Office Medical

Monica Carrizal **** Forest Meadow San Antonio, TX 78240

Cell: 210-***-****

*******@*******.***

Profile

Dedicated and technically skilled business professional with a versatile administrative support skill set developed

Through experience as an office manager, patient care coordinator, surgical assistant, case coordinator and file

clerk. I excel in resolving employer challenges with innovative solutions, systems and process improvements proven

to increase efficiency, customer satisfaction and the bottom line. I offer advanced computer skills in MS Office,

various surgical planning software and other applications/systems.

Key Skills

Office Management

Teambuilding & Supervision

Staff Development & Training

Policies & Procedures Manuals

Registered Dental Assistant

Report & Chart Document Preparation

Excel Spreadsheet & Database Creation

Accounts Receivable

Reformatting and case planning

Records Management

Meeting & Event Planning

Inventory Management

CT Imaging of the Head and Neck

Experience

Certified Coding Specialist Diabetes and Glandular Clinic

April 2017-August 2017

Performs Initial Charge review to determine appropriate ICD10 and CPT codes to be used to report physician services

Enters appropriate data into the billing system by selecting the appropriate codes, diagnoses and modifiers

Conduct daily, weekly and monthly quality coding analysis to assure all documentation required for coding is captured in the medical record for appropriate billing

Educates physicians regarding procedures and other services billed to ensure proper coding

Audits physicians documentation to ensure compliance with payers

Assists in evaluation of reports, decisions and results of department in relation to company goals

Maintain a working knowledge of CPT and ICD-9/ICD 10 coding principles, governmental regulations, protocols and third party requirements regarding billing and documentation

Supervise and assist charge entry staff with coding related issues

Monitors and tracks paid time off

Prepares work schedule for staff to ensure that we meet quality/quantity service results

Benefits Coordinator Lead University of Texas Health Science Center SA

September 2016-March 2017

Supervisor-The Coding Education Team University of Texas Health Science Center SA

February 2015-June 2016

Team Lead-The Coding Education Team University of Texas Health Science Center SA May 2013-February 2015

Review, interpret and assign diagnostic and procedural codes for multiple medical departments

Uses correct coding principles to include CMS and local MAC carrier guidelines

Conduct daily, weekly and monthly quality coding analysis to assure all documentation required for coding is captured in the medical record for appropriate billing

Assistance in root quality analysis of coding related denials with the follow up team for Revenue Cycle

Review and maintain departmental goals and objectives by monitoring coding trends by the providers, coders and related denials

Ensure that all UTHSCSA Compliance and UT Medicine Revenue Cycle policies and procedures are followed by coding staff

Provide coding education to faculty and staff and continuing education on current medical practices and coding related matters, including updates and revisions to ICD9 and CPT, local coverage determinations and payer/billing guidelines

Monitor coder/provider lag from the date received to coded to ensure timely filing of claims and proper payment

Maintain a working knowledge of CPT and ICD-9/ICD 10 coding principles, governmental regulations, protocols and third party requirements regarding billing and documentation

Complete regular audits and trend analysis

Interprets clinical data using working knowledge of anatomy, physiology, disease process and medical terminology

Assist staff with coding related charge edits in the EMR/EHR, work ques and follow up work for account resolution

Interprets and abstracts complex patient related data from medical record to CPT/ICD9/ICD10 coding

Current knowledge and training of the EMR/EHR system and how it relates to the Revenue Cycle

Development of the Team Lead Policy and Procedures Manual for Revenue Cycle

Oversee 40 immediate staff members and provide support to the de-centralized coders

Case Coordinator iMagDent March 2012-April 2013

Reformatting of patient CT scans in applicable software

Surgical case planning with dentists and specialists in an online format or in person to include Invivo, Simplant and NobelBiocare planning software

Importing and exporting of DICOM in a compressed and zipped format over a secure website

CT scanning of patients

Expanding office processes to increase efficiency and case flow

Coding and documentation processing of patient accounts

Identify, present and provide solutions weekly to CEO on key business measurables; policies, case planning and reformatting, scanning and other duties as assigned

Registered Dental Assistant in the State of Texas

Practice Consultant The 8020 Medical Management Group July 2011-December 2011

Increase profitability by developing office processes to increase efficiency and maximize personnel

Implemented daily operational procedures to ensure compliance with government/commercial insurance guidelines

Certified by AAOMS and AAPC for CPT/CDT and ICD-9 and ICD-10 Advanced Coding

Identify, present and provide solutions weekly to CEO on key business measurable; policies, A/R, employee reviews, Profit/Loss reports and profitability per procedure

Practice set up, operations assessment, billing and collections appraisal, financial oversight, coding and documentation review, staff recruitment and training and compliance guidance in accordance with OSHA and HIPAA guidelines

Director of Business Operations Alamo Maxillofacial Surgical Associates, PA June 1998-April 2011

Director of Business Operations, 2005 to April 27, 2011

Front Office Manager, 2002 to 2005

Surgical Assistant, 2000-2001

File Clerk, 1998 to 2000

Supervised front office of twelve team members in three different full-time locations with a multi- million dollar revenue for six oral surgeons

Co-created “Daily Operational Manual” that provides internal guidelines for coding, daily operations, chart preparation and all aspects of patient care from start to finish

Provide employee reviews, key operational matters and financial reports monthly to Administrator

Patient Coordinator: Improve case acceptance, scheduling, manage all insurance needs, educate patients pre- and post-surgery relating to clinical, insurance and payment plans, coordinate with referring practices, responsible for managing credentialing for six surgeons to all major medical and dental insurance companies

Dependable for training front office staff in updated CPT/ICD-9/CDT coding procedures performed in our office and the operating room and how they relate to the procedures performed

Practice set up, operations assessment, billing and collections assessment, financial oversight, coding and documentation review, staff recruitment and training and compliance training in accordance with OSHA and HIPAA guidelines

Decreased office expenditures by implementing needed controls on stock/supplies and standardizing ordering procedures of office supplies

o Excellent communication and writing skills

o Able to manage projects using various tracks

o Able to develop clear action plans

o Proficient with computer applications such as Microsoft word, Microsoft Excel, Power Point etc

o Having strong problem solving skills and analytical capabilities

o Having skills such as group process facilitation and meeting management

Amplified practice profitability by forecasting staff during peak seasons and managing supply inventory

References available upon request

Contact this candidate