Maria Ramos-Loza
Derry
Summary
Experienced Medical Coder with strong ICD-10-CM, CPT, and HCPCS expertise. Delivers accurate record review, compliant coding, and clean claim support while protecting documentation integrity and reducing reimbursement delays.
Detail-oriented Medical Coder III with 15+ years of experience in inpatient and outpatient coding. Skilled in auditing records, resolving discrepancies, and querying providers to improve code specificity. Known for supporting compliant reimbursement, reducing rework, and maintaining HIPAA standards.
Overview
2
2
Languages
1
1
Certification
18
18
years of professional experience
Work History
Coder
Parallon HCA Health Care
Nashville, TN
02.2025 - Current
- Reviewed patient records to assign accurate ICD-10-CM, CPT, and HCPCS codes.
- Identified coding discrepancies and resolved issues with providers and billing teams.
Medical Coder
Elliot Health System
Manchester, NH
01.2009 - 2025
- Adapted quickly to coding updates, payer rules, and documentation standards.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- 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.
Medical Coder III
Catholic Medical Center
Manchester, NH
05.2017 - 01.2025
- Audited inpatient and outpatient records for accurate ICD-10-CM, CPT, and HCPCS code assignment.
- Applied coding guidelines to ensure compliant charge capture, documentation integrity, and reimbursement accuracy.
- Queried physicians to resolve documentation gaps affecting code specificity and clinical clarity.
- Reviewed denials and corrected coding errors supporting timely claim resolution and reduced rework.
- Trained new coders on coding conventions, medical terminology, and hospital workflow standards.
Medical Coder
Conifer Healthcare Solutions
Dallas, TX
09.2015 - 05.2017
- Verified documentation supports coding selections and complied with payer and regulatory guidelines.
- Abstracted diagnosis and procedure details from clinical charts for claim submission.
- Applied modifier usage accurately to reflect services, procedures, and reimbursement requirements.
- Monitored claim edits and corrected coding errors before final submission.
- Maintained confidentiality while handling sensitive medical information and coded data.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Education
Associate Degree of Public Accountant - Accounting
Polytechnic National Institute
Mexico, City06.1987
Certificate Outpatient Coder -
AAPC
07.2023
Certificate General Surgery Coder -
AAPC
03.2019
Certificate Professional Coder - Medical Coder
AAPC
10.2008
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Insurance verification
Certification
- CPC - Certified Professional Coder
Languages
English
Professional Working
Spanish
Full Professional
Timeline
Coder
Parallon HCA Health Care
02.2025 - Current
Medical Coder III
Catholic Medical Center
05.2017 - 01.2025
Medical Coder
Conifer Healthcare Solutions
09.2015 - 05.2017
Medical Coder
Elliot Health System
01.2009 - 2025
Certificate Outpatient Coder -
AAPC
Associate Degree of Public Accountant - Accounting
Polytechnic National Institute
Certificate General Surgery Coder -
AAPC
Certificate Professional Coder - Medical Coder
AAPC