Patricia Alvarez
Victorville,CA
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
26
26
years of professional experience
Work History
Medical Biller and Coder
Desert Valley Medical Group
Victorville
10.1997 - 09.2023
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Submitted claims to insurance companies electronically or by mail.
- Assisted with the development of departmental policies related to charge capture processes and coding practices.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Provided customer service support to patients regarding billing inquiries.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Resolved coding discrepancies and denials to maximize reimbursement.
- Maintained high accuracy rate on daily production of completed reviews.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Education
Associate of Applied Science - Medical Coding
American Academy of Professional Coders
Orange12-2007
Associates Electronics And Engineering - Engineering
Skadron Business College
San Bernardino, CA02-1993
High School Diploma -
Victor Valley High School
Victorville, CA06-1985
Skills
- HIPAA Compliance
- Payment posting
- Qualified pain management coder
- Revenue Cycle Management
- Insurance Verification
- Anatomy and physiology
- Medicare and Medicaid Billing
- Medical Coding Expertise
- ICD-10 Proficiency
- CPT coding knowledge
- HCPCS Level II Familiarity
- CMS-1500 Form Completion
- Workers' Compensation Billing
- Procedural Coding
- Records Management
- Data Verification
- Medical Terminology
- Claims Processing
- Medical Billing
- Appointment Scheduling
- Interpersonal Communication
- Attention to Detail
- Keyboarding and Typing Speed 85 WPM
- 10-Key Entry
Timeline
Medical Biller and Coder
Desert Valley Medical Group
10.1997 - 09.2023
Associate of Applied Science - Medical Coding
American Academy of Professional Coders
Associates Electronics And Engineering - Engineering
Skadron Business College
High School Diploma -
Victor Valley High School