Cynthia Zavala
Lubbock,TX
Summary
Experienced Medical Billing and Coding Manager with 28 years in healthcare. Achieved an average annual revenue increase of 30% through effective management of coding and reimbursement processes. Onboarded third-party coding staff on organizational policies, enhancing operational efficiency. Aiming to utilize expertise to enhance performance and profitability in a forward-thinking organization. Dedicated medical records professional with a proven track record of managing healthcare documentation efficiently and accurately. Proficient in organizing, analyzing, and maintaining medical records in compliance with regulatory standards. Please make sure compliance with HIPAA Privacy Regulations for the hospital. Educate and train staff, and conduct departmental orientations
Overview
13
13
years of professional experience
1
1
Certification
Work History
Unit Manager
Texas Tech Health Science Center
LUBBOCK, TX
03.2020 - Current
- Directed the daily operations of the billing and coding department, ensuring compliance with institutional and regulatory standards.
- Implemented new practice management software, reducing claim processing time by 30%.
- Collaborated with providers to maintain accurate health information, lowering chart delinquency by 25%.
- Conducted audits and quality assurance reviews, enhancing documentation accuracy by 15%.
- Analyzed patients' records to determine the efficiency and effectiveness of care. Evaluated patient records to assess the quality of care provided.
• Initiated an audit process to review documentation and ensure compliance with facility standards. - Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards.
Business Office Manager
Garrison Care Center
Lubbock, Texas
04.2016 - 01.2020
- Oversaw business office operations for 120-skilled nursing facility.
- Trained new employees on office policies and procedures effectively.
- Processed invoices, purchase orders and other related paperwork required for business operations.
- Managed Medicare, Medicaid, insurance, and private billing processes, including hospice billing.
- Handled collections and initiated legal actions for outstanding accounts.
- Administered petty cash accounts for long-term care residents’ personal needs.
- Processed accounts payable and consolidated billing invoices efficiently.
- Executed month-end close for all billing and collections, generating necessary corporate reports.
Coding and Billing Specialist
The Center for Orthopedic Surgery
LUBBOCK, TX
03.2013 - 04.2016
- - Accurately coded and billed medical claims for clinic and surgical services, achieving a 98% compliance rate.
- - Resolved accounts receivable denials, reducing outstanding claims by 40%.
- - Maintained electronic medical records with zero compliance violations throughout my tenure.
- - Managed coding for surgical procedures and clinic Evaluation and Management (E/M) levels to ensure compliance.
- - Maintained electronic medical records by filing operational reports and test results.
- - Updated coding knowledge through continuing education and certification renewal.
Skills
- Billing and coding expertise
- Regulations compliance
- Outpatient records management
- Insurance claim submission
- Medical software proficiency
- Worker compensation billing
- Reimbursement management strategies
- Team collaboration skills
- Data analysis techniques
- Policy implementation strategies
- Documentation review processes
- Staff training programs
- Healthcare facility management skills
Certification
Certified Professional Coder (CPC), 2006-current, American Academy of Professional Coders (AAPC).
International Business College, Health Information Administration certificate-1997
Languages
Spanish
Professional
Accomplishments
- Employee of the Month, January 2025, for reducing A/R by 25%
- I received an award for being one of the top five in collections out of 254 nursing homes.
Timeline
Unit Manager
Texas Tech Health Science Center
03.2020 - Current
Business Office Manager
Garrison Care Center
04.2016 - 01.2020
Coding and Billing Specialist
The Center for Orthopedic Surgery
03.2013 - 04.2016