Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Generic

Vanessa Rodriguez

Lakeland,FL

Summary

AAPC Certified Medical Coding and Billing Specialist with a proven track record at PMRG, demonstrating a 98% accuracy rate in claims processing. Expert in ICD-10 coding, renowned for maintaining exceptional patient confidentiality. Known for resolving billing discrepancies through effective collaboration and advanced organizational skills.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medical Coding and Billing Specialist

PMRG
01.2021 - Current

Reviewed and processed medical claims per day with a 98% accuracy rate.

  • Communicated with healthcare providers and insurance companies to resolve claim issues and discrepancies.
  • Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
  • Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
  • Scanned and uploaded medical records into electronic medical records system.

Medical Coding and Billing Specialist

Lukas Counseling
01.2020 - 12.2021
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.

Medical Coding and Billing Specialist

AJ Medical Management
01.2015 - 12.2020
  • Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
  • Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
  • Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
  • Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.

Education

Associate of Science - Medical Billing & Coding

Southern Technical College
Orlando, FL
10.2015

Skills

  • Proficiency in Modern Medicine, Collaborate MD, Practice Fusion, Greenway, Advanced MD, eClinical Works
  • Denial Management
  • Claims Processing
  • Insurance Verification
  • Revenue Cycle Management
  • Medical Coding Certification
  • CPT coding knowledge
  • Medical Coding Guidelines
  • Clinical Documentation
  • Pharmacology knowledge

Affiliations

  • American Academy of Professional Coders (AAPC)

Certification

  • CPC - Certified Professional Coder

Timeline

Medical Coding and Billing Specialist

PMRG
01.2021 - Current

Medical Coding and Billing Specialist

Lukas Counseling
01.2020 - 12.2021

Medical Coding and Billing Specialist

AJ Medical Management
01.2015 - 12.2020

Associate of Science - Medical Billing & Coding

Southern Technical College
Vanessa Rodriguez