Mandi Ortiz, CPC,

Experience

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  Capital Medical Clinic

  Jun 2014 - Mar 2016

  Medical Records Clerk
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  Ciox Health

  May 2016 - Jan 2017

  Medical Records Technician
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  Sharecare Provider Solutions

  Feb 2017 - Jun 2021

  Release of Information Specialist

  Release 50-70 patient medical records request following specific HIPAA guidelines with a 99% accuracy rate.

• 

  Austin Radiological Association

  Nov 2020 - Jan 2022

  Insurance Follow-up Representative

  review and update billing accounts, check eligibility and denial codes, appeal and clean up claims.

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  ENVISION RADIOLOGY

  Mar 2022 - Sept 2022

  Denial specialist

  Communicates with all insurance types for review of denial received on EOB/RA to perform resolution on claim reimbursement for services provided formatted as a reconsideration, appeal or corrected claim submission to insurance.

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  CommonSpirit Health

  Aug 2022 - Feb 2023

  Insurance Follow-up

  Follows-up with insurance payers to research and resolve unpaid insurance accounts receivable; makes necessary corrections in the practice management system to ensure appropriate reimbursement is received for all FMG providers.•Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.•Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.•Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.•Establishes and maintains professional and effective relationships with peers and other stakeholders. Show less

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  UT Health Austin

  Feb 2023 - now

  Coding and Billing Specialist

  Identifies, verifies, abstracts and translates medical record documentation to accurate and complete codes according to industry approved guidelines and department policies.Completes coding queues/tasks as assigned, maintaining a consistent level of productivity and accuracy.Maintain accurate coding-related information in other platforms, which may include claims clearinghouse, practice management system and encoding softwareReview and/or correct coding related denials.Participate in coder specific training and educationMaintain certification and continuing education hours.Attend mandatory training and on site meetings.Participate in and attend audit and education forphysicians/clinicians and departmentsPerforms other duties as assigned Show less