Hi, I’m
Sandra Santiago
Medical Billing & Coding
Kissimmee,Florida
Summary
Detail-oriented and highly skilled Certified Professional Coder (CPC-A) with extensive experience in medical billing, coding, and administrative support. Proven track record of maximizing revenue and enhancing efficiency through accurate coding and process improvements. Seeking a part-time remote entry-level position in billing and coding to contribute to a dynamic healthcare team. Medical Billing and Coding Specialist with Number years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
16
years of professional experience
1
Certification
Work History
Lara HealthRemote
CCM Case Manager (Contract)
04.2024 - 07.2024
Job overview
- Managed chronic care management (CCM) billing and coding tasks
- Ensured accurate and timely coding of CCM services, reducing claim denials.
Thoracic Surgery Associates of Central FLKissimmee
Office Administrator / Medical Biller and Coder
01.2019 - 01.2024
Job overview
- Conducted thoracic surgical billing and coding, including E&M services
- Performed insurance verification and surgical authorizations
- Reviewed and verified explanation of benefits (EOB) and electronic remittance advice (ERA)
- Analyzed payer-specific fee schedules to ensure accurate billing
- Maximized practice revenue by capturing ICD-10 codes and billable services
- Captured unbilled hospital visits and emergency room consultations, along with additional separately billable services outside of the global period, increasing practice revenue
- Created a billing and coding playbook to increase efficiency in billing processes
- Utilized Epic Systems, AdvancedMD, and Encoder Pro for claim scrubbing and submissions, ensuring clean and accurate claims.
Procare Services LLCPuerto Rico
Medical Biller and Coder
01.2015 - 01.2017
Job overview
- Assisted with E&M coding for general practice
- Submitted and tracked claims, managed appeals, and performed claim scrubbing
- Corrected and resubmitted claims, ensuring compliance with payer guidelines
- Conducted payment postings and medical records analysis.
Central FL Heart & VascularOrlando
Medical Assistant / Medical Biller and Coder
01.2014 - 01.2015
Job overview
- Provided medical assistance and triage services
- Prepared clinical notes and reviewed services provided
- Submitted claims and verified insurance coverage
- Ordered authorizations and procedures, assigned CPT and ICD-10 codes.
All FL Family and Sports MedSaint Cloud
Medical Assistant / Medical Biller
01.2012 - 01.2014
Job overview
- Conducted insurance verification and processed nursing home claims
- Assigned CPT and ICD codes, submitted claims using eClinicalWorks
- Handled triage and managed front and back office operations.
United States NavyVirginia
Operations Specialist
01.2009 - 01.2012
Job overview
- Analyzed data and disseminated information to superiors
- Managed maritime operations and initiated training exercises
- Responded to emergency trauma situations
- Maintained and updated secret and classified documents
- Kept legal logs and documents related to ship's operational readiness.
Education
AAPC Certified Professional Coder (CPC) Certification
AMCI Completion of Medical Billing & Coding Program
American College for Medical Careers, Orlando
Ridgefield Memorial Highschool
Skills
Medical Billing and Coding
E&M Coding
ICD-10, CPT, and HCPCS Coding
Medical Terminology Proficiency
Data & Claims Analysis
Insurance Verification
Claims Submission and Tracking
Appeals and Claim Scrubbing
Claim Corrections and Resubmission
Payment Posting
HIPPA
Bilingual
Scribe
Medical Records Analysis
Epic Systems
AdvancedMD
Encoder Pro
eClinicalWorks
Availity
Athena
Process Improvement
Patient Communication
Healthcare Compliance
Certification
Certified Professional Coder - Apprentice (CPC-A), 2024
Affiliations
Member, AAPC (American Academy of Professional Coders)
References
Available upon request
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
CCM Case Manager (Contract)
Lara Health
04.2024 - 07.2024
Office Administrator / Medical Biller and Coder
Thoracic Surgery Associates of Central FL
01.2019 - 01.2024
Medical Biller and Coder
Procare Services LLC
01.2015 - 01.2017
Medical Assistant / Medical Biller and Coder
Central FL Heart & Vascular
01.2014 - 01.2015
Medical Assistant / Medical Biller
All FL Family and Sports Med
01.2012 - 01.2014
Operations Specialist
United States Navy
01.2009 - 01.2012
AAPC Certified Professional Coder (CPC) Certification
1 2024
AMCI Completion of Medical Billing & Coding Program
1 2019
American College for Medical Careers, Orlando
1 2017
Ridgefield Memorial Highschool
1 2001