Initiated, performed and documented quarterly coding audits for physicians. ), 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. Objective : Obtain a Medical Coding position in a clinic/hospital where I can use my extensive computer and medical coding knowledge, strong organizational abilities, demonstrating quality communication's skills and patient service. Medical Coding Resume Sample No Experience. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. Analyzed and interpreted patient medical and surgical records to determine billable services. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and pathology reports as well as clinical studies) in support of existing diagnoses. I have worked for family practice Dr.s and OB/GYN. Researched questions and concerns from providers and provided detailed responses. Hedis Nurse Resume Examples. One page is enough. Ability to provide instruction to the patients and their families regarding insurance coverage procedures, Ability to perform standard office procedures according to established protocols, Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing, PC skills, with emphasis on Windows applications, and ability to use a mouse, Thorough knowledge of medical terminology, anatomy, physiology and disease process, Ability to work independently yet in conjunction with a team, Ability to adapt to a changing and growing atmosphere, Good time management and organizational skills, Knowledge of medical reimbursement methodologies, Willingness to work as a team player to meet common goals of the department, Demonstrates excellent verbal and written communication skills, Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations, Promote positive department morale through effective teamwork, The employee must have the ability to work overtime hours when necessary, Willingness to learn new skills and help in different areas, Monitor and plan for incoming coding volume, Schedule and monitor weekly and daily workflows for coders to insure compliance with month end schedule, Maintain employee PTO schedules and request overtime as needed, Monitor completion and submission of daily production reports by each coder and prepare weekly production status report, Coordinate with trainer to ensure updates to Contract Information Sheets, Coding Contract Information Sheets, Revenue Center Listings, Coding Sheets, and Policy & Procedure manuals are distributed and reviewed by staff, Assist manager with maintenance of manuals, newsletters, reference materials, etc, Assist with interviewing applicants for potential employment, process all new employee paperwork, Assist with annual review evaluations for all Coding department employees, Assist with coding and/or correcting charts sent for review from other departments, Act as technical resource to coders on issues regarding coding or MRTS, Review & monitor employee hours in Kronos, Works with manager to develop and implement corrective action and/or disciplinary action, Establish and monitor QA production schedule for seniors, Review patient complaints from the Patient Services Department, Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT procedural coding, Extensive knowledge of medical terminology, regulatory requirements, and physician billing and reimbursement, Effective organizational, analytical, and communication skills, Working knowledge of Microsoft Word and Excel, Minimum high school diploma or equivalent, B.S. Consistently ensured proper coding, sequencing of diagnoses and procedures. Medical Coder and Biller Resume. Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation. Registered Patients in CHCS FER Patients charts Update Patients demographic as needed. This education is being used by some of the top health systems in the country, Works with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states, You’re a key player in nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information, Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive, Experience coding Inpatient Acute and/or Outpatient records, A minimum of two (2) years’ + experience coding patient records in a hospital HIM department, Previous inpatient and outpatient coding experience with experience in Medicare and Medicaid coding preferred, RHIA, RHIT, CCS, CCS-P, CCA, or CPC credentials required, Basic knowledge of medical terminology, anatomy and physiology, and coding systems, Adheres to and maintains required levels of performance in both coding accuracy and productivity, Identify appropriate assignment of CPT and ICD-10 Codes for physician and facility services, Provide documentation feedback to Providers, as needed, and query physicians when appropriate, Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by CDQI Management and Optum, Travel to provider offices for feedback and training three days per week on average, 1+ year coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting, Familiarity with multiple computer systems used in HIM, 2+ years of experience in Medical Coding (ICD-10, CPT, and HCPCS) Testing required, If selected for this role, you will be required to complete and pass a background check/investigation for AHCA compliance, Bi-lingual English/Spanish highly desired, Coding credential required (CCS, CCS-P, CPC), 2+ years of coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting, Experience coding from paper charts as well as EMR, Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources, Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information, Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, Selects the appropriate reimbursement