Hardworking and motivated medical coder with 5+ years of experience seeking a full-time position. Participate in and support internal and external prospective and retrospective reviews and audits, Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires, Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients, Serve as project and process SMEs when needed, AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC, Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision, Basic Microsoft office skills: Word, Excel, PowerPoint, Ability to travel locally to various IPA sites, Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes, Ability to code from a variety of electronic medical records systems, This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics, Review insurance payments and denials and recommends coding corrections, National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), Experience working with the Affordable Care Act and Medicare Advantage (preferred), Interpret medical record data in order to process physician and/or facility charges, Three years of medical chart abstraction and coding experience or relevant work experience required, Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. Houma Recorded and filed patient data and medical records. Sample Resume For Medical Coding Fresher. Prior Clinical Internal Auditor/Documentation Specialist and Medical Coder with 20 years of experience in hospital inpatient/outpatient coding. Responsible for requestor payments(collections). Strong team player, Identify errors, problems, or issues and present to Coding management for resolution, Attend departmental and training meetings a scheduled, Extensive knowledge of ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding, Select and sequence ICD-9, ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic)/ Recurring; Interventional Radiology; Injection and Infusion, Hospital Clinic; Wound Care, Physician Pro Fee; Technical Fee; Evaluation and Management and any associated charge capturing with any patient type, Performs coding to maintain work volume to include claim edit resolution and data quality reviews on outpatient encounters to: validate the ICD-10—CM, CPT and HCPCS level II code assignments, modifiers, APC groupings, missed secondary diagnosis and procedures, Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services, Monitors daily workload for coders and assures distribution of work is appropriate to ensure timely coding to meet Service Level Agreement, Reports issues to management as appropriate which impact operational flow of work, Assists with training and orientation of new coding colleagues, development of coding job aides to improve understanding of coders as appropriate and requests from Patient Financial Services or Care Management, Completes reports and distributes as requested, Complete assigned work functions utilizing appropriate resources, Laws and guidelines for release of information, Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or. Medical Billing And Coding Resume … Education . Accurately entered procedure codes, diagnosis codes and patient information into billing software. Verify accuracy of documentation such as Medical Records, Procedures, Medical Coverage and Date of Service to insure a correct claim is sent and prompt payment from payers. > Resume For Medical Coding Fresher. Medical Biller and Coder I Resume. Analyze and interpret Medical records for Ground and Air Ambulance transports. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology. January 31, 2019 by Dera. Messages 1 Location waycross, GA Best answers 0. Objective : Intermediate-level position in medical coding, billing Office and also looking to work front desk and billing patient accounts. Staff will translates these services into the correct CPT (Procedure) and ICD (Diagnosis) codes with all necessary and applicable modifiers, Staff will conduct training sessions for physicians and staff clinicians in individual or group settings on coding rules and federal regulations. Medical Billing And Coding Resume Example. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. The medical billing courses of action have the medical coders as vital supports of this industry. Skills : Great with people, quick, smart, dependable, adaptive, curious and efficient. Development of Policies & Procedures and workflows for use on daily operations, training, quality assurance and compliance. Hedis Nurse Resume Examples. ), Experience working in a 200 bedside acute care hospital, Undergraduate degree in healthcare management, healthcare informatics, human biology, economics, or other related fields, We will also consider candidates with an associate’s degree and significant experience working as a medical coder, Certified as Coding Associate Certification (CAA), or equivalent, 5+ years of experience working as a medical coder, Passion for collaborating with others to identify disease concepts through medical codes and using the medical coding data in novel ways, Experience in preparing for transition to ICD-10, Experience maintaining code lists and using data management tools such as Excel, Tableau, and other is highly preferred, Strong problem solver with ability to research and frame answers to ambiguous coding questions, Self-starter able to work independently and deliver quality end-products in an entrepreneurial environment, Of mature disposition and personable; history of working as a team player in a dynamic and changing environment, Able to work well within teams across continents/time zones, Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies, Coding Technical Skills –Regulatory coding (ICD-10-CM and HCPCS/CPT) and associated reimbursement knowledge, Organization– Able to work independently; proactively prioritizes needs and effectively manages resources and time, Minimum (2) years experience in outpatient coding and/or Health Information Management REQUIRED, Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA), Position will require some weekly travel to offices within assigned area, Assign primary and secondary diagnosis and E/M level of service for both professional and facility components, Assigning appropriate physician number to each chart, Assigning appropriate ICD-9 and CPT codes (s) per client and payer specifications, Coding assigned facilities in a timely manner while adhering to quality standards, Entering down coded records into the coding system, Building strong knowledgebase of proprietary coding system, Reporting coding issues to the Coding Production Manager as appropriate, Assigns CPT procedure codes for clinician services to assure appropriate billing and reimbursement, Assigns diagnostic (ICD-9-CM and/or procedural codes (ICD-9-CM & CPT) on all medical record types at an advanced level to ensure proper reimbursement and accurate data base information, Input charges for all urgent care and clinic centers on a daily basis, Obtain insurance referrals and verify insurance coverage on a daily basis, File claims to