MAYRA PATINO
Laveen,AZ
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Coding and Billing Manager
Panoramic Healthcare
11.2023 - Current
- Reviewed billing and coding problems, researched issues, and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Collaborated with cross-functional teams to resolve billing and coding related issues swiftly, minimizing negative impacts on overall operations.
- Attended meetings and reported on performance.
- Participated in hiring and training coding and billing team.
- Performed coding quality reviews and tracked, trended and managed coding quality performance.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Established clear performance metrics to monitor progress and drive continuous improvement within the department.
- Ensured compliance with relevant regulations by staying current on updates related to ICD-10-CM/PCS guidelines, CPT codes, HCPCS Level II codes, modifiers usage rules.
- ASC Coding procedures, Dialysis- ESRD coding Hospital outpatient coding.
- Correctly coded and billed medical claims for various clients.
- Supervise daily operations of claims.
- Generated reports to identify coding trends and discrepancies.
- Reduced errors and discrepancies in claims by closely monitoring billing data and conducting regular audits.
- Monitor team's productivity reports.
- Research coding/billing guidelines for our specialty.
- Implement changes within the department for processes and workflows.
- Systems used: AthenaNet, Epic, pMD, Codify, Excel, Microsoft Word.
Team Leader - Medical Coding
Panoramic Healthcare
03.2022 - 11.2023
- Reviewed coding problems, researched issues, and resolved concerns.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
- Attended meetings and reported on performance.
- Performed coding quality reviews and tracked, trended and managed coding quality performance.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Established clear performance metrics to monitor progress and drive continuous improvement within the department.
- Ensured compliance with relevant regulations by staying current on updates related to ICD-10-CM/PCS guidelines, CPT codes, HCPCS Level II codes, modifiers usage rules.
- ASC Coding procedures, Dialysis- ESRD coding, Hospital outpatient coding.
- Correctly coded and billed medical claims for various clients.
- Worked coding denials, corrected and resubmitted claim.
- Systems used: AthenaNet, Epic, pMD, Codify, Excel, Microsoft Word.
CoderII
Abrazo Medical Group/ Tenet
12.2014 - 03.2022
- Code cardiology and vascular surgeries, as well as wound care for our wound clinic
- Helped the Orthopedic clinic with coding as needed
- Work-family medical clinics for Abrazo Medical group
- Surgical coding, Wound clinic coding & code E&M’s for Arizona Heart Hospital providers for outpatient as well as inpatient visits
- Code radiology orders from the hospital providers
- Enter charges into the system following payer guidelines
- Respond to coding inquiries through email from the billers as well as office managers
- Code and abstract patient records for accurate coding and documentation
- Work insurance coding denials and correct for resubmission, as well as an appeal if necessary
- Specialties- Family medicine, cardiology, and vascular
- Systems used- AthenaNet, Cerner, PBar, Ingenious Med, WoundExpert & NextGen
A/R Specialist
Ironwood Cancer and Research Center
10.2011 - 12.2014
- Verified insurance, checking claims status as well as working denial reports and producing appeal letters
- Made sure monthly deadlines were met and contacted ins reps to make sure insurance payments were posted correctly aging
- Contributed to the workplace administratively from new employee training to billing disputes and collections
- Coder- Entered charges for chemotherapy radiation and radiology, as well as evaluated records for document consistency and accuracy
- Assisted A/R specialist in denials for coding concerns
- Verified ICD-9, CPT codes, and modifiers in addition to preparing documents for treatments verify NCCN guidelines, verify we have accurate documents for treatment
- Worked clearinghouse rejections
- Specialties- Oncology, Hematology, Urology
- Systems used Mosaiq, Centrix & MDplus
Education
Skills
- Personnel Oversight
- Audit Support
- Interest calculations
- Accounts receivable management
- HIPAA knowledge
- Claims Processing
- Training and mentoring
- Medical Billing Expertise
- Clinical Documentation
- Insurance coding (ICD-10 and CPT)
- Medical claims coding
- Medical Terminology
- Regulatory guidelines
Certification
- CPC
- ICD-10 Certified
Timeline
Coding and Billing Manager
Panoramic Healthcare
11.2023 - Current
Team Leader - Medical Coding
Panoramic Healthcare
03.2022 - 11.2023
CoderII
Abrazo Medical Group/ Tenet
12.2014 - 03.2022
A/R Specialist
Ironwood Cancer and Research Center
10.2011 - 12.2014
Similar Profiles
Lance RiddlesLance Riddles
Fabrication Technician – Door & Window Manufacturi at Panoramic DoorsFabrication Technician – Door & Window Manufacturi at Panoramic Doors
Moe AlshuraymiMoe Alshuraymi
Glazer at Panoramic WindowsGlazer at Panoramic Windows
Gilbert CaroGilbert Caro
Restaurant Manager at Casa Linda Panoramic RestaurantRestaurant Manager at Casa Linda Panoramic Restaurant
Alyssa CodnerAlyssa Codner
Family Caregiver at Family MembersFamily Caregiver at Family Members
Morgan StuardMorgan Stuard
Respite and Habilitation Provider at Our Loving Hands LLCRespite and Habilitation Provider at Our Loving Hands LLC