Hi, I’m
Avilio Lamothe Espino
Homestead,FL
Summary
Self-motivated Communications Coordinator well-versed in supporting marketing initiatives and spearheading public relations efforts. Versatile professional committed to playing a strategic role in addressing gaps and creating meaningful engagement alliances. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
years of professional experience
1
Certification
Work History
Simply Healthcare Plans Inc.
Certified Medical Coder
11.2021 - Current
Job overview
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Educated clinical staff on proper documentation techniques and terminology to ensure accurate representation of patient conditions and treatments for optimal coding outcomes.
- Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
- Streamlined billing processes by effectively collaborating with healthcare providers, insurance companies, and patients to resolve any discrepancies or issues.
- Participated in quality assurance reviews to assess the accuracy of coded data submitted by peers and provide constructive feedback for improvement when necessary.
- Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Keter Medical Center and Spa
Patient Eligibility Manager
05.2021 - 08.2021
Job overview
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process
- Greeted incoming guests warmly, issued room keys and shared information on policies and amenities
- Posted charges, updated accounts to guests
- Enhanced guest satisfaction by answering inquiries about procedures and resolving guest concerns
- Responded to inquiries and procedures inquiries made online, by phone or email
- Drafted and maintained incident reports, daily activity logs and other documents requested by management
- Checked time lapse and validation of Patient's insurance.
Nosotro Cubaneamos Group
Tour Guide
12.2016 - 10.2019
Job overview
- Developed guest relationships to achieve high level of satisfaction
- Answered questions, pointed out overlooked features and offered further details about special exhibits to educate visitors
- Created tour programs with focus on providing positive guest experiences
- Managed guest financial transactions and collected payments via cash, check and payment card
- Built detailed knowledge on cuban history, environment, recreational areas and locations to thoroughly answer guest questions
- Entertained visitors and tourists with various props and signs to maximize engagement
- Facilitated tours of various nationalities to groups of up to 50
- Kept safety of all members of group at high level by pointing out cracked sidewalks, bad lighting and steps and provided assistance as needed
- Researched topics that pertained to tour locations so that such information could be added to scripts
- Developed long-term relationships with local partners, including restaurants, cafes, museums and concert halls so travelers could further explore city individually
- Escorted individuals and groups on cruises, sightseeing tours and through points of interest such as industrial establishments, public buildings and art galleries
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines
- Prioritized and organized tasks to efficiently accomplish service goals
- Demonstrated self-reliance by meeting and exceeding workflow needs.
HIGHVISTA Promotions Agency
Community Manager
06.2016 - 12.2016
Job overview
- Automated office operations, managing client correspondence, record tracking, budgeting, and data communications
- Assisted with development and implementation of marketing strategies to increase firm business
- Teamed up with public relations department to coordinate and distribute emergency communication and press releases when situations demanded it
- Created and managed successful plans for increasing pages visits and likes
- Served as main point of contact for clients, answering questions and responding to messages
- Wrote and uploaded blog posts and articles to drive traffic to client sites
- Monitored client accounts for questions and feedback to provide exceptional experience for customers.
Havana Design Studio
Content Manager
07.2015 - 09.2016
Job overview
- Monitored user comments and moderated activity
- Executed social media campaigns across various platforms
- Devised digital media strategies to optimize reach and engagement with content
- Created graphics and captured original photography to develop visual assets for content
- Analyzed daily traffic data and reports to measure effectiveness of marketing strategies
- Generated editorial calendars to schedule content posting, manage campaigns and track deadlines
- Hand-crafted email marketing content to implement email campaigns
- Boosted site traffic using Google Analytics, Adwords, Adsense, SEO and SEM tactics
- Implemented updates, upgrades and patches to limit loss of service
- Checked all sites and online elements for proper adherence to brand guidelines and functionality
- Participated in pre-project analysis and technical assessments to develop user-friendly interface and correct functionality
- Identified, recommended and prioritized new web features and applications in conjunction with business leaders and department managers.