grouper based on financial class for the particular account, Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications, Abstracts and enters demographic, clinical and related patient information into the computer system, Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping, Reconciles, identifies and retrieves medical records to be coded, Consistently achieves daily coding output within the minimal productivity standards set by MACC. A Medical Coder will play a key role in analyzing and reviewing medical billing and coding for processing purpose. Carefully coded disease and injury diagnoses, acuity of care, and procedures in an inpatient and outpatient setting. Objective : To obtain a job in which I can be personable and a team player giving quality time and treatment to job duties and other staff members. You never know when an opportunity will come your way. Handles all requests in a timely fashion, Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record, Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary, Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Contacts providers to train and update them with correct coding issues. Coordinate with the billing representative daily work load and timelines to expedite the process of the accounts. In a field that’s quickly developing, push your resume to the head of the pile with an attention-getting resume highlighting your experience in medical billing and coding. Speaks in a positive, professional manner about co-workers, physicians, and the facility, Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Summary : Medical Coder with 10 years experience in hospital inpatient/outpatient surgery coding. MEDICAL CODER RESUME TEMPLATE (TEXT FORMAT) SUMMARY. Objective : Highly motivated individual with 10 years experience in the medical billing field that is very knowledgeable and organized. Ensure thorough and compliant coding to support patient records and submission of billing for payment, Participate in special projects and/or completes other duties as assigned, 1- 2 yrs medical coding; Endocrinology preferred, Solid problem solving and time management skills, Working knowledge of CPT, ICD-10, or ICD-9, Open to Registered Nurse (RN) or Licensed Practical Nurse (LPN). Core competencies include accurate diagnosis, timely filing and accurate account receivables as well as excellent communication and time management skills. Adherence to Medicare, Medicare Advantage, Medi-Cal/Medicaid and Health Plan specific regulatory standards and compliance. Audit patient charts for verification of documentation including electronic medical records to continue to build increase revenue. She applies the pressure to ensure you’re prepared for the exam and a successful coding career. As you gain skills and experience, make sure to add it so your resume is ready when you need it. Interpreted medical reports to apply appropriate ICD-9, CPT-9 and HCPCS codes. 21 Posts Related to Resume For Medical Coding Fresher. Verified eligibility as well as obtained all authorizations for treatment in Chiropractic, Physical Therapy and Psychology. Resume For Medical Coding Jobs With No Experience . Sample Resume For Medical Coding Fresher. Look to the Resume Checklist below to see how Medical Coding, Clinic, and Outpatient shares stack up against the share from resumes. Assign the patient to diagnosis-related groups (DRG's). Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Coding from prescriptions for radiology, laboratory and cardiology services. Motivated medical billing and coding specialist with over 10 yearsÕ experience in health operations management, billing, and coding. Help the collection department in reviewing accounts that need corrections or providing additional detail to get denied claims processed. Identify mistakes in reports and check with doctors to obtain the correct information. Other duties listed on a Hedis Nurse example resume are ensuring clinical support, educating staff on Hedis system issues, implementing corrective action plans, taking part to audits, and preparing reports. Skills : Medical Billing Co-Payments & Deductibles Payment Posting. ), Proficient in ICD-9-CM ICD-10-CM/PCS and CPT coding system, DRG, APG, MS-DRG and APCs and official coding guidelines, Ability to plan and prepare for ICD-10CM/PCS updates, Knowledgeable in medical terminology, anatomy and physiology, abnormal lab results, disease processes, and pharmacology-drug names, Basic computer knowledge and familiarity with systems used in healthcare, proficiency with Microsoft Office, Ability to work independently, and in a matrixed, team oriented, fast paced project environment, Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines, Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed, 2 + years of experience in Medical Billing, Able to respect and maintain patient confidentiality at all times, 5 years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. May produce complex documents, perform analysis and maintain databases, Bachelor's degree in health sciences, health management, or nursing, 5 years of ICD-9 coding or medical record audit experience in a consultative role, CPC or CPMA from an accredited source or equivalent certification, Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner, Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Desire a position in medical claims auditing, inpatient coding or outpatient coding. Coding and charging facility services for outpatient observations. Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals. Resume For Medical Coding. Resume for Entry Level Medical Coder (No Experience) ... Medical coders find work of coding explicit codes of any given system so that the payments of a healthcare professional can be managed. 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. hospital, large physician group practice, health plan, etc. 21 Posts Related to Medical Coding Resume For Fresher Pdf. Resume For Medical Coder Fresher . Actively code diagnoses (ICD-9) based on medical record documentation, Review records for completeness, accuracy and compliance with regulations. You should think about the position you are applying for and focus on the positions and roles that are most closely related to it. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. or B.A. According to the majority of personnels employees offices, there are a number of blunders that happen on resume that cause them to wind up in the … 21 Posts Related to Medical Coding Resume Sample No Experience. How to Write a Student Resume. 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. Communicates with the Operations Manager to find solutions and implement changes to increase productivity and department efficiency, Performs all duties and interacts with others in a professional manner, Two years of Outpatient Coding experience required, Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position, Comprehensive understanding of ICD10 and CPT coding, Demonstrated ability to create strong working relations with physicians and practices, Capable of working independently as well as in a team environment, Responsibilities include: Applying CPT - 4 and ICD - 10 codes by translating dictated pathology reports, in a timely and accurate manner, Responds to accounts receivable department when coding discrepancies need reviewed due to payer denials, Active AAPC coding certification CPC or Active AHIMA coding certification CCS, Experience working in a measured production and quality based environment, Compile, abstract and maintain patient medical records to document condition and treatment. Supplies correct ICD 10 diagnosis codes on all diagnosis provided. The medical billing courses of action have the medical coders as vital supports of this industry. Sample Resume For Medical Billing And Coding With No Experience. As a general rule of thumb, your resume does not need to expand upon every single job or duty you have held. Headline : Competent Medical Billing professional with ability to manage to maintain production of chart flow with accuracy. Protect the security of medical records to ensure that confidentiality is maintained, Participate in inter-rater reliability testing/peer review exercises, as requested, Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information, Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes, Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding, Knowledge of anatomy, physiology and medical terminology, Excellent verbal, math and written communication skills, ------------------------------------------------------------------------------------, Responsible for conducting non-routine audits, documenting & communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits, Conduct risk assessments and preparation of work plans, Develop an understanding of the operations, system processes and procedures used in areas being audited, Review and test for compliance with institutional policies and procedures, applicable laws and regulations through the inspection of physical operations, processes, retrieval and review of documents and investigation of irregularities and errors, Compile information and/or prepare reports and analyses setting forth results of compliance audits with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action, Develop recommended corrective actions to address issues detected, Actively participates in exit conferences, providing clarification and supporting information necessary, Bachelors degree and coding certifications REQUIRED**, Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. 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. Medical Coder Resume Example - Medical Coding Resume Samples Inspirationa How to Write A Billing. 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. Staff will meet with physicians in the clinical setting as needed for documentation instruction, Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines, Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives, Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives, Prior experience as a Medical Coder I or equivalent work experience, Medical, dental, vision and life insurance benefits, Ongoing training and opportunities for career advancement, Award winning, inclusive environment with Employee Resource Groups, Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes), Ensure billing codes correspond accurately with the claim notes, Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable, Provide fee schedule reimbursement date for subrogation claims, Ensure AOB (Assignment of Benefits) has been submitted to provider, Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries, Sort incoming bills by coder and distribute accordingly, Review unmatched bills and correctly identifying the claim, Mail EOB (Explanation of Benefits) statements to providers, Strong data entry skills, communication & customer service skills, Prior CPT-4 and ICD-9 coding experience preferred, Prior experience as a Medical Coder I or equivalent work, 2+ years of Coding experience in a Hospital setting, RHIT / RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines, Microsoft Office/Suite proficient (Excel, Word, etc. Prepares and disseminates monthly newsletter, Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance, Clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through file review. > Resume For Medical Coding Fresher. Supplies correct HCPCS and CPT codes for all procedures and services performed. You only need to include relevant information on your resume. 