Norma Nunez
Lake Worth
Summary
Proficient in medical coding and compliance auditing, with expertise in ICD-10 and CPT coding. Demonstrated ability to enhance coding accuracy and streamline documentation processes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Coding Coordinator
NYU Langone health - rusk
Boynton Beach
12.2020 - Current
- Coordinated coding processes for patient records and billing documentation to ensure accuracy.
- Collaborated with clinical staff to uphold high standards in coding practices.
- Reviewed and updated coding guidelines in response to regulatory changes.
- Communicated with insurance companies regarding coding inquiries and clarifications.
- Supported data entry efforts for electronic health record management systems.
- Assessed medical codes on patient records for accuracy.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Maintained confidentiality of patient information at all times.
- Conducted audits to ensure quality assurance standards were met.
- Performed data analysis related to coding operations, including identifying potential issues or opportunities for process improvement.
- Monitored coding trends, identified areas for improvement, and made recommendations to management.
- Analyzed data for accuracy and completeness of codes assigned by coders.
- Reviewed diagnostic test results from radiology reports, operative notes, history and physicals, consultations, discharge summaries prior to assigning codes.
- Developed and maintained coding guidelines, policies and procedures.
- Ensured compliance with government regulations related to reimbursement policies and third party payer rules.
- Facilitated communication between coders, physicians, nurses, administrators. regarding medical documentation needs to support accurate code assignments.
- Researched complex clinical scenarios for appropriate code assignment utilizing ICD-10-CM and CPT Manuals.
- Maintained current knowledge of changes in regulatory agencies' regulations as they relate to medical records coding.
- 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.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained high accuracy rate on daily production of completed reviews.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Billing Specialist
Boca Regional Hospital
Boca Raton
08.2018 - 12.2020
- Reviewed patient insurance information for accurate authorization processing.
- Coordinated with healthcare providers to gather necessary documentation for approvals.
- Communicated with patients regarding their authorization status and requirements.
- Maintained electronic records of authorization requests and decisions effectively.
- Collaborated with team members to streamline the authorization workflow process.
- Researched patient eligibility, coverage information, and benefit levels.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Reviewed authorization requests for accuracy and completeness.
- Processed prior authorization requests in accordance with departmental guidelines.
Front Desk Administrator
Congress Cosmetic & General Dentistry
Palm Springs
07.2015 - 08.2018
- Managed front desk operations to ensure smooth guest check-in and check-out.
- Coordinated scheduling for appointments and meetings across multiple departments.
- Maintained accurate records of guest interactions and inquiries for reference.
- Provided exceptional customer service by addressing guest concerns promptly.
- Assisted with administrative tasks, including filing documents and managing correspondence.
- Handled incoming calls while directing them to appropriate departments effectively.
- Ensured that front desk area is clean and organized at all times.
- Performed administrative tasks such as filing, copying, data entry, and scanning documents.
- Greeted customers and answered inquiries in a friendly manner.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Processed payments for services rendered according to established procedures.
- Scheduled appointments for clients based on availability of staff.
Education
Diploma - Billing And Coding
Florida Career College
West Palm Beach, FL06-2014
Skills
- Medical coding
- ICD-10 documentation
- CPT coding
- Compliance auditing
- Electronic health records
- Healthcare regulations
- Insurance verification
- Quality assurance
- Attention to detail
- Team collaboration
Languages
English
Professional
Spanish
Professional
Certification
- Certified Professional Coder
Timeline
Coding Coordinator
NYU Langone health - rusk
12.2020 - Current
Billing Specialist
Boca Regional Hospital
08.2018 - 12.2020
Front Desk Administrator
Congress Cosmetic & General Dentistry
07.2015 - 08.2018
Diploma - Billing And Coding
Florida Career College
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