Lillian Burgos
Palm Bay,FL
Summary
Assisted patients in hospital, home care, hospice, pediatrics, and medical office settings. Supported accurate documentation of various medical records and specialties. Maintained attention to detail in patient care and record-keeping.
A highly professional coding specialist with strong track record in software development. Known for delivering reliable and efficient code while maintaining high standards. Focuses on team collaboration and adaptability to meet evolving project needs. Expertise in programming languages and commitment to quality results.
Experienced Patient Account Representative specializing in medical billing, coding, and recordkeeping. Proactive and results-focused professional with 25-year healthcare background.
Overview
20
20
years of professional experience
1
1
Certification
Work History
ADAP Coordinator
Florida Health Department
Melbourne, FL
08.2025 - Current
- Coordinated public health initiatives to enhance community awareness and engagement.
- Developed and implemented training programs for staff on health policies and procedures.
- Managed scheduling and logistics for health events, ensuring seamless execution and attendance.
- Collaborated with cross-functional teams to analyze program effectiveness and recommend improvements.
Performance Liaison
Revere Medical-Melbourne, FL
Melbourne, FL
08.2024 - 08.2025
- Coding and abstracting of medical records for risk adjustment purposes that mapped at a unique date of service level.
- Coding and abstracting of medical records for risk adjustment purposes utilizing full code capture at a date of service level.
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
- Assigned appropriate medical codes with a 96 percent accuracy rate.
- Maintained strict patient and physician confidentiality.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
Provider Relations Representative
CareMax-Brevard County-FL
FL
02.2023 - 08.2024
- Cultivated and managed robust relationships with assigned provider groups and their staff, including physicians, mid-levels, practice managers, and care coordination teams.
- Managed provider relationships to ensure compliance with organizational standards.
- Facilitated communication between healthcare providers and internal teams to resolve issues efficiently.
- Conducted training sessions for new providers on system usage and operational procedures.
- Implemented best practices in provider engagement strategies to enhance satisfaction levels.
- Developed educational materials to support providers in navigating company resources effectively.
- Monitored performance metrics related to provider interactions and reported findings for continuous improvement initiatives.
- Assisted providers in navigating through various reimbursement processes, resulting in timely payments and reduced financial disputes between parties.
- Strengthened provider networks through regular outreach and relationship building activities.
- Served as a liaison between healthcare organizations and insurance companies to ensure seamless communication regarding claims processing and payment matters.
Provider Performance Lead
CAREMAX-Palm Bay-FL
Palm Bay, FL
11.2022 - 02.2023
- ICD-10 (International Classification of Disease Systems)
- Excel, Word, PowerPoint, Access, Publisher, Quadramed, CAO, 3M, Epic, and EMR systems
- Hospital inpatient and outpatient records
- Outpatient coding
- Patient chart auditing ability
- Excellent problem solver
- Resourceful and reliable worker
- Close attention to detail
- Adept multi-tasker
Performance Liaison
Steward Health Care-Melbourne, FL
Melbourne, FL
01.2020 - 11.2022
- Remote position.
- Coding and abstracting of medical records for risk adjustment purposes that mapped at a unique date of service level.
- Coding and abstracting of medical records for risk adjustment purposes utilizing full code capture at a date of service level.
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
- Assigned appropriate medical codes with a 96 percent accuracy rate.
