Romy Rodriguez
Miami Lakes,FL
Summary
Knowledgeable Risk Adjustment Medical Coder professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
Caremax Medical Centers
06.2023 - Current
- Played an active role in professional development activities, including attending relevant webinars, workshops, and conferences to stay abreast of industry developments and best practices.
- Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
- Facilitated clear communication between healthcare providers and coders, bridging gaps in understanding and promoting accurate documentation practices.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Supported quality initiatives by conducting regular audits, identifying areas of improvement, and providing targeted training.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
Licensed Realtor Associate
Pedro Realty International
06.2021 - Current
- Handled day-to-day happenings of real estate office to consistently grow client base and increase revenue.
- Reviewed and executed confidential documents, contracts and disclosures.
- Established positive flow of communication with agents, clients, attorneys and personnel involved in closing transactions.
- Educated clients looking to sell or buy on current market conditions, legal requirements, pricing and mortgages.
- Resolved client concerns related to home purchases to maintain high satisfaction ratings.
Operations Coordinator/Supervisor of Operations
10 Roads Express(Former Pat Salmon & Sons)
07.2013 - 10.2020
- Collaborated with area managers to evaluate needs and optimize operational plans.
- Closely monitored dispatch board to triage and prioritize multiple daily calls.
- Evaluated and adjusted multiple routes based on daily needs, available workers, traffic hazards and weather conditions.
- Directed dispatching, routing and tracking of 30+ fleet vehicles.
- Worked closely with personnel, drivers & USPS to resolve problems.
- Motivated workers to exceptional performance through implementation of new strategies.
- Balanced schedule and customer demands against team capabilities and available resources to meet performance objectives.
- Managed labor assignments and equipment allocations and met transportation, operations and production goals.
- Recommended measures to improve production methods, equipment performance and team operation and productivity.
- Coordinated responses to emergencies by dispatching vehicles and bringing in additional personnel.
- Monitored employee productivity and optimized procedures to reduce costs.
- Protected company assets from loss such as theft or damage by setting and enforcing effective security policies.
- Offered staff coaching on observed at-risk work habits to minimize accidents and increase workplace safety.
- Reviewed company processes and suggested methods that would improve overall safety for employees.
- Trained company employees in safety procedures and provided in-depth documentation for review.
- Responded to any emergencies as instructed and with utmost efficiency.
- Coordinated dispatching of [Number] drivers to accomplish daily delivery requirements.
- Tracked orders and notified customers of status or potential delays.
- Generated monthly performance reports to track and analyze shipping trends.
- Performed regular audits and assessments of logistics processes to identify weaknesses, improve supply chain operations and minimize waste, then exported to excel, word & power point.
- Streamlined office operations using automation, oversaw client communications, managed record tracking and data communication activities.
- Prepared timely rate estimates and strategic bid packages on an excel format.
- Completed workplace safety and hazard inspections.
- Analyzed onsite incidents and instituted precautionary measures to reduce risk and severity of workplace injuries.
- Led employee training on safe usage of equipment.
- Inspected work practices and procedures for compliance with company and federal regulations.
- Monitored safety practices of new and existing employees.
- Conducted safety training and education to employees to increase awareness of safety hazards and empower employees to work safely.
- Conducted regular safety inspections and audits to identify potential hazards and prevent accidents and injuries.
- Collaborated with other departments to integrate safety in all aspects of organization.
- Provided guidance and resources to employees to maintain safety procedures and enhance protection.
- Reviewed and analyzed safety data and statistics to identify trends and areas requiring improvement.
- Completed workplace safety and hazard inspections.
- Analyzed onsite incidents and instituted precautionary measures to reduce risk and severity of workplace injuries.
- Led employee training on safe usage of equipment.
- Inspected work practices and procedures for compliance with company and federal regulations.
- Monitored safety practices of new and existing employees.
- Conducted safety training and education to employees to increase awareness of safety hazards and empower employees to work safely.
