Jenny Silva

Accomplished Certified Professional Coder with over 8 years experience. Highly efficient with extensive experience in Risk Adjustment, Same Day Surgery and Ancillary coding.

• Performs medical coding and reviewing medical codes in adherence to risk adjustment models with a strong grasp in Hierarchical Condition Categories (HCC)
• Ensures accurate, timely, and appropriate assignment of ICD-10-CM for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines.
• Provides support and coding expertise and acts as a subject matter expert to all programs that support risk adjustment and data validation efforts.
• Comply with the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines.
• Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirement.
• Perform QA assessments on Risk Adjustment Coders and provide education and training when necessary.
• Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology and concepts of disease processes and the link to proper assignment of clinical conditions documented and procedures.

Bachelor of Science in Nursing