jira85
Guest
Shaiye S. Gutierrez, CPC
2431 Winchester Rd.
Delaplane, VA 20144
Cell: (571) 375-5394
Email: jira85@gmail.com
Objective:
If you are seeking an employee with excellent customer service skills, the ability to multi-task, and work alone or as part of a team, then look no further! I am a graduate of Everest College where I obtained my diploma in Medical Billing in Coding. I became a CPC in 2008. Since then, I have held various positions within the medical field. My specialties include coding and full cycle billing for E/M, ortho, pain management, and anesthesia.
Professional Experience:
December 2012 – Present Quadrant, Inc. Reston, VA
Certified Professional Coder
Accepted health care assignments from temporary agency
Physician outpatient anesthesia coding for multiple facilities
Coding complexity ranged from spinal fusions and CABG's to colonoscopies
Coded on average 175-200 records per day
November 2011- October 2012 INOVA Health System Falls Church, VA
PFS Medical Coder II
Audit physician and Nurse Practioner coding for appropriate use of ICD-9-CM and CPT codes for office visits and/procedures for multiple Urgent Care Facilities
Audit physician and Nurse Practioner coding for appropriate use of ICD-9-CM and CPT codes for office visits and/or procedures for Worker's Compensation claims
Alert manager of any ongoing issues, and ways to solve them
Worked as part of a team, helping others when necessary
August 2010- July 2012 Evergreen Medical Billing Chantilly, VA
Certified Professional Coder
Physician outpatient anesthesia and pain management coding for 2 hospital facilities
Coded on average 150-175 records per day
Follow Medicare CCI edits and staying up to date with compliance issues
July 2008- May 2010 Virginia Spine Institute Reston, VA
Certified Surgical Coder/Medical Billing Specialist
The only Certified Professional Coder in the practice
Code inpatient/outpatient procedures from the physicians dictated report
Utilize Correct Coding Edits established by CMS when inputting charges
Follow up with insurance companies (Medicare, Tricare, BC/BS) on submitted claims
Prepared formal appeal letters for denials of medical necessity, unnecessary bundling, etc.
Kept the billing department informed of any medical coding updates
July 2007- July 2008 Capture Billing & Consulting South Riding, VA
Billing Specialist
Duties included entering charges for 10-physician Pediatric Group using Medics Elite
Submitted claims electronically via Real Med and also via paper (CMS-1500)
Followed up on past due claims (over 90 days) with insurance companies via telephone or website
Posted insurance payments according to EOB's
Set up patient payment plans for account with balances
Skills:
Familiar with the following Systems: Epic, Pulse, Medipac, IDX, Real Med, Medics Elite, and eClinical Works.
Extensive knowledge of physician billing in the following specialties: E/M, anesthesia, spine, orthopedics, pediatrics, general surgery
Extensive knowledge of billing and collections (including appeal letters) with the following: Commercial Healthcare Plans, Medicare, Medicaid, and Tricare
Soft and Hard collection strategies for delinquent self-pay accounts
Education:
03/11/08 AAPC Nationwide
Certified Professional Coder
07/31/06-01/27/07 Everest College McLean, VA
Medical Billing and Coding Specialist 4.0 GPA
08/31/99-06/04/03 Fauquier High School Warrenton, VA
Advanced Studies Diploma 3.68 GPA
References:
1. Zipporah Brown 202-644-6813 Evergreen Medical Billing
2. Amanda Gibson 540-219-1873 Capture Billing & Consulting
3. Courtney Webb 304-671-4564 Virginia Spine Institute
2431 Winchester Rd.
Delaplane, VA 20144
Cell: (571) 375-5394
Email: jira85@gmail.com
Objective:
If you are seeking an employee with excellent customer service skills, the ability to multi-task, and work alone or as part of a team, then look no further! I am a graduate of Everest College where I obtained my diploma in Medical Billing in Coding. I became a CPC in 2008. Since then, I have held various positions within the medical field. My specialties include coding and full cycle billing for E/M, ortho, pain management, and anesthesia.
Professional Experience:
December 2012 – Present Quadrant, Inc. Reston, VA
Certified Professional Coder
Accepted health care assignments from temporary agency
Physician outpatient anesthesia coding for multiple facilities
Coding complexity ranged from spinal fusions and CABG's to colonoscopies
Coded on average 175-200 records per day
November 2011- October 2012 INOVA Health System Falls Church, VA
PFS Medical Coder II
Audit physician and Nurse Practioner coding for appropriate use of ICD-9-CM and CPT codes for office visits and/procedures for multiple Urgent Care Facilities
Audit physician and Nurse Practioner coding for appropriate use of ICD-9-CM and CPT codes for office visits and/or procedures for Worker's Compensation claims
Alert manager of any ongoing issues, and ways to solve them
Worked as part of a team, helping others when necessary
August 2010- July 2012 Evergreen Medical Billing Chantilly, VA
Certified Professional Coder
Physician outpatient anesthesia and pain management coding for 2 hospital facilities
Coded on average 150-175 records per day
Follow Medicare CCI edits and staying up to date with compliance issues
July 2008- May 2010 Virginia Spine Institute Reston, VA
Certified Surgical Coder/Medical Billing Specialist
The only Certified Professional Coder in the practice
Code inpatient/outpatient procedures from the physicians dictated report
Utilize Correct Coding Edits established by CMS when inputting charges
Follow up with insurance companies (Medicare, Tricare, BC/BS) on submitted claims
Prepared formal appeal letters for denials of medical necessity, unnecessary bundling, etc.
Kept the billing department informed of any medical coding updates
July 2007- July 2008 Capture Billing & Consulting South Riding, VA
Billing Specialist
Duties included entering charges for 10-physician Pediatric Group using Medics Elite
Submitted claims electronically via Real Med and also via paper (CMS-1500)
Followed up on past due claims (over 90 days) with insurance companies via telephone or website
Posted insurance payments according to EOB's
Set up patient payment plans for account with balances
Skills:
Familiar with the following Systems: Epic, Pulse, Medipac, IDX, Real Med, Medics Elite, and eClinical Works.
Extensive knowledge of physician billing in the following specialties: E/M, anesthesia, spine, orthopedics, pediatrics, general surgery
Extensive knowledge of billing and collections (including appeal letters) with the following: Commercial Healthcare Plans, Medicare, Medicaid, and Tricare
Soft and Hard collection strategies for delinquent self-pay accounts
Education:
03/11/08 AAPC Nationwide
Certified Professional Coder
07/31/06-01/27/07 Everest College McLean, VA
Medical Billing and Coding Specialist 4.0 GPA
08/31/99-06/04/03 Fauquier High School Warrenton, VA
Advanced Studies Diploma 3.68 GPA
References:
1. Zipporah Brown 202-644-6813 Evergreen Medical Billing
2. Amanda Gibson 540-219-1873 Capture Billing & Consulting
3. Courtney Webb 304-671-4564 Virginia Spine Institute