Monica Arribas
Homestead,FL
Summary
Hardworking employee who performs all aspects of medical coding, who troubleshoots issues with claims and obtain supplemental information from healthcare providers to insure accurate coding. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials. As a certified coder I perform all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. I bring six years of experience in working hand-in-hand with front office to validate proper information for claims processing. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
6
6
years of professional experience
Work History
Medical Coding and Billing Specialist
NTT Data
Miami, FL
05.2019 - Current
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained high accuracy rate on daily production of completed reviews.
- Safeguarded medical records to maintain patient confidentiality.
- Review Medical Records and provides recommendations as applicable to the process
- Reviews and provides recommendations in audits assigned in 4C
- Maintains and creates necessary updates in HRP for MOR'S as received from client
- Reviews and provides recommendations on comparable and unlisted codes
- Reviews Medical Records and provides recommendations as applicable to the process
Medical Billing Coder
Caremax Medical Centers
Miami, FL
05.2018 - 05.2019
- Coder/Biller 3 years experience
- proficient in many computer programs such as Nextgen, MDFlow and Practice Fusion
- Been involved in the medical sector for the last 5 years
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- 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.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Maintained positive working relationship with fellow staff and management.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- motivated individual who is eager to learn and train new employees
Education
Coder Certification -
American Academy Of Professional Coders (AAPC)
United States Of America01.2019
Certificate - Medical Assisting
International Training Careers
Miami, FL12.2000
Certificate - Phlebotomy
International Training Careers
Miami, FL06.2000
Some College (No Degree) - Nursing
Mattia College
Miami, FLSkills
- Data Verification
- Patient Data Identification
- Records Management
- Document Management
- Proficiency in HRP
- Coding Error Resolution
- ICD-10 Coding
- HIPAA Compliance
- Certified Professional Coder
- Microsoft Excel
- Data Entry
- Medical Terminology
- Anatomy and physiology understanding
- Claims Processing
- CMS guidelines
- Proficiency in Citrix software
- Proficiency in Macess software
Languages
English
Professional
Spanish
Native/ Bilingual
Timeline
Medical Coding and Billing Specialist
NTT Data
05.2019 - Current
Medical Billing Coder
Caremax Medical Centers
05.2018 - 05.2019
Coder Certification -
American Academy Of Professional Coders (AAPC)
Certificate - Medical Assisting
International Training Careers
Certificate - Phlebotomy
International Training Careers
Some College (No Degree) - Nursing
Mattia College