Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Claudia Dominguez

Hialeah ,FL

Summary

Proven Medical Coding and Billing Specialist with extensive experience at Digestive Medicine Associates, showcasing expertise in ICD-10 and CPT coding, alongside exceptional organizational abilities. Achieved high accuracy in claim submissions, ensuring robust reimbursement rates and compliance with HIPAA. Excelled in insurance verification and medical record review, driving efficient billing processes and enhancing revenue cycle management.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Medical Coding and Billing Specialist

Digestive Medicne Associates
Hialeah, FL
10.2022 - Current

• Accurately assign ICD-10, CPT, and HCPCS codes to medical procedures and diagnoses.

• Process and submit claims to Medicare, Medicaid, and private insurers, ensuring timely reimbursement.

• Review medical records for completeness and accuracy before claim submission.

• Prepare and submit claims to insurance companies for reimbursement, ensuring they are correctly coded to facilitate payment.

• Identify and resolve claim denials through appeals and resubmissions.

• Verify insurance coverage and pre-authorization requirements for procedures

• Maintain compliance with HIPAA regulations and insurance policies.

• Utilize EHR and practice management software for charge entry, payment posting, and claim tracking.

  • Correctly coded and billed medical claims for various hospital and nursing facilities.

Education

Billing And Coding Specialist

CCM Coding Academy
Miami, FL
03-2023

Bachelor of Accounting -

Antonio Guiteras Holmes
07-2005

Skills

  • ICD-10 Proficiency
  • CPT coding knowledge
  • Medical record review
  • HIPAA Compliance
  • Procedural Coding
  • Medical Coding Guidelines
  • Organizational abilities
  • Claims Processing
  • Medical Coding Certification
  • Payment posting
  • Insurance Verification
  • Medical Billing
  • Insurance claims analysis
  • Medical claims coding
  • Protected Health Information
  • Microsoft Office Suite: Word, Excel, Outlook
  • Electronic Health Records (EHR) & Practice Management
  • Insurance and Coding Specialist
  • Inpatient Hospital Coding

Certification

  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
  • Workshop Webinar Gastroenterology Certification

Languages

Spanish
Professional
English
Professional

Timeline

Medical Coding and Billing Specialist

Digestive Medicne Associates
10.2022 - Current

Billing And Coding Specialist

CCM Coding Academy

Bachelor of Accounting -

Antonio Guiteras Holmes
Claudia Dominguez