Summary
Overview
Work History
Education
Skills
Certification
Custom
Timeline
Generic

Denise Duran

Beaumont,CA

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Coder 1

LLUHC-FPBO
Loma Linda, CA
02.2023 - Current
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.
  • Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.

Charge Integrity Analyst ER

LLUMC-HIM
Loma Linda , CA
05.2013 - 02.2023
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.
  • Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
  • Assigned CPTs on procedures performed.
  • Validated E/M and other charges.

Administrative Assistant-EC UC & Palliative Care

LL Family Medical Group
Loma Linda, CA
01.2010 - 05.2013
  • Admin assistant to the Medical Director.
  • Maintained 50 Urgent Care Clinician schedules, ensured coverage and accuracy.
  • Palliative Care Precertification coordinator working with CPT, ICD-9 coding, and processing billing for the department.
  • Assisted with the planning of special events by arranging catering services, securing venues and ordering promotional materials.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.

Education

Medical Assistant -

Concord Career Institute
San Bernardino, CA
01-1992

Skills

  • Friendly, Positive Attitude
  • Flexible and Adaptable
  • Organization
  • Excellent Communication
  • Remote Office Availability
  • Verbal Communication
  • Teamwork and Collaboration

Certification

  • CPC

Custom

References available upon request.

Timeline

Coder 1

LLUHC-FPBO
02.2023 - Current

Charge Integrity Analyst ER

LLUMC-HIM
05.2013 - 02.2023

Administrative Assistant-EC UC & Palliative Care

LL Family Medical Group
01.2010 - 05.2013

Medical Assistant -

Concord Career Institute

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Denise Duran