Kimberly Quinones
Tarzana,CA
Summary
Certified Professional Coder, seeking Medical Coding position in the Health Administrative field. I provide dedication, commitment, loyalty and perseverance to any company that I work for. To grow within a company that supports continuing education to further my career and a coder.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Administrative Assistant II
Beverly Hills Institute Of Plastic Surgery
02.2016 - 11.2020
- Executed record filing system to improve document organization and management.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Managed department budgets and generated financial reports for management review.
- Coordinated and scheduled meetings with Medical Reps.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Welcomed and assisted physicians, staff, and visitors, ensuring a hospitable and efficient office environment.
- Addressed patient inquiries about surgical procedures scheduled appointments and initiated pre-surgery documentation.
- Facilitated smooth check-in and check-out processes and prepared patients for surgical procedures.
- Oversee the maintenance of digital records and ensure current files for all patients and staff members.
- Monitored and updated DEA, state licenses, and malpractice insurance records for medical professionals and provided timely reminders before expiration.
- Upheld the aesthetics and organization of the front office, including the presentation of cosmetic products.
- Sourced potential candidates from platforms like Indeed and LinkedIn, maintained candidate databases, and conducted pre-interview screenings.
Medical Coding and Billing Specialist
Brentwood Medical Group
06.2009 - 02.2016
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained up-to-date knowledge of coding requirements through continuing education courses.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Communicated with insurance companies to research and resolved coding discrepancies..
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Transcribed and entered patient medical information into electronic medical records systems.
- Followed up with medical staff regarding missing information in patient records.
- Worked with team to improve billing and increase practice revenue.
- Medical billing and coding of office visits (E/M Coding), physical therapy, lab work and medication administered.
- Worked with doctors to improve dictation on charts to avoid claim denials.
- Reviewed Explanation Of Benefits for collections and denials.
- Called medical insurances to resolve claim denials.
Medical Billing Specialist
Hun Ku Kang, MD
03.2012 - 04.2012
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Managed collections claims for unpaid bills against estates of debtors.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Located errors and promptly refiled rejected claims.
Education
CEU - Certified Professional Coder
Integrity LLC
Remote08.2023
Vocational Certificate - Medical Billing And Coding
American Career College
Los Angeles, CA05.2013
Skills
- Medical terminology
- ICD-10 (International Classification of Disease Systems)
- CPT Coding Guideline
- HCPCS Coding Guidelines
- Close attention to detail
- Office support (phones, faxing, filing)
- Excellent verbal communication
- Adept multi-tasked
- Resourceful and reliable worker
- Excellent problem solver
- Office management professional
- Research and data analysis
- Anatomy/Physiology
- Self disciplined
- Microsoft Excel
- Microsoft Word
- PowerPoint
- Google Calendar
- Google Docs
- Billing Softwares (Medisoft, Office Ally Practice Mate, Allscripts MyWay, Patient Now)
- Dr Chrono Software Management
Certification
- AAPC Certified Professional Coder (License #02132398)
- HIPAA Certified
Languages
English
Native or Bilingual
Tagalog
Professional Working
Spanish
Elementary
Affiliations
American Academy of Professional Coders (AAPC)
Timeline
Administrative Assistant II
Beverly Hills Institute Of Plastic Surgery
02.2016 - 11.2020
Medical Billing Specialist
Hun Ku Kang, MD
03.2012 - 04.2012
Medical Coding and Billing Specialist
Brentwood Medical Group
06.2009 - 02.2016
CEU - Certified Professional Coder
Integrity LLC
Vocational Certificate - Medical Billing And Coding
American Career College
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