Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Character References
Timeline
Generic
Edlaine April Rico

Edlaine April Rico

Medical Coder/QA Specialist/Nurse
Pasig City

Summary

To build a long term career as a Registered Nurse and Medical Coder/QA Specialist with opportunities for career growth. Willingness to face new challenges and adapt to a new working environment where knowledge, skills and potentials will be maximized effectively.

Overview

14
14
years of professional experience
5
5
years of post-secondary education
1
1
Certification

Work History

Medical Coder - Contractor

Pop Healthcare Philippines
11.2023 - 01.2024

24th Floor BGC Corporate Center, 30th Street cor 11th Ave BGC Taguig City


  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Verified accuracy of patient information in medical records.
  • Reviewed out-patient, ED, H&P medical documents of diagnosis and procedures and assigned ICD-10 according to coding guidelines.

Medical Coder - QA Specialist

Change Healthcare Philippines Inc.
07.2011 - 09.2023

17th Floor Picadilly Bldg, 4th Ave cor 27th St BGC Taguig City


  • Reviewed hospital records and interpreted documentation to identify diagnoses and procedures.
  • Performed billing and coding procedures for ambulance, emergency room, inpatient and outpatient services.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments. Demonstrates knowledge and ability to assign ICD-9 CM/ICD-10 codes to the highest specificity ensuring that diagnostic codes and documentation accurately reflect and support the visit encounter.
  • Knowledgeable in coding techniques and guidelines of medical coding. Knowledgeable in medical terminology, anatomy & physiology and pharmacology.
  • Proficient in computer like MS Word, MS Excel and other MS Office tool.
  • Delivers the required number of quality monitors in a timely manner.
  • Participates in team meetings/huddles to share Quality and behavioral trends.
  • Strong team player willing to take on additional projects and duties as necessary.

Pharmacy Assistant/Cashier

Watsons Philippines
01.2011 - 06.2011
  • Kept pharmacy counter and related areas clean, neat and organized.
  • Counted and labeled prescriptions with correct item and quantity.
  • Greeted customers and responded to questions with friendly, knowledgeable assistance.
  • Distributed medicine and supplements from stock containers to correct packages.
  • Performed safety checks when dispensing medications to optimize patient safety.
  • Operated cash register and performed front counter tasks to facilitate daily operations.
  • Restocked pharmacy shelves with supplies and medicines and ordered new items to avoid shortages.
  • Tracked pharmacy inventory and reported medication numbers to lead pharmacists.
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.

Registered Nurse

Katipunan Health Center
03.2010 - 06.2010
  • Managed care from admission to discharge.
  • Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
  • Provided direct patient care, stabilized patients and determined next course of action.
  • Provided exceptional care to high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation.
  • Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.

Education

Bachelor Of Science In Nursing - Nursing

Andres Bonifacio College
College Park Miputak Dipolog City
01.2004 - 04.2009

Skills

    Records review

undefined

Certification

ICD 10 Proficiency Training

Additional Information

  • Profession , Registered Nurse, February 2010 License Nos: 0615251
  • Certified Professional Coder (CPC), 2012 License Nos: 01236502

Character References

1. Rodelia Ana Ligeralde 

- Quality Manager, Change Healthcare Philippines Inc.

- 09177030960 / Rona.ligeralde@gmail.com


2. Anne Marie Simeon

- Quality Manager, Change Healthcare Philippines Inc.

- 09052274887 / annemariesimeon1230@gmail.com


3. Lara Kristina Engracial

- Quality Specialist, Change Healthcare Philippines Inc.

- 09177965064 / lunarialarakristina@gmail.com


4. Lorelei Mae Rodriguez

- Quality Specialist, Change Healthcare Philippines Inc.

- 09758744313 / lorelmaerodriguez28@gmail.com


5. Kathlene Villanueva

- Quality Specialist, Change Healthcare Philippines Inc.

- 09399193937 / kathlenearizobal@gmail.com

Timeline

Medical Coder - Contractor

Pop Healthcare Philippines
11.2023 - 01.2024

ICD 10 Proficiency Training

08-2015

Medical Coder - QA Specialist

Change Healthcare Philippines Inc.
07.2011 - 09.2023

Pharmacy Assistant/Cashier

Watsons Philippines
01.2011 - 06.2011

Registered Nurse

Katipunan Health Center
03.2010 - 06.2010

Bachelor Of Science In Nursing - Nursing

Andres Bonifacio College
01.2004 - 04.2009
Edlaine April RicoMedical Coder/QA Specialist/Nurse