VENANCIO BUEN BARIZO
Maharlika Highway, Ajat, Iguig, Cagayan
Summary
Experienced coding specialist with a comprehensive knowledge of ICD-10, CPT and HCPCS coding systems. Proven track record of accurate coding, compliance with regulations and optimizing revenue cycles. Strong attention to detail and analytical skills to ensure precision and quality in coding practices.
Overview
8
8
years of professional experience
Work History
Medical Coding and Billing Specialist
Holy Infant Hospital
Tuguegarao City, Cagayan
01.2002 - 03.2010
- Accurately code and abstract medical records, achieving a 99% accuracy rate in the assignment of ICD-10, CPT and HCPCS codes.
- Streamline the coding process, leading to a 20% increase in daily coding production and a 5% decrease in claim denial rates.
- Collaborate with the compliance team to ensure adherence to country's regulations, maintaining a 100% compliance rate during external audits.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Developed a comprehensive understanding of ICD-10-CM, and HCPCS codes to ensure proper use in medical coding assignments.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Streamlined billing processes for faster reimbursement, utilizing advanced software solutions.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Verified signatures and checked medical charts for accuracy and completion.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Verified accuracy of patient information in medical records.
- Followed exact procedures for handling transfers and other releases of medical records.
- Tracked and monitored requests for medical records release.
- Assisted in preparation of medical reports for external parties.
Education
Bachelor of Arts - Public Administration
International School of Asia And The Pacific
Alimannao Hills, Penablanca, Cagayan03.2010
Skills
- ICD-10, CPT and HCPCS coding
- Medical terminology
- Electronic Health Records (EHR)
- Revenue cycle management
- Compliance and regulatory knowledge
- Data analysis
- Attention to detail
- Communication
Timeline
Medical Coding and Billing Specialist
Holy Infant Hospital
01.2002 - 03.2010
Bachelor of Arts - Public Administration
International School of Asia And The Pacific