Dilenia Valerio
NEW YORK,NY
Summary
Proven Medical Coding and Billing Specialist with a robust background at Sanford Family Chiropractic, excelling in insurance coding (ICD-10 and CPT) and demonstrating exceptional interpersonal skills. Achieved significant improvements in claims processing accuracy and compliance with coding regulations, ensuring meticulous patient data management and enhancing revenue cycle efficiency.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Sanford Family Chiropractic
08.2022 - Current
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Verified signatures and checked medical charts for accuracy and completion.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processing claims, ensuring they contain the required information, and submitting them to insurance companies
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Compiling and organizing patient information, and maintaining organized financial records.
- Following up on unpaid or denied claims, and investigating rejected claims
- Monitored changes in coding regulations to provide recommendations for compliance.
- Verified accuracy of patient information in medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Scanned and uploaded medical records into electronic medical records system.
Education
BBA - Health Services Administration
Berkeley College
New York, NY12.2024
Associate of Applied Science - Business Administration/ Medical Billing & Coding
Berkeley College
New York, NY12.2021
Skills
- Insurance coding (ICD-9 and CPT)
- Insurance Verification
- Medical office administration
- Revenue Cycle Management
- Patient confidentiality
- Claims Processing
- Payment posting
- HIPAA Compliance
- Data Entry
- Medical Billing
Certification
- CPC - Certified Professional Coder
- CBCS - Certified Billing and Coding Specialist
Languages
Spanish
Native or Bilingual
Timeline
Medical Coding and Billing Specialist
Sanford Family Chiropractic
08.2022 - Current
BBA - Health Services Administration
Berkeley College
Associate of Applied Science - Business Administration/ Medical Billing & Coding
Berkeley College
Similar Profiles
Zach WigginsZach Wiggins
Carpenter at Sanford Family Construction LLCCarpenter at Sanford Family Construction LLC
Mary BoyleMary Boyle
WORKSITE SUPERVISOR at MyMichigan Medical Group- Sanford Family PracticeWORKSITE SUPERVISOR at MyMichigan Medical Group- Sanford Family Practice
Andrea FolseAndrea Folse
Office Manager at Matherne Chiropractic Family Wellness CenterOffice Manager at Matherne Chiropractic Family Wellness Center
Norman Trotter IVNorman Trotter IV
Administrator, Participations and Special Projects at Warner Bros. Discovery: Finance, Contract, Reporting & Administration (FCRA)Administrator, Participations and Special Projects at Warner Bros. Discovery: Finance, Contract, Reporting & Administration (FCRA)
Joyce JohnsonJoyce Johnson
Office Aide at The Alex House ProjectOffice Aide at The Alex House Project