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Alvaro

Medical Billing and Coding Specialist

Location

Colombia

10

YEARS OF

EXPERIENCE

I am a Medical Billing and Coding Specialist with ten years of experience ensuring accurate medical coding, claims processing, and compliance with healthcare regulations. I specialize in optimizing revenue cycles, minimizing claim denials, and maintaining data integrity. My expertise in ICD-10, CPT, and HCPCS coding, along with my attention to detail, allows me to streamline billing operations and improve reimbursement efficiency for healthcare providers.

Main Skills

Accounts Receivable

ASPEL

Balancing Accounts

Cash flows

Cash Management

External Audit

Revenue Cycle Management
HIPAA & Healthcare Regulations
Patient Billing & Collections
Medical Coding (ICD-10, CPT, HCPCS)
Microsoft Office
Medical Billing Software

Work Experience

Work Experience

Medical Billing and Coding Specialist (2018 – Present)
→ Assign accurate ICD-10, CPT, and HCPCS codes for medical procedures, diagnoses, and treatments.
→ Process and submit medical claims to insurance providers, ensuring timely reimbursements.
→ Review patient records and documentation to verify coding accuracy and compliance.
→ Work with insurance companies to resolve claim denials and discrepancies.
→ Train healthcare staff on coding updates and billing best practices.
→ Maintain HIPAA compliance and ensure data security in billing processes.

Medical Coder (2015 – 2018)
→ Coded and reviewed medical procedures for accuracy and adherence to industry standards.
→ Conducted audits of patient charts to ensure proper documentation and coding compliance.
→ Assisted in optimizing the billing workflow to reduce claim rejections.
→ Provided support to the billing department by verifying insurance eligibility and claim status.
→ Stayed up to date on changes in medical coding guidelines and regulations.

Medical Billing Assistant (2013 – 2015)
→ Assisted in claim preparation and submission to insurance providers.
→ Verified patient insurance coverage and obtained necessary authorizations.
→ Processed patient payments and set up billing arrangements.
→ Responded to billing inquiries from patients and insurance companies.
→ Maintained patient records and ensured accuracy in billing data entry.

Education

Bachelor’s Degree in Health Information Management (2009 – 2013)

Education

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