Profile

Motivated Certified Medical Billing and Coding Specialist with experience in Health Operations Management, inpatient, and outpatient facility. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volume of patient information to achieve revenue generation goals.

Academic Background

ASSOCIATE’S DEGREE IN MEDICAL BILLING AND CODING 2020-2021 NUC UNIVERSITY ONLINE DIVISION, PR

The liaison between patients and the practice especially over the phone and when the patient walks in to the clinic.

Schedule appointments for new and established patient.

Partner with the Treatment Coordinator to ensure effective scheduling.

CPT, ICD-10, HIPAA, HCPCS, Inmediata, Medical Record (EHR), Medical Audit.

LAW DEGREE, UNIVERSITY FEDERICO HENRIQUEZ & CARVAJAL UFHEC, SCHOOL OF LAW, GRADUATED MAGNA CUM LAUDE, DOMINICAN REPUBLIC, 2007-2012.

BACHELOR DEGREE, PRE-UNIVERSITY ERNESTO GUEVARA, CEIBA 1, LA HABANA, CUBA, 2001-2004

CERTIFICATIONS

CPC-A

EXPERIENCE

OPTUM-REMOTE, 07/2023- 01/2024

HCC Medical Coder

Supervisor: Latasha Williams/ CELL. 615-***-****

Responsibilities:

Performing charts reviews to provide and/or verify accurate Medicare HCC an

coding based on services rendered in an outpatient/inpatient setting.

Performing Second level review to assist in providing timely feedback and education.

Reviewing medical records, abstracting and assigning proper diagnosis codes from both handwritten progress notes and various EMR systems.

Maintained at least 95% coding accuracy and completeness.

Meeting production goals as outlined by management.

Champion 40A. Orlando, FLORIDA, UNITED STATES 11/2022-02/2023

Executive Assistant

Providing administrative assistance, such as writing and editing e-mails, drafting memos, and preparing communications on the executive’s behalf.

Maintaining comprehensive and accurate records.

Performing minor accounting duties.

Organizing meetings, including scheduling, sending reminders, and organizing catering when necessary.

Welcoming visitors and identifying the purpose of their visit before directing them to the appropriate department.

Managing the executive’s calendar, including making appointments and prioritizing the most sensitive matters.

Answering phone calls in a polite and professional manner.

ICN FINANCIAL RESOURCES. HOUSTON, TEXAS, UNITED STATES 11/2015 –11/ 2017

Administrative Assistant

Supervisor: Minerva Valdez/ CELL. 832-***-****

Responsibilities:

Primary contact for customers via telephone calls, effectively addressing client complaints and concerns.

Managed calendar activities, meeting logistics and review of draft correspondence.

Intercepted incoming and outgoing office mail, arranged courier services

Collect loan payment from customers

Pre-qualified potential Spanish clients able to buy new houses.

Leonardo Mejía & Partners Insurance Company. La Romana, Dominican Republic. 11/2013-01/2015

Claims Specialist

Supervisor: Ana Cristina Carpio/ Cell. 809-***-****

Responsabilities

Manage, prepare and assess claims.

Ensure claims are settled in accordance with policy and company guidelines

Promptly advise clients of decisions regarding claims

Processed applications, determined, eligibility, and issued or declined covered

Reviewed, evaluated and categorized incoming documents by verifying information for accuracy and appropriateness.

Monitor sales activities to ensure monthly goals

Skills & Abilities

Demonstrated excellent communication, organizational, time management, and problem solving skills.

Exercise independent judgment, decision-making abilities, and a high level of confidentiality.

Ability to work under pressure and with minimum supervision.

Computer Skills: Word, Excel, Power Point and Outlook, Inmediata Secure EMR y Secure Claim.

Knowledge in ICD-10-CM, CPT, HCPCS.

Expertise of anatomy and medical terminology.

Bilingual Spanish and English

References

Emilse Atencio 203-***-****

Vora Prachi 973-***-****

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