loren lopez
lead consultant coding quality reviews and education
About
25+ years demonstrated excellence in HIM. Subject-Matter Expert skilled in Medicare, CDI, Compliance, ICD-9/ICD-10 CM/PCS Coding, DRG/APC, and HCC Coding. Highly skilled Auditor/Reviewer IP/OP/ED: Trauma I, Cancer Designated Center, Children's Hospital, Burn Center, NICU, Heart Center, PACE, SNF, Acute Rehab, Psychiatric and Rural coding experience. Experienced Regional Manager with Cerner, EPIC, 3M, Optum 360 and Nuance experience including being a super-user of the former Quadramed/Quantim Enocder.
united states
antelope
hospital & health care
icd 9, cpt, hospitals, medical records, inpatient, ambulatory, hipaa, hcpcs, revenue cycle, healthcare, healthcare information technology, ehr, emr, epic systems, healthcare management, jcaho, acute care, icd 9 cm, cerner, icd 10, coders, meditech, medicare, healthcare consulting, medical compliance, ambulatory care, medicaid, health information management, software documentation, current procedural terminology, patient safety, managed care, nursing
Experience
regional coding specialist
sutter health
* Responsible for Sutter Health Sacramento Sierra Region(which includes 5 acute care, 1 * psychiatric, 1 rehab, 1 PACE facility) quality of coding, education of all coders, RAC * review, outside consulting firm-review, and DRG Assurance program (CDI).
medical record technician
dignity health
* ICD9-CM, CPT-4, and HCPCS coding of all emergency department, outpatient surgery and * ancillary cases. Application of Cascade Encoding system and use of hospital-based computer * system.
lead consultant coding quality reviews and education
kaiser permanente
regional manager coding quality reviews and education
kaiser permanente
coding and documentation review consultant
kaiser permanente
Responsible for auditing Acute care hospitals for quality of coding and education. Works with CDI-QA to ensure proper documentation in patient records. Provides education and focused audits for HCC coding.
patient record abstractor iii-iv: coder
uc davis medical center
* Performs coding, abstracting and deficiency analysis of inpatient discharged medical * records, ambulatory surgery & observation cases. Identifies all appropriate codes and * assigns DRG's for all inpatient cases. Assignment of all appropriate CPT-4, ICD-9, APC's * and modifiers for ambulatory cases.
Education
american river college
general studies
General Studies 56 units, transferred to CSUS.
cosumnes river college
california state university - sacramento
humanities
Obtained my Bachelor's of Art's degree in Humanities
santa barbara city college
loren lopez's Contact Information
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