Mauro Serrano
El Paso,TX
Summary
Precision-driven Medical Coder known for maintaining high productivity and efficiently completing coding tasks. Possess specialized skills in ICD-10-CM, CPT coding, and medical terminology comprehension. Excel in analytical problem-solving, time management, and adaptability, ensuring accurate and timely submission of medical claims in diverse healthcare settings.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Tenet Health Resources
El Paso, TX
07.2017 - Current
- Assigned ICD-10 and CPT codes accurately according to patient diagnosis, procedures, and services provided.
- Ensured all coding is completed accurately and timely in accordance with departmental standards.
- Maintained compliance with all applicable federal, state and local regulations regarding medical coding.
- Identified appropriate modifiers to be applied to claims for optimal reimbursement.
- Performed chart reviews as necessary to verify accurate coding assignments.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Updated coding skills and knowledge through continuous education and training.
- Educated healthcare staff on coding standards and changes in coding guidelines.
- Utilized coding software and tools efficiently to expedite the coding process.
- Maintained high accuracy rate on daily production of completed reviews.
- Supported external audits by providing coded data and documentation as requested.
- Maintained positive working relationship with fellow staff and management.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Analyzed denial letters from insurance companies related to code assignment errors; researched issues, identified solutions, implemented corrective action steps when needed.
Medical Coder
El Paso Heart Center
El Paso, TX
05.2004 - 07.2017
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
- Coded diagnoses and procedures from patient medical records using ICD-9, ICD-10-CM and CPT codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Supported external audits by providing coded data and documentation as requested.
- Utilized coding software and tools efficiently to expedite the coding process.
Police Records Specialist
City of El Paso Police Department
El Paso, TX
04.2003 - 05.2004
- Compiled, verified, and entered data into computer system for storage and retrieval of information.
- Updated persons files upon subsequent arrests
- Achieved highest level of accuracy in determining the person being arrested
- Responded promptly to public requests for copies of police reports via email or phone calls.
- Ensured that confidential information is handled properly according to applicable laws.
Medical Insurance Processor and Billing
El Paso Heart Center
El Paso, TX
06.1999 - 04.2003
- Entered Insurance payments
- Worked on Insurance Denials
- Explained patient's responsibilities to patients
- Talked to Insurance to check on Claims
Education
Medical Insurance Processor - Medical Insurance Processor
Career Centers of El Paso Tx
El Paso, TX06-2000
High School Diploma -
Bowie High School
El Paso, TX04-1993
Some College (No Degree) - Engineering (Pre-Engineering)
UTEP
El Paso, TXSkills
- Anatomy and physiology understanding
- CPC registration
- Medical Billing
- Data Entry
- Data Verification
- Healthcare claim coding
- Ethical standards
- HIPAA Compliance
- Claims Processing
- Patient data identification
Certification
- AAPC Certified Professional Coder (CPC)
- Practice Management Institute Certifier Medical Coder (CMC)
Languages
Spanish
Native/ Bilingual
Accomplishments
- Valedictorian in CMC Certification with Practice Management Institute
- Top 10 percent in High School
Timeline
Certified Professional Coder
Tenet Health Resources
07.2017 - Current
Medical Coder
El Paso Heart Center
05.2004 - 07.2017
Police Records Specialist
City of El Paso Police Department
04.2003 - 05.2004
Medical Insurance Processor and Billing
El Paso Heart Center
06.1999 - 04.2003
Medical Insurance Processor - Medical Insurance Processor
Career Centers of El Paso Tx
High School Diploma -
Bowie High School
Some College (No Degree) - Engineering (Pre-Engineering)
UTEP