Summary of Qualifications

• Highly experienced medical coder/biller for the following specialties: Gastroenterology, General Surgery, Urology, multi-specialty ASC, Cardiology, non-profit organization, Diagnostic Radiology, Interventional Radiology, General Practice, Internal Medicine, Family practice, Pediatrics, and OB-GYN.

• Highly experienced in performing coder duties pertinent to ICD-10, CPT, HCPCS and completed training and certification through AAPC.

• Strong proficiency in professional fee coding in an acute care setting, inpatient, outpatient, same day surgery and provider based billing.

• Excellent knowledge of anatomy, physiology and pharmacology

• Excellent understanding of medical terms

• Highly experienced in obtaining precertification, authorizations and referrals for a patient’s radiology, surgery or inpatient services.

Work Experience

·         Remote Profee Medical Coder                                                                   July 2019-Present

Aviacode

Internal Medicine/Family Medicine/OBGYN/Pedia

801-858-3800

·         Part time Profee Medical Coder                                                                 February 2018-Present

Radiology Associates of Venice and Englewood

Diagnostic and Interventional Radilogy

Venice, FL

941-484-9115

·         Lead AR Specialist                                                                                            February 2018-July 2019

Radiology Associates of Venice and Englewood

Venice, FL

Ph: 941-484-9115

·         Outpatient Screening Specialist.                                                                August 2017-February 2018

Sarasota Memorial Health Care

Ph:941-917-2900

·         Medical Coder and Biller                                                                             June 2017- August 2017

Cardiology Center of Englewood

Englewood, FL

Ph: 941-475-5621

·         Health Services Billing Specialist                                                                April 2017-June 2017

Senior Friendship Center of Venice

Venice, FL

·         Medical Coder/Biller and Assistant Manager      September 2007 to March 2017

Anthony DiTomaso, MD/ Florida Digestive Health Specialists

Englewood, FL

Ph: 941-473-8881

·         Medical Coder/Biller                                                August 2010-February 2014

Gulf Comprehensive Surgery Center

Englewood, FL

Ph: 941-681-3555

Skills

• Twelve years of experience working as a medical coder/biller for multiple specialty offices including GI, General Surgery, Urology, Cardiology, Pain Management, Diagnostic Radiology and Interventional Radiology, Family practice, Internal medicine, General Practice, Pediatrics, OB-GYN as well as ASC coding for a multi specialty facility.

• Proficiency in MS Office, AdvancedMD, Greenway, Winmed, Vision, Provation, Intergy and athena

• Typing speed conformed to 80 WPM

• Comfortable with most medical billing software

• Strong time management skills

• Excellent oral and written skills in communication

• Familiar with almost all insurance companies and their medical policies and guidelines including out of state insurances.

• Highly experienced in quality measures reporting as well as physician credentialing and recredentialing.

• Verifying benefits with insurance companies

• Highly experienced in posting insurance payments, patient payments and also collecting data for revenue.

• Strong knowledge of Medicare, Medicaid and other commercial and Medicare advantage plans medical policies, LCD and NCD.

• Highly experienced in insurance follow ups, appeals and timely filling of claims

Educational Background and Coding Seminars

• AAPC CPC Online Course.                                                             ​​​​​April 2014- February 2015

• Mcvey GI Coding Seminar​​​​​​                                                            January 2014, September 2012

• Charlotte Technical Center​​​​​                                                         January 2007-March 2007

Phlebotomy

18150 Murdock Circle

Port Charlotte, FL 33948

• Saint Joseph College ​​​​​​                                                                  June 2003- May 2005

BS in Midwifery

Cavite City, Philippines

Certification and Qualification

• CPC- AAPC Member ID# 01316966​​​​                                                         Certification date: 03/07/2015

References

• Nancy Bailon

Previous Office Manager

Florida Digestive Health Specialist

941-661-7356

• RoseAnn Gostischa

Financial Counselor

Florida Cancer Specialist

941-952-8747

• Sarah Aprill

Certified Medical Assistant

941-468-7074