Medical Reimbursement 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.

Prior to joining Reimbursement Specialist, Ms. Hernandez was a senior consultant with The Camden Group and continues to support their clients through this relationship. She also subcontracts through Premier, Inc. and mSquared Consulting. Ms. Hernandez has been in Interim Management roles at Mammoth Hospital, Colorado River Medical Center and Northbay Health Systems. She has held management positions with PacifiCare Health Systems, FPA, Physicians Corporation of America, Cleveland Clinic Foundation, CIGNA Healthplan of South Florida and MacNeal Management Services Corporation, Inc.

Ms. Hernandez completed her undergraduate education in human resources, production management and executive accounting at Loyola University Chicago (LUC) and is in the process of attaining her Master's degree in Health Information Management. She is certified through The American Health Information Management Association and the American Academy of Professional Coders. She also is a Certified Medical Auditor / Reimbursement Specialist.