Rhonda Cardona

As a Coding Quality Analyst and Subject Matter Expert, I review cases for fraud, waste, abuse, and error. I provide guidance to peers, manage claim inventories, and ensure timely audits. My role includes employee monitoring and leading weekly calibration calls.

In this role, I review medical records for accuracy before payment approval or denial. I mentor new staff and maintain a high accuracy level while managing a significant caseload across various specialties.

As a Certified Medical Coder, I reviewed medical records, updated ICD-10 and CPT codes, and educated staff on coding compliance. I reported workflow issues to supervisors and ensured adherence to guidelines.

Managed a team of billers and coders, overseeing hiring, training, and denial management. Created training materials and coordinated with IT to resolve system issues, improving billing processes and accuracy.

Managed all aspects of business operations, including accounting, customer service, and service delivery in skin and hair care.

Handled payment posting and accounts receivable follow-up. Identified denial trends and coordinated with coders to resolve claim issues while providing guidance to staff on software and insurance requirements.

Performed front desk duties, payment posting, and billing. Reviewed coding for accuracy and assisted with patient care, including X-ray assistance and vital checks.

Managed front desk operations, including inventory management and data entry. Assisted with POS sales and uploaded information to the state website.

Performed front desk duties and data entry of CPT and ICD codes. Managed daily balancing of payments and assisted in administrative tasks.

Completed CDEO exam preparation course.

Certified Professional Coder (CPC), Certified Physician Practice Manager (CPPM), and Certified Professional Medical Auditor (CPMA).

Instructor for CPC exam preparation course.

Billing and claim specialist certification program.

Courses to include gross anatomy, skin care and hair care.