Certified Coding Associate (CCA) with knowledge of Ambulatory Payment Classifications (APC), ICD-9, ICD-10, and Current Procedural Terminology (CPT). Clear communicator—interacting seamlessly with clinical staff, colleagues, patients, and insurance companies to confirm information and expedite processing. High ethical standards, adhering to approved coding principles and guidelines, and respecting patient confidentiality. Accurate and efficient—delivering rapid turnaround with a high degree of quality.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Outpatient Coding Specialist
Shriners Hospital for children
03.2010 - Current
Processed and coded 120 medical records daily while maintaining 95% and higher accuracy rate.
Review medical records for completeness, accuracy and compliance with regulations to complete coding process
Utilize computer software programs such as 3M encoder, for accurate coding purposes
Identify and resolve discrepancies between coded data and original source documents according to established guidelines
Developed in-depth understanding of ICD-10 coding and CPT coding to accurately code outpatient medical records
Resolve medical coding edits or billing item rejects in relation to code assignment
Evaluate documentation to meet specificity requirements, supporting clinical indicators
Query provider regarding missing, unclear, or conflicting health record documentation using approved templates
Demonstrate expert knowledge of coding workflow by optimizing use of available technology
Demonstrate expertise in resolving coding issues and responding to inquiries from healthcare providers
Leverage understanding of disease process to identify and extract details and data within clinical documentation
Resolve and clarify codes and diagnoses with conflicting, missing and unclear information by consulting with doctors and others and by participating in coding team's regular meetings
Help review insurance denials related to diagnosis and procedure issues
Reviewed and cleared discharged not final billed report weekly
Provide excellent customer service to both internal and external clients and patients.
Foreclosure Specialist
Florida Default Law Group
06.2009 - 03.2010
Exceeded monthly goals while adhering to minimum 5% error ratio
Provide secretarial support to Legal team in high volume atmosphere, including phone call management (answering and handling calls, routing calls as necessary, or taking messages as appropriate
Check department voice mail, email and client systems
Prepare and draft correspondence, legal pleadings, and documents
Organize files, faxes and input information into COMPASS and client systems
Prepare check requests as directed
Maintain contact with clients, opposing counsel, court trustees and vendors
Responsible for opening, sorting, prioritizing and distributing faxes and mail daily (as applicable).
Jr Mortgage Underwriter
Bank of America
01.2005 - 06.2009
Analyzed 25-35 loans daily and maintained error rate under 4%
Generated $200k in monthly revenue
Reviewing, examining loans to ensure soundness, business value and compliance with BOFA and investor standards
Assessing loan attributes and documentation for soundness and accuracy
Reviewing, evaluating and synthesizing data to ascertain loan viability and identify risk issues and potential fraud
Evaluating debt ratio, loan-to-value ratios, credit score, property valuation, title and various other factors
Determining and documenting loan conditions and communicating requirements and/or decisions
Assisting in identifying, recommending and/or negotiating alternative loan requirements, funding and/or loan-structuring Solutions
Posts customer payments by recording cash, checks, and credit card transactions
Verify validity of account discrepancies by obtaining and investigating information from sales, trade promotions, customer service departments, and from customers
Underwriting loans in compliance with internal and regulatory guidelines
Following established parameters, rules and practices
Resolving problems, questions and/or situations in accordance with established criteria, practices.
Education
Certification - Medical Coding
Florida Career College
Brandon, FL
Skills
Ability to code effectively utilizing current guidelines
Outpatient coding
ICD-10-CM coding
Coding Error Resolution
Well versed in Anatomy, Physiology, and Medical Terminology
Bilingual (Proficient in Spanish)
Knowledge of computerized billing programs Medi-Soft
HIPAA compliance
MS Office (Excel, Word, etc)
Certification
AHIMA CCA
Letter Of Intent
I am seeking to apply my experience toward a position where my strong communication and organizational skills will prove valuable. After reviewing my resume, you will notice that I have gained experience processing accounts for a number of different organizations. Additionally, I have been responsible for building and maintaining rapport with clients from all social and economic backgrounds as well as professionals at all levels. As a result, I am confident you will find my experience and my service oriented skills and work ethics to be an asset to your team. Since you will need more information regarding the extent of my capabilities, at your earliest convenience, I would like to meet with you in a personal interview to discuss how my skills will best serve your needs. I appreciate your time and look forward to hearing from you soon. Sincerely, Erika Medina
Personal Information
Title: CCA
References
References available upon request
Timeline
Outpatient Coding Specialist
Shriners Hospital for children
03.2010 - Current
Foreclosure Specialist
Florida Default Law Group
06.2009 - 03.2010
Jr Mortgage Underwriter
Bank of America
01.2005 - 06.2009
Certification - Medical Coding
Florida Career College
AHIMA CCA
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