Summary
Overview
Work History
Education
Skills
Vitals
Communication
Personal Information
Timeline
Generic

Yvonne Valdes

Bakersfield,CA

Summary

Detail-oriented Compliance Manager offering over 20 years of expertise in risk management, policy development and strategic planning. Advanced knowledge of regulatory compliance with proven track record of partnering with executives and business leaders to identify vulnerabilities and create corrective actions. Collaborative and team-oriented with excellent communication and interpersonal skills to foster strategic partnerships and promote company reputation.

Overview

22
22
years of professional experience

Work History

Coding and Compliance Manager

Omni Family Healthcare
12.2018 - Current
  • Subject matter expert on CPT, ICD 10 and HCPC coding, supervision of 15 employees Certified Coders Patient Access Specialist, and Specialty A/R
  • Tracked daily productivity, review audits from the Quality Review Auditor on provider documentation, coding, variances, review internal audits on employees, Provider training on new CPT and ICD 10 Coding
  • Conduct training and staff meetings
  • Form Denial Management Committee, and would hold monthly meeting regarding top 5 denials.
  • Reviewed documents, files, transcripts and other records to assess compliance and potential risk.
  • Managed compliance efforts, reporting and audits.
  • Maintained effective working relationships with regulatory authorities, suppliers and customers.
  • Prepared records and data for regular audits.
  • Developed and delivered training programs to inform new and current employees about compliance issues.
  • Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations.

Lead Certified professional Coder

Centre for Neuro Skills Bakersfield, CA
06.2016 - 12.2018
  • Review of medical reports for reimbursement purposes by using CPT and ICD 10 Codes, codes E/M visits, assist billing department with writing medical necessity letters, credentialing

MEDICAL Biller

Opitmax Consulting Services
10.2015 - 06.2016
  • Charge entry, payment posting, running patient payments, codes all physician’s hospital rounds using CPT and ICD 9 and ICD 10 codes, claim processing, aging reports, denials, appeals, run monthly statements

Billing Manager

Bakersfield Neuroscience & Spine Inst. Bakersfield, CA
06.2011 - 04.2015
  • Charge entry, payment posting, prepares daily bank deposits, credentialing and re-credentialing, provides ICD 9 codes for all E/M visits, and provides cpt and ICD 9 codes for hospital rounds done by surgeons
  • Run all month end reports

Billing Manager

Kids Shop
07.2001 - 06.2011
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Trained and mentored staff on procedures, compliance requirements, and collections techniques.
  • Worked with customers to develop payment plans and bring accounts current.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Conducted performance reviews and implemented improvement plans.
  • Established and checked coding procedures, monitored reports and updated internal files.
  • Complied with established internal controls and policies.

Education

CPC through the AAPC -

AAPC -American academy of professional Coders

Still enrolled in Health Administration Program -

University of Phoenix

Skills

  • Team Player
  • Multi-tasker
  • Detail oriented
  • Flexible
  • Knowledge of MS word/excel
  • Conducting Investigations
  • Risk Analysis
  • Quality Controls

Vitals

3113 Juniper Ridge CT, Bakersfield, CA, 93306, 661-.316-7589, yvonnesan2121@gmail.com

Communication

Delivered a 20-minute presentation on implementation of ICD 10 codes., Train providers on documentation to be in compliance with CMS guidelines.

Personal Information

Title: Certified Professional Coder

Timeline

Coding and Compliance Manager

Omni Family Healthcare
12.2018 - Current

Lead Certified professional Coder

Centre for Neuro Skills Bakersfield, CA
06.2016 - 12.2018

MEDICAL Biller

Opitmax Consulting Services
10.2015 - 06.2016

Billing Manager

Bakersfield Neuroscience & Spine Inst. Bakersfield, CA
06.2011 - 04.2015

Billing Manager

Kids Shop
07.2001 - 06.2011

CPC through the AAPC -

AAPC -American academy of professional Coders

Still enrolled in Health Administration Program -

University of Phoenix

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Yvonne Valdes