Workers Compensation Certified Coder
Resume:
Kimberly De La O
Sunnvale, Texas 75181
adzeqb@r.postjobfree.com
Objective: I would like to establish with a company where my skills are implemented and enhanced. I have worked in the medical field for many years and I am articulate and dependable with exceptional service. I work hard always doing a thorough job, while paying close attention to details along with great work ethics.
Summary: left my last employer after 21 years, Dr. Ubinas-Brache, M.D. had a stroke and business was slow.
Employed dates 02-1995 to 08-2017
Employment:
Dr. Emmanuel Ubinas-Brache, M.D.
411 N. Washington # 2000
Dallas, Texas 75246
Work Ethics: Administrations and Office Manager
Managed office
Managed employees
Office payroll
Employment review
Kimberly De La O
Page #2
Opened office
Office staff had charts and authorizations set for the day
Closed books
Conducted disciplinary actions and terminations
Accordance with office policys and procedures
Patient complaints
Credentialing of hospitals, urgent care facilities
Renewals of DEA, DPS, STATE LIC number
Contracts for Insurance Company, Third parties, L.O.P, workers compensation, self insured company
Re appointment applications
emergency room call schedule
emergency room pay roll hours
asst to chief of plastic at Methodist Hospital
peer to peer for authorizations
audits
Billing/Collections:
Certified coder trauma level 1
Medical data enter
Experience with commercial insurance, PIP, attorneys, workers compensation, third parties, and crime victims
Negotiations with non-contracted insurance self employers
Posted pmt and adj
Collection large amounts of single checks ranging from 3,000 to 57,000
Average collections per month 500,000 to 800,000
Appealed for wrong bundle codes
Set up fee scheduling
Kimberly De La O
Page 3
Negotiation of fee scheduling
Electronic billing
Electronic EMR
Account call status
Analyzed EOB
Billed paper claims
Corrections of operative reports
Correction of office SOAP notes
ICD 10
CPT
TDI complaints
MEDICAL:
Pre-certified surgery
Scheduled surgery
Consent forms
Progress notes
Took pictures threw out surgery
Surgery prep
Sterilization of instruments
Preformed debridement
Instructions on wound care
Dressing change
Rx
Injections
Clinical triage
MEDCAL OFFICE:
Answer phones
Checked patients in and out
Kimberly De La O
Page 4
Collected co-ins, co-pay, deductibles
Languages’ spoken:
Primary: English Secondary: Spanish
Education:
Bachelor’s health care administration: University of Illinois Chicago (U.I.C) 1985 to 1988
Certified workers compensation adj U.I.C 1983 TO 1984
Certified workers compensation adj Texas Women University
1989 to 1990
Certified coder 1990 to 1992
Certified trauma level 1 1995 to 1996,2002,2008,2012,
Renewal of license 03-2016
Osha/Hippa seminars
Medicare seminars
IPA seminars
Hand coding seminars
Collections seminars
Medicaid seminars
Workers compensation seminars
Contact this candidate