Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Angela Torres

Hendersonville,Tennessee

Summary

Compliance professional with extensive auditing and medical managed coding/billing experience. Manages revenue recovery from Medicare and commercial insurance, achieving a 3% reduction in aged receivables. Proven track record in implementing workflow optimization techniques to enhance productivity. Dedicated to ensuring adherence to regulations and policies, recognized for effectively identifying and resolving compliance issues through team collaboration. Knowledge of regulatory standards and effective reporting practices.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Senior Coding Compliance Auditor

GenesisCare
01.2020 - Current
  • Conducted comprehensive audits of compliance policies and procedures to ensure regulatory adherence.
  • Evaluated risk management processes, identifying areas for improvement in operational efficiency
  • Conducted regular follow-up audits to verify that previously identified issues were effectively resolved or mitigated.
  • Provided expert guidance on compliance requirements, ensuring informed decision-making across the organization.
  • Supported the development of company-wide policies and procedures in alignment with industry standards and legal requirements.
  • Developed and implemented training programs on compliance standards for internal staff.
  • Assists in focused review projects including data analysis, reporting, and corrective action identification and roll-out
  • Conduct Provider one on one and group training sessions to discuss identified risk areas based on the individual summary report.
  • Mentored healthcare staff on best practices for documentation, enhancing overall quality and consistency.
  • Performed over 7 compliance audits per month.

Billing Supervisor

Sovacool Medical Management
06.2014 - 11.2019
  • Audit submitted claim documents for sufficient data, verify that benefits were paid correctly and in accordance with appropriate plans and policies, and determine liability
  • Helped reduced AR from $700,000 to $250,000 within 6 months
  • Ensured services were billed timely and appropriately and rejections/errors researched and resolved to meet timely filing deadlines
  • Analyzed top denials for each client and identified solutions to increase cash and A/R days
  • Reconciled payments to patient's accounts by reviewing Explanation of Benefits
  • Implemented process improvements to enhance accuracy and efficiency of billing procedures.

Billing Manager

Family Foot And Leg Center
03.2017 - 09.2018
  • Developed workflow billing protocols for workers compensation and no fault claims. Negotiated liability claims settlements with attorneys
  • Helped reduced AR from $1,000,000 to $700,000 within 8 months
  • Oversaw training and orientation of clerical personnel in billing functions along with assisting in development of policies and procedures
  • Completed coding and billing audits daily, weekly and monthly based on area of focus. Provided education to Medical Staff via Power Point, email blasts, group and/or one-on-one settings
  • Lead team of five billing specialist and two benefit eligibility specialist on daily operations
  • Performing audits on billing, medical coding, and patient care system finding and reporting under-billing and over-billing
  • Analyzed all audit results and resolved all compliance issues

Office Coordinator

Miami Urology And Sexual Wellness Institute
01.2014 - 06.2014
  • Created and updated physical records and digital files to maintain current, accurate and compliant documents
  • Pleasantly welcomed visitors, answered phone calls and maintained front reception desk
  • Maintained data confidentiality when inputting patient information into EHR system

Office Coordinator

Specialist In Urology
06.2010 - 01.2014
  • Elevated customer satisfaction ratings by resolving issues for speedy resolution
  • Double-checked demographic forms for patients, resulting in accurate data entry
  • Directed customer communication to appropriate department personnel, in addition to providing information to resolve inquiries and bolster customer satisfaction

In-room Dining/Clerk

Hyatt Hotel
09.2008 - 06.2010
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Worked well in a team setting, providing support and guidance.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.

Education

Bachelor of Science - Health Administration

Hodges University
Naples, FL
12-2026

High school or equivalent - Accounting Assistant

Adoratrices
Colombia
12.1998

Skills

  • Collaborative teamwork
  • Experienced in Microsoft Office applications
  • Effective time management
  • Proficient in problem resolution
  • Extensive experience with EHR systems
  • Detail-oriented data management
  • Proficient in E/M and surgical coding
  • Accounts receivable management
  • Multispecialty coding background
  • Experience using audit tools
  • Critical thinking

Certification

  • CPC January 2015
  • CPMA October 2019
  • CIC-In progress, expected October 2025
  • CRCS-In progress, expected August 2025

Languages

Spanish
Native or Bilingual
English
Full Professional

Timeline

Senior Coding Compliance Auditor

GenesisCare
01.2020 - Current

Billing Manager

Family Foot And Leg Center
03.2017 - 09.2018

Billing Supervisor

Sovacool Medical Management
06.2014 - 11.2019

Office Coordinator

Miami Urology And Sexual Wellness Institute
01.2014 - 06.2014

Office Coordinator

Specialist In Urology
06.2010 - 01.2014

In-room Dining/Clerk

Hyatt Hotel
09.2008 - 06.2010

Bachelor of Science - Health Administration

Hodges University

High school or equivalent - Accounting Assistant

Adoratrices

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