Delleen Hernandez

Health Information Technology and Medical Coding professional skilled in MS-DRG assignment, clinical documentation review, and coding compliance to support accurate reimbursement. Applies encoder and grouper software knowledge to improve record accuracy and reduce claim denials. Aims to integrate AI-assisted tools to enhance coding efficiency and quality.

Coding & HIM Experience

• Clinical Documentation Analysis: Analyzed complex medical records, operative reports, and provider documentation to accurately abstract clinical data and identify principal and secondary diagnoses.
• Guideline Application: Applied official coding conventions and chapter-specific coding guidelines to assign accurate ICD-10-CM, ICD-10-PCS, and CPT/HCPCS codes.
• Reimbursement Accuracy: Determined Present on Admission (POA) indicators and calculated MS-DRGs to ensure accurate data submission and optimization of the revenue cycle.
• Provider Queries: Evaluated documentation for ambiguities, gaps, or conflicting information to determine appropriate, compliant provider query opportunities.
• Ethical Compliance: Maintained a strict commitment to the AHIMA Standards of Ethical Coding, protecting the security and confidentiality of Protected Health Information (PHI).

Health Information Technology / Medical Coding Program in Health Information Technology / Medical Coding – DeVry University (2024-10 – 2025-12)

Associate of Applied Science in Health Information Technology – DeVry University-California (2026-01 – 2026-12)