Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Medical Billing Coder
Lonestar Physician Consulting & Billing Services
Pharr, TX
08.2023 - Current
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Generated reports from software systems to track claim status and denials.
Researched denied claims to determine the cause of denial and corrected errors as needed.
Analyzed trends in denials in order to recommend process improvements which would reduce the number of denials received.
Maintained electronic health records accuracy and confidentiality.
Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
Tumor Registrar
Doctors Hospital at Renaissance Health System
Mission, TX
02.2024 - 04.2024
Complete SEER Education
Practice casefinding by reviewing pathology, cytology, bone marrow, imaging, and surgical reports.
Analyze data
Identify possible reportable cases
Identify what information should be abstracted
Attend weekly Cancer Committee Case Study Meetings
Provide treatment recommendations based on patients current diagnosis, treatment, and follow up care.
Medical Records and Health Information Technician
STHS Mcallen Transitional Care Center
McAllen, TX
09.2023 - 11.2023
Performed administrative tasks such as filing, scanning, photocopying, faxing and mailing documents.
Processed release of information requests.
Assisted with the release of confidential health information according to established procedures.
Implemented medical record retention policies.
Entered patient insurance, demographic and health information into software and confirmed records.
Set up patient charts and documented information in various company software.
Entered data into electronic health record systems to ensure accuracy and completeness of medical records.
Tracked patient data for regulatory compliance.
Participated in meetings with departmental staff members to discuss issues related to healthcare documentation.
Medical Office Specialist
Edinburg Pediatric Network
Pharr, TX
08.2010 - 03.2022
Communicated with patients with compassion while keeping medical information private.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow, and data entry.
Gathered and verified insurance requirements to meet payer requirements.
Coordinated referral orders for patients of multiple providers.
Adhered to HIPAA requirements to safeguard patient confidentiality.
. Managed electronic health record systems accurately.
. Assisted in creating/updating practice policies/procedures manuals.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Education
Associate of Applied Science - Health Information Technology
South Texas College
Mcallen, TX
05-2024
Medical Coding Specialists Certificate - Health And Medical Administrative Services
South Texas College
Mcallen, TX
05-2021
Skills
Health information Management
Quality and Performance Improvement
Ethical and Legal compliance
HIPPA Expert
Regulatory knowledge and Oversight
Documentation Oversight
Audits
Data Analytics
Data Management
Data security procedures
Information Analysis
Information sourcing
Revenue Cycle Management
ICD-10 and CPT-4 coding
3M PCRS
eClinicalsWorks12
Information Sourcing
Clerical functions
Medical Terminology
Anatomy and Physiology Understanding
Knowledgeable of Diseases
Surgical Procedures
Microsoft Word, Excel, and Powerpoint
Interpersonal and Written Communication
Professional Relationships
Critical Thinking
Customer Service
Cross-Functional Teamwork
Time Management
Detail oriented
Flexibility
Adaptability
Languages
English
Native/ Bilingual
Spanish
Professional
Affiliations
South Texas College HMAS Club 2019 - 2021
South Texas College Biology Club 2023-2024
References
References available upon request.
Timeline
Tumor Registrar
Doctors Hospital at Renaissance Health System
02.2024 - 04.2024
Medical Records and Health Information Technician
STHS Mcallen Transitional Care Center
09.2023 - 11.2023
Medical Billing Coder
Lonestar Physician Consulting & Billing Services
08.2023 - Current
Medical Office Specialist
Edinburg Pediatric Network
08.2010 - 03.2022
Associate of Applied Science - Health Information Technology
South Texas College
Medical Coding Specialists Certificate - Health And Medical Administrative Services
South Texas College
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