Lisbeth Diaz
Boston,MA
Summary
A dedicated and detail-oriented medical coder with extensive experience in multispecialty coding. I hold a Master's in Data Analytics and am highly skilled in data analysis, process improvement, and accurate medical coding. I am eager to contribute my expertise in coding and analytical tasks to support the revenue cycle and business operations. My experience spans ICD-10, CPT, HCPCS, and DRG coding, with a strong focus on enhancing operational efficiency and meeting key performance indicators.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Coder I
OPTUM / United Healthcare
02.2023 - Current
- Abstract and assign diagnosis and procedure codes for outpatient departments - same day surgery, observation, ancillary, and emergency room using ICD-10, CPT, and HCPCS.
- Validate outpatient accounts for medical necessity based on LCD's and NCDs ensuring clean submission and regulatory compliance.
- Apply CCI edits and appropriate modifiers to prevent bundling violations and reduce denials.
- Verify patient discharge disposition and source of admission to ensure accurate state reporting requirements.
- Consistently meet or exceed departmental productivity and quality standards while working independently and managing work queues within established goals.
- Support leadership initiatives to foster effective communication across departments and streamline coding practices.
- Maintained a 95% accuracy rate on all audits, demonstrating expertise in compliance and operational standards.
Multispecialty Medical Coder
Beth Israel Deaconess Medical Center
09.2020 - 12.2022
- Abstract and assign diagnosis and procedure codes for outpatient services - same day surgery, observation, emergency room, and ancillary ensuring correct APC assignments.
- Apply CCI edits, modifiers, and LCD/NCD policies to ensure medical necessity compliance and reduce claim denials.
- Collaborated with multiple departments to address coding issues and ensure adherence to healthcare regulations.
- Maintained a 95% accuracy rate on all audits, demonstrating expertise in compliance and operational standards.
Education
Master of Science - Data Analytics
Eastern University
St. Davids, PABachelor of Science -
Salem State University
Salem, MASkills
- Medical Coding: ICD-10, CPT, HCPCS,
- EHR: Epic, Meditech, CERNER,
- Encoder: eCAC, 3M
- Abstract: MS4
Certification
Coding Certifications: AAPC Certified Professional Coder (CPC)
Timeline
Medical Coder I
OPTUM / United Healthcare
02.2023 - Current
Multispecialty Medical Coder
Beth Israel Deaconess Medical Center
09.2020 - 12.2022
Master of Science - Data Analytics
Eastern University
Bachelor of Science -
Salem State University