Summary
Overview
Work History
Education
Skills
Timeline
Generic

Luzmaria Altamirano

Summary

Experienced with accurately coding patient records and ensuring compliance with healthcare regulations. Utilizes sophisticated coding software to maintain detailed and precise documentation. Strong understanding of healthcare billing processes and regulatory requirements.

Overview

17
17
years of professional experience

Work History

Medical Coder II

Dignity Health Medical
08.2024 - Current
  • Reviewed patient records to assign accurate medical codes for diagnoses and procedures.
  • Learned coding guidelines and compliance standards to ensure adherence in documentation.
  • Utilized coding software to input and track medical codes efficiently.
  • Assisted in reconciling discrepancies between coded data and billing statements.
  • Collaborated with healthcare professionals to clarify documentation for accurate coding.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Participating in departmental projects; and performing related duties as assigned to meet operational needs

Lead Billing-Coder Associate

Acuity Eye Medical Group
04.2022 - 10.2023
  • Generated daily/weekly productivity and accuracy reports
  • Coded outpatient and ASC encounters in Ophthalmology, Gastroenterology, OBGYN, and Cosmetic Surgery.
  • Generate reports to monitor coding and billing accuracy and productivity.
  • Developed and maintained efficient coding practices to enhance software functionality.
  • Collaborated with cross-functional teams to troubleshoot and resolve coding issues.
  • Executed daily coding tasks, ensuring adherence to project specifications and timelines.
  • Adapted quickly to new programming languages and tools, improving team productivity.
  • Assisted in code reviews, providing constructive feedback to improve overall code quality.
  • Conducted audits, queried physicians, and trained staff.
  • Managed denials, payer rejections, and corrections for accurate reimbursement.

Medical Coder/Biller II

Pacific Coast Medical Management (General Anesthesia Group)
11.2008 - 03.2020
  • Reviewed medical records to ensure accurate coding for billing and compliance.
  • Applied knowledge of ICD-10, CPT, HCPCS and ASA coding systems for precise documentation.
  • Specialized in anesthesia, multi-specialty surgical, OBGYN, and gastroenterology coding
  • Collaborated with healthcare providers to clarify ambiguous diagnoses and treatment details.
  • Conducted audits of coded data to maintain quality assurance and adherence to regulations.
  • Verified insurance, obtained referrals and authorizations, and scheduled surgeries.
  • Identified documentation issues and implemented solutions to improve compliance
  • Charge Capture
  • Attends seminars and workshops, as applicable, for updates on new coding rules and regulations.

Education

High School Diploma -

Evan Adult School
Los Angeles, CA

CCS -

AHIMA
Los Angeles, CA
03-2026

Certified Professional Coder -

AAPC
Los Angeles, CA
03-2017

Medical Billing And Insurance Coding Diploma -

UEI College
Huntington Park, CA
09-2007

Skills

  • ICD-10-CM CPT HCPCS E&M ASA
  • Epic, Encoder, Waystar, Availity, Cerner, Athena
  • UB-04 & CMS-1500 Inpatient hospital & outpatient coding
  • Coding audits Provider queries
  • Regulatory compliance (Medicare, LCD/NCD, NCCI, MUEs)
  • Microsoft Office Suite
  • Customer Services
  • HMO, PPO, Medi-medi, FFS
  • Eligibility, Prior Authorizations

Timeline

Medical Coder II

Dignity Health Medical
08.2024 - Current

Lead Billing-Coder Associate

Acuity Eye Medical Group
04.2022 - 10.2023

Medical Coder/Biller II

Pacific Coast Medical Management (General Anesthesia Group)
11.2008 - 03.2020

High School Diploma -

Evan Adult School

CCS -

AHIMA

Certified Professional Coder -

AAPC

Medical Billing And Insurance Coding Diploma -

UEI College

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