SCHEILA SUAREZ
Hialeah
Summary
Skilled Medical Biller and Coder with a proven track record at Paragon Medical Consultants, adept in healthcare reimbursement and HIPAA compliance. Demonstrated ability to enhance patient account management through effective communication and team collaboration. Achieved a significant increase in accurate claim submissions, leveraging medical coding expertise and problem-solving skills.
Overview
3
3
years of professional experience
Work History
Medical Biller and Coder
Paragon Medical Consultants
Miami
10.2023 - 12.2024
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Managed coding for multiple specialties, ensuring specific codes are accurately applied.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
Medical Assistant
Boise Medical Center
Doral
07.2021 - 11.2022
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Educated patients about medications, procedures and physician's instructions.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Documented notes during patient visits.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Scheduled appointments for patients via phone and in person.
- Filed insurance claims forms in accordance with applicable regulations.
Skills
- Medical coding
- Healthcare reimbursement
- Patient account management
- Insurance verification
- HIPAA compliance
- Claim submission
- Programs skill Access
- Data entry
- Problem solving
- Effective communication
- Team collaboration
Timeline
Medical Biller and Coder
Paragon Medical Consultants
10.2023 - 12.2024
Medical Assistant
Boise Medical Center
07.2021 - 11.2022
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