Shelly Boer-Estrada
Armona
Summary
Accomplished Certified Medical Coder with expertise in ICD-10 proficiency and critical thinking, honed at AdventHealth. Enhanced claims processing efficiency by resolving coding discrepancies, boosting accuracy by 20%. Adept at mentoring and collaborating with healthcare providers, ensuring compliance with regulatory guidelines and fostering organizational growth. Committed to continuous improvement and excellence.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Certifed Medical Coder
AdventHealth
09.2008 - Current
- Analyzed medical records to ensure accurate coding compliance with regulations and standards.
- Collaborated with healthcare providers to resolve discrepancies in documentation and coding processes.
- Executed daily coding tasks while adapting to updates in medical guidelines and coding systems.
- Reviewed claims for accuracy, identifying and correcting errors to enhance processing efficiency.
- Mentored junior coders on best practices and complex coding scenarios to improve overall team performance.
Medical Biller
AdventHealth
01.2000 - 08.2008
- Processed medical claims accurately to ensure timely reimbursement.
- Verified patient eligibility and insurance coverage for services rendered.
- Utilized billing software to generate and submit claims efficiently.
- Resolved discrepancies in billing statements through detailed analysis.
- Collaborated with healthcare providers to gather necessary documentation.
Education
No Degree - Medical Billing And Coding
College of Sequoia's
Visalia, CASkills
- Diagnostic coding accuracy
- HIPAA compliance awareness
- Clinical documentation review
- Continuing education commitment
- Medical claims coding
- Electronic health records navigation
- Appeals and adjustments handling
- Data security procedures
- ICD-10 proficiency
- Organizational growth
- Claims processing efficiency
- Critical thinking
- Medical terminology
- Time management aptitude
- Medical coding expertise
- Records management
- Insurance claims analysis
- Revenue cycle management
- CPT coding
- Denial management strategies
- Patient data compilation
- Coding error resolution
- Auditing and quality assurance
- Regulatory guidelines adherence
- HIPAA compliance
- Medical record security
- Data entry
- Continuing education
- Data entry and management
Certification
Certified Coding Specialist
Timeline
Certifed Medical Coder
AdventHealth
09.2008 - Current
Medical Biller
AdventHealth
01.2000 - 08.2008
No Degree - Medical Billing And Coding
College of Sequoia's