Evelyn Perez, CPC
South Amboy
Summary
Adept QA Coding Specialist with a proven track record at Envision Physicians Services with 23 years of experience, showcasing exceptional coding accuracy and analytical skills. Excelled in optimizing revenue cycle management and reducing error rates by mastering medical terminology, insurance policies adhering to coding guidelines and regulations. Known for outstanding time management and consistently exceeding quality goals, while ensuring compliance with AHIMA and CMS standards.
Overview
22
22
years of professional experience
1
1
Certification
Work History
QA Coding Specialist
Envision Physicians Services
09.2002 - Current
- Performed qualitative analysis to ensure coding accuracy, ensure diagnosis and procedures meet current coding requirements and accuracy.
- Maintained up to date knowledge of medical coding rules, regulations and changes.
- Achieve daily production, maintains top production performance, while exceeding quality goals.
- Providing Feedback to ED coders to improve overall coding quality and maximize appropriate reimbursement.
- Abided by Standards of AHIMA and CMS.
- Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
- Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
- Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
- Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
- Contributed to revenue optimization efforts by identifying under-coded services and providing recommendations for appropriate code assignments.
- Maintained up-to-date knowledge on industry changes, attending training sessions and workshops regularly.
- Reduced error rates in medical billing by maintaining thorough knowledge of insurance regulations and guidelines.
- Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
- Provided timely feedback on coder performance metrics, helping individuals meet organizational goals related to accuracy and productivity.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Verified signatures and checked medical charts for accuracy and completion.
Education
GED -
Essex County College
Newark, NJMedical Office Technology - Medical Billing
Worldwide Educational Services
Newark NJ 05-2002
Skills
- Coding Accuracy
- Medical Terminology
- CPT and ICD-10 Coding
- Compliance Knowledge
- Analytical Skills
- Knowledge of insurance policies
- Time Management
- Data Entry
- Auditing ED Medical Record
- Microsoft Office/Excel
- Computer Literate-can quickly learn new software
Certification
- Certified Professional Coder
- Medical Office Technology
Languages
Spanish
Native or Bilingual
Timeline
QA Coding Specialist
Envision Physicians Services
09.2002 - Current
- Certified Professional Coder
- Medical Office Technology
GED -
Essex County College
Medical Office Technology - Medical Billing
Worldwide Educational Services
Similar Profiles
Saranny GrangerSaranny Granger
Patient Services Supervisor at Envision Physicians ServicesPatient Services Supervisor at Envision Physicians Services
Tania ChiroldeTania Chirolde
Site Billing Coordinator at Envision Physicians ServicesSite Billing Coordinator at Envision Physicians Services
Leslie Ann Soto, M.DLeslie Ann Soto, M.D
Hospitalist at Envision Physicians ServicesHospitalist at Envision Physicians Services