Antionette Ramos-Monroe
Brighton,CO
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
12
12
years of professional experience
Work History
Certified Medical Coding Executive
Amarillo Heart Group
05.2021 - 07.2023
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Communicated with insurance companies to research and resolved coding discrepancies.
- 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.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Certified Medical coder and biller
Family Medical Center
03.2019 - 05.2021
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Generated reports to identify coding trends and discrepancies.
Patient Service Technician
LabCorp
05.2016 - 03.2019
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
- Respected patients by recognizing rights and maintaining confidentiality.
- Verified patient's insurance eligibility and benefits coverage.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Communicated with primary care offices and insurance companies to obtain authorization.
Lead Phlebotomist
Atherotech Diagnostic Lab
08.2015 - 02.2016
- Reviewed patient records for accuracy and completeness.
- Tracked collected specimens by initialing, dating, and noting times of collection.
- Centrifuged blood samples as outlined in clinical protocols.
- Promoted mission, vision, and values of organization and trained new clinical staff in phlebotomy procedures.
- Organized daily work based on collection priority.
- Addressed questions and concerns to educate patients on collection process and procedures.
- Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
- Packaged and shipped specimens to central lab daily.
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Used personal protective equipment correctly to protect coworkers and patients.
Senior Phlebotomist
Clinical Pathology Lab
03.2011 - 08.2015
- Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
- Completed proper sanitation and cleaning of equipment and work areas between patients.
- Monitored patients for reactions and verified sample quality.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Packaged and shipped specimens to central lab daily.
- Centrifuged blood samples as outlined in clinical protocols.
- Conducted venipuncture and other CT procedures.
Education
Bachelor of Science - Business Healthcare Administration
West Coast University
North Hollywood, CA05.2026
Associate of Applied Science - Medical Billing And Coding Specialist
Vista College
Richardson, TX03.2019
High School Diploma -
Estacado High School
Lubbock, TX05.1999
Skills
- Quality Assurance Checks
- Conflict Resolution Techniques
- Accurate Data Entry
- Adaptable to industry changes
- HIPAA compliance expertise
- Anatomy and physiology knowledge
- Medical code auditing
- Electronic health records navigation
- Medical billing procedures
- Advanced CPT coding
- Medical terminology proficiency
- Insurance Verification
- Medical Billing
Timeline
Certified Medical Coding Executive
Amarillo Heart Group
05.2021 - 07.2023
Certified Medical coder and biller
Family Medical Center
03.2019 - 05.2021
Patient Service Technician
LabCorp
05.2016 - 03.2019
Lead Phlebotomist
Atherotech Diagnostic Lab
08.2015 - 02.2016
Senior Phlebotomist
Clinical Pathology Lab
03.2011 - 08.2015
Bachelor of Science - Business Healthcare Administration
West Coast University
Associate of Applied Science - Medical Billing And Coding Specialist
Vista College
High School Diploma -
Estacado High School
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