April Flores
Valley Stream
Summary
Skilled CPC / Revenue Cycle Supervisor at New York Spine Institute, with expertise in medical coding and billing, particularly in orthopedic spine surgery. Proven track record in enhancing claim processing efficiency and regulatory compliance. Strong problem-solving abilities, and adept at team leadership, driving improvements in billing operations and staff training. Known for a strong understanding of ICD-10 codes, HCPCS codes. Demonstrated ability to reduce backlogs while maintaining high standards of quality control have driven operational success in previous roles.
Overview
21
21
years of professional experience
Work History
CPC / Revenue Cycle Supervisor
New York Spine Institute
Westbury
03.2014 - Current
- Executed medical coding and billing for specialties orthopedic spine and pain management.
- Coded orthopedic spine surgeries and injections.
- Conducted MRI, X-ray, and physical therapy coding and billing for accurate claims processing.
- Applied E/M coding principles while adhering to third-party billing requirements.
- Ensured compliance with New York and New Jersey regulations for workers' compensation and no-fault cases.
- Billed claims for Medicare and commercial claims.
- Completed daily submissions to multiple clearinghouses, enhancing claim processing efficiency.
- Monitored coding error trends to improve accuracy in billing operations.
- Reviewed patient records for precise assignment of codes related to diagnoses and procedures.
- Trained staff on billing systems, improving team proficiency and problem resolution.
- Determined appropriate codes for services rendered using ICD-10, CPT, HCPCS and other coding conventions.
- Maintained knowledge of current trends in surgical techniques through continued education programs or seminars.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Created spreadsheets in Excel to track data, such as vacation requests and sick days.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Supervised staff, organized schedules, delegated tasks, and managed office inventory.
- Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.
CNA
7 Day Home Care
Lake Success
01.2013 - 03.2014
- Cultivated relationships with patients, caregivers, and healthcare teams to achieve care plan objectives.
- Facilitated daily living activities, including hygiene management, feeding, and ambulation.
- Monitored vital signs, including pulse rate, respiration rate, and blood pressure.
- Examined and treated lacerations, contusions, and physical symptoms; referred patients to specialists.
- Administered medications while educating patients and families on proper home administration.
Medical Assistant / Receptionist
Island Pediatrics
Long Beach
04.2004 - 09.2010
- Scheduled and confirmed patient appointments, optimizing provider time and treatment room utilization.
- Managed front office tasks, including customer service, billing, and appointment management.
- Ensured completion of necessary paperwork prior to patient visits.
- Entered insurance information, demographics, and health history into patient database.
- Processed patient payments and verified insurance coverage for upcoming procedures.
- Assisted clinicians during exams and prepared exam rooms for patient visits.
- Maintained inventory of medical supplies, placing orders as needed.
- Adhered to HIPAA requirements to protect patient confidentiality.
Education
Certified Professional Coder - Medical Coding
AAPC
Online Training09-2022
Certified Nursing Assistant -
New York Career Training School
Far Rockaway, NY09-2012
Skills
- Medical coding and billing
- E/M coding and claims processing
- Orthopedic spine surgery coding
- Pain management injection coding
- Regulatory compliance
- ICD-10 proficiency
- Data analysis
- Problem-solving skills
- Task prioritization
- Team leadership
- Project management
- Networking and relationship management
- Staff training
- Multitasking skills
- Adaptability and flexibility
- Analytical thinking
- Insurance verification
- Microsoft Office expertise
- EHR and EMR systems knowledge
- EPIC EMR proficiency
- Advanced Data Systems software expertise
- Revenue cycle management
- Billing operations and claims processing
- Workers' compensation expertise
- CPT coding
Affiliations
Organize annual food drives with Long Island Cares Inc.-The Harry Chapin Food Bank
Organize annual coat & clothing drives with Big Brothers Big Sisters of Long Island
Organize toy drives for specific charity events
References
References available upon request.
Timeline
CPC / Revenue Cycle Supervisor
New York Spine Institute
03.2014 - Current
CNA
7 Day Home Care
01.2013 - 03.2014
Medical Assistant / Receptionist
Island Pediatrics
04.2004 - 09.2010
Certified Professional Coder - Medical Coding
AAPC
Certified Nursing Assistant -
New York Career Training School
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