Helga Bonilla
Bakersfield,CA
Summary
Dynamic Medical Coder/Manager with extensive experience at Premier Reimbursement Solutions, recognized for enhancing coding accuracy and reducing claim denials. Proficient in ICD-10 and CPT coding, while fostering teamwork and mentoring junior coders. Committed to compliance and improving revenue cycle management through effective communication and training initiatives. Worked with multiple specialties along with primary care efficiently for years.
Overview
15
15
years of professional experience
Work History
Medical Coder/Manager
Premier Reimbursement Solutions
08.2023 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
- Generated reports to identify coding trends and discrepancies.
Medical Coder
Resource Billing & Consulting
Visalia, CA
01.2017 - 10.2019
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Supported the implementation of electronic health record systems, simplifying the coding process.
Manager
Premier Reimbursement Solutions
Visalia, CA
08.2012 - 03.2014
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
Medical Coder
Holvik Family Health Center
Visalia, CA
08.2010 - 07.2012
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Expedited claim resolution with insurance companies through clear communication and prompt follow-up actions.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Improved coding turnaround time, adopting agile methodologies in managing coding tasks and priorities.
Education
Emergency Medical Technician -
West Hills College
Lemoore, CA06.1999
General Education
Tulare Western High School
Tulare, CA06.1997
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Insurance coding (ICD-10 and CPT)
- Clinical documentation
- Medical claims coding
- Data entry
- Insurance verification
- Regulatory guidelines
- Claims processing
- Document management
- Knowledgeable in software
- Procedural coding
- Training and mentoring
- Diagnostic coding
- Workflow management
- Data verification
- Inpatient records coding
- Proficiency in software
- Revenue cycle management
- Medical record security
- Coding error resolution
- Patient data compilation
- Records management
Languages
English
Native or Bilingual
Spanish
Limited Working
Portuguese
Native or Bilingual
Timeline
Medical Coder/Manager
Premier Reimbursement Solutions
08.2023 - Current
Medical Coder
Resource Billing & Consulting
01.2017 - 10.2019
Manager
Premier Reimbursement Solutions
08.2012 - 03.2014
Medical Coder
Holvik Family Health Center
08.2010 - 07.2012
Emergency Medical Technician -
West Hills College
General Education
Tulare Western High School