- Maintained strict patient and physician confidentiality.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories
Office Manager
Reproductive Care of NY
New York, NY
07.2006 - 01.2016
- Supported and trained staff
- Managed payroll
- Maintained office efficiency by organizing operations and procedures
- Maintained and supervised office operations
- Communicated with clients
- Human Resources
- Supervised office staff
- Fulfilled clerical activities
- Processed daily transactions
- Quality and Risk Management
Education
No Degree - License Practical Nurse
Horizon Health Care School of Nursing
Melbourne, FLundefined
AAPC Remote
03.2026
High school diploma - undefined
06.2012
Skills
- Reviewed and assigned appropriate CPT codes for medical procedures to support accurate documentation and reimbursement
- Achieved high patient satisfaction ratings through dedicated care and support Enhanced patient outcomes by implementing best practices in nursing procedures Improved team efficiency by streamlining communication and collaboration among staff
- Achieved seamless content delivery through effective management of content systems Enhanced user engagement by optimizing content accessibility Drove improvements in content organization, resulting in increased team productivity
- Achieved seamless office operations through proactive management of administrative tasks Enhanced team performance by implementing efficient scheduling and communication strategies Improved overall office productivity by coordinating successful meetings and events
- Performed data entry, document management, and correspondence to maintain accurate records and facilitate communication
- Managed staff performance and development to foster a productive work environment
- Applied proficient computer skills to streamline processes and improve data management
- Applied comprehensive knowledge of medical terminology to facilitate effective interactions with patients and healthcare professionals
- Achieved enhanced patient data management through effective deployment of electronic medical record systems Improved operational workflows by facilitating user adoption of EMR technologies Delivered training sessions that increased staff proficiency in utilizing EMR systems for better patient outcomes
- Achieved high accuracy in ICD-10 coding, resulting in improved patient record integrity Enhanced coding compliance through effective training and support for healthcare teams Drove initiatives that led to increased operational efficiency in medical documentation
- Achieved high accuracy in ICD coding through diligent review of medical records Enhanced operational efficiency by optimizing coding workflows Improved patient care documentation quality through effective coding practices
- Exhibited advanced communication abilities, fostering clarity and understanding in diverse professional settings
- Achieved timely completion of documentation through proficient typing skills Improved team productivity by providing clear and concise written materials Facilitated effective communication by ensuring all typed documents met quality standards
- Achieved improved data retrieval times by refining SQL queries and optimizing database structures Enhanced reporting capabilities through the development of complex SQL scripts Drove efficiency in data management processes, resulting in streamlined operations
- Achieved enhanced data insights through effective utilization of Power BI tools Delivered impactful visual reports that informed strategic business decisions Transformed complex data sets into user-friendly dashboards for stakeholders
- Troubleshot and resolved Windows-related issues to maintain system reliability and user productivity
- Managed customer interactions to ensure a positive experience and foster long-term relationships
- Facilitated cross-departmental collaboration and communication to drive project success and improve efficiency
- Analyzed financial data and prepared reports to facilitate informed decision-making
- Achieved high accuracy in ICD-9 coding, resulting in improved patient record management Enhanced operational efficiency by optimizing coding workflows Drove initiatives that led to better data integrity and reporting outcomes
- Achieved project completion ahead of deadlines by effectively managing team dynamics Enhanced operational efficiency through strategic resource management Drove successful project outcomes by implementing best practices in team collaboration
- Assessed documentation for clarity and completeness, facilitating effective communication and project alignment
- Achieved high accuracy in medical coding, resulting in improved billing efficiency Enhanced coding practices through targeted training and support for team members Optimized patient data management, leading to faster claim processing and reduced denials
- Achieved timely project completions by optimizing team workflows Drove successful collaboration across departments to enhance project delivery Fostered a culture of accountability that led to improved team performance
- Achieved readiness for Microsoft Word CRC and CPC exams through dedicated study and collaboration Enhanced knowledge retention by engaging in group discussions and practice tests Contributed to a supportive network that improved overall exam performance
Certification
- Certified Professional Coder
- LPN
Timeline
ADAP Coordinator
Florida Health Department
08.2025 - Current
Performance Liaison
Revere Medical-Melbourne, FL
08.2024 - 08.2025
Provider Relations Representative
CareMax-Brevard County-FL
02.2023 - 08.2024
Provider Performance Lead
CAREMAX-Palm Bay-FL
11.2022 - 02.2023
Performance Liaison
Steward Health Care-Melbourne, FL
01.2020 - 11.2022
Office Manager
Reproductive Care of NY
07.2006 - 01.2016
undefined
AAPC Remote
High school diploma - undefined
No Degree - License Practical Nurse
Horizon Health Care School of Nursing