Ramon De Jesus Ofray
Abilene,TX
Summary
Experienced Certified Medical Coder with extensive knowledge in ICD-10-CM/PCS, CPT coding, and medical billing. Proven track record of accurate coding and abstracting patient records to ensure compliance with federal regulations. Strong analytical skills and attention to detail with a commitment to continuous learning and professional development.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Hendrick Health
06.2023 - Current
- Identify documentation deficiencies, and ensure that records are filed and processed correctly
- Translate diagnoses, treatments, and procedures into universal medical alphanumeric codes
- Make sure that codes are sequenced according to government and insurance regulations, and that they meet federal regulations
- Confirm treatments with medical staff, and work with physicians or other providers to clarify diagnoses or procedures for accurate coding
- Stay informed about coding guidelines and changes in the medical field, often through continuous training.
Medical Data Entry Specialist
Advantage Resourcing
08.2022 - 04.2023
- Contracted by the Abilene Public Health Department to transcribe data from Covid reports into computer database systems.
Medical Coder/ Trainer
Golden Valley Health Centers
07.2019 - 09.2020
- Verify accounts for coding and abstracting of patient encounters, including diagnostic and procedural information
- Researches and analyzes data need for reimbursement
- Analyzes medical records and identifies documentation deficiencies
- Serves as a resource and subject matter expert to other coding staff
- Reviews and verifies documentation supporting diagnoses, procedures, and treatment results
- Identifies diagnostic and procedural information
- Audits clinical documentation and coded data to validate documentation support services rendered for reimbursement and reporting purposes
- Assigns codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines
- Follows coding conventions
- Serves as a coding consultant to care providers
- Identifies discrepancies, potential quality of care, and billing issues
- Researchers analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors
- Identifies reportable elements, complications, and other procedures
- Serves as a resource and subject matter expert to other coding staff
- Assists lead or supervisor in orienting training, and mentoring staff
- Provides ongoing training to staff as needed
- Handles special projects as requested.
Scheduler
Cardiovascular Consultants
10.2018 - 07.2019
- Communicated effectively with clients and medical professionals
- Scheduled clients serving four medical offices, taking into consideration client location, facility capabilities, insurance requirements, and type of exam
- Followed up with doctors' offices to ensure proper exams were scheduled for clients
- Consistently recognized as a top scheduler to achieve company benchmarks
- Performed administrative tasks as needed
- Performed ABI doppler ultrasound
- Place Holter heart monitors on patients.
Sales clerk
Chowchilla Do It Best Hardware
12.2016 - 02.2018
- Sell hardware, such as nails, bolts, screws, hand-and-power tools, electrical equipment, plumbing supplies, garden tools, and paint
- Advises customer on tools, hardware, and materials needed, and procedure to follow to complete task customer wishes to perform
- Perform related duties, such as estimating the amount of paint required to cover a given area, mixing paint, and cutting screen, glass, wire, or window shades to a specified size.
Correctional Officer
Federal Bureau of Prisons
05.2015 - 09.2016
- Maintain security within the institution and oversee the health and safety of staff and prisoners
- Physically patrol and visually inspect units, yards, buildings, prisoners, prisoner property and clothing, etc, to ensure the welfare, safety, and security.
Tactical Aircraft Maintenance Journeyman
US Air Force
04.2007 - 04.2015
- Records custodian, Organize, maintain, and inventory official records and training records
- Hazardous material custodian, monitor, Order, and maintain hazardous materials and provide documentation, spreadsheets, and training
- Examine and inspect aircraft components, including landing gear, hydraulic systems, and devices to locate cracks, breaks, leaks, or other problems
- Conduct routine and special inspections as required by regulations
- Inspect completed work to certify that maintenance meets standards and that aircraft are ready for operation
- Read and interpret maintenance manuals, service bulletins, and other specifications to determine the feasibility and method of repairing or replacing malfunctioning or damaged components
- Maintain repair logs, documenting all preventive and corrective aircraft maintenance
- Modify aircraft structures, space vehicles, systems, or components, following drawings, schematics, charts, engineering orders, and technical publications
- Inspect airframes for wear or other defects
- Measure parts for wear, using precision instruments
- Obtain fuel and oil samples and check them for contamination
- Maintain, repaired, and rebuild aircraft structures, functional components, and parts such as wings and fuselage, rigging, hydraulic units, oxygen systems, and fuel.
Education
Bachelor's degree - Business Administration
University of Phoenix-Central Valley Campus
Fresno, CA05.2019
Certificate - Administrative Health Care Management in Insurance and Coding Specialist
San Joaquin Valley College
Madera, CA09.2018
High school diploma or GED -
Rafael Lopez Landron
05.2004
Skills
- ICD-10
- CPT Coding
- Medical Billing
- ICD-9
- Insurance Verification
- EMR Systems
- HIPAA compliance awareness
- Clinical Documentation Review
Certification
National Certified Insurance & Coding Specialist, 03/01/19, 03/01/25
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Certified Medical Coder
Hendrick Health
06.2023 - Current
Medical Data Entry Specialist
Advantage Resourcing
08.2022 - 04.2023
Medical Coder/ Trainer
Golden Valley Health Centers
07.2019 - 09.2020
Scheduler
Cardiovascular Consultants
10.2018 - 07.2019
Sales clerk
Chowchilla Do It Best Hardware
12.2016 - 02.2018
Correctional Officer
Federal Bureau of Prisons
05.2015 - 09.2016
Tactical Aircraft Maintenance Journeyman
US Air Force
04.2007 - 04.2015
Bachelor's degree - Business Administration
University of Phoenix-Central Valley Campus
Certificate - Administrative Health Care Management in Insurance and Coding Specialist
San Joaquin Valley College
High school diploma or GED -
Rafael Lopez Landron