Inerquis Gonzalez
Hialeah,FL
Summary
With a proven track record at Belen Health MSO, enhanced medical coding accuracy and streamlined billing processes, showcasing ICD-10 proficiency and strong collaboration skills. Commitment to HIPAA compliance and continuous improvement in coding practices has significantly reduced claim denials, positioning as a dedicated and efficient medical coding specialist.
Experienced with medical coding processes, ensuring precise interpretation and documentation. Utilizes analytical skills and attention to detail to maintain high coding accuracy. Knowledge of compliance standards and team collaboration for seamless project execution.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
Belen Health MSO
08.2024 - Current
- Thoroughly review patient medical records to extract pertinent clinical information.
- Assign accurate ICD-10 diagnosis codes and CPT procedure codes based on medical documentation.
- Utilize coding guidelines and reference materials to ensure correct code selection.
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
- Enhanced medical coding accuracy by meticulously reviewing patient records and diagnoses.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Conducted thorough audits of coded data to identify areas for improvement and implement corrective actions, leading to higher quality results.
- Promoted a collaborative work environment through effective communication and teamwork among fellow Medical Coding Specialists.
Clinical Risk Abjusment Coder
Second Wave Delivery System
06.2022 - 02.2024
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Expedited project completion timelines with strong time management skills and adherence to deadlines.
- Verified signatures and checked medical charts for accuracy and completion.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Medical Coder III
Care Max
08.2021 - 06.2022
- 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.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
- Verified signatures and checked medical charts for accuracy and completion.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
Risk Adjustment Coder
Associates MD
08.2019 - 08.2021
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Expedited project completion timelines with strong time management skills and adherence to deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Verified signatures and checked medical charts for accuracy and completion.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
Certified Medical Coder
CAC/Conviva Care Solutions
06.2017 - 07.2019
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
- Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
- Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
Certified Medical Assistant
CAC/Conviva Care Solutions
03.2011 - 06.2017
- Upheld HIPAA compliance through careful management of confidential patient records and lab results.
- Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
- Collected and documented patient medical information such as blood pressure and weight.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Called and faxed pharmacies to submit prescriptions and refills.
- Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Completed EKGs and other tests based on patient presentation in office.
- Prepared lab specimens for diagnostic evaluation.
- Reduced wait times for patients by maintaining an organized schedule and swiftly preparing examination rooms.
Education
High School Diploma -
IPUEC Renan Turino Fernandez
Trinidad, Cuba06-1993
Skills
- ICD-10 proficiency
- Procedural coding accuracy
- HIPAA compliance
- Claims processing
- Code validation
- Auditing medical records
- Clinical documentation
- Proficiency in EMR Systems: eCW, Athena, Epic, Care Tracker, Practice Fusion, AdvancedMD, eMedical Practice, Optimantra, Medisoft, Sevocity, Amazing Charts, MDvita, Charmtracker, MDflow, Tebra
- HCPCS level II coding
- Medical record review
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
- Certified Risk Adjustment Coder(CRC)-American Academy of Professional Coders(AAPC).
- Certified Professional Medical Auditor(CPMA)-American Academy of Professional Coders(AAPC).
- National Certified Medical Assistant (NCMA) - National Center for Competency Testing (NCCT).
Languages
English
Professional Working
Spanish
Native or Bilingual
Timeline
Medical Coding Specialist
Belen Health MSO
08.2024 - Current
Clinical Risk Abjusment Coder
Second Wave Delivery System
06.2022 - 02.2024
Medical Coder III
Care Max
08.2021 - 06.2022
Risk Adjustment Coder
Associates MD
08.2019 - 08.2021
Certified Medical Coder
CAC/Conviva Care Solutions
06.2017 - 07.2019
Certified Medical Assistant
CAC/Conviva Care Solutions
03.2011 - 06.2017
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
- Certified Risk Adjustment Coder(CRC)-American Academy of Professional Coders(AAPC).
- Certified Professional Medical Auditor(CPMA)-American Academy of Professional Coders(AAPC).
- National Certified Medical Assistant (NCMA) - National Center for Competency Testing (NCCT).
High School Diploma -
IPUEC Renan Turino Fernandez
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