Jessica Rodriguez
Sebring,FL
Summary
I started working as a Billing and Coding Specialist at Revello Medical Center in June 2020, and within the years, I had taken on various roles such as Medical Assistant, HEDIS Specialist, Authorization Department, and Risk Adjustment Coder. Currently, I am the Head of Billing at one of the company's five offices, leading a team responsible for overseeing the Coding/Scribing for two physicians. However, due to relocation needs, I am actively seeking new job opportunities. I am confident in my abilities and expertise, and I am eager to excel in a new role that aligns with my goals and aspirations.
Overview
3
3
years of professional experience
Work History
Billing and Coding Associate
Revello Medical Center
08.2020 - Current
- Improved billing accuracy by meticulously reviewing and validating medical codes for insurance claims.
- Enhanced revenue recovery with diligent follow-up on denied or underpaid claims.
- Streamlined the coding process for increased efficiency, resulting in faster claim submissions.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all coding guidelines.
- Collaborated closely with healthcare providers to obtain accurate patient information for proper code assignment.
- Reduced errors and rejections by conducting thorough audits of medical records and claims data.
- Provided support to billing team members, helping resolve complex issues and improve overall performance.
- Assisted management in identifying areas for improvement through detailed reporting and analysis of billing trends.
- Demonstrated commitment to ethical practice by adhering strictly to HIPAA regulations when handling sensitive patient data.
Risk Adjustment Coder
Revello Medical
08.2020 - Current
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Tracked and monitored requests for medical records release.
- Followed up with medical staff regarding missing information in patient records.
- Assisted in training new staff on medical record processing and filing procedures.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
HEDIS Specialist
Revello Medical
08.2020 - Current
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Developed strong client relationships through consistent communication and attentive service.
- Developing, organizing, collecting, coordinating, preparing and presenting results of quality improvement
Scribe
Revello Medical
08.2020 - Current
- Enhanced patient care by accurately documenting medical histories, physical examinations, and procedures.
- Streamlined physician workflow by transcribing medical information in real-time during patient consultations.
- Improved patient follow-up and treatment plans by ensuring accurate and timely documentation of diagnoses and prescriptions.
- Assisted in the training of new scribes, sharing best practices for efficient documentation and communication with medical staff.
- Collaborated with physicians to review and edit medical documents for accuracy and compliance with industry standards.
- Reduced errors in medical records through meticulous attention to detail and thorough knowledge of medical terminology.
MA
Revello Medical Center
08.2020 - Current
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Excellent communication skills, both verbal and written.
Education
Associate of Science - Certified Risk Adjustment
AAPC
03.2024
Associate of Science - Billing And Coding
Florida Technical College
05.2020
Skills
- Insurance Verification
- Claims Processing
- HIPAA Compliance
- Patient Registration
- Revenue Cycle Management
- Electronic Health Records
- Problem Solving
- Medical Terminology
- Attention to Detail
- Anatomy and Physiology
- Critical Thinking
- ICD-10 Proficiency
- Data Entry Accuracy
- CPT Coding Knowledge
- Claim Submission
- Billing Systems and Software
- Audit Procedures
Languages
Spanish
Full Professional
Timeline
Billing and Coding Associate
Revello Medical Center
08.2020 - Current
Risk Adjustment Coder
Revello Medical
08.2020 - Current
HEDIS Specialist
Revello Medical
08.2020 - Current
Scribe
Revello Medical
08.2020 - Current
MA
Revello Medical Center
08.2020 - Current
Associate of Science - Certified Risk Adjustment
AAPC
Associate of Science - Billing And Coding
Florida Technical College
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