MARIA E. PEREZ
Pembroke Pines,Florida
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
20
20
years of professional experience
1
1
Certification
Work History
Medical Coder
Abuelitos Medical Center
11.2019 - 12.2023
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Transcribed and entered patient medical information into electronic medical records systems.
Medical Billing and Coding Specialist
Miami Back Center
01.2017 - 07.2019
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Medical Billing and Coding Specialist
Chrystal Medical Services
01.2015 - 01.2017
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Medical Billing and Coding Specialist
Nova-Care Rehab
01.2012 - 01.2015
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Medical Billing and Coding Specialist
Flagler Center Rehab
01.2011 - 01.2012
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Medical Billing and Coding Specialist
Grand Canal Rehab
01.2009 - 01.2010
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Medical Billing and Coding Specialist
Crystal Medical Center
01.2004 - 01.2008
- Code records by following prescribed coding standards such as ICD-10 and CPT
- Review physician notes and obtain necessary clarifications where necessary
- Ensure signatures on all medical records
- Assign appropriate medical codes to all diagnosis and services
- Prepare appropriate claim documents
- Follow up with insurance companies and ensure that all claims come to fruition
- Reviewed patient records for proper documentation
- Entered and verified abstract data elements.
Education
Medical Coding and Billing Specialist -
NATIONAL SCHOOL OF TECHNOLOGY
Hialeah, FlCERTIFIED - CERTIFIED PROFESSIONAL CODER
AAPC
05.2020
Skills
- Highly skilled in translating codes into insurance company’ preferred coding systems
- Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements
- In depth knowledge of preparing appropriate claim documents
- Document Management
- Medical Terminology
- Attention to detail
- Regulatory guidelines
- Organizational skills
- Continuing education
- Electronic health records
- Problem-solving abilities
- Teamwork capabilities
- Diagnostic coding
- Certified Professional Coder
Billing And Coding Expertise
- ICD-10 Coding
- CPT Coding
- Regulations
- Outpatient/Inpatient Facility Coding
Additional Capabilities
- Excellent written and verbal communication skills
- Highly motivated personality with positive approach
- Proven ability to speak in a confident and assertive manner
- Exceptional telephone etiquette
Major Qualifications
- Over 15 years of hands-on experience working in Billing and Coding field
- Certified Medical Coding Specialist
- Extremely familiar with medical terminology
- Computer – MS Office Suite, Medisoft Sys and QuickBooks
Certification
- CPC-P - Certified Professional Coder-Payer
- CMC - Certified Medical Coder
- Risk Adjustment Coder
- HEDIS
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Medical Coder
Abuelitos Medical Center
11.2019 - 12.2023
Medical Billing and Coding Specialist
Miami Back Center
01.2017 - 07.2019
Medical Billing and Coding Specialist
Chrystal Medical Services
01.2015 - 01.2017
Medical Billing and Coding Specialist
Nova-Care Rehab
01.2012 - 01.2015
Medical Billing and Coding Specialist
Flagler Center Rehab
01.2011 - 01.2012
Medical Billing and Coding Specialist
Grand Canal Rehab
01.2009 - 01.2010
Medical Billing and Coding Specialist
Crystal Medical Center
01.2004 - 01.2008
Medical Coding and Billing Specialist -
NATIONAL SCHOOL OF TECHNOLOGY
CERTIFIED - CERTIFIED PROFESSIONAL CODER
AAPC
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