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Migdalia Ayala
Brooklyn,NY
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
34
34
years of professional experience
6
6
years of post-secondary education
1
1
Language
Work History
Coding Specialist: Remote/part-time
St. Johns Riverside Hospital/Healthcare Diagnostic Imaging
Yonkers, NY
01.2014 - 08.2023
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Verified signatures and checked medical charts for accuracy and completion.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
SUPERVISOR
Chelsea Diagnostic Radiology
New York, NY
01.1995 - 01.2023
- Conducting ongoing evaluations of revenue cycle in collaboration with revenue manager
- Collaborate with IT team to optimize revenue cycle systems and streamline workflow
- Managing day-to-day billing operations for all insurance carriers, ensuring accurate application of payments to accounts
- Stayed informed with all regulatory changes, Industry trends, and best practices in revenue cycle management to ensure compliance
- Established and maintain strong relationships with payers, vendors and other external stakeholders to resolve billing and reimbursement issues
- Assigning appropriate ICD-10 code to patient accounts and verifying accuracy of service levels and CPT/HCPCS codes
- Ensuring seamless transfer of claims to billing software system for accurate and timely submission, posting and reconciling insurance and patient payments, thoroughly reviewing and resolving any discrepancies, EOB rejections, or outstanding account issues
- Overseeing a team of five staff members, providing supervision and guidance as needed.
Medical Biller
Dr’s G. Klein & D. Birns
New York, NY
01.1990 - 04.1994
- Conducting daily tasks related to coding, abstracting, and review aging reports
- Accurately adding ICD-9 codes for procedures, diagnosis, and surgery codes based on thoroughly analysis of patients records
- Diligently reviewing patient records to ensure proper documentation and adherence to coding guidelines and standards
- Maintain composure in high pressure situation and ability to convey positive and professional image to customers.
Education
Bachelor of Science -
Medgar Evers College
Brooklyn, New York 08.2019 - 05.2025
Skills
Proficient knowledge ofMicrosoft Excel, Word and Outlook
Familiarity with Quick Books, Image Software, MedSys, Amicas RIS/EMR, Emdeon, Easy print, MyAbility/Medicare, Evicore and Revenue Performance
Analytical thinking and strong attention to detail Ability to work efficiently to meet deadlinesAccomplishments
- Supervised team of six staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved denials which led to fewer denial.
Software
Merge PACS management
Timeline
Bachelor of Science -
Medgar Evers College
08.2019 - 05.2025
Coding Specialist: Remote/part-time
St. Johns Riverside Hospital/Healthcare Diagnostic Imaging
01.2014 - 08.2023
SUPERVISOR
Chelsea Diagnostic Radiology
01.1995 - 01.2023
Medical Biller
Dr’s G. Klein & D. Birns
01.1990 - 04.1994