Luis Figueroa
Lima
Summary
Dedicated and detail-oriented Medical Coder proficient in applying established coding conventions and regulations set by the American Medical Association and the Centers for Medicare and Medicaid Services. Expertise in maintaining data confidentiality and privacy throughout all workflows, complemented by strong interpersonal skills that foster effective communication within healthcare teams. Skilled in correcting and resubmitting claims, preparing patient charts, and meticulously reviewing health records to ensure accurate diagnosis coding for optimal billing outcomes. Committed to enhancing operational efficiency and promoting compliance within medical office environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Big Rio / Amwell
01.2025 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Medical Biller/Accounts Receivable
HCF Management
03.2024 - 12.2024
- Managed charge entry, payment posting, A/R follow-up, and medical records.
- Posted charges and reconciled billing for multiple accounts.
- Handled and maintained aging reports, ensuring timely reimbursements.
- Verified patient eligibility and coverage to reduce claim rejections.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
Medical Biller/Coder/Data Entry
Fertility Center of Illinois
03.2016 - 09.2020
- Reviewed charge batches, applied ICD-10/CPT coding, and ensured compliance.
- Entered billing data into system with high accuracy.
- Analyzed physician billing, technical procedures, and insurance policies.
- Reduced coding errors and improved reimbursement turnaround times.
Education
Associate of Science - Architectural Drafting
Wilbur Wright Community College
Chicago, IL11.2010
High School Diploma - undefined
Kelvyn Park High School
Chicago, IL06.1995
Skills
- Medical Coding Systems: ICD-10, CPT, HCPCS Level II
- Billing Software: CRM, Epic, Cerner, Medisoft, Microsoft Teams, Waystar, Availity, Sales Force
- Claims Management: Insurance verification, claims submission, denial management, follow-up
- Compliance & Regulations: HIPAA compliance, Medicare/Medicaid billing, payer guidelines
- Revenue Cycle Management: Charge entry, payment posting, accounts receivable follow-up
- Audit & Quality Assurance: Chart audits, coding accuracy checks, error resolution
- Medical Terminology & Anatomy: Strong knowledge for accurate coding
- Team Collaboration: Effective cross-functional healthcare communication
- Qualified pain management coder
- CPT coding
- Disability claims process
- Revenue cycle management
Certification
- CPC-P - Certified Professional Coder-Payer
Timeline
Medical Biller and Coder
Big Rio / Amwell
01.2025 - Current
Medical Biller/Accounts Receivable
HCF Management
03.2024 - 12.2024
Medical Biller/Coder/Data Entry
Fertility Center of Illinois
03.2016 - 09.2020
High School Diploma - undefined
Kelvyn Park High School
Associate of Science - Architectural Drafting
Wilbur Wright Community College