Yudelkis Ricardo
Lehigh Acres,FL
Overview
5
5
years of professional experience
1
1
Certification
Work History
Certified Medical Coder and Biller
Las Mercedes Medical Centers
01.2020 - 01.2024
- Certified Medical coder and biller
- HIPPA/OSHA Trained
- Primary care/Outpatient
- Reviewed outpatient records to document all diagnoses and procedures
- Reviewed and Monitoring of hospital reports of patients after hospital discharge for ocular, orthopedic, and gynecological surgeries, for correct coding of diagnoses and surgical procedures
- Review and correct coding of notes from specialties such as neurology, psychiatry, rheumatology, general surgery, cardiology, and ophthalmology among other medical specialties
- Reviewed and analyzed medical records against billed procedures to ensure accurate diagnostic and correct evaluation and management codes
- Monitored assigned work queues to ensure all charges are coded and submitted in timely manner
- Audited providers on Point of corrections
- Proficiently code follow coding guidelines
- Maintained daily spreadsheets, daily coding summaries, and daily productivity report
- Complaining with coding procedures company policy and procedures manual
- Comply with all legal requirement regarding coding policies, ethics and practices
- Review medical records for chronic conditions not captured for current collection periods
- Oversee medical records and correct incomplete/ incorrect codes for all conditions
- Reconciled coding edits for resubmittal
- Review medication list to verify if there is a correlating condition or if an active condition is being treated with medication
- Assign and sequence all codes for services rendered
- Review all specialist and hospital consults, labs, radiology and pathology for proper coding
- Pre-Audit - Prepare notes day before patients are seen
- Capture Hierarchical Condition Category (HCC) codes implemented by CMS
- Adhere to Marketing Research Association Codes (MRA) that promote an ethical culture where principles of honesty, professionalism, and confidentiality
- Collaborate with billing department to ensure all bills are sent in timely matter
- Provide coding and guideline education to all codes and providers focusing on revenue enhancement opportunities
- Proficient in MDVita software system
- Communicate with immediate supervisor with any issues related to equipment and computer program
- Ability to pay attention to detail
- Good analytical skills
- Safeguard patient privacy and confidentiality
- Insurance Knowledge
- Medical terminology and anatomy (more than 15 years)
- ICD10 data
- CPT
- HEDIS Measures
- Billing
- Remote and office work
Medical Assistant
Las Mercedes Medical Centers
01.2019 - 01.2020
- Reviewing patient's medical history
- Maintaining notes in our EMR system
- Obtaining appropriate consents
- Calling in prescriptions
- Performing patient call backs
- Able to demonstrate compassion and caring in dealing with others, patients, and coworkers
- Able to prioritize tasks, understand the provider's instructions, and knowing when to seek information or advice
Education
Registered Medical Assistant -
04.2024
Basic Life Support -
04.2024
Certified Professional Coder -
AAPC
11.2020
Doctor of Medicine -
Cuba
07.2005
Skills
- Medical terminology
- HCPCS level II
- ICD-10 data
- CPT
- Medicare/Medicaid insurance Regulations
- Compassionate care
- Gathering and recording medical histories
- Knowledge of Windows O/S
- Microsoft Office
- Strong Organizational skills
- Problem Solving skills
- Teamwork
- Multi-tasking
- Time Management
- Bilingual communication (Spanish and English)
Continuingeducation
- CPC
- BLS
- Medical Assistant Program
Educationcertifications
- Doctor of Medicine, Cuba, 07/05
- Certified Professional Coder, AAPC, 11/20
- Registered Medical Assistant, #2024042135574
- Basic Life Support, 04/24
References
- Cecilio Douglas Campbell MD, Medical Director, Las Mercedes Medical Center, Bird Road, Las Mercedes, 7865359222
- Elizabeth Velázquez, Manager, Las Mercedes Medical Centers, Birth Road, Las Mercedes, 3053213958
- Zarcha Suarez, Coder and Biller, Las Mercedes Medical Centers, Bird Road, Las Mercedes, 7862866341
Certification
CPC
RMA
BLS
Timeline
Certified Medical Coder and Biller
Las Mercedes Medical Centers
01.2020 - 01.2024
Medical Assistant
Las Mercedes Medical Centers
01.2019 - 01.2020
Registered Medical Assistant -
Basic Life Support -
Certified Professional Coder -
AAPC
Doctor of Medicine -
Cuba
CPC
RMA
BLS
Similar Profiles
Yudisleidis RodriguezYudisleidis Rodriguez
Medical Assistant/Phlebotomy Technician at Las Mercedes Medical CentersMedical Assistant/Phlebotomy Technician at Las Mercedes Medical Centers
Mavys Palacios ChangMavys Palacios Chang
Lead Regulatory and Clinical Coordinator at Las Mercedes Medical CentersLead Regulatory and Clinical Coordinator at Las Mercedes Medical Centers
Yadelmis CossioYadelmis Cossio
Referral Coordinator at Clinical Care Medical CentersReferral Coordinator at Clinical Care Medical Centers
Martha CuellarMartha Cuellar
Server at Chilis's Bar and GrillServer at Chilis's Bar and Grill
Desiree ThorntonDesiree Thornton
English Academic Tutor at Seminole Tribe of Florida & Professional Tutors of AmericaEnglish Academic Tutor at Seminole Tribe of Florida & Professional Tutors of America