Vincent Legaria, Rn, Cpc, Cpb

VINCENT LEGARIA, RN, CPC, CPB SEASONED MEDCIAL CODER, BILLER & AUDITOR AAPC- APPROVED INSTRUCTOR PERSONAL PROFILE Specializes on US Health Information Management specifically on medical coding, billing & auditing and denial management for 8 years. Holds 2 AAPC Certifications that includes Certified Professional Coder (CPC) and Certified Professional Biller (CPB). Certified Professional Medical Auditor Certification (CPMA) in Track. One of the AAPC - Approved Instructors who creates courses for AAPC Continuing Education Unit (CEU). CONTACT Unit 713 588 Residences Cordillera St. Brgy. Malamig Mandaluyong City-- https://www.linkedin.com/in/vince nt-legaria-rn-cpc-cpb-aapcapproved-instructor-2ab9671b8/ EDUCATION& LICENSES Silliman University Bachelor of Science in Nursing, 2009 PRC Nurse License - AAPC ID - SKILLS Exceptional communication skills Successful working in a team environment, as well as independently The ability to work under pressure and multi-task The ability to follow instructions and deliver quality results WORK EXPERIENCE TDS Global Solutions, Senior Medical Coding & Billing Trainer APR 2016 - JUN 2020 Delivers Physician-Based Medical Coding & Billing Training, assisting student in becoming US Certified Professional Coders (CPC) & Certified Professional Biller (CPB), Designs and develops training modules customized for the needs for corporate partners, and participates in planning business solution for strategic partners in the Medical Coding and Billing Industry Conducts training courses on End-to-end process for US Healthcare Revenue Cycle Management. Cognizant Technology Solutions, Senior Process Executive JUN 2014 - MAR 2016 Process appeals submitted by different providers under Workers Compensation. Reviews assigned ICD 9, ICD 10, HCPCS and CPT codes for the medical necessity domain. Utilizes different pricing tool(MS-DRG, Physician fee schedule, APC) of services rendered by the provider. Intellicare Corp, Medical Claims Specialist JUL 2012 - FEB 2014 Process preauthorization request for medical services and procedures Assign codes using ICD-9 and CPT codes for statistical purposes -continual update of the standard health benefits. AsianLife General Assurance, Medical Information Officer APR 2011 - JAN 2012 Assist clients under corporate insurance with their health benefits and limitations. Analyze patient’s diagnostic request for their health insurance claims. Utilizes codes using ICD – 10 and CPT for PhilHealth reimbursement purposes for expatriate clients..