John Edward Campomanes
Makati City
Summary
Dedicated and experienced Registered Nurse specializing in medical and surgical care, committed to
high-quality patient care. Extensive knowledge of medicine, pharmacology, and healthcare standards in
both hospital and private practice settings. Certified Professional Coder and United States Registered
Nurse - NY. Known for fostering strong rapport between providers and patients. Passionate about
helping people and contributing to any medical team.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Coder
Hello Rache
10.2022 - 08.2024
- Review patient records and assign appropriate diagnostic and procedural codes using ICD-10, CPT, and HCPCS coding systems
- Ensure accuracy and completeness of medical coding to optimize reimbursement and minimize risk of denied claims
- Evaluate medical claims for completeness and correctness before submission to insurance companies to ensure compliance with regulations and guidelines
- Stay updated with coding guidelines, regulations, and industry standards to ensure compliance with legal and ethical requirements in medical billing
- Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate documentation and coding.
NURSE
Makati Medical Center
10.2021 - 10.2022
- Assessing, planning, implementing, and evaluating patient care plans in consultation with healthcare professionals
- Evaluating medical information, as well as providing direct and individualized bedside nursing care to pre-and post-surgery patients
- Changing dressings, inserting catheters, and starting IVs
- Monitoring patients' vitals and reporting adverse reactions to medications in a timely manner
- Preparing, administering, and recording prescribed medications
- Adjusting specialized medical equipment as needed, as well as interpreting and recording measurements
- Answering questions and educating patients and their families on surgical procedures and post-surgery care
- Maintaining and updating patient files, medical charts, and health records.
Outpatient Medical Coder
Shearwater Health
10.2020 - 09.2021
- Coded primary, secondary and sequenced diagnosis based on ICD-10 guidelines
- Reviewed patient charts and identified discrepancies in the medical documentation
- Assigned a sequence of ICD-10 CM and CPT codes to emergency department patient records
- Utilized 3M, HPF and Meditech as tools for coding.
Medical Coder
UST-Global
03.2020 - 08.2020
- Identified account discrepancies and issues that hindered claim payments
- Followed the guidelines and be in compliance with local, state or federal laws and regulations
- Corrected and resubmitted claims denied by insurance company
- Reviewed claim denials and payer requirements for corrective action and prevention in the future
- Quickly identified and resolved medical billing, coding and insurance discrepancies.
Community Operations Specialist
Uber Philippines Center of Excellence LLC
10.2016 - 02.2020
- Efficiency and Quality scores exceeded the targets for the last 6 months
- Worked directly with Australian law enforcement agencies
- Established an excellent relationship with our stakeholders
- Observe customer transactions to identify fraudulent activity such as account take over, friendly fraud, theft and similar other risks.
Technical Support Representative
Alorica
12.2015 - 09.2016
- Identied hardware and software solutions
- Troubleshoot technical issues
- Diagnosing and repairing faults
- Installing and configuring hardware and software
- Speaking to customers to quickly get to the root of their problem
- Providing support in the form of procedural documentation.
Customer Care Representative
Telus International
03.2015 - 09.2015
- Prompt chat and email response to customers
- Document each customer's question or problem as well as the resulting answer or solution
- Develop customer service solutions
- Maintain service level.
Customer Care Representative
Salmat
06.2014 - 02.2015
- Answer inbound calls in a timely and friendly manner
- Evaluate problems and complaints of the callers and provide proper solutions to them
- Respond to the needs of customers and provide personalized service
- Provide information on the company's products or services and generate interest in the offer
- Process orders, forms, and applications.
Clinical Service Representative
Arriva Medical LLC
12.2013 - 02.2014
- Make outbound customer calls to promote and sell a product or service
- Create, maintain and update database of customers with complete information and emails
- Record outbound call history and customers response in detail
- Monitor competitors' products or services and create selling strategies for own products or services
- Boost customer loyalty by offering a proper experience over the phone.
Subject Matter Expert
Sutherland Global Services
06.2013 - 12.2013
- Define procedures or standards, since he/she has the knowledge of what the right or best way to execute a task would be
- Define performance objectives and determine acceptable performance levels
- Provide recommendations for procedural improvements
- Understand requisite knowledge that underlies effective decision-making and is able to describe where anomalies or flaws may occur in the decision-making for his/her area of expertise
- Explain his/her area of expertise clearly to others.
Education
Bachelor of Science in Nursing -
Global City Innovative College
04.2010
Secondary Education - undefined
Pateros Catholic School
04.2006
Skills
- CPT, ICD-10-CM, and HCPCS Level II codes
- Patient data compilation
- Claims Processing
- Inpatient records coding
- Medical record security
- Medical claims coding
- Records Management
- Clinical Documentation
Certification
- Angels Initiative Stroke Nurse Certification (USA), 10/01/2021, Present
- American Association Of Professional Coders, 08/01/2020, 02/01/2022
- National Institute of Health Stroke Scale (USA), 10/01/2021, Present
- New York State Education Department - Registered Nurse, 07/01/2024, Present
Accomplishments
- Consistent Top COS awardee for CSAT and DPH (documents per hour)
- Q4 Superstar (10/2018 - 12/2018) - Highest scorecard for the last quarter of the year
- Perfect attendance for Q3 and Q4 (07/2018 - 09/2018)
Completedprojects
ANZ Funnel Eats inbound Centralisation, 10/01/2018, 12/01/2018, Increased LOB's efficiency by 30%., Redesigned and developed an Interactive Voice Response (IVR) to suit this project which led to a more granular view of our inflow and call drivers.
Languages
English
Bilingual or Proficient (C2)
Software
Advancedmd
DrChrono
Timeline
Medical Coder
Hello Rache
10.2022 - 08.2024
NURSE
Makati Medical Center
10.2021 - 10.2022
Outpatient Medical Coder
Shearwater Health
10.2020 - 09.2021
Medical Coder
UST-Global
03.2020 - 08.2020
Community Operations Specialist
Uber Philippines Center of Excellence LLC
10.2016 - 02.2020
Technical Support Representative
Alorica
12.2015 - 09.2016
Customer Care Representative
Telus International
03.2015 - 09.2015
Customer Care Representative
Salmat
06.2014 - 02.2015
Clinical Service Representative
Arriva Medical LLC
12.2013 - 02.2014
Subject Matter Expert
Sutherland Global Services
06.2013 - 12.2013
Bachelor of Science in Nursing -
Global City Innovative College
Secondary Education - undefined
Pateros Catholic School
Similar Profiles
William Billy Joe Dela PeñaWilliam Billy Joe Dela Peña
Medical Biller at Hello RacheMedical Biller at Hello Rache
Herminio III A. MacamHerminio III A. Macam
HR Administrator at DIMAK Solutions Corp.HR Administrator at DIMAK Solutions Corp.
Dikens Talla FOTSODikens Talla FOTSO
Sales Manager at Africa Distribution CompanySales Manager at Africa Distribution Company