Tina Gonzalez
New Jersey
Summary
Certified Professional Coder (CPC-A) with extensive experience in compliance, auditing, and document management. Seeking a part-time fully remote medical coding role (available nights and/or weekends). Demonstrated expertise in adhering to regulatory standards, maintaining documentation accuracy, and implementing process improvements. Proven ability to meet coding standards, such as ICD-10-CM and CPT, through rigorous training. Committed to upholding AHIMA's ethical guidelines and ensuring accurate coding practices. Proficient in working remotely with minimal supervision. Diligent Medical Coder and Biller with comprehensive experience in medical coding and billing. Ensuring accurate and timely processing of claims. Successfully facilitated claim approvals and minimized billing errors, contributing to improved revenue cycles. Demonstrated expertise in ICD-10, CPT, and HCPCS coding. Effective communication with insurance companies and healthcare providers.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Atlantic Health Urgent Care
09.2024 - Current
- Reviews patient diagnosis codes to verify accuracy and completeness for 7 Urgent Care sites on a daily basis.
- Responsible for researching and correcting all Physician RFIs for New Jersey Urgent Cares.
- Reduces claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Collaborates with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Coordinates with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Ensures compliance with industry regulations by staying current on changes in medical coding guidelines and maintaining accurate records.
- Leverages strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Safeguards sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
- Effectively resolves disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Developed a comprehensive understanding of medical terminology and coding systems to accurately translate services provided into billable charges on patient accounts.
Branch Manager
TD Bank, US
12.2022 - 09.2024
- Enhanced audit scores by 7%, ensuring that all documentation and records adhered to strict regulatory standards, which translates well into ensuring coding compliance in a healthcare setting
- Oversaw the completion of detailed documentation reviews, identifying discrepancies and ensuring accuracy—skills directly applicable to reviewing and verifying medical documentation for coding purposes
- Conducted quarterly training sessions on regulatory compliance and operational procedures, mirroring the need for adherence to coding guidelines and ethical standards in healthcare
- Continuously monitored branch performance against key performance indicators, taking corrective actions as needed to ensure objectives were met or exceeded.
- Maintained friendly and professional customer interactions.
- Oversaw daily operations for streamlined efficiency, ensuring timely execution of tasks and optimal resource allocation.
- Met deadlines by proactively managing individual and team tasks and streamlining processes.
Sales and Service Manager
TD Bank, US
05.2015 - 12.2022
- Managed auditing and compliance processes for 25 branches, achieving a 97% accuracy rate in documentation and regulatory compliance, experience directly transferable to coding quality audits
- Led documentation review teams, ensuring adherence to operational policies and regulatory standards, similar to ensuring accurate medical code assignment and compliance with AHIMA standards
- Generated detailed compliance reports on a weekly basis, a skill that aligns with producing accurate coding reports and documentation for review by healthcare management
Education
Certified Professional Coder (CPC-A) - Medical Coding
AAPC
Cliffside Park09-2024
Skills
- ICD-10 proficiency
- Medical coding certification
- Medical coding guidelines
- Diagnostic coding
- Denial management
- CPT coding
- Knowledgeable in Epic
- Medical record review
- HIPAA compliance
- Coding error resolution
- Medical coding and abstracting
- Code assignment research
Websites
Certification
- Certified Professional Coder (CPC-A), AAPC
- Notary Public, New Jersey
- Nationwide Mortgage Licensing Servicing (NMLS), 2011
- Medallion Signature Guarantee, $5MM
Accomplishments
- Successfully passed the CPC exam with 77% on the first attempt, demonstrating a foundational understanding of medical coding principles.
- Collaborated with Atlantic Health of Morristown on financial documentation, developing a strong grasp of patient record accuracy, which is critical in ensuring coding compliance.
- Led a branch to achieve top 10% performance across 1,500 branches by implementing accurate documentation processes and compliance standards.
Timeline
Medical Coding and Billing Specialist
Atlantic Health Urgent Care
09.2024 - Current
Branch Manager
TD Bank, US
12.2022 - 09.2024
Sales and Service Manager
TD Bank, US
05.2015 - 12.2022
Certified Professional Coder (CPC-A) - Medical Coding
AAPC
Similar Profiles
Danielle FortiniDanielle Fortini
Physician Assistant at Atlantic Health Urgent CarePhysician Assistant at Atlantic Health Urgent Care
Rayna Paul-PageRayna Paul-Page
Medical office associate at Atlantic Health Urgent Care at LindenMedical office associate at Atlantic Health Urgent Care at Linden
Katheryn BostonKatheryn Boston
Patient Care Coordinator at Atlantic Health Urgent CarePatient Care Coordinator at Atlantic Health Urgent Care