Medical Office Coder

Aida Leyva Fontaines

Status Migratory: American Citizen

Address: **** ** ** ** *****,FL 33165

Phone: 786-***-****

Email: ad5eko@r.postjobfree.com

Professional Summary

●Medical Coding and Billing with more than 10 years of experience providing patient support in hospital and medical office settings.Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims,preparing patient charts and reviewing health records to identify proper diagnosis codes for billing.Offers background in reviewing,analyzing and managing medical records information to obtain prior authorization from insurance companies and ensure payment. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. SKILLS : Data Verification. Proficiency in: EcW,EzClaim,Cortex EDI,Datalink, MDVita. ICD-10 CM,CPT,HCPCS. Encoder-Pro. Insurance Verification.

WORK EXPERIENCE

1.Medical Coder/ Biller. H-1 Hospitalist. Miami,FL.January 2023 to March 2024. -Increased coding accuracy by diligently reviewing medical documentation and applying aprópiate codes. -Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims . - Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes . - Collaborated with physicians to obtain necessary documentation,improving claim approval rates . - Entered procedures and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management;added modifiers,verified diagnoses,and codes narrative diagnoses. 2.- Humana Medical Group: Senior Medical Coder. Miami,FL 2009 to 2022. 13 years experience. Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions. - Streamlined the coding process for efficiency,resulting in a higher volume of claims processed daily. - Enhanced team productivity by providing ongoing training and support to junior medical coders. - Ensured compliance with industry regulations by staying updated on current coding practices and guidelines. - Provided support to physicians and interpreted medical reports and data to assign ICD-10 codes; entered diagnosis codes and patient information into billing software. EDUCATION

●09/2013- CPC, CRC, CPMA, CDEO. 06/ 2013- BBA: Medical Office and Billing.Florida Career College.Miami,FL. 07/2001- Bachelor of Science: Physics Habana,Cuba.

LANGUAGES: English - Spanish

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