Havana Recycling Company
Publicity Coordinator
08.2007 - 06.2015
Job overview
- Maintained professionality and efficiency while working closely with leadership
- Managed social media accounts by composing content, engaging with followers in comments, monitoring activities and researching trends
- Devised public relations strategies to engage with and influence general public in support of accomplishing business objectives and boosting revenues
- Responded to requests for information from media or designated appropriate spokespeople or information sources for requests
- Researched business needs, goals, marketing strategies, competitors and industry trends to guide public relations presentations and planning
- Authored press releases and communications materials to share vital information and promote intended message
- Prepared and edited organizational publications such as employee newsletters or stockholder reports for internal and external audiences
- Wrote press releases or other media communications to promote clients
- Collaborated with sales and marketing leaders to devise public relations campaigns and coordinate with advertising
- Prioritized and organized tasks to efficiently accomplish service goals
- Juggled multiple projects and tasks to ensure high quality and timely delivery
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Education
Online
Behavioral Aspects of Health, Behavioral Health Case Manager Exam, Alzheimer's and Dementia (4hs), Alzheimer's, Dementia, and Related Issues (4hs), Domestic Violence, Sexual Violence, Intimate Partner Violence (3hs), Medical Errors (2.5hs), Adult, Child, Infant CPR & AED Training (BLS), AIDS/HIV (5hs), HIPAA (2hs), HIPAA for the NCA (2hs), OSHA (2hs), ACHA Person to Person (3hs), CBHCM FCB 50-hours Training Requirement
01.2021
Havana University , Havana, Cuba
Degree in Communications Arts in Communication Studies, Non-Verbal Communications, Oral Tactics of PR, Communicators Photography, Semiotics of Culture. Iuri M. Lotman and the Tartu-Moscow School
06.2012
Rene Orestes Reine , Havana, Cuba
Bachelor of Letters in Documents Management, Hardware Principles, Quality Requirements Inspection, Control and Verification During Production Process, XII History and Archivology Workshop, Documents Digitalization
06.2007
Skills
- Customer service oriented
- Resource management
- Content strategy
- Keyword research
- Account management
- Client relationship management
- Google Analytics
- Critical thinking
- Collaboration
- Reliable and trustworthy
- Progress evaluations understanding
- Cross-functional collaboration
- Emotional awareness
- Research and facts collecting
- Effective customer communication
- People skills
- Social media management
- Messaging and speechwriting
- Conflict resolution
- Active listening
- Computer skills
- Problem resolution
- Records Management
- Coding Error Resolution
- Insurance Claims Analysis
- Medical Claims Coding
- Medical Coding Expertise
- Auditing and Quality Assurance
- ICD-10 Proficiency
- Diagnostic Coding Accuracy
Languages
Spanish
Native or Bilingual
English
Full Professional
Affiliations
AAPC -American Academy of Professional Coders
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA - Certified Professional Medical Auditor
Timeline
Certified Medical Coder
Simply Healthcare Plans Inc.
11.2021 - Current
Patient Eligibility Manager
Keter Medical Center and Spa
05.2021 - 08.2021
Tour Guide
Nosotro Cubaneamos Group
12.2016 - 10.2019
Community Manager
HIGHVISTA Promotions Agency
06.2016 - 12.2016
Content Manager
Havana Design Studio
07.2015 - 09.2016
Publicity Coordinator
Havana Recycling Company
08.2007 - 06.2015
Online
Behavioral Aspects of Health, Behavioral Health Case Manager Exam, Alzheimer's and Dementia (4hs), Alzheimer's, Dementia, and Related Issues (4hs), Domestic Violence, Sexual Violence, Intimate Partner Violence (3hs), Medical Errors (2.5hs), Adult, Child, Infant CPR & AED Training (BLS), AIDS/HIV (5hs), HIPAA (2hs), HIPAA for the NCA (2hs), OSHA (2hs), ACHA Person to Person (3hs), CBHCM FCB 50-hours Training Requirement
Havana University
Degree in Communications Arts in Communication Studies, Non-Verbal Communications, Oral Tactics of PR, Communicators Photography, Semiotics of Culture. Iuri M. Lotman and the Tartu-Moscow School
Rene Orestes Reine
Bachelor of Letters in Documents Management, Hardware Principles, Quality Requirements Inspection, Control and Verification During Production Process, XII History and Archivology Workshop, Documents Digitalization
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA - Certified Professional Medical Auditor
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