Fernanda Marques

Boca Raton, FL *****

ad047f@r.postjobfree.com 561-***-****

Objective: To have the ability to utilize the special skills acquired in industry with the ability to multi-task in any area of Health Information Mgmt.

Skill and Qualifications:

Coding systems:

• Understands conventions and guidelines related to ICD-10CM/PCS and CPT

• Understands the application of reimbursement systems, i.e. DRGs, APGS

• Understands the fundamental of disease process

• Demonstrates ethical coding practices by adhering to official coding Guidelines and the American Health

• Information Managements’ Standards for Ethical Coding

• Understands the concept of risk adjustment coding and the purpose of hedis measures

• Demonstrate the ability to use 3M (Encoder system/software) Health Information Management:

• Understands the importance of maintaining ethical and legal standards in record keeping

• Understands the importance of maintaining the confidentiality of patient information • Understands the work process of a Health Information Management Department Billing:

• Submitting charges, following up on claims submitted, getting authorizations, posting charges received, checking coverage, applying allowed amounts, adding modifiers, submitting claims to clearinghouses. Using various Billing application systems

• Understands how can use ROI Software and Scheduling Software Billing:

• Submitting charges and following up on claims submitted

• Applying allowed amounts and posting charges received

• Adding modifiers

• Submitting claims to clearinghouses

• Processing denials and appeals

Emergency Care:

• Knowledge of emergency measures, including certification in CPR/BLS (Basic Life Support) Computer Skills:

• Epic, EClinicalworks, eMedicalPratice, eTenet, UHCProvider, First Coast (Medicare/Medicaid), Trizetto Provider Solutions, Availity, 3M, MS Office, QuickBooks, Various HER systems. Education:

Associate in Heath Information Technology August/2019 – December 2020 Broward College – Coconut Creek, FL

Medical Coder and Biller August/2018 – June/2019

Atlantic Technical College ATD – Coconut Creek, FL Bachelor of Economy January/1995 – December/co1999 UNITRI – Brazil

Licenses and Certificates:

Registered Health Information Technology – RHIT October/2022 – April/2025 Certified Professional Coder - CPC June/2022 – March/2023 Work Experience:

Auditor

Cloudmed R1 – Remote March/2023 – Present

• Understands, interprets, and applies coding guidelines for coding quality audits. Audits Outpatient and Profee encounters with complex code assignments. Review of complex medical records to determine coding accuracy of all documented diagnoses and procedures.

• Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD- 10-CM and CPT coding.

Coder

Pediatrix Medical Group – Remote August/2022 - March/2023

• Coding from hospital records. Assigning modifiers and sequence codes appropriately to accurate reflect service provided

• Obtaining medical information from physicians and hospitals when required to validate correct coding

• Performing data entry in the On-Line Billing and Registrations (OBR) system

• Ensuring medical records are complete

• Notifying physicians when documentation is unavailable for coding and billing and working on correct documentation of service

• Following all government and payer coding guidelines and HIPAA guidelines

• Performing other duties as assigned

Biller and Coder

Eugenio Rodriguez MD PA – Delray Beach, FL June/2019 – July/202

• Reading and determining the correct codes for patient records

• Interacting with physicians and assistants to ensure accuracy

• Review complete charts including progress notes and flag definitive risk-adjustment diagnoses

• Obtaining pre-authorizations as required for procedures and consultation

• Ability to recognize, develop, and implement all deficient quality measures

• Reviews for clinical indicators and query providers to capture the severity of illness of the patient

• Maintaining patient confidentiality and information security

• Interaction with Clearinghouses and payers for EDI and billing- related issues

• Assisting in medical claims submission and follow up with denials and appeals

• Review auto accident progress notes and submit to auto insurance with Health Insurance Claim Form

• Review trauma surgeries and apply correct CPT codes to submit to insurance

• Review encounters and apply accurate CPT codes for the visit Top Quality Caregivers LLC – CNA December/2016 -August/2018 Select Stone Inc. – Bookkeeper January/2008 – June/2015 Clinical Experience:

Broward Health North Student Internship April/2019 – June/2019

• Reviewing patient’s charts in impatient and outpatient setting

• Assigning medical properly

• H&P monitoring

• ER/Operations Reports

Contact this candidate