Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Bonny Herrera

San Antonio,TX

Summary

Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. 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. Competent Hospitalist Coder with 13 + years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. 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. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. 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. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Coder position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Overview

14
14
years of professional experience

Work History

Medical Coder

Banner Health
2010.08 - Current
  • Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
  • 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.
  • Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
  • 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.
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Ensured data integrity by meticulously auditing coded data, verifying its accuracy, and making necessary adjustments as needed.
  • Educated clinical staff on proper documentation techniques and terminology to ensure accurate representation of patient conditions and treatments for optimal coding outcomes.
  • Bolstered interdepartmental communication between clinical staff and coders through regular meetings to discuss documentation improvements that would enhance coding efficiency.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
  • Followed up with medical staff regarding missing information in patient records.
  • Communicated effectively with staff, patients, and insurance companies by email and telephone.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Scanned and uploaded medical records into electronic medical records system.

Education

High School Diploma -

H Grady Spruce High School
Dallas, TX
06.1986

Skills

  • Diagnostic Coding Accuracy
  • HIPAA compliance awareness
  • Clinical Documentation Review
  • Continuing Education Commitment
  • Electronic health records navigation
  • Appeals and Adjustments Handling
  • CPT coding knowledge
  • ICD-10 Proficiency
  • Critical thinking abilities
  • Data Entry Speed
  • Medical Terminology Familiarity
  • Time Management Aptitude
  • Organizational Competencies
  • Medical Office Software Utilization
  • HIPAA Compliance
  • Training and mentoring
  • Medical Terminology
  • Regulatory guidelines
  • Continuing education
  • Certified Risk Adjustment Coder (CRC)
  • Attention to Detail
  • Patient Admission Documents Processing
  • Heart saver CPR AED (CPR AED)
  • ICD-10 Coding
  • EMR Systems
  • Paperwork Processing
  • Records Scanning
  • Protected Health Information
  • Patient Rights

Languages

Spanish
Professional Working

Timeline

Medical Coder

Banner Health
2010.08 - Current

High School Diploma -

H Grady Spruce High School
Bonny Herrera