KAREN Hernandez
1615 Pakwe Lane Sutcliffe Nv 89510,NV
Summary
Developed skills in healthcare environment, focusing on accuracy and compliance with industry standards. Expertise in coding patient information and managing billing processes, with strong focus on efficiency and accuracy. Seeking to transition into new field, leveraging analytical skills and attention to detail to drive success.
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures providing highest quality care to patients.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
17
17
years of professional experience
Work History
FINANCE MANAGER
PYRAMID LAKE FISHERIES
07.2024 - 12.2024
- Reviewed documentation and identified financial discrepancies where applicable.
- Prepared monthly reconciliation of bank accounts and took corrective actions on deviations.
- Developed comprehensive financial reports for executive decision-making support.
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Supported executive director with special projects and additional job duties.
- Improved financial reporting accuracy through meticulous data analysis and reconciliation efforts.
- Oversaw the month-end closing process, ensuring timely and accurate financial statement preparation.
- Managed journal entries, collection efforts, reconciliations, and payroll processing.
- Managed banking reconciliations and monthly balance sheet statements.
- Completed bi-weekly payroll for company employees.
- Generated monthly and quarterly financial statements for executive review.
- Developed and implemented various procedures to improve accounting process.
- Analyzed and reported on financial data to support business decisions.
- Supported financial director with special projects and additional job duties.
Medical Biller and Coder
Pyramid Lake Tribal Health Clinic
01.2008 - 09.2022
- 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.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Participated in continuing education opportunities to stay current on advancements within the field of medical billing and coding, thereby elevating the overall quality of work.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Followed up with medical staff regarding missing information in patient records.
- Assisted in training new staff on medical record processing and filing procedures.
Education
No Degree - Six Month On Line Certificate in Medical Coding Co
Brown Consulting
On-Line06-2018
General Studies
TMCC
Reno, NV01-2000
GED -
PYRAMID LAKE HIGH SCHOOL
NIXON NV01-1984
Skills
- Verbal and written communication
- Problem-solving abilities
- Time management
- Multitasking
- Prioritizing and planning
- Excellent communication
- Organizational skills
- Attention to detail
- Adaptability and flexibility
- Reliability
- HIPAA compliance
- Insurance verification
- Procedural coding
- Diagnostic coding
- Clinical documentation
- Medical record security
- Medical terminology
- Document management
- Medical coding and abstracting
Timeline
FINANCE MANAGER
PYRAMID LAKE FISHERIES
07.2024 - 12.2024
Medical Biller and Coder
Pyramid Lake Tribal Health Clinic
01.2008 - 09.2022
No Degree - Six Month On Line Certificate in Medical Coding Co
Brown Consulting
General Studies
TMCC
GED -
PYRAMID LAKE HIGH SCHOOL
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