Crystal DelToro
El Paso
Summary
Detail-oriented Coding and Reimbursement Specialist with experience in ICD-10 proficiency and medical billing. Committed to ensuring compliance and accuracy in healthcare documentation.
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.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Career Break
Full-time Parenting
El Paso, TX
10.2021 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Adaptable and proficient in learning new concepts quickly and efficiently.
Coding and Reimbursement Specialist
Texas Tech Health Science Center El Paso
El Paso, TX
08.2019 - 10.2021
- Analyzed coding accuracy for reimbursement claims to ensure compliance with federal regulations.
- Reviewed and processed medical billing data using advanced healthcare management systems.
- Collaborated with clinical staff to resolve coding discrepancies and improve documentation practices.
- Trained new team members on coding guidelines and reimbursement processes for enhanced team performance.
- Monitored changes in coding regulations to maintain up-to-date knowledge and compliance across operations.
- Collaborated with healthcare providers to clarify diagnoses, treatment plans, and other patient information necessary for proper coding and billing practices.
- Promoted consistent communication among the interdisciplinary team to address any coding or reimbursement concerns promptly and effectively.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed up with medical staff regarding missing information in patient records.
Education
Associate of Science - Health Information Management
El Paso Community College
El Paso, TX05.2019
Skills
- ICD-10 proficiency
- Appeals handling
- Medical billing experience
- HIPAA compliance
- Patient confidentiality
- Claims processing
- Insurance verification
- Anatomy and physiology
- Data entry
- Knowledgeable in Cerner and EMR
- Proficiency in Cerner and EMR
- Data verification
- Medical billing
- Data entry and management
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent communication
- Critical thinking
- Team collaboration
- Active listening
- Friendly, positive attitude
- Teamwork and collaboration
- Problem-solving
Timeline
Career Break
Full-time Parenting
10.2021 - Current
Coding and Reimbursement Specialist
Texas Tech Health Science Center El Paso
08.2019 - 10.2021
Associate of Science - Health Information Management
El Paso Community College