the appropriate insurance company on a daily basis, Post all copayments and self-pay payments and reconcile on a daily basis, Send refunds to both patientand insurance carrier if there is an overpayment, Reviews charts and provides one-to-one and group educational feedback to the clinicians, Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate billing practices, Gather data and prepare information/reports as requested by Division Director of Medical Billing, Maintains confidentiality in all aspects of the job, Minimum 3 years specialty billing/coding in the area of internal medicine, family medicine and/or emergency medicine, Ability/knowledge to code multiple specialties, Knowledge of patient insurances. Hard working and fully certified Medical Coding Specialist has a full understanding of ICD-9-CM and CPT coding procedures.Excellent data entry skills allows for accurate coding of medical information and provided care.Has an Associate’s Degree in Medical Billing and Coding Certification as a Medical Coding Specialist and seven years of experience. Key responsibilities listed on the Medical Coder Resume include the following – receiving and reviewing patient charts and documents, ensuring accuracy of all codes, meeting daily coding production, ensuring proper coding on provider documentation, handling co-pays, charge posting and balances; storing electronic records of every patient, keeping track of medical records, processing the admission and discharge of patients; and undertaking all other work as assigned. Writing a resume is not the most fun task in the world. Medical Billing & Coding, Certificate of Completion: Institute Medical Billing & Coding: College/University – City, State Business Management: College/University – City, State Experience. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. You only need to include relevant information on your resume. Objective : I have 19 years experience working as a certified medical assistant. Completed all posting of the payments as they came in and ran reports on a daily weekly & monthly basis. Resume For Medical Coding. Seeks a position of increased responsibility and authority. A career into this line requires specific education credentials such as a degree in related field with a Medical Coding Certificate. Resolve or clarify codes or diagnosis with conflicting, missing or unclear information by consulting with doctors or others. Whether you are at entry level or you have years of experience, an eye-catching medical billing and coding resume is what will determine whether you will move to the next step of being invited for an interview. Had constant communication with the doctors on a daily basis. Coding from prescriptions for radiology, laboratory and cardiology services. Coding and charging for all professional and facility services for outpatient services for two Urgent Cares. Must have strong analytical and problem solving skills, Customer service: Skilled to communicate with all levels of management, internal and external customers, Ability to work well as a member of a team or independently, Business Communication: Must be able to effectively communicate across technical and business constituencies in writing effective business specifications and requirements, Managed Care Coding experience required; knowledge of industry and regulatory requirements regarding coding required; risk adjustment experience preferred, Two to five years related experience required, Coding Certification required; CPC or equivalent certification by AAPC, Strong understanding of all coding guidelines including NCCI edits, Experience reviewing medical documentation according to both Medicare and Medicaid regulations, Risk Adjustment Coding experience preferred, AA/AS - Associates Degree or equivalent required, BA/BS - Bachelors Degree or equivalent preferred, This is not a remote or work from home position. 1. Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals. Extract required information from source documentation and enter into system, Identify and report non-payment Provider Preventable Conditions (PPC), Review error reports; correct or complete missing data elements, Act as a resource for staff on coding issues, monitor changes in regulations that impact clinical documentations, reimbursement and coding and disseminate changes in coding rules, Ensure that computer systems are updated with annual code changes and updates, Produce clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services, Review training and communications materials and billing instructions, and oversee staff training, Three to five years of coding experience in a health care setting (i.e. 40 Radiology Coder jobs available on Indeed.com. Familiarity with eClinicalWorks EMR/PM (Desired), Proficient with Medicare Fee For Service, Medicaid and Commercial payers guidelines and regulations, Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care, A thorough knowledge of Federal, State and Local regulations related to billing and insurance, Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models, Experience with and exposure to compliance matters, Specific knowledge of the regulations and guidelines as they relate to documentation and coding, Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines, Coding certifications (CPC, CCS, CCS-P, CPMA, CEMC or CENTC); compliance certifications (CHC, CPCO) and/or Bachelor's degree, Revenue management and/or healthcare industry experience, Certified Medical Coder with either CPC or CCS with high degree of competency in this area, Prior experience with Medical Office Practice Management System (EMR), Ability to research coding related issues, Hospital inpatient coding experience within the past 2 years and be knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, Ability to read, analyze and interpret medical records, Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered, Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc, Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustment, Deliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards, Coordinate with clinical leadership in development of provider training plans and for active support in the training process, Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. Review the Worker's Comp and Personal Injury Cases with attorneys. Objective : Hospital and outpatient records coding specialist with HCPCS, ICD-10, CPT and ASC coding expertise. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students, Proficiency in Microsoft Office: Excel, Word, Access; Outlook; Internet, Business analysis knowledge: Skilled to work in a fast paced environment. Resourcefully used various coding books, procedure manuals and on-line encoders. Coordinated and monitors reimbursement activities of an MFA Department. Hedis Nurses are in charge with maintaining Hedis computer systems and performing data extraction.

medical coding experience resume pdf

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medical coding experience resume pdf 2020