Medical Coding Specialist with ICD-10 Expertise

Professional Summary

Skills

Education

Crystal Ann Santiago, CPC

Pittsburg, CA 94565

925-***-**** - ************@*****.***

My goal is to obtain employment in Medical Coding Field within the Revenue Cycle Coding Healthcare Industry that will allow me to move forward in this fast pace professional environment with skills emphasizing Physician Reimbursement and Education in order to increase revenue for your company.

Computer proficiency, Multitasking Abilities, Insurance verification, billing & processing, HIPPA Confidentiality practices, Self motivation, ICD 9 & ICD 10 Coding, CPT Coding, HCPCs Coding, Anesthesia Knowledge, EPIC, Microsoft office: Excel, Word, Access, Powerpoint and Outlook, E & M Coding-refreshing for Certification, Interventional Coding, Pet Scans Coding, Nuclear Medicine Coding, Abstracting & Auditing medical records, Adaptability, Reliability, Production Coding, Time management, Medical billing code accuracy, Excellent verbal

& written communication, HIPAA compliance, Problem-solving, Critical thinking, Teamwork & Independently work, Decision-making, Data entry, Authorization, Multitasking capacity, Heartsaver (CPR AED), Regulatory compliance, Task prioritization, Problem-solving aptitude, Organizational skills, Typing 60-70 wpm, Laserfiche, Codify with AAPC, Dependable & Flexible

Certified Processional Coder

AAPC

EHR & EMR Certificate

AAPC

Associate of Applied Science: Business Administration Work Experience

Healed College - CA

CEMC- A Work in Progress

AAPC

09/2007 to 09/2025 RADIOLOGY MEDICAL CODER

Bay Medical Management, LLC - CA

Keep Coding certificate current with CEU courses. Managed coding and abstracting from medical records. Performed established quantitative and qualitative work standards to meet departmental goals and objectives. Abstract, code CPT procedure codes for accuracy and makes appropriate corrections. Applies accurate ICD-10 Diagnosis codes to dictated reports via computerized coding program or paper. Observed and enforced all ICD-10-CM coding rules and regulations. Applies PQRS measure code and stays current on the measure requirement. Review of CMS, LCD and NCD, NCCI edits, MUE and staying current with changes. Apply coding Modifiers appropriately when needed. Collaborated with department staff members to handle additional duties during employee absences or high-volume periods. Maintain & comply with HIPPA polices Must meet Accuracy standards for department 97%, with a less than 3% error rate. Follow established polices and coding rules with the department. Work on special projects when assigned and work in a high production environment. Must attend Month meetings and when company provides workshops. Ability to read, comprehend simple instructions either in correspondence or in person. Reports are sent back to Physician for further clarifications and review. Ensure all coded data is with in Federal and State regulations. Use all training material provided. ex: CPT Book, ICD-10 Book, Codify with AAPC and Material on Teams from training. Code reports on average 700reports per Department requirements. Specialized medical classification software (Radpayor) to assign procedure and diagnosis codes for insurance billing.

02/2007 to 07/2007 OUTPATIENT MEDICAL CODER

Sierra Surgical Center - CA

Participated in departmental meetings to discuss improvements in the medical records process. Conducted regular quality assurance checks on medical records for consistency and accuracy. Assisted in the preparation of reports and audits. Resolved discrepancies in medical records by consulting with healthcare providers directly. Applied ICD-9, CPT codes and HCPC to operative reports. Enter all reports to hospital data base EPIC for further processing for the next department. Stay current with my Certification with AAPC. Use all tools provided for correct coding. Followed established guidelines and procedures for maximum regulatory compliance. Finished tasks and job duties, adhering to deadlines to avoid delays. Completed assigned tasks with little or no supervision. Completed required paperwork within anticipated timeframes.

Collaborated with healthcare professionals to verify patient information for medical procedures. Organized and maintained patient records for accuracy and compliance with regulations. Reviewed periodic billing error reports and addressed, resolved, or reported unusual findings.

03/2001 to 07/2007 ANESTHESIA MEDICAL CODER

Anesthesiologists Associates

Verified complete file information and documentation to substantiate code assignment. Use specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Analyzed claims data to verify assigned codes, signatures and authorizations. Reviewed periodic billing error reports and addressed, resolved, or reported unusual findings. Ensured timely updating of patient health records following treatment or diagnosis updates. Conducted regular quality assurance checks on medical records for consistency and accuracy. Resolved discrepancies in medical records by consulting with healthcare providers directly. Maintained an inventory of medical records forms and supplies to ensure availability when needed. Applied ICD-9 to all charges submit. Review all CPT-4 codes. Applied Pain Management and E & M CPT codes. Audited team member for accuracy in coding Daily Charges Maintain 5% or less error rate. Data Entry and Insurance Authorization and verification. Process at least 450-500 charge tickets per day. Work on specified Projects in a timely manner. Inquired with physicians for clarification of procedures, DOS or times. Monitored files to verify References

accurate data entry and processing through billing system. Upon Request

Contact this candidate