John Paul Obero

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.

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

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)