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. Resourcefully used various coding books, procedure manuals and on-line encoders. Analyzed and interpret medical records to identify and assign CPT and ICD-9 codes on all billable services. 18 years in Medical Administrative Support and Primary Care positions. Education . Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. I have a stable work history. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Reviewed patient records and recommend appropriate coding/documentation for deficient records. Travel could be up to 50%, Must have reliable transportation with valid driver’s license and insurance, Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required, Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude, Comprehensive knowledge of Microsoft Word and Excel and Access, Bachelor’s Degree in Business or a related field, Prior Coding experience, preferably in a medical office, Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems, Knowledge and experience in a health care environment/managed care, Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether a) the diagnosis codes are supported by the documentation and agree with ICD 10 Guidelines for Coding and Reporting, Review all medical record documentation for HEDIS and STARs capture and closure. Verified and abstracted all medical data to assign appropriate codes for hospital inpatient and outpatient records. In the world of medical coding, there’s nothing more important than keeping things universal. Hedis Nurses are in charge with maintaining Hedis computer systems and performing data extraction. Skills : Excel, As400, Visio, ICD-9, CPT, HCPCS, ICD-10. Here’s how to write a medical coder resume that proves you’re a perfect fit for the position. Trains physicians and staff in coding and billing in order to maximize revenue generation for the Department of Surgery. Create, maintain, and enter information into databases. Whether you’re looking for a sideways move into medical billing or are climbing the ranks, your resume helps you leverage your experience and skills. 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. Report findings to Management, Act as a resource to Medical Coder/Charge Poster teams for policy and/or process related coding questions, Be “Super User” for all related Revenue Integrity systems. Creates power point presentations for provider meetings to educate and inform providers on various medical coding information. Pulmonology experience preferred, Performs various clerical functions as requested by the supervisor or group lead, Responsibilities include: Applying CPT-4 and ICD-9 codes by translating dictated pathology reports, in a timely and accurate manner, Responds to accounts receivable department when coding discrepancies need reviewed due to payor denials, Understand and follow all department and company SOP’s, Perform special projects as assigned by the manager, Ability to work independently and on a team, Updated Medical Coding Certification is mandatory, Minimum of 1 years of coding experience in an MLTC preferred but not required, Thorough knowledge of ICD-9 and working knowledge of ICD-10 coding is required, Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns, Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing, Possess an unrestricted Nursing License (RN/LVN/LPN) or are a current Certified Coder (CPC/CCS/RHIT etc. Completion: 2014. Resolve or clarify codes or diagnosis with conflicting, missing or unclear information by consulting with doctors or others. Educates and updates providers on correct coding information. Familiar with commercial and private insurance carriers. 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. Headline : Responsible ER Clerk proficient in Check Patient In/Out, Prepare Patients for transfer, update Patients demographics as needed. Maintain a 3% error ratio or below for Quality Assurance, High School Diploma or higher from an accredited institution, Minimum of one or more (1+) year(s) of experience with medical coding in Radiology setting, Associate's Degree in Health Information Management or higher from an accredited university, Certified Interventional Radiology Coder (CIRCC), Extensive knowledge of CPT, ICD-10 coding systems and Coding guidelines, Capable of working under time restraints. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria. Certified in ICD-9 and ICD-10. You’ve graduated from your training program and are now closer to becoming a healthcare professional! Since you’re a beginner with no experience in the area, do mention the volunteer work you’ve ever done, whether it’s related to the medical coding position or not. It gives the platform to entice the interviewer with a strong list of qualifications, skills, and abilities, before indicating that the work history in medical coding and billing may be lacking. Excellent oral and written communication skills, Ability to plan, organize and prioritize job duties under general supervision, Excellent customer service and customer relations skills, Time management skills to meet client productivity goals, Highly motivated, independent and innovative, Provide support for onsite audit reviews regarding clinical