NORA RIVERA
LEBANON
Summary
Detail-oriented and highly organized Medical Billing and Coding professional with experience in processing claims, managing patient records, and ensuring accurate coding using ICD-10-CM, CPT, & HCPCS guidelines. Strong understanding of insurance procedures, reimbursement process, and HIPAA compliance, known for accuracy, efficiency, and excellent communication with patients, providers, and insurance companies.
Overview
2022
2022
years of professional experience
1
1
Certification
Work History
Medical Billing and Coding
DeVry University
- Coded sample patient encounters using ICD-10-CM, CPT, & HCPCS
- Entered patient demographics and insurance information into EHR system
- Prepared mock claims for Medicare, Medicaid, and Commercial Payers
- Reviewed documentation for accuracy and compliance
- Practiced denial resolution and appeals scenarios
- Managed confidential information
- Communicated with customers/patients
- Scheduled appointments or maintained records
Certified Nursing Assistant
Londonderry Village
2021.04 - 2021.12
- Assisted patients with daily living activities, ensuring comfort and well-being.
- Monitored vital signs and reported changes to nursing staff promptly.
- Maintained cleanliness and safety standards in patient care environments.
- Documented patient care accurately in electronic health records systems.
Certified Nursing Assistant
Spang Crest Manor
2019.12 - 2021.04
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Documented patient information and care activities in electronic health record.
Medical Records Clerk
Kadima at Palmyra
2004.01 - 2019.12
- Organized and maintained patient medical records for accuracy and compliance.
- Assisted in data entry using electronic health record (EHR) systems.
- Processed requests for medical records, ensuring timely delivery to authorized personnel.
- Collaborated with healthcare staff to ensure proper documentation practices were followed.
- Conducted regular audits of medical records to identify discrepancies and improve data integrity.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Scanned and uploaded medical records into electronic medical records system.
Education
Nursing
HACC
Lebanon, PAHigh School Diploma -
George Westinghouse
Brooklyn, NY1998-06
Undergraduate Certification - Certified Coding Specialist
Devry University
Chicago, IL2026-09
Undergraduate Certification - Medical Billing And Coding
Devry University
Chicago, IL2026-02
Skills
- ICD-10, CPT, HCPCS CODING
- Insurance Claim Processing
- Medical Terminology
- Electronic Health Records (EHR)
- HIPAA Compliance
- Denial Management & Appeals
- Patient Billing & Collections
- Data entry & accuracy
- Revenue Cycle Management
- Customer service & communication
- EPIC
- Microsoft Office (Word Excel)
Certification
- Completion of course, Devry University- receiving in a few weeks
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Certified Nursing Assistant
Londonderry Village
2021.04 - 2021.12
Certified Nursing Assistant
Spang Crest Manor
2019.12 - 2021.04
Medical Records Clerk
Kadima at Palmyra
2004.01 - 2019.12
Medical Billing and Coding
DeVry University
Nursing
HACC
High School Diploma -
George Westinghouse
Undergraduate Certification - Certified Coding Specialist
Devry University
Undergraduate Certification - Medical Billing And Coding
Devry University