Cynthia Delgado
Orlando,Fl
Summary
Dedicated Medical Billing and Coding Specialist committed to implementing comprehensively organized billing and documentation policies. Adept at the analysis and interpretation of medical documentation, coordinating with medical providers to ensure care preparing and submitting claims to insurance companies. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
BILLING AND CODING SPECIALIST
CANO HEALTH
02.2023 - 05.2024
- Adheres to the HIPPA Compliance Plan and the Privacy Standards Confidentiality Agreement.
- Review documentation to ensure it supports diagnosis and procedure coding.
- Prepares and submits electronic claims to various insurance payors.
- Review provider medical records to identify opportunities for improvement in coding and documentation.
- Other duties as assigned based on billing, payment posting, and demographic entry to ensure company goals are met.
- Participate in coding, documentation, Quality and Risk Adjustment educational activities.
- Demonstrate ability too review medical records and abstract coding information.
BILLING AND CODING SPECIALIST
HEELING SOLES PODIATRY
08.2021 - 02.2023
- Assign CPT and ICD-10CM codes to diagnoses and procedures.
- Ensure codes are current, active, accurate and sequenced correctly in accordance with government and insurance regulations.
- Apply appropriate place of service codes and modifiers.
- Ensure all cases are completed in a timely manner.
- Communicate with other staff and healthcare professionals regarding any documentation that is insufficient, unclear, or has discrepancy.
- Collaborate with the medical records department to ensure accurate record keeping.
FRONT DESK
LA COLONIA MEDICAL CENTER
01.2020 - 07.2021
- Greeted patients, verified insurance information and collected copays.
- Scheduled appointments, managed patient records and updated medical histories.
- Prepared and maintained accurate medical charts for each patient visit.
- Answered incoming calls, addressed inquiries and routed messages to appropriate personnel.
- Verified patient demographics, entered data into electronic health record system and provided support to physicians.
- Assisted with scheduling tests or other procedures as requested by physicians or other healthcare providers.
INSURANCE REPRESENTATIVE
MAPFRE INSURANCE
12.2016 - 01.2020
- Identified, evaluated and addressed customer inquiries regarding insurance coverage.
- Maintained accurate records of customer interactions and policy information.
- Researched and responded to customer complaints about their insurance coverage.
- Provided advice on the best types of insurance policies for customers based on their needs.
- Conducted regular reviews of existing policies to ensure they remain up-to-date with current industry regulations.
- Provided guidance and support when filing claims on behalf of clients.
Education
Certified Profesional Coder -
ACTIVA TRAINING CENTER
09-2021
Associate of Science - Health Services Administration
FLORIDA NATIONAL UNIVERSITY
04.2019
Skills
- Medical Coding Guidelines
- Diagnostic Coding
- ICD-10 Proficiency
- CPT coding knowledge
- Clinical Documentation Improvement
- Organizational abilities
- Claims Processing
- Clinical Documentation
- Attention to Detail
- Patient Medical Records Maintenance
- Excellent communication skills
- Time management abilities
Certification
- Certified Professional Coder (CPC) by AAPC
Timeline
BILLING AND CODING SPECIALIST
CANO HEALTH
02.2023 - 05.2024
BILLING AND CODING SPECIALIST
HEELING SOLES PODIATRY
08.2021 - 02.2023
FRONT DESK
LA COLONIA MEDICAL CENTER
01.2020 - 07.2021
INSURANCE REPRESENTATIVE
MAPFRE INSURANCE
12.2016 - 01.2020
Certified Profesional Coder -
ACTIVA TRAINING CENTER
Associate of Science - Health Services Administration
FLORIDA NATIONAL UNIVERSITY
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