Jayvie B.
Mid-Level Healthcare Medical Coder
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About
Jayvie M. B. is a certified professional coder and registered nurse with extensive experience in the healthcare industry, focusing on coding accuracy and compliance. With a Bachelor of Science in Nursing from Far Eastern University completed in 2015, Jayvie has applied their expertise across various clinical and hospital settings. Jayvie's role as a Risk Adjustment Coder at Omega Healthcare honed their skills in the HCC model, while experience at Dar Al Shifa Hospital and Al Safa Polyclinic reinforced their abilities in assigning ICD-10 and CPT codes. Jayvie has adeptly managed medical coding tasks, ensuring compliance with HIPAA, CMS, and Medicare regulations. They have demonstrated proficiency in essential tools such as EMR/EHR systems including Cerner, EPIC, and the 3M Coding and Reimbursement System. Their professional journey highlights a commitment to maintaining high-quality standards and effectively resolving coding discrepancies and claim denials, all while supporting billing and revenue cycle operations.
Experience
Certified Medical Coder (Revenue Cycle Management)
Theoria Medical · 2025 — 2026Reviewed patient charts and medical records from various senior care facilities, assigning accurate ICD-10, CPT, and HCPCS codes according to medical guidelines. Verified claims status and payer requirements using Availity and Palmetto portals, while maintaining compliance with industry regulations. Supported billing teams by ensuring proper documentation was in place for reimbursements and assisted in claim resubmissions.Medical Coder (Insurance Department)
Dar Al Shifa Hospital · 2022 — 2025Conducted reviews of patient medical records to assign appropriate diagnosis and procedure codes. Engaged with physicians to clarify incomplete documentation and participated in coding audits to maintain accuracy. Worked alongside billing specialists to resolve discrepancies and ensured proper documentation supported insurance billing while safeguarding patient confidentiality.Inpatient Coder
Shearwater Health Global Healthcare Solutions · 2021 — 2022Assigned ICD-10 CM codes using the 3M system for the Blue Cross Blue Shield account, analyzing patient medical records via EPIC. Followed up with providers on documentation issues and communicated with clinical staff to verify accuracy. Ensured compliance with official coding guidelines while maintaining patient confidentiality and information security.Medical Coder (QAQC Department)
Al Safa Polyclinic · 2018 — 2020Responsible for coding quality assurance, collaborating closely with teams to maintain production and quality standards. Ensured accurate coding in line with regulations and completed necessary updates on documentation processes, while adhering to patient confidentiality protocols.Risk Adjustment Coder
Omega Healthcare · 2015 — 2018Specialized in Risk Adjustment Coding using the HCC method, assigning ICD-9 CM codes that mapped to risk adjustment models. Adhered strictly to coding guidelines and maintained industry-relevant knowledge regarding medical terminology. Ensured patient confidentiality while fulfilling continuing education requirements.
Skills & Expertise
Education
- Bachelor of Science in NursingFar Eastern University · 2011 — 2015