Summary
Overview
Work History
Education
Skills
Career Note
Certification
Professional Memberships
Credentials
Professional Highlights
Affiliations
Timeline

Erika Bledsoe

Memphis,TN

Summary

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Billing Specialist/Coder

Ortho South
01.2023 - Current
  • Apply the rules of compliance governed by federal, state, and local coding guidelines, third party reimbursement policies, and regulations.
  • Confer with credentialing confirming provider privileges.
  • Complete a variety of technical assignments pertaining to medical coding and billing discrepancies and issues as determined from the coding guidelines of ICD-10-CM and CPT coding nomenclatures.
  • Utilize Athena Health to enhance and actualize revenue.
  • Review and correct rejected claims from third party carriers by coding to the highest level of specificity by assigning proper modifiers, correct ICD-10, and CPT codes in accordance with medical and clinical terminology associated with their disease processes.
  • Code to the highest levels of specificity for correct reimbursement for all parties concerned.
  • Correspond with medical providers and medical assistants regarding medical necessity required by the national and local coverage determinations providing proper coding and reimbursement.
  • Operate within the policies and procedures established by Ortho South to satisfy high quality demands of its doctors, surgeons, and patients as determined by Statutes, State and Federal guidelines, and regulatory boards for medical billing and coding.
  • Collaborate with fellow coworkers individually and in group settings to ensure the highest standards of billing and coding outcomes.
  • Attend continuing educational webinars.

Pharmaceutical Order Picker

Medline Industries
01.2020 - 01.2021
  • Accurately filled and conveyed requisitions, work orders, and requests for materials to packing stations/shipping.
  • Developed and maintained excellent knowledge of complex inventories, products, processes, and systems.
  • Operated voice-controlled software via a handheld device and the use of a headset.
  • Achieved company bonuses as a supportive sustainer during the world epidemic for attendance and production expectations.

Customer Service Representative

Arise Virtual Solutions, Inc.
01.2012 - 01.2020
  • Demonstrated skills and industry expertise to fulfill customer expectations and corporate protocols.
  • Processed payment deferrals, managed installment plans, and resolved routine-to-complex issues and questions.
  • Earned techniques to perform as a de-escalation specialist.
  • Rewarded due to optimum performance ratings.

Medical Coding Extern

Parkwood Behavioral Health Systems
01.2018 - 12.2018

Administrative Assistant/Billing Associate

Kelly Services, Inc.
01.1999 - 01.2012
  • Completed daily administrative and clerical duties and aided in both short- and long-term projects.
  • Provided customer-facing support and answered and routed calls for continuity of business processes.
  • Scheduled medical tests in coordination with patients, RNs, physicians, and medical/administrative staff.
  • Effectively recorded, scheduled, and maintained medical test information related to guidelines and policies.
  • Obtained proper protocols for medical procedures, code assignments, and other processes.
  • Maintained privacy and security of patient data utilizing hospital software systems.

Education

Associate Degree - Health Information and Management

National College
01.2018

Certified Professional Coder (CPC) - undefined

AAPC
01.2021
Professional Memberships: AAPC (Tennessee Chapter State Association)

Skills

  • Business operations support
  • Payment posting
  • Billing cycle management
  • Statement processing
  • Medical coding
  • HIPAA compliance
  • Claims processing
  • Billing dispute resolution
  • Insurance confirmation
  • Insurance verification
  • Billing best practices
  • Multitasking and organization

Career Note

Acted as Medical Coding Extern for Parkwood Behavioral Health Systems, Family Practice, and Physicians Hearts., 01/01/18, 12/31/18

Certification

Certified Professional Coder (CPC), AAPC, 2021

Professional Memberships

AAPC, Tennessee Chapter State Association

Credentials

  • RHIT
  • CPC - A

Professional Highlights

  • Apply knowledge of anatomy, physiology, medical terminology, and internal/external guidelines.
  • Review records for reimbursement, daily operations, medical staff, and regulatory agency statistical information.
  • Abstract medical charts and documentation data for proper coding and application per revenue guidelines.
  • Improve the accuracy of claims according to National and Local Coverage Determination.
  • Utilize Word, Access, Excel, PowerPoint, Outlook, Find-A-Code, Epic and Athena Health.

Affiliations

  • AAPC

Timeline

Billing Specialist/Coder - Ortho South
01.2023 - Current
Pharmaceutical Order Picker - Medline Industries
01.2020 - 01.2021
Medical Coding Extern - Parkwood Behavioral Health Systems
01.2018 - 12.2018
Customer Service Representative - Arise Virtual Solutions, Inc.
01.2012 - 01.2020
Administrative Assistant/Billing Associate - Kelly Services, Inc.
01.1999 - 01.2012
AAPC - Certified Professional Coder (CPC),
National College - Associate Degree, Health Information and Management

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