Twenty years healthcare expereince- last 9 years Coder/Auditor- Seeking Remote Pstn

deynaw

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Deyna L. Gomez, CPC
Deynagomez820@gmail.com
7471 Wayland Blvd
Orlando, FL 32807
407-230-7946

Objective: To secure a remote coding/billing position which will allow me to utilize the skills I have acquired and learn new skills.

Education: Continuing coding education workshops throughout the year via webinars as well as classes. ICD-10
Competency Certified.

Experience:
Florida Hospital Medical Group
Auditing Specialist- Feb 2014- Present-Remote Coder
Performed Evaluation and Management Internal Audits for various specialties (Urology, Ped Urology, Urogyno, Peds, Nephrology, Internal Medicine, Endocrinology, Ortho, and Critical Care). Meet with provider and administration after audit to review results and provide education. Performed quarterly modifier reports. Completed various projects as assigned by management. Provided assistance and education to office staff on coding and auditing questions.
Proven reliability as a remote coder and top producer for my department.

Delta Internal Medicine Associates
Medical Office Manager October 21, 2013- Feb 2014
Supervision of patient scheduling, registration, financial counseling, medical records, billing and collection, charge
entry and processing, and cash posting. Running weekly billing reports. Develop, implement and maintain office
policies and procedures. Interview, hire and train a productive medical office team and conduct performance reviews. Credentialing for physicians to government agencies as well as commercial insurances. Responsible for creating company logo and a secured HIPPA compliant domain as well as supervised production of website. Responsible for preparing and depositing daily bank deposits. Managed inventory of office supplies. Responsible for office bookkeeping. Prepare and conduct weekly meetings and updates. Meet with physician daily for updates, signatures etc. Negotiated contracts with vendors as well as insurance companies. Run biweekly payroll. Implemented PTO and holiday schedule.

Florida Urology Associates - FHMG formally Winter Park Urology Associates
Orlando Cancer Institute
Mills Ave Surgery Center - formally Urological Ambulatory Surgery Center
Orlando, FL 407-892-3499
June 2009- October 19, 2013
Revenue Cycle Process Improvement Supervisor August 2012- October 2013
Daily charge entry audit for all sites/ denial report management/ surgery, injectable, and in office procedures audits/worked closely with billing department to troubleshoot and resolve complex denials/ monitored productivity and accuracy within the department/ designed, worked, delegated projects as necessary/ updated leaders and physicians on charge entry and coding updates and trends/ worked closely with peers to supervise and manage activities of front office and authorization staff/ worked with coding department on coding updates and changes/ kept up to date on Medicare and major carrier requirements/ worked closely with clinical, radiological, and pharmaceutical staff on education and internal policy procedures/ ensured excellent internal and external customer service/ held weekly department meetings/ responsible for time and attendance/ assigned cross coverage for front staff in main as well as satellite offices as necessary/ set up and conducted employment placement interviews/ design corrective plans as necessary/ Provide individual as well as group training on coding and charge entry.





Appeals and Recovery Specialist - Account Receivable Team Lead
February 2011-August 2012
ASC daily chart audit and charge posting/ daily surgery and hospital visit audits/ oversee staff in charge posting/
continued to update staff and physicians with latest coding information/ worked closely with physicians on
documentation strategies for more effective appeals/ individual weekly training-meeting sessions with insurance
representatives regarding denials, providing direction in effective claim resolution, reviewing and signing off on all
adjustment requests, assisted representatives in identifying problem areas/ assisted billing staff with account aging
reports/ when necessary, responded to claim denials with strong appeal letters and supporting documentation/
Assisted staff and physicians in home as well as satellite offices with billing coding questions/ assisted in staff training as well as coverage/ assisted on various projects/ responsible for staff updates on billing/coding changes/ responsible for providing billing information for the assistant surgeon’s offices.

Coding Specialist June 2009-February 2011
ASC daily chart audit and charge posting/ daily surgery audits and charge posting/ daily hospital visit audits and
charge posting/ responsible for continual physician education and updates on all coding/billing changes/ entered
pathology charges/ responsible for staff updates on billing/coding changes/ created cheat-sheets for physician and
staff for easier billing/coding reminders/ responsible for updating surgery billing sheet/ responsible for creating the daily hospital charge sheets for the physicians/ responsible for providing billing information for the assistant surgeon's offices/ assisted all satellite offices with coding questions/ worked closely with administration and physicians on projects and billing/coding assignments/ worked closely with physicians regarding CMS changes and documentation requirements.

SKILLS:
• BILINGUAL ENGLISH/SPANISH
• STRONG KNOWLEDGE OF MEDICAL TERMINOLOGY
• STRONG KNOWLEDGE OF INSURANCE TERMINOLOGY
• STRONG KNOWLEDGE OF CPT, ICD-9, ICD-10 CODING
• STRONG ORGANIZATION SKILLS & DETAIL ORIENTED
• EXCELLENT CUSTOMER SERVICE SKILLS
• PROVEN LEADERSHIP, MANAGEMENT AND FINANCIAL SKILLS
 
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