Susana Licerio
El Paso
Summary
Medical Records Technician with extensive experience at William Beaumont Army Medical Center, excelling in ICD-10 CM and CPT coding. Proven ability to enhance coding accuracy and streamline workflows while fostering collaboration with clinical staff. Prioritization and multitasking, ensuring compliance and maximizing reimbursement efficiency.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Records Technician (Coder) GS-8, Step 4
William Beaumont Army Medical Center ( DHA)
El Paso
06.2021 - Current
- Certified medical coder currently specializing in outpatient General Surgery, Plastic Surgery, Bariatric Surgery, Peripheral Vascular and Thoracic Surgery clinic visits, telehealth visits, diagnostic imaging and inpatient consults.
- Perform qualitative analysis of patient records to ensure accuracy, consistency, compliance, and diagnostic procedural terminology to justify coding diagnosis and assignment of level.
- Apply excellent problem-solving skills to facilitate and maximize productivity and efficiency.
- Maintain compliance with coding hierarchy (consults, billables and non-billables) to streamline coding workflow for reimbursement.
- Knowledge of current coding conventions, rules and regulations of ICD-10, CPT, HCPCS and MHS Specific Coding Guidelines.
- Built professional report with providers and clinical staff, aiding support and education.
- Knowledge of EMR, Cerner (Genesis), AHLTA, CHCS, Essentris and CCE programs.
- Provide support to immediate supervisor, lead and co-workers with other tasks delegated as needed to meet goals and deadlines.
Medical Coder / Biller
Texas Tech University Health Sciences Center
El Paso
02.2019 - 05.2021
- As a certified medical coder/biller in the Obstetrics and Gynecology department, my duties included but are not limited to coding outpatient and telehealth visits, ultrasounds, hospital surgeries, deliveries, ER triage and consults for our faculty and residents while following ICD 10 and CPT coding guidelines and conventions.
- I was also responsible for entering the charges for these services and keeping up with any rejections from the clearing house.
- Other duties included working on appeals, denials and claim corrections.
- Maintained professional communication with insurances/payers and patients.
- Occasional ran missing charges report and disbursed workload to other coders.
- Knowledgeable in EMR, Centricity Business, Word, Excel and PowerPoint programs.
Medical Coder / Biller
El Paso Ear Nose and Throat Associates, P.A
El Paso
02.2018 - 02.2019
- As a certified coder I was assigned to coding office visits for 3 Otolaryngology locations.
- While coding accurate ICD-10 and CPT codes as well as the appropriate use of modifiers, I also ensured the accuracy of medical documentation to support what is being coded.
- All while following coding guidelines and conventions.
- In billing, I was assigned to the surgery claims.
- I ensured claims were received and in process.
- I communicated with insurance companies to verify claim status, payments and or denials.
- Worked on appeals, reconsideration letters, authorization requests and coding errors.
- Updated patient data when needed, post payments and make any necessary adjustments.
- Other important duties to include working on claim correspondences and aging report.
- Provided excellent customer service to patients while answering phone calls and respond to patient inquiries as well as taking payments over the phone.
- Assisted co-workers with other tasks as needed.
- All around team player.
Education
Associates - Applied Science in Medical Coding and Billing
Southwest University
El Paso, TX04.2018
Diploma -
Bel Air High School
El Paso, TX05.1996
Skills
- ICD-10 CM and CPT coding
- HCPCS and medical terminology
- CMS coding guidelines and forms
- Microsoft Office applications
- Cerner and AHLTA systems
- CHCS and Essentris platforms
- Coding accuracy and classification
- Patient record management
- Prioritization and multitasking
- Coding Accuracy 99%
- CAC (computer assisted coding trained)
Certification
- CPC: Certified Professional Coder
- AMT Certified: Registered Phlebotomy Technician
Timeline
Medical Records Technician (Coder) GS-8, Step 4
William Beaumont Army Medical Center ( DHA)
06.2021 - Current
Medical Coder / Biller
Texas Tech University Health Sciences Center
02.2019 - 05.2021
Medical Coder / Biller
El Paso Ear Nose and Throat Associates, P.A
02.2018 - 02.2019
Associates - Applied Science in Medical Coding and Billing
Southwest University
Diploma -
Bel Air High School