Annette Ortega

Surgery Charge Posting and Coding

• Reviewed and coded medical records for accuracy and compliance .
• Utilized advanced coding software such as Encoder-Pro to streamline billing charges and reduce errors.
• Coordinated with providers to clarify documentation for efficiency on all coding .
• Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
• Verified, coded and added modifiers to diagnoses.
• Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
• Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
• Verified signatures and checked medical charts for accuracy and completion.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Followed up with medical staff regarding missing information in patient records.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Scanned and uploaded medical records into electronic medical records system.

• Streamlined billing processes to enhance accuracy
• Worked insurance account reconciliations, ensuring timely payments and resolution of outstanding balances.
• Researched billing discrepancies to enable accurate billing.
• Audited and corrected billing and posting documents for accuracy.

• Reviewed and coded medical records for accuracy and compliance .
• Utilized advanced coding software such as Encoder-Pro to ensure billing processes were correct and reduce errors.
• Collaborated with healthcare providers to clarify documentation for for all coding.
• Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
• Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Verified, coded and added modifiers to diagnoses.
• Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
• Utilized advanced knowledge of anatomy, physiology, and medical terminology to accurately assign codes for complex or rare diagnoses and procedures.
• Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
• Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
• Interacted with physicians and other healthcare staff to ask questions regarding patient services.
• Followed up with medical staff regarding missing information in patient records.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Scanned and uploaded medical records into electronic medical records system.
• Input data into computer programs and filing systems.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Resourcefully used various coding books, procedure manuals, and on-line encoders.
• Communicated with insurance companies to research and resolved coding discrepancies.
• Researched and resolved medical record discrepancies.