CYNTHIA RAMIREZ APODACA

**** *. ********* ***. ******, CA. 93703

559-***-****

adss9l@r.postjobfree.com

I maximize revenue by submitting initial clean claims, inclusion of all billable services rendered and by the assignation of correct classification codes, diagnosis codes, medical necessity dx codes, and modifiers. Able to build and modify departmental procedures to be more effective. Diligently educated in medical terminology and tenaciously knowledgeable in revenue cycle management, quality assurance, performance improvement, documentation integrity, fraud waste & abuse, and standards for compliance with CMS, HHS, HIPAA & the Joint Commission. EXPERIENCE

O JANUARY 2022– APRIL 2022

CERTIFIED TAX PREPARER, JACKSON HEWITT TAX SERVICES Tenaciously filed people’s taxes by allocating qualified credits, reviewed/attached needed documents, and followed all federal/state guidelines. Gave clients tips on how to better prepare for the following year. O APRIL 2021 – NOVEMBER 2021

MEDICAL BILLING & CODING SPECIALIST, REGIONAL HAND CENTER Properly coded using diagnosis codes, CPT’s, HCPCS, and modifiers. Coded for office visits, in-office procedures, outpatient surgeries, and same day surgeries. This included both professional physician fees as well as the facility physician fees. Billed private payer insurances, Medicare, Medicaid, and Workers Compensation. O NOVEMBER 2019 – MARCH 2021

CLAIMS ANALYST, FRESNO PACE (PROGRAM THAT PROVIDES ALL INCLUSIVE CARE TO THE ELDERLY) Analyzed claims (through various systems like EPIC) for billing and coding errors, correct demographics, and ensured medical documentation was aligned with all billed services and that linkage and capture of all diagnosis was to the highest level of specificity. Specialties inc.: Pulmonology, IP, OP, ED, Cardio, Urology, Dialysis, SNFs, DME, Podiatry, and Dental. o 2010 - 2021

LEADER, THE BRIDGE –VOLUNTEER WORK

Led, planned, budgeted, and supervised groups of up to 16 people with purpose, direction, diligence & enthusiasm. Service Events inc.: School Revitalizations & City-Wide Cleanups for the City of Fresno, Ministries for Women & AWANA. w

EDUCATION, CERTIFICATIONS & LICENSES

BUSINESS MANAGEMENT & ADMINISTRATION UNIVERSITY OF PHOENIX 2007-2008 LEADER SEMINARS & CONFERENCES THE BRIDGE 2010-2017 CERTIFIED CODING ASSOCIATE (CCA) AHIMA 2019

AS in HEALTH INFORMATION TECHNOLOGY & REVENUE MGMT. FRESNO CITY 2020 REGISTERED HEALTH INFORMATION TECHNICIAN (RHIT) AHIMA 2021 CALIFORNIA REGISTERED TAX PREPARER (CRTP) CALIFORNIA TAX ED. COUNCIL 2022 SKILLS

• ICD-10-CM, ICD-10 PCS, CPT, Modifiers & HCPCS

• CMS, HIPAA, HHS, & Joint Commission Compliance

• Data Content, Structure & Info. Governance

• Access, Disclosure, Privacy & Security

• Bilingual/Spanish

• HCC & Medicare Risk Adjustment Operations Cert.

• Microsoft Word, PowerPoint, Excel & Access • Full Cycle Revenue Cycle Management

• Systems: EPIC, 3M, DR Chrono, Prime Suite,

PACE, Tableau, Availity, NextGen & OPTUM360

• Data Analytics and Use

Leadership and Team Player

PERSONALITY TYPE

According to the Enneagram I’m a type 1 which is “The Reformer”. “Reformers” are conscientious, sensible, ethical, responsible, idealistic, serious, self-disciplined, orderly & with a personal obligation to improve oneself and the world. As a co-worker, we’re the “go-to” for difficult tasks. As Managers, we’re good at driving cont. development & encouraging employees to set stretch goals. Since we only make up 10% of the population we’re considered, “A rare find”.

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