Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Generic

Rita Gyesi

Washington,DC

Summary

Competent certified professional coder with two years of experience in handling a variety of medical coding and billing tasks. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Certified Medical Coder - Full-Time/40hrs

North Spring Behavioral Healthcare
09.2022 - Current
  • Streamlined billing processes by effectively collaborating with healthcare providers, insurance companies, and patients to resolve any discrepancies or issues.
  • Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
  • Ensured data integrity by meticulously auditing coded data, verifying its accuracy, and making necessary adjustments as needed.
  • Reduced claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
  • Facilitated timely reimbursements through diligent follow-up on outstanding claims and effective communication with insurance representatives.
  • Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
  • Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
  • Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
  • Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.

Certified Sterile Processing Technician-Full Time

Summerlin Medical Center
08.2019 - 07.2020
  • Improved patient safety by ensuring all surgical instruments were properly sterilized and assembled.
  • Maintained a clean and organized work environment for efficient processing of medical equipment.
  • Reduced the risk of infection by strictly adhering to established guidelines for decontamination procedures.
  • Enhanced department efficiency with thorough inspection and functionality testing of surgical instruments.
  • Increased compliance with industry standards through meticulous documentation of all sterilization processes.
  • Fostered effective communication within the team, contributing to a seamless workflow between departments involved in patient care.
  • Provided exceptional service to healthcare providers by promptly responding to requests for additional instrumentation or supplies during surgery.
  • Assured instrument availability by managing inventory and promptly restocking supplies as needed.
  • Collaborated with the surgical team, providing timely delivery of sterile equipment during surgeries.

Education

Some College (No Degree) -

Medical Coding Academy
Texas

Skills

  • Patient Data Compilation
  • Insurance Claims Analysis
  • Medical Claims Coding
  • HIPAA Compliance Awareness
  • Clinical Documentation Review
  • Diagnostic Coding Accuracy
  • CPT Coding Knowledge
  • ICD-10 Proficiency
  • Certified Professional Coder
  • Data Entry Speed
  • Time Management Aptitude
  • Auditing and Quality Assurance

Affiliations

  • America Academy of Professional Coders - AAPC

Certification

  • CPC - Certified Professional Coder

Timeline

Certified Medical Coder - Full-Time/40hrs

North Spring Behavioral Healthcare
09.2022 - Current

Certified Sterile Processing Technician-Full Time

Summerlin Medical Center
08.2019 - 07.2020

Some College (No Degree) -

Medical Coding Academy
  • CPC - Certified Professional Coder
Rita Gyesi