Andrea Rivera

Background

About Andrea Rivera

APRN, Certified RN Coder (CRN-C), AAPC certified professional coder (CPC). Knowledge of CPT, ICD 9 CM, ICD 10 CM, ICD 10 PCS, HCCs, HCPS, EMR. 10+ years pediatric nursing (inpatient and outpatient). 4+ years outpatient coding, 3+ years inpatient coding support and data abstraction. Additionally, case management, utilization review (pediatrics, NICU, Ob/Gyn). Special interest in autism. Some experience in lactation/breastfeeding support and education. Commercial, non-profit and freelance video production and editing since Non-profit promotions coordinator 2002-2004. Regular active volunteer in various cultural and community events. World Fusion dance instructor. Special interests: autism, pediatric and adult health, public health, revenue cycle management, clinical documentation improvement and medical coding. Skills: Direct Clinical Care in pediatric patients in acute care and primary care settings (inpatient and outpatient settings) Inpatient & Outpatient Coding • Complex Case Coding (Pediatric, NICU/PICU) E/M Leveling • Modifier Use • Medical Record Abstraction • CDI & Provider Queries Denial Management & Appeals • HIPAA Compliance Inpatient & Outpatient Pediatric/PICU/NICU Ob/Gyn Coding ICD-9 CM, ICD-10-CM, ICD-10 PCS, CPT, HCPCs Level II NICU & PICU & Pediatrics Complex Case Coding E/M Leveling & Modifier Usage Clinical Documentation Review (CDI) 3M, Epic, Cerner, Meditech, E-Clinical Works, Cub Hub Television production (studio and field production), videography, digital video editing using Adobe Premier, Adobe Pinnacle, Filmora by Wondershare Voice overs, basic audio editing using wondershare