Melisandra Montoya
Fresno,Texas
Summary
Coding Specialist looking to advance with a company in a long term position utilizing my skills and leadership experience.
Overview
3
3
years of professional experience
Work History
Medical Coder I
Ideal Option
11.2023 - Current
- Reviewed clinical documentation to accurately assign codes and applicable modifiers for services provided.
- Communicated with providers and staff regarding coding and chart documentation.
- Researched and recommended plan of action to correct discrepancies and prevent future coding errors.
- Updated the patient’s demographics and insurance information for new and established patients.
- Reviewed insurance denials and made corrections for resubmission of claims.
- Participated in departmental meetings and recommended improvement opportunities.
- Protected the security of medical records to ensure confidentiality is maintained.
Coder Specialist
SYFR
11.2022 - 06.2023
- Accurately coded and abstracted medical records in the assignment of ICD-10 and CPT codes
- Collaborated with providers to ensure proper diagnosis codes were used to avoid denials
- Maintained company production, quality and accuracy standard
- Built relationships with other teammembers to ensure projects were completely in a timely manner
- Researched and corrected all coding related denials within an appropriate time frame
- Experience in using AthenaHealth and AdvancedMD platforms
Dental Biller/ Coder Specialist
Alpha Dental
06.2022 - 11.2022
- Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
- Work directly with insurance companies to process claims and ensure payment
- Verified, edit and entered charges based on documentation of payer/billing requirements reporting any discrepancies in a timely manner.
- Obtained pre-authorizations and eligibility/benefits for treatment.
- Collaborated with team members to ascertain and manage daily and weekly workloads.
- Researched and resolved incorrect payments, EOB rejections and other issues with outstanding accounts.
- Experience in using various platforms such as Dentrix and Open Dental.
- Examined patient charts and verified X-Rays for accuracy and completeness.
Education
CPC -
AAPC
Anatomy -
AAPC
01-2022
Medical Terminology -
AAPC
12-2021
Diploma -
Willowridge High School
01-2004
Skills
- Develop positive workplace relationships
- Organization and Time manangement
- Planning and Coordination
- Multitasking abilities
- CPT Coding
- Data Entry
- Billing systems and software knowledge
- ICD-10-CM
- HCPCS Level II
Timeline
Medical Coder I
Ideal Option
11.2023 - Current
Coder Specialist
SYFR
11.2022 - 06.2023
Dental Biller/ Coder Specialist
Alpha Dental
06.2022 - 11.2022
CPC -
AAPC
Anatomy -
AAPC
Medical Terminology -
AAPC
Diploma -
Willowridge High School
Similar Profiles
Heather CornfordHeather Cornford
Prior Authorization Specialist at Ideal OptionPrior Authorization Specialist at Ideal Option
April ProvostApril Provost
Community Outreach Manager at Ideal OptionCommunity Outreach Manager at Ideal Option
Joshua A NewellJoshua A Newell
Peer Outreach Specialist at Ideal OptionPeer Outreach Specialist at Ideal Option
AJISH ISSACAJISH ISSAC
Psychiatric Nursing Assistant at St Joseph Medical Center, HoustonPsychiatric Nursing Assistant at St Joseph Medical Center, Houston
Kasia WardKasia Ward
Warehouse Checker at Dollar Tree Distribution CenterWarehouse Checker at Dollar Tree Distribution Center