professional Coder
English
INTERESTS Reading and Traveling

More Related Content

What's hot (14)

Terry K resume 12-8-16
Terry K resume 12-8-16Terry K resume 12-8-16
Terry K resume 12-8-16
 
Ebony Berrys Resume updated 2016
Ebony Berrys Resume updated 2016Ebony Berrys Resume updated 2016
Ebony Berrys Resume updated 2016
 
Sondra Brooker Feburary 2015
Sondra Brooker Feburary 2015Sondra Brooker Feburary 2015
Sondra Brooker Feburary 2015
 
Brandy Resume 11.2015
Brandy Resume 11.2015Brandy Resume 11.2015
Brandy Resume 11.2015
 
James Bowman resume
James Bowman resumeJames Bowman resume
James Bowman resume
 
Matlock Jr.- Resume
Matlock Jr.- ResumeMatlock Jr.- Resume
Matlock Jr.- Resume
 
doc Martin resume 07-16-2014
doc Martin resume 07-16-2014doc Martin resume 07-16-2014
doc Martin resume 07-16-2014
 
Resume - Dec 2016
Resume - Dec 2016Resume - Dec 2016
Resume - Dec 2016
 
JulieGulan_resume_Feb29_b
JulieGulan_resume_Feb29_bJulieGulan_resume_Feb29_b
JulieGulan_resume_Feb29_b
 
Resume 2016
Resume 2016Resume 2016
Resume 2016
 
EZINNE LILY-OJO Resume 1-3.DOCX
EZINNE LILY-OJO Resume 1-3.DOCXEZINNE LILY-OJO Resume 1-3.DOCX
EZINNE LILY-OJO Resume 1-3.DOCX
 
Susan C. Smeal Beasley Resume122215
Susan C. Smeal Beasley Resume122215Susan C. Smeal Beasley Resume122215
Susan C. Smeal Beasley Resume122215
 
Renee.Galvin Updated Resume 08.2015
Renee.Galvin Updated Resume 08.2015Renee.Galvin Updated Resume 08.2015
Renee.Galvin Updated Resume 08.2015
 
CV-Madamba 2016
CV-Madamba 2016CV-Madamba 2016
CV-Madamba 2016
 

Similar to TegaCPC

Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
Mary Linyard
 
Anthony O Best Resume August 24, 2016
Anthony O Best Resume August 24, 2016Anthony O Best Resume August 24, 2016
Anthony O Best Resume August 24, 2016
Anthony Best
 
ANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIEDANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIED
Angela Pope
 
Deepa rani - CV updated
Deepa rani - CV updatedDeepa rani - CV updated
Deepa rani - CV updated
Deepa C
 
jackie resume update
jackie resume updatejackie resume update
jackie resume update
jackie webb
 
Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)
Sharon Bush
 
2016 BEVERLY BODDIE RESUME
2016 BEVERLY BODDIE RESUME2016 BEVERLY BODDIE RESUME
2016 BEVERLY BODDIE RESUME
Beverly Boddie
 
BilingualMedicalOffice
BilingualMedicalOfficeBilingualMedicalOffice
BilingualMedicalOffice
Amanda Schwab
 
Nycole_Updated_Resume[1]-8-14
Nycole_Updated_Resume[1]-8-14Nycole_Updated_Resume[1]-8-14
Nycole_Updated_Resume[1]-8-14
Nycole Jackson
 

Similar to TegaCPC (20)

MY CV 2016
MY CV 2016MY CV 2016
MY CV 2016
 
CV Health Insurance
CV Health InsuranceCV Health Insurance
CV Health Insurance
 
CPC Coder Resume2
CPC Coder Resume2CPC Coder Resume2
CPC Coder Resume2
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
 
Anthony O Best Resume August 24, 2016
Anthony O Best Resume August 24, 2016Anthony O Best Resume August 24, 2016
Anthony O Best Resume August 24, 2016
 
Grading Rubric.docx
Grading Rubric.docxGrading Rubric.docx
Grading Rubric.docx
 
Lindsey Alexander's Resume
Lindsey Alexander's ResumeLindsey Alexander's Resume
Lindsey Alexander's Resume
 
Lindsey Alexander's Resume
Lindsey Alexander's ResumeLindsey Alexander's Resume
Lindsey Alexander's Resume
 
Lindsey Alexander's Resume
Lindsey Alexander's ResumeLindsey Alexander's Resume
Lindsey Alexander's Resume
 
ANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIEDANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIED
 
Natasha Gulati Resume
Natasha Gulati ResumeNatasha Gulati Resume
Natasha Gulati Resume
 
Resume revised (2016)
Resume revised (2016)Resume revised (2016)
Resume revised (2016)
 
Deepa rani - CV updated
Deepa rani - CV updatedDeepa rani - CV updated
Deepa rani - CV updated
 
jc updated Resume
jc updated Resumejc updated Resume
jc updated Resume
 
jackie resume update
jackie resume updatejackie resume update
jackie resume update
 
Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)Sharon D. Bush Resume 1 (2)
Sharon D. Bush Resume 1 (2)
 
2016 BEVERLY BODDIE RESUME
2016 BEVERLY BODDIE RESUME2016 BEVERLY BODDIE RESUME
2016 BEVERLY BODDIE RESUME
 
BilingualMedicalOffice
BilingualMedicalOfficeBilingualMedicalOffice
BilingualMedicalOffice
 
Nycole_Updated_Resume[1]-8-14
Nycole_Updated_Resume[1]-8-14Nycole_Updated_Resume[1]-8-14
Nycole_Updated_Resume[1]-8-14
 
