Sulymar Torres
Stockbridge,GA
Summary
Certified coding professional with extensive expertise in medical coding, billing processes, and healthcare regulations. Demonstrated ability to ensure accuracy and compliance, resulting in optimized revenue cycles. Committed to fostering team collaboration and adapting to evolving industry demands. Recognized for reliability, thoroughness, and exceptional communication skills in dynamic environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Midtown Neurology P,C
Atlanta, GA
10.2022 - Current
- Analyzed coding practices through regular audits to identify discrepancies and decrease claim denials.
- Implemented advanced coding software to streamline workflow processes and ensure timely completion of reporting tasks.
- Streamlined task management for high-volume workloads to enhance operational efficiency while ensuring meticulous attention to detail.
- Acted as a trusted resource for clinical teams and administrative staff by providing expert guidance on accurate code selection based on diagnosis and treatment details in documentation.
- Conducted detailed reviews of medical records to identify and correct discrepancies, significantly reducing claim denials.
Medical Biller and Coder
Georgia Neurodiagnostic & Treatment Center
Duluth, GA
12.2021 - 10.2022
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
Front Desk Coordinator
Med, South Primary Care
Stockbridge, GA
08.2021 - 12.2021
- Assist patients in completing all necessary forms and documentation, including medical insurance.
- Check-out patients, assist with referral processing, and other related duties.
- Checked patients in and out for appointments and collected co-payments.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
Medical Assistant
Bubolo Medical
Sandy Springs, GA
03.2021 - 08.2021
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Educated patients on treatment plans and medication usage to promote adherence and understanding.
- Assisted physicians during patient examinations, ensuring efficient workflow and high-quality care.
- Sanitized, restocked, and organized exam rooms and medical equipment.
Medical Assistance
Bosley Medical - Beverly Hills
Atlanta, Ga
04.2018 - 03.2021
- Assisted physicians during diagnosis and treatment, as well as assisting during surgery.
- Performed pre-operative and post-operative examinations to check patients' vitals and health status.
- Educated patients about medications, procedures, and physician's instructions.
- Set up equipment, tools, and supplies for procedures and organize instruments as directed in surgeons' preference cards.
- Assisted physicians during diagnosis and treatment, as well as assisting during surgery.
Education
BBA - Allied Health Management
Florida Technical College
Orlando, FL10.2023
Registered Medical Assistant American Medical Technologists - Medical Assisting
Florida Technical College
Cutler, Florida01.2017
Skills
- Skilled in documentation assessment
- Medical terminology
- Engagement in professional development
- Denial management strategies
- Payment posting
- Compliance and quality assessment
- HIPAA compliance
- Claims processing
- Detail-oriented data entry
- Claims coding proficiency
- Data integrity verification
- Coding appeals
Affiliations
- American Academy of Professional Coders.
Certification
- CPC - Certified Professional Coder
- Registered Medical Assistant (RMA) by American Medical Technologists (AMT)
Timeline
Certified Professional Coder
Midtown Neurology P,C
10.2022 - Current
Medical Biller and Coder
Georgia Neurodiagnostic & Treatment Center
12.2021 - 10.2022
Front Desk Coordinator
Med, South Primary Care
08.2021 - 12.2021
Medical Assistant
Bubolo Medical
03.2021 - 08.2021
Medical Assistance
Bosley Medical - Beverly Hills
04.2018 - 03.2021
Registered Medical Assistant American Medical Technologists - Medical Assisting
Florida Technical College
BBA - Allied Health Management
Florida Technical College