Janiris Hernandez

Bilingual healthcare professional with nearly 20 years of experience spanning Certified Medical Coding and Spanish Medical Interpreting. AAPC-certified CPC with strong expertise in inpatient, outpatient, dental, and pediatric coding, as well as prior authorization and revenue cycle support. Fluent in English and Spanish with extensive experience providing accurate medical interpretation in clinical and hospital settings.

Highly organized, detail-oriented, and able to thrive under pressure with minimal supervision.

Certified Medical Coder III, Gastroenterology/Dental/Pediatrics at Mass General Brigham Hospital (2021-04 – Present)

• Abstract, sequence and assign diagnosis and procedure codes for inpatients according to the department's policies/guidelines, CMS Coding guidelines, CMS Correct Coding initiatives, ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions
• Knowledge of 3M Coding System
• Assign CPT-4 procedure codes, adds modifiers as needed
• Analyze and assign grouper utilizing specialized computer software
• Follow-up on outstanding uncoded and incomplete charts in accordance with department protocols and standards

Financial Clearance Specialist/Orthopedic Medical Coder at Beth Israel Deaconess Medical Center (2020-12 – Present)

• Verify patient insurance coverage
• Conduct medical necessity checks for procedures
• Obtain prior authorization for chemotherapy drugs and outpatient procedures

Prior Authorization Specialist/Medical Assistant/Secretary/Spanish Interpreter at New England Consultants in Gastroenterology (2013-07 – 2020-12)

• Perform billing and data entry tasks
• Process procedure and radiology authorizations
• Schedule radiology tests and office visits
• Coordinate scheduling for procedures
• Resolve rejected claims
• Manage referrals
• Handle front office duties
• Handle medical assistant duties
• Scan and maintain medical records
• Provide Spanish interpreting services for non-English speaking patients

Medical Assistant/Secretary/Spanish Interpreter at Charles River Pediatrics (2009-12 – 2013-07)

• Prepare patients for medical procedures
• Take and record patient vitals
• Assist doctors during medical procedures
• Perform phlebotomy
• Administer injections
• Conduct ear irrigations
• Manage inventory of medical supplies
• Provide Spanish interpreting services for non-English speaking patients

Medical Records Clerk/Spanish Interpreter at MetroWest Medical Center (2007-03 – 2009-12)

• Collect patient's records from hospital floors
• Put records in order
• Filing, finding records
• Analyze records
• Data entry
• Help patients and doctors with records
• Answer the telephone
• Copy records
• Provide Spanish interpreting services for non-English speaking patients

Certificate in Spanish Medical Interpreter Certification – Bunker Hill Community College (2025)

Certificate in Medical Coder Certification – Massbay Community College (2020)

Certificate in Medical Assistant Certificate – Everest Institute (2009)

Diploma in High School – Joseph P.

Keefe Technical High

School (2005)