Kara Cornis1
Kara Cornis1Kara Cornis1
Kara Cornis1
 

TegaCPC

  • 1. OGHENETEGA F. NEDDERMAN, CPC 12140 235th Street Rosedale, NY 11422 347.703.6921 onedderman@yahoo.com MEDICAL CODING  QUALITY ASSURANCE  DUE DILIGENCE & BANKING Accuracy  Confidentiality Highly capable, resourceful, insightful and detailed oriented professional dedicated to providing the highest possible standards of customer service and quality assurance. Proven ability to meet deadlines in high pressure environments with a keen attention to detail, backed by academic qualifications, including extensive course work in medical coding. CORE COMPETENCIES  Certified Professional Coder  Medical Terminology  ICD-10, ICD- 9  Banking  Research and Analysis  Recordkeeping  Review of Trends and Denials  HIPPAA Compliance  HCPCS , CPT-4 EDUCATION Major: Social and Behavioral Science Medgar Evers College, Brooklyn New York 2012 High School Diploma Lafayette High School, Brooklyn, New York 2001 American Academy of Professional Coders Certified Professional Coder-CPC 2016 WORK EXPERIENCE Medical Coding Employment: CAC Solutions Medical Coder - Jamaica, NY, 2/16-Present Coder Compliance Representative • Provide coding documentation improvement and auditing approach to the correct selection of E/M codes, helping ensure that providers are performing the most relevant components of the history and examination while placing ultimate emphasis on the complexity of the medical decision making for the visit. • Collaborate with physicians and internal staff in development of improved capabilities in the areas of documentation, coding and compliance issues. • Correct inaccurate data as needed, reviews and evaluates existing coding and abstracted policies, policies, procedures and government guideline to ensure compliance with various regulation, coding policies and third party payer requirements. Adheres to clean claims act and HIPPA policy and procedures. • Analyze and reconcile claims to ensure medical necessity of services is documented, resolve coding and billing discrepancies problem regarding coding and compliance issues. • Review and analyzes information contained in the medical records to ensure accurate used of ICD-10-CM and CPT codes can be assigned for principle diagnosis, complications, procedures and surgery codes. • Extract required information from source document and enter into encoder and abstracting system. • Use official coding guidelines and reimbursement expertise to assign appropriate ICD-9/ICD-10, CPT-4 and HCPCS diagnosis and procedure.
  • 2. D&S Medical Auditing and Compliance Services - Brooklyn, NY 5/13- 2/16 Medical Coder Specialist (Part-time remotely) • Interpreted provider’s progress notes and assign the appropriate diagnostic and procedural codes for accuracy • Assigned and make sure diagnosis codes are supported by the documentation and ensure adherence with ICD-9 and ICD-10CM Guidelines for Coding and Reporting. • Assigned the diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted timeframe (HCC). • Reviewed for clinical indicators and query providers to capture the severity of illness of the patient. • Prioritize work to ensure timeframe for coding meets regulatory requirements. Scope of outpatient coding includes patient’s types Observation, Ambulatory/Same Day Surgery, Emergency Department (treat and release), Recurrent/Series, and Outpatient/Ancillary. • Kept tract of provider’s coding pattern to reduce any insurance fraud claims, clarifying information or diagnosis by communicating with healthcare providers as well as assign and identify the information by using and coding the accurate ICD-9-CM-PCS, HCPCS and CPT-4 codes. • Educated providers on understanding documentation criteria guidelines; provide educational assistance and/or serves as a resource regarding coding and documentation issues, reviewed encounter form to ensure compliance and reporting information. • Coded services visit using the EMR database and assigning the appropriate diagnosis and procedural codes. Banking Employment: Doral Bank/Popular Community Bank – New York, NY 08/14-Present Sales & Service Banker • Follow the established policies in accordance with the bank and supervisor’s discretion • Cross-sell bank services and products and provide bank services to a diverse customer base • Accountable for personal achievement of monthly new account production as assigned by upper management • Process deposits and pay out funds in accordance with bank procedures, to record all transactions accurately and balance each day’s operation • Answer telephone inquiries from customers • Open/Close CDs, Checking and Savings account • Send statements to clients upon request • Sort and organize client files for easy retrieval • Sell and prepare money orders, cashier’s checks, bank to bank wires, savings bonds, traveler checks and certificate of deposit • Explain, advise on and promote bank products and services to customers • Ensure compliance with all internal controls and established policies and procedures Signature Bank – New York, NY 01/09-12/12 Client Associates • Responsible for receiving and processing transactions to and from customer’s accounts • Accepted cash and checks for deposit and check accuracy of deposit slip • Maintained daily log of cash and checks that go in and out of the bank's vault during the course of a day • Recorded transactions performed during the day using bank software/system and settle/reconcile accounts at the end of day by filling out a settlement sheet • Explained, advised on and promoted bank products and services to customers • Ensure compliance with all internal controls and established policies and procedures • Worked as a team player and backup to other tellers
  • 3. • Cross-sell banking services and products to clientele • Send statements to clients upon request • Answer telephone inquiries from customers JPMorgan Chase – Brooklyn, NY 11/07-01/09 Teller • Processed deposits, withdrawals, payments, and referrals • Recorded all transactions promptly, accurately and in compliance with bank procedures • Performed specialized tasks such as preparing cashier's checks, personal money orders, issuing traveler's checks and exchanging foreign currency • Answered inquiries regarding checking and savings accounts and other bank related products • Work as a team player and backup to other tellers ADDITIONAL CREDENTIALS References: Available Upon Request    TECHNICAL SKILLS CERTIFICATIONS LANGUAGES Microsoft Office: Word, Excel, Power Point, Outlook, 85 WPM Certified Professional Coder English INTERESTS Reading and Traveling