Joanna

Philippine RN. USRN. CRC - Risk Adjustment Coder

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Overview

Looking for part-time work (4 hours/day)

at $4.15/hour ($400.00/month)

Bachelors degree

Last Active

June 25th, 2026 (today)

Member Since

March 7th, 2023

Profile Description

Licensed Philippine Registered Nurse (August 2009) and U.S. Registered Nurse (July 2023) with over 16 years of healthcare experience, including 13 years in hospital-based nursing and 3.5 years in Clinical Audit and Utilization Management. Certified Risk Adjustment HCC Coder (February 2024) with expertise in risk adjustment coding, clinical documentation review, utilization management, compliance, and healthcare quality improvement. Knowledgeable in MDS assessments, ICD-10-CM coding, RAI Manual guidelines, PDPM reimbursement methodology, medical revenue codes, and claims review processes. Recognized for strong clinical judgment, analytical skills, attention to detail, and commitment to delivering high-quality patient care and operational excellence.

Top Skills

Experience: 5 - 10 years

Has worked as a Utilizations Nurse Reviewer for Health Insurance approvals and claims

Experience: 5 - 10 years

Has worked as a Utilizations Nurse Reviewer for Health Insurance approvals and claims; Has knowledge in HIPAA

Experience: 5 - 10 years

Can converse in English with above average knowledge in medical terms

Experience: 5 - 10 years

Other Skills

Experience: 5 - 10 years

Has been assigned as assistant supervisor in the Neonatal Intensive care unit for 5 years

Experience: 5 - 10 years

Experience: 5 - 10 years

Above average ability to transcribe data analysis in call in terms of medical field

Basic Information

Age
37
Gender
Female
Website
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Address
Las Piñas City, Metro Manila
Tests Taken
IQ
Score:  125
DISC
Dominance: 11
Influence: 8
Steadiness: 44
Compliance: 37
English
C2(Advanced/Mastery)
Government ID
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