Connie Figueroa
San Juan,TX
Summary
Skilled Certified Medical Coder with a proven track record at Doctors Hospital at Renaissance Health System, enhancing coding accuracy by applying in-depth knowledge of medical terminology and ICD-10 coding. Demonstrated expertise in HIPAA compliance and a knack for reducing claim denials, coupled with exceptional collaborative abilities, led to significant improvements in revenue cycle management.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Medical Coder
Doctors Hospital at Renaissance Health System
McAllen, TX
06.2022 - Current
- Boosted coding accuracy through careful evaluation of medical documentation.
- Utilized coding books, procedure manuals, and online encoders effectively.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Followed guidelines from AMA and CMS to accurately code diagnostic data.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Reduced claim denials, meticulously verifying coding accuracy before submission.
- Enhanced coding accuracy by meticulously reviewing patient records and applying correct medical codes.
Medical Biller and Coder
Puig Obstetrics and Gynecology
McAllen, TX
06.2021 - 06.2022
- Managed processing and tracking for external medical record requests.
- Engaged in professional development initiatives to remain updated on advancements in medical billing and coding.
- Ensured continuous improvement in billing processes through regular audits of medical codes and charge entries for accuracy.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
Medical Biller and Coder
Women’s Clinic of South Texas
Edinburg, TX
08.2004 - 06.2021
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Achieved higher accuracy in submitting medical claims by carefully assessing patient records and insurance data.
Education
Diploma -
Edinburg High School
Edinburg, TX12.1998
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Insurance verification
- Data entry
- Procedural coding
- Inpatient records coding
- Medical coding and abstracting
- Coding appeals
- ICD-10 coding
- Certified medical coder
- Revenue cycle management
Certification
CMC
CMCA
Timeline
Medical Coder
Doctors Hospital at Renaissance Health System
06.2022 - Current
Medical Biller and Coder
Puig Obstetrics and Gynecology
06.2021 - 06.2022
Medical Biller and Coder
Women’s Clinic of South Texas
08.2004 - 06.2021
Diploma -
Edinburg High School