Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
12
12
years of professional experience
1
1
Certification
1
1
year of post-secondary education
Work History
Revenue Integrity Specialist Coder
Baptist Health Hospital
Miami, FL
02.2019 - 06.2024
Identified coding errors or incorrect payment denials from third-party payers and took appropriate action to ensure timely resolution of claims.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Participated in coding team meetings to discuss challenges and best practices.
Answered questions and fulfilled requests with friendly and knowledgeable service.
Maintained positive working relationship with fellow staff and management.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Entered coded data into electronic health record (EHR) systems.
Safeguarded medical records to maintain patient confidentiality.
Resolved coding discrepancies and denials to maximize reimbursement.
Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Updated coding skills and knowledge through continuous education and training.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Kept abreast of updates and changes in coding guidelines and reporting requirements.
Utilized coding software and tools efficiently to expedite the coding process.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Worked effectively in team environments to make the workplace more productive.
Communicated with various departments to resolve coding and charge edits, to assist with resolving edits in a timely fashion.
Evaluated medical records for accurate code assignment based on ICD-10 guidelines.
Certified Coding Specialist
MedPartners HIM
Tampa, Fl
01.2012 - 02.2019
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Utilized electronic medical record systems to store, retrieve and process patient data.
Used classification manuals to gain additional knowledge of disease and diagnoses processes.
Education
Certificate of Completion - Medical Records Coding And Billing
National School of Technology
Miami, FL
01.1998 - 03.1999
Skills
Medical coding
Revenue optimization
Documentation review
Data analytics
Excel proficiency
Certification
CCS, H.S. Diploma
Currently completed classroom course for 215 Lic. (Health, Life and Annuity Broker license) to write insurances for Medicare Advantage Insurance.
Timeline
Revenue Integrity Specialist Coder
Baptist Health Hospital
02.2019 - 06.2024
Certified Coding Specialist
MedPartners HIM
01.2012 - 02.2019
Certificate of Completion - Medical Records Coding And Billing
National School of Technology
01.1998 - 03.1999
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