Rowell Presentacion

Professional Experience Summary

A dedicated Certified Coding Specialist with more than twelve years of experience in medical coding, pre‑authorization, and healthcare documentation across inpatient, outpatient, and specialty services. Demonstrates strong proficiency in ICD‑9, ICD‑10, CPT, USCLS, and major EMR systems including Cerner Millennium, EPIC, 3M, and Optum CAC.

Key Experience Highlights

Senior Pre‑Authorization Officer – Ambulatory Healthcare Services (2019–Present) Responsible for reviewing and analyzing medical records for Dental, Home Care, and Radiology services, managing claim denials and resubmissions, and conducting billing audits. From the document: “Conduct in-depth review and analysis of medical records… Handle resubmission processes for denials and claims.”

Freelance Medical Coder – Inpatient & Outpatient (2018–2020) Performed coding for geriatric psychiatric inpatient cases and emergency department charts, ensuring accurate ICD‑10/ICD‑9 code assignment and documentation compliance. From the document: “Provided freelance coding services specializing in geriatric psychiatric inpatient cases…”

Medical Coder – Multiple US Healthcare Clients (2012–2018) Managed medical-surgical, ancillary, outpatient, and interventional radiology coding for major institutions such as Yale Haven, UPMC, and University of Miami Hospital. From the document: “Managed coding for medical-surgical and ancillary charts for Yale Haven.”

Private Nurse (2009) Delivered comprehensive care to a cerebrovascular accident patient.

Bachelor of Science in Nursing (Graduated March 2009) This degree provides a strong clinical foundation that supports accurate medical coding and documentation review. From the document: “Bachelor of Science in Nursing — Graduated: March 2009.”