ANA MARIA CUTINO
Spring Hill,FL
Summary
Certified by the AAPC as a Coder (CPC), Auditor (CPMA), and ICD-10 Proficiency with more than 4 years' experience in the healthcare field. Provides exemplary VIP service and demonstrates integrity in the workplace. An effective communicator, who relates exceptionally well with staff and clients, and thrives in fast-paced, challenging environments. Possesses the competence necessary to oversee the daily operations of a department. Certified Professional Coder (CPC) with experience working in busy , medical practices and out-patient clinics. Detail-oriented and knowledgeable on coding guidelines and changes with background in Medicare, Medicaid and third-party billing. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level CPC position. Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level CPC position. Ready to help team achieve company goals.
Overview
7
7
years of professional experience
Work History
CPC
Team Care Corp
12.2020 - 02.2024
- Oversees the strategic operations of Team Care Corp HRDD(CDI) Team(s) and Coding
- Assists in planning and implementing new and revised clinical programs and services across the enterprise
- Contributes to projects aimed at improving diagnostic and coding accuracy
- Ensures each department under Central Clinical Services has updated policies and procedures that comply with state and federal regulations
- Works closely with clinical leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding
- Collaborates with technology teams to improve electronic documentation of all clinical conditions and process for appropriate capture and billing of HCC codes to simulate Risk Adjustment Data Validation
- Collaborates with health plan MRA departments to ensure appropriate acceptance of encounter data and accuracy of submissions
- Structures, strategizes, hires, trains, guides, and manages High Risk Disease Detection
- Analyzes market needs for HRDD (CDI's), Coding and structures central team to service market needs and comply with company's policies
- Works as a facilitator in informing central corporate teams on particular market situations
- Assists in analyzing and presenting data back to stakeholders
- Reconciles the data within the enterprise to ensure completeness and accuracy
- Analyzes data to enable decision-making and develops reports for management, executives, clinical leads, providers, and others to support their achievement of work goals and processes
- Oversees coding team and leads their operations, by assigning and distributing essential functions ensuring productivity
- Ensures accuracy and completeness of work, efficient staffing levels and effective training of employees
- Provides leadership and conducts performance reviews of direct reports
- Builds and develops existing team to provide front line support to internal customers
- Performs other duties as assigned and modified at manager's discretion
- Responsible for Daily operations of Coding Division
- Establishes personal growth goals
- Creates development opportunities and promotes cross training to foster employee growth and advancement opportunities
- Provides technical expertise and support to meet company goals.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Paid attention to detail while completing assignments.
- Learned and adapted quickly to new technology and software applications.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Developed and maintained courteous and effective working relationships.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
- Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Generated reports to identify coding trends and discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Developed and implemented new filing system for medical records to improve efficiency.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
Hospitality Services Manager
HOTEL ARIA
04.2017 - 08.2019
- Increased customer service ratings significantly through personable service.
- Offered appropriate reservation options based on expected attendees when coordinating events.
- Streamlined operations for increased efficiency in managing daily tasks and addressing customer concerns.
- Developed staff training programs that resulted in improved team performance and higher guest satisfaction ratings.
- Collaborated with various departments to ensure seamless coordination of events and services for optimal guest experience.
- Increased repeat business with exceptional customer service, catering to individual guests'' preferences and needs.
Education
High School graduate -
Blas Roca Calderio
CPC
EXCELSIOR TECHNICAL INSTITUTE NMB
Doral, FL12.2020
Skills
- EHR
- Training
- Medicare and Medicaid Regulation's
- Team Building
- MS Proficient
- ICD 10
- Intranet
- Bilingual
- CPT Coding
- Medical Records
- Outpatient Care
- Medical Terminology
- Reporting
- HCPCS Coding
- CPC registration
Timeline
CPC
Team Care Corp
12.2020 - 02.2024
Hospitality Services Manager
HOTEL ARIA
04.2017 - 08.2019
High School graduate -
Blas Roca Calderio
CPC
EXCELSIOR TECHNICAL INSTITUTE NMB
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