John Paul Obero
Certified Professional Coder (CPC)
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About
A Certified Professional Coder (CPC) seeking for a new field of challenge that will utilize my acquired knowledge, skills and commitment in medical coding for the enhancement of personal and professional growth.
Experience
Quality Analyst (Risk Adjustment) - Optum Global Solutions (Philippines), Inc.
(2024-09)
- Performed quality audits on coded medical records to ensure accuracy, completeness, and compliance with CMS and risk adjustment coding guidelines.
- Reviewed ICD-10-CM and HCC code assignments to validate proper documentation.
- Identified coding discrepancies and unsupported diagnoses during chart audits.
- Ensured coded conditions met MEAT criteria (Monitored, Evaluated, Assessed, and Treated) and supported clinical documentation.
- Maintained compliance with ICD-10-CM Official Guidelines, HIPAA, and company policies.
Medical Coder (Risk Adjustment) - Optum Global Solutions (Philippines), Inc.
(2015-02 - 2024-08)
- Reviewed and analyzed patient medical records to capture accurate and complete diagnoses for risk adjustment coding.
- Assigned appropriate ICD-10-CM and HCC codes based on provider documentation.
- Ensured accurate documentation and coding of chronic conditions.
- Verified that all coded conditions met MEAT criteria (Monitored, Evaluated, Assessed and Treated).
- Maintained compliance with CMS, ICD-10-CM, and risk adjustment coding guidelines.
Staff Nurse - Bicol Access Health Centrum, Naga City - Naga City
(2010-11 - 2015-01)
Areas of Assignment: Adult Health Center & Bone Center, Surgical Complex (OR) & Endoscopy
Education
Bachelor of Science - Nursing - University of Saint Anthony, San Miguel, Iriga City (2005-06 - 2009-03)
Secondary - University of Saint Anthony, San Miguel, Iriga City (1999-06 - 2003-03)
Primary - University of Saint Anthony, San Miguel, Iriga City (1993-06 - 1999-03)
