Evangelista Irizarry
Waterbury
Summary
Detail-oriented healthcare professional with extensive experience in patient care, medical procedures, and administrative support. Expertise in ICD-10-CM, CPT coding, and CRM software enhances service coordination and regulatory compliance. Ready to contribute as a Registered Medical Assistant/CPC by delivering high-quality care and optimizing patient outcomes.
Overview
23
23
years of professional experience
Work History
Registered Medical Assistant/CPC
Trinity Health
Middlebury
03.2024 - Current
- Assisted healthcare providers with patient examinations and medical procedures.
- Performed patient assessments, including vital signs and medical history documentation.
- Educated patients on treatment plans, medications, and health maintenance strategies.
- Managed patient records and ensured accurate data entry within electronic systems.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified insurance coverage and processed payments from patients.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Ordered supplies, maintained inventory levels, and stocked exam rooms with necessary equipment.
- Conducted routine laboratory tests and processed specimens for analysis.
- Participated in team meetings to streamline workflows and support improved patient population outcomes.
- Maintained updated knowledge of coding requirements through continuing education and certification renewal to ensure compliance and accuracy.
- Accurately assigned codes using software and official print copy of code book.
- Ensured accurate assignment of value codes to enhance billing accuracy. and modifiers to provide specific information for services provided.
- Communicated with insurance companies to provide patient information.
- Collected documentation and clarified ambiguous patient care statements by contacting providers.
- Tracked and assessed accounts on Discharged Not Final Coded (DFNC) report.
- Entered charge rationale in patient account notes.
- Reviewed medical records to identify appropriate codes for services rendered, ensuring accuracy and completeness of documentation.
- Performed audits of medical records to ensure correct application of ICD-10 CM codes for reimbursement purposes.
- Participated in training sessions for new coders or those needing additional instruction on proper use of CPT, HCPCS, ICD-10 CM codes.
- Provided guidance on complex clinical scenarios requiring special attention when assigning codes.
- Verified accuracy of claims submitted to third-party payers according to established protocols.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Managed coding for multiple specialties, ensuring specific codes are accurately applied.
- Analyzed patient charts and records to extract relevant coding information.
- Entered coded data into electronic health record (EHR) systems.
Business Service Representative
Trinity Health
Waterbury
03.2024 - 04.2026
- Assisted patients with inquiries regarding healthcare services and insurance options.
- Coordinated appointment scheduling for patients in a fast-paced environment.
- Maintained accurate patient records using electronic health record systems.
- Collaborated with healthcare providers to ensure seamless patient service delivery.
- Educated patients on available services and community resources effectively.
- Trained new staff on operational procedures and best practices in patient care.
- Resolved billing issues by communicating with insurance companies and patients directly.
- Participated in team meetings to discuss new initiatives or changes in policy and procedures.
- Ensured accurate data entry into the company database for client information.
- Managed payment transactions according to company procedures, refunds and returns in accordance with established procedures.
- Collaborated with healthcare providers to resolve billing discrepancies and inquiries.
- Performed insurance verification, pre-certification and pre-authorization.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Reconciled codes against services rendered.
- Generated monthly financial statements for management review.
- Educated staff on proper coding procedures and compliance requirements.
- Drafted reports detailing coding errors for review and correction processes.
- Assigned diagnostic codes based on medical documentation. and procedures according to established guidelines.
- Researched and assigned appropriate ICD-10 codes based on documentation in the patient's medical record.
- Evaluated new technologies available for use in the organization's coding process.
- Maintained up-to-date knowledge of current coding rules, regulations, and best practices.
Registered Medical Assistant
Staywell Health Center
Waterbury
06.2013 - 12.2023
- Coordinated healthcare provider activities to optimize patient care.
- Assisted physicians during exams and procedures, ensuring patient comfort and procedural accuracy.
- Executed routine lab testing and managed specimen processing for accurate results.
- Organized patient scheduling and coordinated appointment reminders in a timely manner.
- Educated patients on treatment plans and clarified medication instructions for better understanding.
- Updated and maintained clinical records in compliance with HIPAA regulations.
- Organized treatment rooms for patient use by sanitizing surfaces and replenishing supplies.
Registered Medical Assistant
Winter Haven Baycare Hospital
Winter Haven
03.2010 - 04.2013
- Supported healthcare providers during patient examinations and procedures to enhance patient care.
- Escorted patients to exam rooms, addressed inquiries, and prepared them for physician by explaining processes to ensure comfort and understanding.
- Educated patients about medications, procedures and physician's instructions.
- Managed patient scheduling and coordinated appointment reminders effectively.
- Managed incoming calls, addressed inquiries, and coordinated follow-up visits to maintain patient engagement.
