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