Aurora Miras Payawal

Results-driven Certified Professional Coder with 10+ years of experience in inpatient, outpatient, emergency department, anesthesia and risk adjustment (HCC) coding. Skilled in ICD-10-CM, CPT, HCPCS and E/M coding, medical record review, coding compliance, denial resolution, and documentation clarification. Experienced in EMR-based chart review, CMS guidelines, AHA Coding clinic standards, and payer-specific coding requirements.

Strong background in coding accuracy, data integrity and revenue cycle support.

Anesthesia Coder - Coronis Health - Washington

(2024-09)

• Review anesthesia and surgical documentation to accurately assign ICD-10-CM, CPT and anesthesia codes
• Research and resolve coding edits, claim denials and compliance-related issues
• Retrieve and review patient documentation from hospital EMR systems to support accurate coding and billing
• Support offshore coding vendors by answering coding questions and clarifying documentation requirements
• Maintain daily coding work queues and billing edits within productivity standards

HCC Coder - United Health Group

(2024-04 - 2024-07)

(Contract)

• Assigned ICD-10-CM and HCC codes for risk adjustment based on CMS guidelines
• Reviewed EHR documentation for chronic condition capture
• Identified documentation gaps affecting coding accuracy and reimbursement

IP / OP Facility Coder - Kaiser Permanente - Stockton, CA

(2023-08 - 2023-11)

• Coded inpatient and outpatient encounters using ICD-10, CPT and HCPCS
• Reviewed clinical documentation for accuracy and compliance
• Applied CMS and AHA Coding Clinic guidelines for correct code assignment
• Supported coding across outpatient, inpatient, and ED services

Anesthesia Coder - Coronis Health - Washington

(2022-04 - 2023-08)

• Assigned ICD-10-CM, CPT and anesthesia codes based on surgical and anesthesia documentation
• Resolved coding edits, denials and documentation discrepancies
• Retrieved EMR documentation to ensure coding accuracy and completeness
• Maintained coding queues and productivity standards

Specialty Coder - Vituity - Modesto, CA

(2013-01 - 2022-03)

• Coded emergency department and outpatient encounters using ICD-10-CM, CPT, HCPCS, and E/M guidelines
• Ensured compliance with CMS regulations and AHA Coding Clinic standards
• Reviewed medical records for accuracy, completeness, and compliance with payer and regulatory guidelines
• Assigned E/M levels, critical care services, and emergency procedures based on provider documentation
• Maintained high-volume productivity with 95% quality accuracy

Certificate of Completion - Medical Coding and Advanced Medical Terminology - Allied Schools, Inc.

Bachelor of Science - Business Management, Computer System - Assumption Manila