Tatiana Arias
Summary
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
1
1
year of professional experience
1
1
Certification
Work History
Risk Adjustment Coder
Optum
06.2023 - 01.2024
- Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
- Streamlined workflow efficiency by collaborating with interdisciplinary teams, addressing documentation gaps and inaccuracies.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Worked various projects across multiple levels of care both inpatient and outpatient chart review, reviewing AI coding.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
MEDICAL BILLER
MIND AND BODY PAIN CLINIC
01.2022
- Contributed to daily medical billing operations
- Billed for personal injury and lien cases
- Assisted in lien reduction negotiations
- Review patient bills for accuracy and completeness and obtain any missing information
- Apply accurate ICD-10 and CPT codes to CMS 1500 forms.
INSURANCE AND BILLING EXTERN
CALIFORNIA SKIN INSTITUTE
08.2022 - 08.2022
- Shadowed and practiced Scrubbing of Dermatology superbills, verifying insurance coverage including HMO and PPO plans
- Assessed the accuracy of medical records
- Navigated through paper medical record system
- Maintained confidentiality of Patients Personal and Medical information.
- Increased student comprehension by implementing interactive and hands-on learning activities.
- Worked in team environment to maintain high levels of productivity.
Education
CERTIFICATE OF ACHEIVEMENT - INSURANCE AND CODING
DE ANZA COLLEGE
01.2022
Skills
- Great team player
- Proficient in Microsoft word, PowerPoint, Excel
- ICD-10 and CPT coding
- Risk Adjustment Understanding
- Critical Thinking Capabilities
- Adaptability and Flexibility
- HIPAA Compliance
- Clinical Documentation
- Medical Terminology Mastery
- Medical Record Review
- Self-Directed
- Anatomy and Physiology Knowledge
Websites
Certification
- CERTIFIED PROFESSIONAL CODER APPRENTICE 2023
- CERTIFICATE OF ACHEIVEMENT INSURANCE AND CODING, 2022, DE ANZA COLLEGE
Volunteer Experience
- Full time Bible teacher, 2013-01-01, 2016-12-31
- Full time Bible teacher, 2020-01-01, PRESENT
Affiliations
- AAPC
Languages
Spanish
Native or Bilingual
Portuguese
Full Professional
Timeline
Risk Adjustment Coder
Optum
06.2023 - 01.2024
INSURANCE AND BILLING EXTERN
CALIFORNIA SKIN INSTITUTE
08.2022 - 08.2022
MEDICAL BILLER
MIND AND BODY PAIN CLINIC
01.2022
CERTIFICATE OF ACHEIVEMENT - INSURANCE AND CODING
DE ANZA COLLEGE
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