Lorena Caballero-Garcia
Russellville,AR
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Conway Regional Medical Center
11.2020 - 05.2022
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Initiated, performed and documented quarterly coding audits for physicians.
- Verified signatures and checked medical charts for accuracy and completion.
- Assisted with day-to-day operations, working efficiently and productively with all team members
Certified Professional Coder
Dardanelle Regional Medical Center
11.2016 - 10.2020
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Work on daily basis with EMR verifying and coding patients procedures and surgeries for CVT.
- Review complex medical records and accurately code primary/secondary diagnosis and procedures using ICD-10-CM and or CPT/HCPS coding conventions.
- Analyzed provider documentation to assure the appropriate E/M levels are assigned using the correct CPT codes HCC coding project.
- Use 1995, 1997, and current E/M guidelines.
- Assign E&M and diagnosis codes to patient encounters based on provider documentation.
- Identify and apply diagnosis codes, CPT codes, and modifiers as appropriate.
- Follow medicare and Medicaid guidelines.
- Assigned correct diagnosis and procedure codes to each patient's chart using CPT, ICD-10-CM and HCPCS Level II code sets.
- Review final diagnoses and procedure codes entered by Physicians and providers to assure they are complete and accurate.
- Code and enter diagnostic and procedure codes into the billing system on services accounts as appropriate.
- Reviewed medical records, capturing all revenue to validate procedure codes.
- Apply appropriate diagnostic and procedure codes according to guidelines.
- Audit charts for coding accuracy and clinical documentation.
- Apply appropriate CPT and ICD codes according to clinical documentation in multiple EMR systems including EPIC, Meditech, Athena, ChartLogic.
- Communicated with physicians and clinical documentation specialists to ensure dictation accuracy, as well as with providers to appeal claim denials.
Education
High School Diploma -
Russellville High School
Russellville, AR05.2012
Skills
- Reading Comprehension
- Data Security Procedures
- Tracking Spreadsheets
- Patient Data Compilation
- Data Entry
- CPT Code Modifiers
- Procedural Codes
- Records Management
- Diagnostic Codes
- EMR Systems Epic, Meditech, ChartLogic
- 3M Encoder
- ICD-10 Requirements
Certification
- CPC - Certified Professional Coder
Languages
Spanish
Native or Bilingual
Timeline
Certified Professional Coder
Conway Regional Medical Center
11.2020 - 05.2022
Certified Professional Coder
Dardanelle Regional Medical Center
11.2016 - 10.2020
High School Diploma -
Russellville High School
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