Registered Medical Assistant
Lakeside Pediatrics
Lakeland
06.2009 - 12.2010
- Assisted healthcare providers with patient examinations and procedures.
- Coordinated patient scheduling and appointment reminders to optimize clinic workflow and enhance patient experience.
- Collected blood samples using standard phlebotomy techniques and safety protocols.
- Ensured proper patient identification and specimen labeling for accurate results.
- Located veins suitable for puncture to draw blood using sterilized needles, vials and other equipment.
- Prepared and maintained storage areas for vaccines according to regulations.
- Prepared vaccines for administration following established safety protocols.
- Administered medications, treatments, and vaccines according to prescriptions, following strict safety protocols.
- Administered routine vaccines according to state guidelines while educating patients on potential side effects.
- Oversaw inventory management of medicines, vaccines, and supplies to ensure clinic readiness and compliance with safety regulations.
Registered Medical Assistant
Watson Clinic
Lakeland
08.2006 - 04.2009
- Conducted physical examinations of patients utilizing standard diagnostic instruments.
- Assisted healthcare providers with patient examinations and procedures.
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Managed patient scheduling and coordinated appointment reminders effectively.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Ensured compliance with health regulations and maintained a sterile environment.
- Maintained clinical records according to HIPAA regulations.
Registered Medical Assistant
Chase Outpatient
Waterbury
09.2003 - 08.2006
- Assisted healthcare providers with patient examinations and procedures.
- Assisted physicians in exams, treatments, and procedures.
- Performed patient assessments, including vital signs and medical history documentation.
- Measured vital signs and took medical histories to prepare patients for examination.
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Educated patients on treatment plans and medication instructions clearly.
- Managed patient scheduling and coordinated appointment reminders effectively.
- Responded to patient callbacks and phone-in prescription refill requests.
- Verified insurance coverage and processed payments from patients.
- Maintained accurate patient records and updated medical histories consistently.
- Maintained clinical records according to HIPAA regulations.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Ensured compliance with health regulations and maintained a sterile environment.
- Ensured all medical equipment was functioning properly prior to use.
- Performed routine lab tests and processed specimens for analysis.
- Ordered supplies, maintained inventory levels, and stocked exam rooms with necessary equipment.
- Collaborated with team members to enhance patient care processes efficiently.
- Trained new staff on office protocols and patient interaction techniques thoroughly.
- Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
- Documented notes during patient visits.
- Incorporated outside records into charts and EHR.
- Changed dressings on wounds to prevent infection and check for healing.
- Contacted medical facilities to schedule patients for admission.
Education
Certificate - Medical Billing And Coding
York Technical Institute
York, PA12-2025
Certificate - Medical Assistant
Brandford Hall Career Institute
Southington, CT08-2003
Certificate - Phlebotomist
Branford Hall Career Institute
Southington, CT08-2003
Skills
- Medical coding
- Electronic health records
- Insurance verification
- Payment processing procedures
- Appointment scheduling
- Patient education
- Data entry accuracy
- Billing adjustments
- Patient interaction logging
- Office administration
- Information gathering
- Budget management
- Teamwork
- Written communication
- Interpersonal skills
- Multi-line phone talent
- Patient assessment
- Vital signs and examinations
- Medical billing
- Vital sign assessment
- Medical terminology proficiency
- HIPAA compliance
- Medical office procedures
- Immunization administration
- Medical terminology
- Phlebotomy techniques
- Medical equipment operation
- Preventive healthcare measures
- Clinical applications
- Electronic health records management
- Clinical documentation
- Medical records confidentiality
- EKG set up and monitoring
- Quick problem solver
- Medical office administration
- Team collaboration
- Emergency response preparedness
- Clinical procedures
- Regulatory compliance
- Vital signs measurement
- Privacy and confidentiality
- First aid and CPR
- Analytical decision-making skills
- Proper sterilization techniques
- Insurance claims
Timeline
Registered Medical Assistant/CPC
Trinity Health
03.2024 - Current
Business Service Representative
Trinity Health
03.2024 - 04.2026
Registered Medical Assistant
Staywell Health Center
06.2013 - 12.2023
Registered Medical Assistant
Winter Haven Baycare Hospital
03.2010 - 04.2013
Registered Medical Assistant
Lakeside Pediatrics
06.2009 - 12.2010
Registered Medical Assistant
Watson Clinic
08.2006 - 04.2009
Registered Medical Assistant
Chase Outpatient
09.2003 - 08.2006
Certificate - Medical Billing And Coding
York Technical Institute
Certificate - Medical Assistant
Brandford Hall Career Institute
Certificate - Phlebotomist
Branford Hall Career Institute