Excel
Years of medical field experience
Victoria Arquiro
Mabank,TX
Summary
Adaptable CPC with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Experience in HCC coding for 1 1/2 years and a medical background of 23 years in hospital setting. Strong work ethic and ready to contribute to a dynamic team and make a positive impact.
Overview
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26
Work History
CPC/HCC Coder
Judge Group/ Contracted to United Healthcare
Wayne, PA
01.2023 - 10.2024
- Maintained current knowledge of healthcare industry trends and regulatory changes.
- Analyzed clinical documentation to determine the most accurate code assignment.
- Assigned diagnosis codes based on provider documentation while adhering to established coding guidelines and conventions.
- Performed audits of coded data to ensure accuracy and compliance with official coding guidelines.
- Entered coded data into electronic health record (EHR) systems.
CNA/Medical Unit Secretary /Cardiac Telemetry Technician
St. Anthony's Hospital- North
Westminster, CO
09.1996 - 06.2018
- Documented patient care services by charting in designated areas.
- Collaborated with interdisciplinary team members to ensure quality patient care was delivered at all times.
- Participated in educational programs designed to improve knowledge of health care practices.
- Facilitated activities of daily living, personal hygiene management, feeding and ambulation.
- Answered signal lights, bells or intercom systems to determine resident needs.
- Documented activities and recorded information in EMR system.
- Maintained accurate patient records in accordance with HIPAA regulations.
- Performed clerical duties such as filing documents, typing correspondence, faxing information, and photocopying materials.
- Reported any abnormal findings to the nursing staff or physician immediately.
- Demonstrated knowledge of normal sinus rhythm as well as common dysrhythmias.
- Monitored patients' blood pressure and heart rates before, during and after procedures.
Appeals Coordinator / Intake Specialist
Sloan's Lake Managed Care
Greenwood Village, CO
10.2001 - 05.2003
- This is the place for a brief summary of your key responsibilities and most stellar accomplishments.
- Resolved appeals through negotiations with insurance companies, attorneys, and other parties.
- Compiled and documented information for appeal cases.
- Maintained records of all appeal activities in a timely manner.
- Advised patients on the status of their appeals and any follow-up actions required.
- Answered incoming calls from providers seeking assistance with appeals processing.
- Made outbound calls to providers to obtain information necessary to create or update authorization.
Education
Certificate - AI- In Medical Billing/Coding
AAPC
02-2024
Certificate - ICD-10 Advanced Coding Set
AAPC
06-2023
Certificate - Physican Based CPC
AAPC
06-2021
Certificate - Anatomy
AAPC
03-2020
Certificate - Medical Terminology
AAPC
02-2020
Some College (No Degree) - Medical Terminology
Front Range Community College
Westminster, CO09-1996
High School Diploma -
Northglenn High School
Northglenn, CO06-1995
Skills
- Effective communication abilities
- HIPAA Compliance
- Statement analysis
- Data entry and management
- Patient data identification
- HCC coding
- ICD-10 coding
- Clinical Documentation
- Code assignment research
- Continuing education
- Workflow Management
References
Available upon request.
Timeline
CPC/HCC Coder
Judge Group/ Contracted to United Healthcare
01.2023 - 10.2024
Appeals Coordinator / Intake Specialist
Sloan's Lake Managed Care
10.2001 - 05.2003
CNA/Medical Unit Secretary /Cardiac Telemetry Technician
St. Anthony's Hospital- North
09.1996 - 06.2018
Certificate - AI- In Medical Billing/Coding
AAPC
Certificate - ICD-10 Advanced Coding Set
AAPC
Certificate - Physican Based CPC
AAPC
Certificate - Anatomy
AAPC
Certificate - Medical Terminology
AAPC
Some College (No Degree) - Medical Terminology
Front Range Community College
High School Diploma -
Northglenn High School
Certification
- CPC - Certified Professional Coder
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeWork Location
RemoteImportant To Me
Career advancementWork-life balanceFlexible work hoursPersonal development programsWork from home optionQuote
I have a theory and I really believe it. I think your worst weakness can become your greatest single strength.
Barbara Corcoran
Software
Powerpoint
Windows
Onenote
MRM
HCC Coder
Google Chrome
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