Jocina Rosario
Starke
Summary
Dedicated healthcare professional with a passion for medical billing, coding, and auditing. Seeking to utilize expertise in a dynamic team that values innovation and excellence in healthcare administration. Excited about tackling new challenges and further developing professional capabilities within a forward-thinking organization. Looking for a role to make a meaningful impact and grow in a supportive and collaborative work environment.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Coding Quality Analyst
Optum
07.2023 - Current
- Responsible for reviewing medical records to determine and ensure accuracy of billed charges for procedures and diagnoses codes
- Maintain accurate knowledge of coding compliance and reimbursement procedures
- Read and analyze client specific coding guidelines
- Served as a valuable resource for peers seeking assistance with particularly challenging or complex coding issues encountered during their daily tasks.
- Verified accuracy of patient information in medical records.
- Input data into computer programs and filing systems.
- Upheld internal coding guidelines and researched and implemented official coding guidance updates.
Medical Coder
University of Florida Jacksonville
08.2020 - Current
- Abstract clinical information from medical records to assign the appropriate ICD-10-CM and CPT-4 codes
- Review and audit claims to satisfy claim edits and correct coding errors
- Charge capture
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Followed up with medical staff regarding missing information in patient records.
- 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.
Medical Chart Auditor
Baptist MD Anderson Cancer Center
05.2018 - 08.2020
- Conducting thorough coding QA/Compliance audits for coders to ensure CPT & ICD-10 codes are being properly captured
- Review physicians’ documentation to assure documentation supports E/M and surgical charges billed
- Identify trends in coding and billing to report to management
- Conducted thorough audits of medical records to ensure compliance with industry regulations and standards.
- Conducted regular reviews of audit findings, presenting results to management for informed decision-making purposes.
- Maintained up-to-date knowledge on changes in healthcare regulations, adapting auditing processes accordingly to ensure continued compliance.
- Streamlined medical billing processes by detecting coding errors and ensuring correct coding practices were implemented
Revenue Analyst
University of Florida, Jacksonville
11.2017 - 05.2018
- Continuously enhanced professional knowledge by attending industry conferences, participating in webinars, and staying current on relevant trends in revenue management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Provided regular updates on billing status to upper management through detailed reports.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Developed and maintained up-to-date knowledge of coding standards, contributing to fewer coding errors and denials.
- Conducted detailed analyses of revenue cycle metrics, identifying trends and developing action plans to address areas of concern.
Medical Coder
Duke University Health System
05.2014 - 01.2018
- 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 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.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
Education
Associate Of Science - Health Information Management
Florida State College
Jacksonville, FL05.2011
Skills
- ICD-10 proficiency
- Organizational growth
- HIPAA compliance
- Clinical documentation review
- Medical terminology
- Medical coding expertise
- CPT coding
- Regulatory compliance
- Medical billing procedures
Certification
RHIT, CPC, CHONC, CPMA
Timeline
Coding Quality Analyst
Optum
07.2023 - Current
Medical Coder
University of Florida Jacksonville
08.2020 - Current
Medical Chart Auditor
Baptist MD Anderson Cancer Center
05.2018 - 08.2020
Revenue Analyst
University of Florida, Jacksonville
11.2017 - 05.2018
Medical Coder
Duke University Health System
05.2014 - 01.2018
Associate Of Science - Health Information Management
Florida State College
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