Reimbursement Specialist
La Palma, CAAbout
Marketplace Offerings
Service Offerings
We provide the following service offerings:
Operations Data Analysis
Operations Process Consulting
Financial Consulting
Practice Management Software
Insurance Reimbusement Coding and Billing
Introduction
Reimbursement Specialist partners with healthcare providers in optimizing performance while minimizing cost and risk primarily by focusing on one of these areas:
- compliance,
- CMS and regulatory research, interpretation and guidance,
- outsourced coding and billing,
- professional staff training,
- electronic health record (EHR) implementation and conversion including Rules Engine,
- EHR document template development,
- provider chart audits,
- reimbursement analysis,
- denial management,
- renegotiation of payer contracts, and
- risk adjustment.
Leadership Demographics
American-owned or led, Women-owned or led, Hispanic-owned or led
Management
Victoria Hernandez
Certified Coding Specialist
Victoria Hernandez has over 20 years of health care experience with medical groups, health plans and integrated delivery systems. Ms. Hernandez specializes in coding, compliance, and reimbursement projects. She has led special initiatives to refine business office operations, system development / implementation, third party payor regulations, and coding, billing and collections. Ms. Hernandez provides ongoing practice management services to physician and MSO clients. She assists clients with ICD-10 CM/PCS implementation and Clinical Documentation Improvement.
Ms. Hernandez is a nationally sought speaker on coding and reimbursement topics. She has contributed to Part B News publications as an expert coder.