Albert Carlo P. Nangca RN, CPC Ali Moosa Tower 2
Al Majaz Jamal Abdul Nasser St. Sharjah, United Arab Emirates Contact#:0504960130
Email: [email protected]
CAREER OBJECTIVE:
Seeking for a position where I can utilize my skills, experience, and knowledge and to become an asset of your organization.
PERSONAL INFORMATION:
Age Gender Birthday Civil Status Citizenship
:30
: Male
: January 30, 1988 : Single
: Filipino
EMPLOYMENT EXPERIENCE:
Medical Coder @ Shearwaterhealth Advisors Inc. (July 2016-August 31, 2018)
Responsibility as a Medical Coder (Risk Adjustment):
Abstracts relevant clinical information from the health record.
Identifies the principal and secondary diagnoses based on client’s coding guidelines
Assigns ICD 10-CM codes to principal and secondary diagnoses
Assigns CPT codes to the procedure as needed
Review facility health records for accuracy and completeness of coding quality program
Understand and adheres to all requirements in the SWH corporate compliance program
Performs coding and review in the efficient and productive manner utilizing good time
management and professional work habits. Meets productivity standards for position.
Refers coding question to the coding manager in timely matter for feedback and coding guideline
development. Seeks assistance only after exhausting all resources.
Continually enhance coding skills. Participates in coding rountables, meetings, and educational
conferences to ensure coding practice is up to date.
Maintains confidentiality and safeguards the privacy of protected health information.
Undertakes special projects and other duties as assigned by the Coding Manager.
Liason Officer @ Maxicare Healthcare Corporation (March 16, 2012- March 1, 2016)
Assess and evaluates member’s availment of services
Collates patient information from attending doctors and nurses
Review and ensures that In-Patients understand the limits and scope of their insurance benefits
Reviews, approves, disapproves Letter of Authorization according to approved limits.
Collates data, analyzes and computes for excess charges that may be incurred by members and endorses properly to the hospital billing, credit and collections units
Ensures that hospital running bills are monitored.
Conducts visitation of admitted patients and monitors progress.
Use appropriate ICD and procedural codes for Inpatient cases
Certifications
Certified Professional Coder (May 2016) Philippines Nursing Licensure Exam passer (2009)
EDUCATIONAL BACKGROUND”
Tertiary
Far Eastern University
Bachelor of Science in Nursing (2005-2009)
Skills
Proficient in ICD 10-CM, HCPCS, CPT coding Computer literate (MS Word, MS Excel, etc) Proficient in English Language
CHARACTER REFERENCE:
Royce Hortelano
Team Leader Shearwaterhealth Advisors [email protected] +639176731589
Rudolf Quedado
Inpatient Supervisor
Maxicare Healthcare Corporation [email protected] +639175077686
I HEREBY CERTIFY that the above information herein are true and correct to the best of my knowledge and belief.
Albert Carlo P. Nangca
Applicant