[email protected]
(210) 564-4956
Objectives
Top performing billing and coding professional seeking a position as a Medical Coder position utilizing expertise in CPT and ICD9/10 coding profound knowledge of medical terminology.
Experience
5/2017 Current Christus Santa Rosa Hospital San Antonio, Tx
HIM Coder II (ASC ER/Inpatient/Outpatient Surgeries)[/B][/B]
Print schedules for upcoming surgeries
Abstract codes from doctors dictation and ED Report
Make sure all cases were coded within a three-day time frame
Keep hospital informed on outstanding dictation
Assign the appropriate DRG and Revenue code to each procedure
Utilized Advantix to generate codes to UB form
Generated revenue codes for Tbill in Advantx before sending cases out to insurance
Used ICD-10PCS, ICD10 CM and CPT codes to generate bills for Inpatient and Outpatient surgeries
8/2016 12/2016 Nuwest MedTemps Bellevue, WA
Self-Pay Collections Specialist (Evergreen Healthcare Professional Billing Department)
Print scans for aging claims and prepared them for collections
Contact patients to reconcile claims
Write off and adjust balances and apply credits where balances are outstanding
Refiled claims that were listed as Self-Pay to the insurance if billed to the Patient in error
Assigned daily task and delegated special projects
03/2015-8/2016 South Texas Spinal Hospital San Antonio, Tx
Medical Billing and Coding Specialist
Billing for procedures and services for surgeries, office visits, DME equipment and physical therapy. Responsible for reading the Operative
Trained staff on new procedures and policies
Responsible for reviewing and correcting Medicare compliance issues
Responsible for removing/working each edit and making changes to billing to ensure the claims are released to the intermediary
Responsible for verifying and pre-surgical collections on cases prior to surgery
Auditing claims in Athena software
11/2002- 3/2015 Account Temps San Antonio, Tx
Medical Billing and Coding Specialist
Audit Charge Entry for toxicology claims
DME
Outpatient/Inpatient Surgeries
Handled Medicare Guideline issues
Input and verify correct CPT and ICD 10 codes to match labs
Assigned, coordinated and implemented projects within company budget
Oversaw business initiatives vital to the profitability
1/2014-6/2014 Cancer Care Centers of South Texas San Antonio, Tx
Financial Claims Rep (Ultimate Staffing) Temp
Meeting clients to understand their needs and demands
Preparing financial plans with a mix of short and long term investments
Implementing approved plans- Providing periodic updates on the performance of investment portfolios.
9/2011-2/2012 Methodist Hospital San Antonio, Tx
Medical Billing and Coding Specialist
Ability to multitask
Knowledge of basic mathematics and payment processing
Computer experience, with fast, accurate typing skills
Strong organization abilities and attention to detail
Outstanding customer service skills
Ability to remain calm and professional, even in emergency situations
03/2010-8/2011 Everest Institute San Antonio, Tx
Medical Billing and Coding Instructor
Plan, evaluate, and revise curricula, course content, and course materials.
Keep abreast of developments and current regulations in the medical coding and billing field, participate in professional conferences.
Instruct and teach the basics of the coding and billing process and procedures.
Prepare course materials such as syllabi, homework assignments, and handouts.
7/2009-11/2013 Southern Careers Institute San Antonio, Tx
Medical Billing and Coding Instructor
Prepares lesson plans using industry-standard approaches (e.g., multimedia, adult learning methodology).
Teaches courses as assigned, instructs and evaluates students, develops students skills and encourages growth, and tracks their attendance, performance, and grades.
Participates in graduation ceremonies, as assigned.
Participates regularly in continuing professional development activities.
Performs other duties or special projects as assigned
9/2003-12/2008 Eye Care Centers Of America San Antonio, Tx
Medical Claims Lead
Authenticated the information on all medical claims received
Reviewed and made sure that there is no omitted information
Answered inquiries from providers on the subject of claim, eligibility, covered benefits and approval status issues
Kept thorough records of claims and followed up on dropped cases
Entered claims into computer utilizing knowledge of CPT, ICD-9 codes and medical terminology
Read and assessed medical documents.
Documented all activities through CRM
Skills
Decision Making
Problem Solving
Analytical
Detail Oriented
Time Management
Conflict Resolution
Verbal Communication
Accuracy
ICD-9 CM Official Coding Guideline
ICD-10 CM Official Coding Guideline
HCPCS
CPT
Medicare Part ABC
Adaptability
Audits
Education
San Antonio College
Dec 2009 ▪ Associates
AAPC, CPC
March 2017