Ilyana Herzog
Buda,TX
Summary
Healthcare professional with extensive experience in case management, healthcare business operations, and medical healthcare administration. Detail-oriented and highly motivated professional with recent medical coding certification (CPC-A). Strong foundational knowledge of ICD-10, CPT, and HCPCS coding systems. Hands-on training in medical terminology, anatomy, and healthcare billing processes. Committed to accuracy, compliance, and maintaining patient confidentiality. Strong communication, time management, and problem-solving skills. Successfully managed high-volume workloads.
Overview
20
20
years of professional experience
1
1
Certification
Work History
ARD Facilitator
Hays CISD
03.2019 - Current
- Coordinate, facilitate, and schedule Admission, Review, and Dismissal (ARD) committee meetings.
- Follow and apply Special Education policy guidelines for compliance.
- Apply and implement federal, state, district, and school regulations and policies for special education services.
- Compile data regarding ARD committee meetings and parent participation to share with school staff.
- Use mediation skills to facilitate meaningful partnerships with school staff and parents.
Certified Professional Coder-Apprentice
AAPC CPC Program
02.2025 - 07.2025
- Recently certified in ICD-10, CPT, and HCPCS coding systems with a solid understanding of medical terminology, anatomy, and coding procedures.
- Proficient in reviewing medical records, charts, and documentation to ensure accurate code assignment for billing and insurance purposes.
- Knowledgeable of HIPAA regulations, maintaining confidentiality and compliance in all coding tasks.
- Strong attention to detail, ensuring the accuracy of codes and patient information.
- Committed to continuing education to stay updated on coding updates, guidelines, and healthcare industry standards.
Special Education Teacher
Hays CISD
08.2018 - 03.2019
- Participate in ARD committee meetings; work in collaboration with school staff, students, and parents to develop IEPs for students.
- Manage special education student caseload of (complete student PLAAFP, goals, review progress, accommodations/modifications, transition).
- Plan and implement instructional learning strategies, materials, and equipment/technology to help accommodate the different learning styles and needs of students.
- Evaluate student performances, maintained grades and student records. Document student monitored progress.
Bilingual General Education Teacher
Austin ISD
08.2017 - 05.2018
- Planned, organized, and presented instructional lessons aligned with appropriate TEKS. Administered/monitored State testing.
- Facilitated learning by encouraging participation, maintaining discipline, and consulting with parents and school staff to identify and address developmental and social needs of students.
- Evaluated student performances, maintained grades and student records. Documented student monitored progress.
- Maintained contact with parents through parent teacher conferences and student led parent conferences, progress reports, letters, and special meetings.
- Incorporated blended and planned and instructed project-based learning projects for student learning.
Disability Hearings Officer/Disability Specialist
Disability Determination Services - State of Texas
10.2005 - 07.2017
- Conducted evidentiary disability hearings for the State of Texas and SSA; evaluated testimony, medical evidence, and legal standards to issue determinations.
- Served as technical expert and representative to claimants, attorneys, physicians, and SSA officials; provided consultative services and interpreted complex program policies.
- Reviewed case files and medical records to ensure compliance with SSA and DDS regulations, federal law, and procedural guidelines.
- Applied legal principles including MIRS, Collateral Estoppel, Res Judicata, and administrative finality in disability adjudication.
- Proficient in SSA disability criteria for adult and childhood claims; knowledgeable in medical terminology, disease processes, and developmental milestones.
- Ensured privacy compliance with HIPAA and PII standards; safeguarded confidential claimant information.
- Mentored disability examiners and led training on case development and determination procedures.
- Background in medical billing and front office coordination, enhancing understanding of clinical and administrative healthcare processes.
Medical Office Coordinator & Billing Specialist
Family Medical Practice
- Managed front desk operations including patient scheduling, intake, insurance verification, and records management.
- Served as primary point of contact for patients, providers, and insurers, ensuring smooth communication and efficient office workflow.
- Processed medical claims, performed coding and billing tasks, and resolved insurance denials and patient billing issues.
- Maintained accurate patient records and ensured compliance with HIPAA and other privacy regulations.
- Utilized electronic medical record (EMR) systems and billing software for claim submissions and payment tracking.
Education
Bachelor of Healthcare Administration -
Southwest Texas State University
San Marcos, Texas05.2001
Skills
- Medical Terminology
- ICD-10-CM
- CPT
- HCPCS Level II
- Data entry proficiency
- Chart analysis and documentation
- Effective time management
- Microsoft Office software
- Analytical problem-solving
- Strategic decision-making
- Data collecting
- Effective verbal communication
- Organizational skills
Certification
- Certified Professional Coder – Apprentice (CPC-A)
- Texas Certification-Special Education EC-12
- Texas Certification-ELAR 4-8
- Texas Certification-EC-6
SKILLS
Bilingual - Spanish
Timeline
Certified Professional Coder-Apprentice
AAPC CPC Program
02.2025 - 07.2025
ARD Facilitator
Hays CISD
03.2019 - Current
Special Education Teacher
Hays CISD
08.2018 - 03.2019
Bilingual General Education Teacher
Austin ISD
08.2017 - 05.2018
Disability Hearings Officer/Disability Specialist
Disability Determination Services - State of Texas
10.2005 - 07.2017
Medical Office Coordinator & Billing Specialist
Family Medical Practice
Bachelor of Healthcare Administration -
Southwest Texas State University
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