KARLA M. RIOS
Summary
Knowledgeable administrative professional with expertise in medical records management, coding, billing and data entry. Proven ability to review and document clinical data, ensuring accuracy and compliance. Well-versed in ICD-10, CPT and HCPCS coding systems.
Overview
12
12
years of professional experience
Work History
Health Information Management Technician
St Anne's Nursing Center And Resident
12.2010 - Current
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Studied and researched various medical terms as well as software and coding systems.
- Implemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.
- Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
- Upheld HIPAA regulations and standards for protecting patient information.
- Scanned and uploaded medical records into electronic medical records system.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Generate invoices for records request.
- Obtain payments for records and submit to business office.
- Maintained accuracy, completeness, and security for medical records and health information.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Tracked and monitored requests for medical records release.
- Followed up with medical staff regarding missing information in patient records.
- Input data into computer programs and filing systems.
Education
Medical Billing and Coding Diploma 160 hours of externship -
Everest Institute
Certificate of completion” for the three consecutive years attended - undefined
PGT University
2005
Anatomy
Miami Dade Community College
2003
High School Diploma - undefined
Miami Palmetto SR. High School
2001
Skills
- Health Information Administration
- Health Management Information Systems
- Records Management Systems
- Microsoft Access
- Electronic Health Records Management
- Complex Problem-Solving
- Accounts Payable and Accounts Receivable
- Intuit QuickBooks
- Legal Requirements
- Health Records Review
- Diagnostic Codes
- Electronic Medical Record Software
- Chart Pulling
- Medical Transcription
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Health Information Management Technician
St Anne's Nursing Center And Resident
12.2010 - Current
Medical Billing and Coding Diploma 160 hours of externship -
Everest Institute
Certificate of completion” for the three consecutive years attended - undefined
PGT University
Anatomy
Miami Dade Community College
High School Diploma - undefined
Miami Palmetto SR. High School
Similar Profiles
James SnyderJames Snyder
Staff Chaplain at St. Anne's Retirement CenterStaff Chaplain at St. Anne's Retirement Center
Deja LucioDeja Lucio
Program Manager at St. Anne's Center /Lantern HouseProgram Manager at St. Anne's Center /Lantern House
Abigail StechschulteAbigail Stechschulte
REGISTERED NURSE at St. Anne's HospitalREGISTERED NURSE at St. Anne's Hospital