Looking for a job

Karina Hernandez

@karinahernandez1

Message

I improve healthcare billing accuracy through coding, claims resolution, and compliance auditing.

United States

Message

What I'm looking for

I'm looking to continue contributing to healthcare billing, coding, claims, auditing, and compliance work where I can improve accuracy, resolve payer issues, support clinical teams, and manage high-volume records.

I currently support surgical and office billing at Southwest Neuroscience and Spine Center by reviewing operative reports, coding charges, submitting claims, and resolving denials with payers.

Previously, I audited more than 5,000 claims annually at The OccuNet Company while maintaining 99.9% audit accuracy. I created tracking tools and reports, reconciled billing discrepancies, and mentored junior analysts on audit procedures and quality standards.

My hospital registration and investigative experience strengthened my ability to protect confidential records, verify coverage, coordinate across teams, and document time-sensitive information accurately. I bring bilingual English/Spanish communication and a Health Sciences background to healthcare revenue-cycle work.

Experience

Work history, roles, and key accomplishments

Current

Billing and Coding Specialist

Current

Southwest Neuroscience and Spine Center

Jun 2025 - Present (1 year 3 months)

Review operative reports and clinical documentation to accurately enter and code charges for surgeries, hospital services, office visits, and other billable procedures. Submit and manage medical claims across multiple insurance carriers while following payer-specific billing and documentation requirements.

Medical Billing Medical Coding Claims Submission Insurance Verification ECW Epic Microsoft Word Microsoft Teams

Claim Auditor

The OccuNet Company

Sep 2021 - Dec 2024 (3 years 3 months)

Audited high-volume claim and billing data for accuracy, Medicare compliance, contractual requirements, and internal quality standards. Managed 5,000+ claims annually while maintaining 99.9% audit accuracy.

Medical Billing Claims Auditing Medicare Compliance data review Microsoft Word Audit

Investigator

Texas Department of Family and Protective Services - Child P

Mar 2021 - Sep 2021 (6 months)

Conducted investigations, interviews, evidence gathering, and detailed documentation related to allegations of child abuse or neglect. Maintained confidential case files and entered investigative reports into state systems in accordance with laws, regulations, and reporting procedures.

Investigation Interviewing Evidence gathering Documentation Confidential Files Case Management

Registration Assistant II

Baptist St. Anthony's Hospital

Jun 2019 - Mar 2021 (1 year 9 months)

Registered and admitted patients, verified insurance and benefits, and maintained accurate demographic and financial information in EPIC. Coordinated patient schedules and visit readiness while communicating directly with Medicaid, Ambetter, patients, and clinical staff.

Patient Registration Insurance Verification Epic Customer Service Administrative Support