Lizzette Cepeda Martinez
San Juan
Summary
Adept at increasing coding accuracy and ensuring HIPAA compliance, I leveraged my expertise in HCPCS and diagnostic coding at Hospital Pavia Hato Rey to enhance claim accuracy. Skilled in medical terminology and training, my work significantly improved reimbursement processes, showcasing a blend of technical proficiency and mentoring capabilities.
Efficient [Desired Position] with robust background in medical coding. Proficient in accurately coding patient records and ensuring compliance with healthcare regulations. Demonstrated expertise in utilizing coding software and maintaining detailed documentation.
Dependable and detail-focused with solid foundation in medical coding principles and procedures. Well-versed in medical terminology and ICD-10-CM coding standards, ensuring accurate and compliant documentation. Committed to enhancing patient care and optimizing healthcare operations through precise coding practices.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Coder
Hospital Pavia Hato Rey
08.2019 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital.
Medical Biller and Coder
SCFS
07.2016 - 08.2019
- Correctly coded and billed medical claims for hospital.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Tecnico Vivienda
Municipio De San Juan
02.2005 - 03.2014
- Managed the application process, thoroughly reviewing documents for accurate income verification and eligibility determination.
- Assisted clients experiencing homelessness or housing instability by guiding them through available programs that best met their needs based on individual circumstances.
- Calculated tenant rent amounts to prepare leases and contracts.
- Reviewed documentation and input data into computer system to complete eligibility process, re-certifications and tenant move-outs.
Education
BBA - Marketing
Sagrado Corazon University
Calle Rosales Esq. San Antonio Pda 26 1/2. 06-1995
Skills
- Medical terminology
- HIPAA compliance
- HCPCS coding
- Medical billing
- Clinical documentation
- Medical claims coding
- Document management
- Knowledgeable in [software]
- Procedural coding
- Diagnostic coding
- Training and mentoring
- Inpatient records coding
- Revenue cycle management
- Medical record security
- Continuing education
- Certified medical coder
- 3M encoder
Certification
- Certicado Facturación Médica, Univ. Del Sagrado Corazón, 2003-2005
- Codificación Médica, ICPR Junior College, 3/2024
Languages
Spanish, English
Native language
Timeline
Medical Coder
Hospital Pavia Hato Rey
08.2019 - Current
Medical Biller and Coder
SCFS
07.2016 - 08.2019
Tecnico Vivienda
Municipio De San Juan
02.2005 - 03.2014
- Certicado Facturación Médica, Univ. Del Sagrado Corazón, 2003-2005
- Codificación Médica, ICPR Junior College, 3/2024
BBA - Marketing
Sagrado Corazon University
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