- Conducted regular safety inspections and audits to identify potential hazards and prevent accidents and injuries.
- Collaborated with other departments to integrate safety in all aspects of organization.
- Provided guidance and resources to employees to maintain safety procedures and enhance protection.
- Reviewed and analyzed safety data and statistics to identify trends and areas requiring improvement.
- Monitored logistics performance and identified improvement opportunities.
- Managed logistics budgets and forecasting to achieve cost-effective operations.
- Resolved shipping discrepancies by coordinating customer and courier communications.
- Coordinated driver dispatch to accomplish daily delivery requirements.
- Improved inventory accuracy by developing and implementing enhanced control systems.
- Developed and maintained knowledgeable and productive team of employees.
- Led improvement initiatives to advance operational efficiencies and increase revenue.
- Tracked production and quality control systems to proactively identify deficiencies.
- Reviewed established business practices and improved processes to reduce expenses.
Customer Service Representative Specialist/Marketing Specialist
HealthSun Health Plans
04.2012 - 07.2013
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Assisted customers with setting appointments, special order requests, and arranging appointments.
- Collected customer feedback and made process changes to exceed customer satisfaction goals.
- Recommended products to customers, thoroughly explaining details.
- Cultivated customer loyalty, promoted repeat business and improved sales.
- Responded to customer requests for products, services and company information.
- Consulted with outside parties to resolve discrepancies and create expert solutions.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
- Entered orders into STARS computer database system.
Office Manager
Havana Nights Restaurant
09.2009 - 01.2012
- Maintained computer and physical filing systems.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Compared vendor prices and negotiated for optimal savings.
- Evaluated employee records and productivity to complete employee evaluations.
- Utilized client and staff feedback to maintain customer partnerships and increase revenue.
- Oversaw quality control and productivity rates to increase revenue and production times.
Medical Coder
JORGE L CARDENAS-ZITO MD PA
01.2008 - 08.2009
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Verified signatures and checked medical charts for accuracy and completion.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
Education
LICENSED REAL ESTATE ASSOCIATE - Real Estate
GOLD COAST SCHOOLS
Doral, FL06.2021
CERTIFIED NURSING ASSISTANT(CNA) - Health Education
HEALTH TRAINING REVIEW
Miami, FL06.2011
ENGLISH LANGUAGE - ENGLISH LANGUAGE
Miami Dade College
Hialeah, FL06.2007
High School Diploma -
Andres Lujan Vazquez
Havana, Cuba02.2001
Skills
- Confidentiality and Data Protection
- Ease with Computers and Technology
- Strong Organizational Skills
- Research and Analytical Skills
- Multitasking and Time Management
- HIPAA compliance
- Leadership qualities
- ICD-10 proficiency
- Self-motivation and discipline
Languages
English
Full Professional
Spanish
Native or Bilingual
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA- Certified Professional Medical Auditor
Timeline
Risk Adjustment Coder
Caremax Medical Centers
06.2023 - Current
Licensed Realtor Associate
Pedro Realty International
06.2021 - Current
Operations Coordinator/Supervisor of Operations
10 Roads Express(Former Pat Salmon & Sons)
07.2013 - 10.2020
Customer Service Representative Specialist/Marketing Specialist
HealthSun Health Plans
04.2012 - 07.2013
Office Manager
Havana Nights Restaurant
09.2009 - 01.2012
Medical Coder
JORGE L CARDENAS-ZITO MD PA
01.2008 - 08.2009
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
- CPMA- Certified Professional Medical Auditor
LICENSED REAL ESTATE ASSOCIATE - Real Estate
GOLD COAST SCHOOLS
CERTIFIED NURSING ASSISTANT(CNA) - Health Education
HEALTH TRAINING REVIEW
ENGLISH LANGUAGE - ENGLISH LANGUAGE
Miami Dade College
High School Diploma -
Andres Lujan Vazquez
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