Energetic Medical Coder with can-do attitude and dedication to accuracy. Bilingual professional with expertise analyzing provider documentation for appropriate codes. 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.
Medical Administrative Support: Expert in multitasking across a range of responsibilities, such as processing bills and payments, participating in quality assurance protocols, updating patients’ demographics, checking eligibility and benefits verification for treatment, maintaining health record according to protocol, and other office duties.
Customer Service and Satisfaction: Highly-focused and results-oriented in improving customer service and building long-lasting relationships. Ability to investigate and appeal denied claims, review insurance payment for accuracy, and contacting insurance companies in case of any discrepancy in professional manner while ensuring confidentiality.
Communication and Collaboration: Effective communication, collaboration, interpersonal, and multitasking skills along with a knack to build productive relationships. Well versed in strengthening ongoing client communications and delivering prompt response to their questions.
Key Strengths: Quick learner with inductive reasoning skills to think logically and carry out tasks, as well as streamline and improve work processes through data entry, verification and accuracy. Possess strong medical terminology knowledge; CPT, ICD, EOB, and denials.
Skills
Coding error resolution
Data security procedures
Medical claims coding
Typing coding
Patient data compilation
Insurance claims analysis
Records management
Medical billing code accuracy
Records review
Reading comprehension
Computer skills
Self-motivated professional
Compassion
Multitasking abilities
Proficiency in Medisoft, MedWare and Practice Fusion
Verbal and written communication
Organization and Time management
Good telephone etiquette
Collaboration
Work History
Externship in Ventec Greoup LLC., 10/2020 to 07/2021 Conduent Incorporated – Orlando, FL,
Extern (06/2021 – 07/2021)
Oversaw the responsibility of processing claims, appealing and resubmitting denied claims, and adjusting charges. Administered EOBs and posted payments, accumulated additional information from patients, and updated patient demographics for the smooth workflow. Handled billing of primary and secondary insurance companies and patients to achieve satisfaction. Forwarded health insurance claim forms (CMS1500) on behalf of patients.
A/G Report
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Updated patient financial information to guarantee accuracy.
Assigned appropriate medical codes with 100% percent accuracy rate.
Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Entered orders into EMR system efficiently and without errors.
Used MedWare and and Practice Fusion to input information into computerized patient record system.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Used ICD-10 CM, CPT , HCPCS to assign procedure and diagnostic codes to patient records for billing purposes.
Stich Operator, 07/2015 to 06/2018 GALCO INTERNATIONAL – City, STATE,
Performed maintenance tasks and adjustments to preserve production efficiency.
Tended equipment during operation and monitored readouts to determine areas of concern and quickly correct problems.
Information Management Specialist, 11/2006 to 02/2015 Empresa De Servicios De Ingeniería Y Diseño – City, STATE,
Oversaw development and implementation of improvements to support and network operations.
Facilitated best user experience through continuous support, training classes, webinars, improvements and communication of system changes.
Worked closely with management teams to plan, develop, coordinate and execute technical strategies aligned to client's vision, mission and purpose.
Degree in Education in the Specialty of Chemistry, 07/2005 to 10/2006 IPU Veguita III – City, STATE,
Modified general education curriculum for special-needs students using various instructional techniques and technologies.
Delivered effective and differentiated classroom instruction to range of neurodiverse students.
Cultivated connections and strong student rapport to foster classroom engagement, in addition to recording student progress to inform parents and school administration.
Education
: Medical Billing And Coding Insurance, Expected in 07/2021 UEI College Phoenix - Phoenix, AZ, GPA:
Bachelor of Science: Education, Expected in 07/2005 ISP Blas Roca Calderio - Cuba, GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
