Katia M Gonzalez Martinez
Hialeah,FL
Summary
Accomplished Medical Coder with a robust background in medical terminology and HIPAA compliance, demonstrated during tenures at Caremax Medical Centers and Conviva Care Solutions. Excelled in enhancing coding accuracy and maintaining patient confidentiality, showcasing strong computer skills and a self-motivated attitude. Proven track record of improving operational efficiency and patient data security.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Coder III
Caremax Medical Centers
05.2022 - 02.2025
Medical Coder I
Conviva Care Solutions
07.2020 - 05.2022
- Assignment of correct ICD 10 CM .
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Capturing all HCC codes on patients charts
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Maintenance patient confidentiality and information secured.
- Processing claims
- Interact with physicians and assistants to ensure accuracy.
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Certified Medical Assistant/Phlebotomist
Conviva Care Solutions
04.2011 - 07.2020
- Prepared samples for shipping and disposed of bodily fluids in proper containers.
- Kept laboratory in compliance with all applicable guidelines and laws.
- Processed patient specimens according to priority and documented results.
- Set and oversaw quality assurance guidelines for laboratory work.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Called in prescription refills for patients.
- Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files.
- Updated inventory, logs to maintain current tracking documentation.
- Performed routine tests such as urine dip stick, INR test.
- Answered appointment calls.
- Mailed patient appointment letters.
Receptionist
Continucare(Now Conviva Care Solutions)
04.2006 - 04.2011
- Promptly answered multi-line phone system and greeted callers enthusiastically.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments .
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Adhered to strict HIPAA guidelines at all times to protect patient privacy.
- Scheduled appointments for doctor visits and procedures using desktop calendar software
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Education
CERTIFIED MEDICAL CODER BY AAPC
CCM CODING ACADEMY
Hialeah, FL01-2020
Medical Assistant
NATIONAL ASSOCIATION FOR HEALTH PROFESSIONALS
01-2011
Phlebotomy
YECHANLAZ INSTITUTO VOCACIONAL, INC.
Miami, FL01-2004
Associate of Applied Science - Medical Laboratory Technology
Politecnico De La Salud, Manuel Piti Fajardo.
CUBA07-1998
Skills
- Medical terminology
- Computer skills
- HIPAA Compliance
- Medical records review
- ICD-10 coding
- Customer Service
- Data entry
- Microsoft Word, Window, Microsoft Excel, Outlook, Power Poin
- Knowledge with EMR , MRA and HEDIS
- Team player
- Self-motivated and assertive
- Medical billing
- Insurance verification
Certification
- CPMA - Certified Professional Medical Auditor, AAPC
- CRC - Certified Risk Adjustment Coders, AAPC
- CPC - Certified Professional Coder, AAPC
- Certified Medical Assistant , NAHPUSA
- Certified Phlebotomy , Florida International Association of Phlebotomy Technicians,Inc.
- Certified Medical Laboratory Technician, Cuba
Timeline
Medical Coder III
Caremax Medical Centers
05.2022 - 02.2025
Medical Coder I
Conviva Care Solutions
07.2020 - 05.2022
Certified Medical Assistant/Phlebotomist
Conviva Care Solutions
04.2011 - 07.2020
Receptionist
Continucare(Now Conviva Care Solutions)
04.2006 - 04.2011
CERTIFIED MEDICAL CODER BY AAPC
CCM CODING ACADEMY
Medical Assistant
NATIONAL ASSOCIATION FOR HEALTH PROFESSIONALS
Phlebotomy
YECHANLAZ INSTITUTO VOCACIONAL, INC.
Associate of Applied Science - Medical Laboratory Technology
Politecnico De La Salud, Manuel Piti Fajardo.
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