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Gabriel

Medical Billing and Coding Specialist

Location

Mexico

6

YEARS OF

EXPERIENCE

I am a Medical Billing and Coding Specialist with 6 years of experience ensuring accurate coding of medical diagnoses and procedures for insurance claims and patient billing. I work diligently to maintain the integrity of medical records, handle claims efficiently, and ensure that healthcare providers are reimbursed properly. My role involves interpreting clinical documents and translating them into standardized codes, ensuring compliance with healthcare regulations. I focus on accuracy, attention to detail, and staying updated with industry changes to optimize reimbursement processes and minimize errors.

Main Skills

Accounts Receivable

ASPEL

Balancing Accounts

Cash flows

Cash Management

External Audit

Medical coding systems
Medical billing software
HIPAA compliance
Healthcare regulations
Coding audits and quality assurance
Patient billing / insurance verification

Work Experience

Work Experience

Medical Billing and Coding Specialist (2020 – Present)
→ Review medical records and patient charts to accurately assign ICD-10, CPT, and HCPCS codes.
→ Ensure the accuracy and completeness of coding for insurance claims, ensuring that all claims are processed correctly.
→ Follow up on outstanding insurance claims and resolve any coding issues or denials.
→ Maintain patient billing records and ensure compliance with HIPAA and other healthcare regulations.
→ Provide coding support for healthcare providers and assist with compliance audits.
Medical Coder (2018 – 2020)
→ Assigned appropriate diagnostic and procedural codes from clinical documents to ensure accurate billing.
→ Worked closely with medical staff to clarify diagnoses and procedures for proper coding.
→ Assisted in verifying insurance details and communicated with insurance companies regarding coding and claims issues.
→ Performed coding audits to ensure accurate coding practices and compliance with healthcare standards.
Medical Billing Specialist (2018 – 2019)
→ Managed patient billing, including submitting claims and processing payments.
→ Coordinated with patients and insurance companies to resolve billing discrepancies.
→ Followed up with unpaid or denied claims, ensuring that payments were processed promptly.
→ Assisted with coding procedures and diagnoses to ensure accurate billing for medical services.

Education


Bachelor’s Degree in Health Information Management (2015- 2020)

Education

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