Michelle Moreno

**** *. ***** ** ********, CA ***03 626-***-**** ady388@r.postjobfree.com Professional Profile Energetic healthcare professional with over 15 years’ experience seeking to apply solid organization and communication skills in medical or healthcare setting where teamwork and patient service excellence is number one priority while furthering my education in the healthcare industry.

Skills Summary Bilingual (Spanish)

Hospital Coding/Billing

Typing 85 wpm / Data Entry

Excel Spreadsheets

Microsoft Word

10 Key (Touch-Sight)

Summit/Showcase

On-demand

Front Office-Administration 3M 360 Coding

Patient Reception/ Scheduling Cerner/All Scripts

Customer Service Emdat/Synapse

Bookkeeping-Collections X-claim, Pbar

Office Ally Nova Rad

Excellent Communication Skills One Content

Medisoft (Billing /Coding) ICD9-ICD-10 HPF

Paragon Chart Auditing

Education East Los Angeles College Monterey Park, Ca

Health Information Technology August 2017-Present

CCS/RHIT

Everest College Alhambra, CA

Medical Insurance Billing and Coding April 2014

Premiere Career College Irwindale, CA

Medical Assistant Certificate February 1997

Garfield Adult Center Alhambra, CA

GED Diploma Completed 1993

Employment History Alta Hospitals LLC, Norwalk, CA October 14, 2016-Present DNFB HIM TECH (Coding support)

Duties included: Reports generated daily of Discharges Not Final Billed for all 7 facilities. Distributes reports to all Directors, Supervisors and VP’s. Generates daily coding hours to Directors of facilities. Creates daily worklist assignments for coders. Reviews DNFB accounts completion of chart for coding. Review holds in queues. Perform daily review for high dollar Inpatient and outpatient accounts for coding. Assign deficiencies to doctors for missing ED notes, Progress reports, Operative reports, H&P’s, and Physician INPT/OBS admit orders. Review unanswered Queries. Pull Pathology reports, Labs, US, and X-rays. Review accounts accuracy for Registration issues, Audit charges, review missing codes by coders. Help billing department to recompute accounts APR-DRG’s. Assign accounts with Z codes when applicable. Month end review of the Discharged Not Final Billed Report to reconcile the recurring accounts. Communicate with coding staff issues that prohibit the record from being completed. Work closely with Case Mangers regarding orders and insurance issues. Assist in the processing, maintaining, compiling, and reporting of statistical data requests by Nursing, Risk Management, Quality Management, and ancillary departments within the organization. Maintain strictest confidentiality of protected health information (PHI) in accordance with the Health Insurance Portability and Accountability act (HIPPA). Other duties as assigned.

A.W. Gogin & Associates, La Habra, CA November 2014-August 26-2016 Coding support (HIM Department-Temporary Assignment at Keck Medical center of USC) Duties included: Pulled assigned clinics on hold from the DNFB. Checking accounts verifying the reason coders placed on hold. Verifying documentation if account is code able. Reassign accounts in task queue for coders. Emailing Doctors asking for documentation, addendum if needed. Reviewed Queries placed by CDI for Inpatient accounts. Helped the X-Claim team with edits. Scanned in documentation to accounts. Verify charges, admit, and discharge dates. Worked closely with patient accounting, auditors, and managers to validate charges in accounts. Emailed managers of clinics with their daily holds list, List amount HIM is holding to be coded. Worked closely with managers and director of coding. Constant communication with the coders and their needs. Reports given daily to my direct supervisor. Answer phones, assist with other duties as assigned.

A.W. Gogin & Associates, La Habra, CA October 6, 2014-November 2014 Clerical Support (Patient Accounting – Temporary Assignment at Keck Medical Center of USC) Duties included: Assisted with Accounts Receivable, Bad Debit Report for Medicare/Medical, Research Medicare Remittance date, Deductibles, Coinsurance, Medical Remittance Date, Share of Cost, Medical Payment and Remittance, Advice Details Codes. Assist HIM to verify charges in accounts to be coded. Assist with other duties as assigned.

North Star Healthcare, Walnut, CA May 7, 2014 – August 4, 2014 Billing Assistant (Home Healthcare)

Duties included: Verified eligibility of benefits with various insurance companies, requested authorizations for visits and follow-ups. Collected payments; posted EOBs as needed onto Data Soft. Called on EOBs when payments were not correct, services not being paid for. Update created individual statements for patients as requested. Billing for different insurances as needed. Follow-up calls when services are not paid for. Created and submitted appeals letters to insurance companies when discrepancies occur.

Code Metro Inc., Monrovia, CA March 14, 2014 – April 14, 2014 Medical Biller and Coder (Externship)

Duties included: Checked in with Case Manager daily. Updated, adjusted, and corrected the claim tracker. Posted EOBs as needed onto claim tracker. Verified eligibility of benefits. Created individual statements for patients as requested. Performed billing for different insurances as needed. Performed follow-up calls when services were not paid for. Created and submitted appeal letters to insurance companies when discrepancies occurred.

Que Mango, Indio, CA July 7, 2007– May 13, 2013

Store Manager

Duties included: Supervised crew of 10 employees for family-owned Natural Juice & Fruit Company. Daily interaction with customers, vendors, and employees. Set employee work schedules, process weekly payroll, track & maintain employee leaves reporting, prepare & process bank deposits, daily inventory of merchandise, daily cash transactions, and comply with Federal & State Labor Laws. CHILDRENS HOSPITAL OF LOS ANGELES, Los Angeles, CA Nov. 2001 – July 2005 Financial Counselor I (Infectious Disease)

Duties included: Conferring with patients and third-party payers to ensure the eligibility and authorization of services. Field patient account enquiries. Financial case manager for both inpatient and outpatient services for assigned patients. Reviewed admissions applications for California Children Services patients. Assisted families in identifying and applying for alternate funding sources to pay for medical services. Scheduled patients for clinic and hospital discharge follow-ups.

CHILDRENS HOSPITAL OF LOS ANGELES, Los Angeles, CA May 1999 – Nov. 2001 Ambulatory Care Representative I (Multiple Clinics) Duties included: Registering patients for multiple clinics, collecting insurance company co-pay fees for billing, verifying patient eligibility, scheduling patient appointments and lab requests. Assisting Doctors with patient care and covering different departments in the Hospital as a Financial Counselor processing accounts receivable at the end of the business day.

References available upon request.

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