Jeffrey Torres

Experience

• 

  Accenture

  Jan 2012 - Jul 2013

  Data Analyst

  Medical Claims Processing, Medical Claims Adjustment, Overpayment Recovery, COB.

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  AIG

  Aug 2013 - Oct 2013

  Business Process Associate
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  WorldSource, Inc.

  Oct 2013 - Mar 2017

  Medical Coder

  Physician's professional services, ICD-9/10-CM, CPT, E&M, PQRS, HIPAA Adherence.

• 

  MLZ Coding LLC

  Apr 2017 - Oct 2017

  Medical Coder

  ED and Ancillary Coding

• 

  ARMCO Partners

  Oct 2017 - Jul 2019

  Medical Coder

  ED Profee coding, Hospitalist coding, Toxicology Consultation coding, Charge Reconciliation, Charge entry and Denial Management.

• 

  Sourcefit Philippines Inc.

  Jul 2019 - Apr 2020

  Inpatient and Physican Coder

  Inpatient Psych, ASC for GI, Orthopaedic and Podiatry, Oncology and Radation Oncology, Free-standing ER

• 

  Tenet Healthcare

  May 2020 - Sept 2020

  Charge Audit Specialist

  Performs patient dispute audit, planned/scheduled/focused audit, insurance defense audit, denial/outlier audit, high dollar medicare audit, quality/risk audit, split-bill audit and forensic review.

• 

  Conifer Health Solutions

  Sept 2020 - Oct 2022

  Charge Audit Specialist

  Performs the following types of audit:patient dispute auditplanned/scheduled/focused auditmedicare high dollar auditsplit-bill auditquality/risk auditinfusion and injection charge audittrauma auditcritical care auditinpatient rehabilitation facility (IRF) auditdenial auditforensic audit

• 

  R1 RCM

  Oct 2022 - now

  Professional Coder

  Performs pathology, radiology, and interventional radiology medical coding.Review dnfc & dnfb accountsReview and resolve HIM follow-up accounts' billing and coding edits.