Erika Machado
Homestead,FL
Summary
Energetic Medical Coder with can-do attitude and dedication to accuracy. Bilingual professional with expertise analyzing provider documentation for appropriate codes. Excellent problem solving, time management, organization, and leadership skills. With 11 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Successful and result-driven in following up on past due accounts and recouping unpaid balances. Expert in appeals and grievances.
Overview
11
11
years of professional experience
Work History
Medical Coding & Billing Specialist/Collections Specialist
South Fl Inpatient Associates
Hollywood, FL
11.2011 - Current
- Reviewed outpatient and inpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Applied charges and updated patient records by using Epic Link and Collaborate MD.
- Used Collaborate MD to input information into computerized patient record system.
- Managed AR report and performed appeals in a timely manner until all money was in.
- Verified signatures and checked medical charts for accuracy and completion.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Initiated, performed and documented quarterly coding audits for physicians.
- Performed and documented monthly payroll for attending physicians.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Compiled and tracked outstanding balances owed to medical providers.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Managed efficient cash flow reporting, posted payments and analyzed chargebacks, independently addressing and resolving issues.
Education
Associate of Arts - Medical Billing & Coding
Keiser University
Online08.2011
Skills
- Information Analysis
- Clerical Functions
- Medical Coding
- Patient Data Abstracts
- Medical Billing Processing
- Interpersonal Communication
- Attention to Detail
- Microsoft Excel
Timeline
Medical Coding & Billing Specialist/Collections Specialist
South Fl Inpatient Associates
11.2011 - Current
Associate of Arts - Medical Billing & Coding
Keiser University
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