Laura Ramos
Duncan,SC
Summary
Proactive medical coder with a solid foundation in ICD-10 compliance and effective communication. Developed coding solutions for electronic health record systems, ensuring accuracy and regulatory compliance while collaborating with healthcare teams to enhance documentation quality.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical/Dental Coder
Vesa Health & Technology/USCG
Virginia Beach, VA
12.2024 - Current
- Reviewed clinical data from medical records to accurately assign ICD, CPT, and HCPCS codes, enhancing coding precision.
- Ensures all required component parts of the medical record that pertain to coding are present,
accurate and compile with USCG and DHS requirements. - Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Developed coding solutions for electronic health record systems.
- Worked with Coding Compliance- Editor software to ensure records are accurately coded
- Interacts with MTF staff to ensure documentation is clear and supports coding assignments.
Educates MTF staff through individual or group in-services and training sessions
Appointment Center Specialist
Groundworks
Virginia Beach, VA
08.2024 - 12.2024
- Coordinated appointment scheduling for customer inquiries and service requests to ensure timely services.
- Communicated effectively with customers to understand their needs and preferences.
- Guided customers in navigating service options and addressing questions to enhance their experience.
- Cultivated positive rapport with clients through professional communication to foster loyalty.
HOUSE CLEANER
MaidPro
Virginia Beach, Virginia
02.2024 - 05.2024
- Cleaned various houses independently and collaboratively, adhering to a 49-point checklist to ensure thoroughness.
- Organized, cleaned, and sanitized kitchens, bedrooms, living rooms, and bathrooms to maintain a hygienic environment and reduce germs.
- Engaged with clients to identify specific cleaning needs and preferences, enhancing customer satisfaction.
- Collaborated with team members to complete larger projects efficiently.
RISK ADJUSTMENT CODER
The Judge Group
11.2023 - 01.2024
- Reviewed patient charts to ensure accurate risk adjustment coding and compliance.
- Maintained 95% accuracy rate while achieving 4 CPH minimum in coding tasks.
- Kept up-to-date with changes in ICD-10, CPT and HCPCS codes, modifiers, and CMS regulations.
- Completed a coding training for HCC RA
BABYSITTER
A Helping Home, LLC
07.2023 - 10.2023
- Supported parents in childcare by managing daily routines and completing essential tasks to ensure children's well-being.
- Managed schedules for naps, meals, and recreational time effectively.
- Maintained a safe play environment by regularly inspecting toys and equipment for safety compliance.
CLINICAL DENIAL CODING REVIEW SPECIALIST
Parallon
03.2023 - 07.2023
- Worked with billing and denials, categorizing and handling individual claims through eCW and Athena.
- Communicated with insurance companies to address and resolve claim denials and discrepancies, ensuring compliance.
- Reviewed patient accounts for accuracy and compliance with billing regulations.
- Collaborated with teams to identify and resolve discrepancies in billing processes, enhancing accuracy.
- Utilized electronic health record systems to track account updates.
CLINICAL DOCUMENTATION CODER
Village MD
10.2022 - 02.2023
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes, ensuring compliance with coding standards.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Navigated patient management systems like Athena and Encoder to identify and implement accurate coding solutions
REMOTE HCC CODER
The Judge Group
06.2022 - 10.2022
- Met daily quotas based on weekly standards including CPH and CPI
- Administered CMA tests biweekly to evaluate team knowledge and identify areas for improvement
- Maintained constant engagement with tasks to ensure efficient time management
SALES REPRESENTATIVE
T- Mobile
02.2018 - 01.2020
- Collaborated with customers and sales team to identify tailored solutions for each visitor, including new phone activations, upgrades, troubleshooting, and service inquiries.
- Responded to prospective customer inquiries about product features and services, enhancing their understanding and interest.
- Cultivated strong customer relationships, contributing to increased sales.
- Collaborated with team members to achieve store sales goals consistently.
- Handled cash and worked a POS system on a computer and tablet
PATIENT CARE TECHNICIAN
Northeast Georgia Medical Center
01.2014 - 01.2018
- Monitored patient vital signs, promptly reporting changes to nursing staff to facilitate timely interventions.
- Assisted patients with daily activities and mobility needs, enhancing their comfort and independence.
- Collaborated with healthcare team to ensure optimal patient care.
- Supported nursing staff during procedures and examinations.
- Provided compassionate support to patients and families in distress, helping to alleviate anxiety during challenging times.
- Documented patient information in electronic medical records accurately.
- Maintained cleanliness and organization of patient care areas.
SERVER
Cheddars Casual Cafe
06.2012 - 12.2013
- Delivered exceptional customer service in fast-paced dining environment, enhancing guest experience and loyalty.
- Greeted customers, took orders, and delivered food and drinks, ensuring prompt service and customer satisfaction.
- Processed orders accurately and efficiently using point-of-sale systems, minimizing wait times and ensuring order accuracy.
- Maintained knowledge of menu items to assist guest inquiries effectively.
CASHIER
Dairy Queen
07.2011 - 06.2012
- Managed cash register operations, ensuring accurate transactions and customer satisfaction.
- Provided excellent customer service in a fast-paced environment.
- Operated register in drive-thru and main room, assisted customers with orders, delivered food to tables, and ensured cleanliness of restaurant.
- Maintained organized and clean dining area, enhancing customer experience.
Education
ASSOCIATE IN SCIENCE -
University of North Georgia
Oakwood, Georgia01-2015
Skills
- Medical coding
- ICD-10 compliance
- ICD-10 proficiency
- Risk adjustment coding
- Certified coder
- Medical record review
- Coding standards
- Epic system knowledge
- Software expertise
- Critical thinking
- Team collaboration
- Customer service
- Medical terminology
Languages
Spanish
Native/ Bilingual
Certification
CPC- Certified Professional Coder
Timeline
Medical/Dental Coder
Vesa Health & Technology/USCG
12.2024 - Current
Appointment Center Specialist
Groundworks
08.2024 - 12.2024
HOUSE CLEANER
MaidPro
02.2024 - 05.2024
RISK ADJUSTMENT CODER
The Judge Group
11.2023 - 01.2024
BABYSITTER
A Helping Home, LLC
07.2023 - 10.2023
CLINICAL DENIAL CODING REVIEW SPECIALIST
Parallon
03.2023 - 07.2023
CLINICAL DOCUMENTATION CODER
Village MD
10.2022 - 02.2023
REMOTE HCC CODER
The Judge Group
06.2022 - 10.2022
SALES REPRESENTATIVE
T- Mobile
02.2018 - 01.2020
PATIENT CARE TECHNICIAN
Northeast Georgia Medical Center
01.2014 - 01.2018
SERVER
Cheddars Casual Cafe
06.2012 - 12.2013
CASHIER
Dairy Queen
07.2011 - 06.2012
ASSOCIATE IN SCIENCE -
University of North Georgia