DeLysia Miller

Certified Coding Specialist (CCS) with hands-on experience coding 200+ inpatient, outpatient, and emergency department records. Skilled in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding, clinical documentation review, and MS-DRG assignment. Strong background in healthcare data integrity, regulatory compliance, and EHR systems.

Proven ability to analyze complex medical records, ensure coding accuracy, and support reimbursement processes. Seeking a medical coding or healthcare data role where accuracy, compliance, and attention to detail support revenue cycle performance and quality patient care.

Virtual Receptionist - Smith.ai - Remote

(2025-06)

• Maintain accurate documentation of client intake information, ensuring data integrity and completeness
• Manage high-volume communications (35–60 calls daily) across healthcare and legal clients
• Utilize CRM systems, AI tools, and Google Workspace for scheduling, documentation, and payment processing
• Consistently meet productivity and quality benchmarks of 90% and above

Medical Coding Practicum - AMCI (AHIMA Approved Training) - Remote

(2025-06 - 2026-05)

• Coded 200+ inpatient, outpatient, and emergency department records using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II modifiers, achieving 95% coding accuracy.
• Reviewed clinical documentation for highest level of specificity, accuracy and completeness
• Identified documentation gaps and initiated provider queries to improve coding accuracy and data integrity
• Applied CMS regulations and Official Coding Guidelines, including IPPS, APC payment methodology, HCC, and NCCI edits
• Participated in MS-DRG assignment and reimbursement methodology exercises
• Assigned principal and secondary diagnoses, procedure codes, POA indicators, and CC/MCC designations
• Performed quality assurance checks to ensure compliance and minimize denial risk
• Analyzed records across multiple specialties with a focus in surgery, cardiology, obstetrics, dentistry, radiology, pathology, laboratory and evaluation and management services.
• Maintained strict HIPAA compliance and confidentiality standards.

Engagement & Health Data Specialist - Carenet (Molina) Healthcare - Remote

(2023-06 - 2025-03)

• Processed 20+ patient assessments daily, reviewed clinical documentation to identify health risks and improve utilization of Medicaid benefits and reimbursement.
• Verified patient demographics, conducted HEDIS alerts, ensured integrity of EHRs, and maintained strict HIPAA and CMS guidelines.
• Reviewed discrepancies via multiple systems (i.e. Salesforce, CCA, and Excel spreadsheets).
• Collaborated with teams on high-volume Medicaid outreach campaigns, entered data and maintained EMRs, averaging 30-50 records daily.

Patient Care Advocate - Sitel (Cigna) - Remote

(2021-10 - 2022-02)

• Performed insurance verification, benefits review, and prescription coordination in a high-volume environment (50–70 calls daily)
• Supported claims processing by ensuring accurate documentation and appropriate coding application
• Resolved discrepancies by coordinating with providers, patients, and internal teams

Patient Care Aide - Home Instead Senior Care - Memphis, TN

(2019-06 - 2019-10)

• Maintained accurate patient documentation to support care planning and medical necessity
• Assisted with daily living activities, medication reminders, and patient scheduling
• Coordinated care with healthcare teams to ensure continuity and quality of care

Coursework toward Bachelor of Science - Psychology - Mississippi State University

High School Diploma - Perkins High School

CCP - University of Findlay