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Coder/ Office Manager

Location:
Lake Elsinore, CA
Posted:
February 25, 2020

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Resume:

Gina Marie Conejero, C.C.S.

***** ***** ***, **** ***, Lake Elsinore, CA 92532

adbzlx@r.postjobfree.com

909-***-****

SPECIAL SKILLS

Excellent communication and customer service skills, problem-solver, able to juggle multiple tasks, self-starter, works well under pressure, detail-oriented, and analytical. Positive attitude, personable and professional. Diplomatic and fair when dealing with difficult situations. Fluent in Spanish and Tagalog.

Strong ability to review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM, ICD-10-PCS and CPT Codes. Extensive knowledge in anatomy, physiology, disease processes, surgical procedures and medical terminology.

SOFTWARE SKILLS

Windows, Excel, Medical Manager, Medisoft, Practice Fusion, 3M, ChangeHealth CPR+, Advanced MD, Optum 360

EDUCATION

AHIMA Certified Coding Specialist CERT# 225790

BS Business Management, Major in Hotel and Restaurant Mgmt

University of the Philippines, Cebu City, Philippines

WORK EXPERIENCE

Douglas & Co Billing / Culver City, CA

June 2019 to December 2019 Coder

Handled coding for the different clients which included Anesthesia, Cardio-Thoracic Surgery, Tran-gender Surgery, Maxillo-Oral Surgery, Cosmetic Surgery, Rehab/Psychiatric coding for Facility and Professional and Ambulatory Facility Coding. Also did collections for this startup company.

Orthopedic Medical Clinic / Pomona, CA

March 2007 to March 2019 Office Manager / Coder

Handled coding, billing and reimbursement based on medical documentation using ICD9 and ICD10, CPT and PCS. Managed all contracts with the different insurance companies and credentialing upkeep with the different hospitals and states that the physician had licenses with.

Odyssey Healthcare / San Bernardino, CA

December 2004 to December 2006 Billing Coordinator

Billing and coding for hospice. Ensured correct data entry for correct billing. Oversaw insurance certifications/authorizations. Checked monthly Medicaid eligibilities. Within first three months of hire, collected $1 million in old accounts that would have been written off.

Physical Therapy Connection / Herndon, VA

May 2003 to June 2004 Office Manager

Scheduling, verification of insurance eligibility, pre-certification. Collected all co-pays and insurance payments, prepared daily deposits, month-end and year-end reports. Always met or exceeded the A/R goals each month. Handled the credentialing of all the therapists with the different insurance companies. Achieved lowest cancellation/no-show ratio of 264 clinics nationwide. Coding and billing.

Internal Medicine Associates / Oak Hill, Virginia

November 2001 to April 2003 Billing Specialist

Assisted the Billing Manager in setting up work flow of billing for a 9-physician practice, including credentialing, electronic billing and remittance. Trained personnel in correct coding, posting and billing procedures including correct use of modifiers and diagnosis.

OBGYN Associates / Vienna, VA

March 2001 to October 2001 Office Manager

Created office job descriptions and oversaw the smooth flow of working procedures for the medical office, including appointment scheduling, front desk and nursing duties. Handled the coding and billing for a 2-physician practice, including the posting of charges and surgeries, insurance payments and patient accounts. Handles appeals and collection issues. Reduced the accounts receivables with no claim over 60 days old. Pre-certification of surgeries. Interpreted for Spanish-speaking patients. Attended billing and coding seminars.

Otolaryngology Associates / Fairfax, VA

June 1999 to October 2000 Patient Account Specialist

In charge of A/R, handled telephone and written appeals. Prepared HCFA 1500 for daily billing. Utilized electronic billing. Attended seminars regarding billing and collections. Lowered the A/R by $25,000 within first 3 months of hire. Utilized ICD-9 and CPT codes.

Bloch Medical Clinic / Los Angeles, CA

April 1994 to March 1997 Executive Secretary to Medical Director

Assisted the President in coordinating meetings of CSIMS. Handled travel arrangements and catering, prepared itineraries for Board Members of California Society of Industrial Medical Council. Scheduled patient appointments and doctor depositions. Delegated therapists and number of sessions. Prepared disability documents. Prepared correspondence and daily mail.

Business References

Marisela Ganuza

Lead/ Douglas & Co Billing

5840 Uplander Way Ste 200

Culver City, CA 90230

323-***-****

adbzlx@r.postjobfree.com

Phil Tavolacci

Director / Physical Therapy Connection

209 Elden St, Ste 106

Herndon, VA 20170

703-***-****

adbzlx@r.postjobfree.com

Dirk Stoehr

HR Manager / Bloch Medical Clinic

2698 Mayaro St

Pasadena, CA 91107

626-***-****

William R Hale, MD

Orthopedic Surgeon / Orthopedic Medical Clinic

1800 N Orange Grove Ave

Pomona, CA 91767

909-***-****

adbzlx@r.postjobfree.com



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