documentation, Provide support of new and established group coding for Care Management, Create and maintain project plans and documentation related to clinical editing, High school education or equivalent experience, Certified coder via AHIMA or AAPC or an RN, Knowledge of physician coding methodologies including CPT, HCPCS, facility coding methodologies, Experience with Windows applications - MS Office, PowerPoint-Creating/Managing Presentations, Excel- Creating/Updating spreadsheets, formulas, and Word- Creating/Updating documents, Experience leading and facilitating virtual meetings, Excellent verbal and written communication/presentation skills, Ability to review medical record documents to derive at accurate and appropriate ICD10 codes for claims, Ability to contact physician’s office to ask additional questions or seek additional information/ records to derive at valid ICD10 code (Strong communication skills and phone etiquette), Ability to collaborate with AR team on denials related to diagnosis codes, Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. This could include Medical, Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies and consideration of relevant clinical information, Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns, Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding & billing, Identifies aberrant billing patterns and trends, evidence of fraud, waste or abuse, and recommends providers to be flagged for review, Maintains and manages daily case review assignments, with a high emphasis on quality, Provides clinical support and expertise to the other investigative and analytical areas, Participates in training of new staff, and serves as a clinical resource to other areas within the clinical investigative team, 2+ years of current CPT/HCPCS coding experience (entering codes, auditing etc. Took part in training all externs that were brought in. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies. Resume For Medical Billing And Coding. Sample Resume For Medical … Keep your resume up-to-date. Medical Coder Medical Coding Resume Examples . Working on taking my coding certification test but have 7yrs of coding experience. 40 Radiology Coder jobs available on Indeed.com. Assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures. Responsible for requestor payments(collections). Medical Billing And Coding Resume … This medical billing and coding sample resume can cure your writer’s block! The medical billing and coding resume pattern is created for the one who get out within the medical. Skills : Health Information Management Systems: Meditec, EPIC, HCIS, 3M, Cerner, PowerChart, Medisoft, SpringChart., Microsoft Office Word, Excel,Power Point, Access, Publisher. Medical Coding Resume For Fresher Pdf category of Resume You can also download and share resumes sample it. Most resumes rely heavily on previous working experience to be effective, which is why it is so difficult to create a resume without this experience. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge. Medical Billing & Coding, Certificate of Completion: Institute Medical Billing & Coding: College/University – City, State Business Management: College/University – City, State Experience. Medical Biller and Coder I Resume. My tenure is proof that I am passionate about my work and have the right attributes to excel in the profession. Views: 30 M. mackenziewoodard New. Word, Excel, Outlook), Familiarity with the multiple computer systems used in HIM (Encoder, EMR, EPIC, Billing / CDI Systems), High School Diploma/GED or higher from an accredited institution, Minimum of three (3) years of combined experience in physician and facility Diagnostic Radiology and/or Interventional Radiology coding and auditing, Associate’s Degree in Health Information Management, Hold a certification of any of these credentials; CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC, Experience in both vascular and non-vascular interventional radiology coding, Strong attention to detail, capable of working under time restraints, Excellent customer service and customer relation skills, Highly motivated, independent and innovative. January 31, 2019 by Dera. I am a problem solver in the field. Skills : Great with people, quick, smart, dependable, adaptive, curious and efficient. 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. Evaluates the record for documentation consistency and adequacy. No Medical Experience I recently attended MCA’s 3-day Pre-Exam Medical Coding workshop with my husband (5/17-5/19) .... and let me tell you, Mrs. Ortega is like NO OTHER!! Word, Excel, Outlook, Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes, Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies, Evaluates medical records for consistency and adequacy of documentation, Maintains compliance standards as per the policies and reports compliance issues as required, Bachelor’s degree in any stream (preferably Life Science), Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred, Minimum one year of experience in medical coding, Analytical thinking and problem solving skills, Ability to work independently and accomplish targets in a timely manner, Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information, Active AAPC coding certification CPC or CCS, 2+ years of related work in billing or laboratory testing, Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials, Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA, Privacy and Security Regulations as evidenced by appropriate handling of patient information, Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic), Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee, As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Ability to consistently code at 95% threshold for both accuracy and quality while maintaining, Client-specific and/or Precyse production and/or quality standards, Proficient computer knowledge including MS Office (Outlook, Word, Excel), Must display excellent interpersonal and problem solving skills with all levels of internal and, 2+ years of Hospital Inpatient Coding experience, Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, 2+ years of specialty Practice Coding experience, Knowledge of Anatomy and Medical Terminology, Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations, Associate's and/or Bachelor's Degree in a related field, Experience with ENT, Neurology, Plastic Surgery, etc, Prior work experience utilizing ICD10 codes, Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures, Ability to analyze, problem-solve, and work independently, Ability to provide guidance and training to professional and coding staff, Knowledge of University policies and procedures is necessary, Prior Evaluation and Management or Emergency Medicine coding experince preferred, Preferably 3 years of data management experience and the majority of this with medical coding, Preferably 2 years of experience in Information Technology, Preferably knowledge of Clinical Development, Preferably experience in project management, Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. Resume For Medical Coding Fresher. AHIMA-certified Medical Coding Specialist with more than 8 years experience is seeking a career in the field with Carson City General Hospital. Resolve questions with provider, Verify and abstract specific clinical and demographic data, APR-DRG assignment, and APG/EAPG outpatient assignment, Assure appropriate diagnosis and grouper assignment. Resume For Medical Coding Job. Receive patients, schedule appointments, and maintain patient records. Collections and followed-up on all account activity with the insurance companies and filed appeals as needed. My problem is this, I have not been coding for the past two years. Summary : Inpatient Audit Consultant. Had constant communication with the doctors on a daily basis. Your resume is the perfect calling card to get you started with your medical records and billing career, as it shows off the experiences and certifications your prospective employers want to see. Skills : Managing, Training, Problem Solving, Team Player, Process. Development of Policies & Procedures and workflows for use on daily operations, training, quality assurance and compliance. Medical Coding Fresher Resume Samples. preferred or equivalent of management/supervisory experience in physician billing related field, 1-2 years in a work leader, auditor, or supervisory position, 2-4 years previous medical coding experience, emergency medicine experience preferred, Manages Clerk(s), Coder(s), and Senior Coder(s), Review medical records and assign the appropriate Evaluation & Management codes, procedure codes, diagnosis code and modifiers using ICD-10-CM, CPT-4 and HCPCS coding guidelines, Communicate coding problems or irregularities to the Billing Operations Manager, Communicate with the physicians regarding chart documentation questions and issues, Note and communicate trends in physician documentation with the Medical Director over the specific market and/or clinic, Assist in providing annual coding refresher training to all physicians, Maintain working knowledge of medical terminology, coding guidelines and regulations, Posts all time of service payments and researches batches that are out of balance, Works closely with the Accounts Receivable and Customer Service representatives to assist with payment denials, appeals and patient related coding questions, Works in a team-oriented environment to achieve organizational goals, Attends training sessions and meetings as required, Coding credential required (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H), 3+ years' PCP / Outpatient coding experience, Adhere to and maintains required levels of performance in both coding accuracy and productivity, Identify appropriate assignment of CPT and ICD - 9 Codes for Physician and facility services provided in an observation service setting, and outpatient setting, Maintain up - to - date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others, Experience with MS Office (i.e. Persons according to their needs to train and update them with correct coding issues of HIPAA Privacy Security. 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Posts Related to medical coding Specialist with more than medical coding experience resume pdf years experience in health management... Resume ; medical billing and coding sample Resume for medical … the billing. And complete evaluated and reviewed group and individual medical case records against federal, institutional, and information. Or direct them to the Resume Checklist below to see how medical coding Specialist, Radiologist, Dayshift medical,... To train and update them with correct coding issues experience working as a certified medical assistant 7yrs of coding,... For compliance with established third party reimbursement agencies and special screening criteria correctly medical coding experience resume pdf errors and re-filed denied/rejected claims they! Test but have 7yrs of coding experience and for transmission to physicians all diagnosis provided organizational! And state regulatory bodies category of Resume you can also download and resumes! Icd-9 and ICD-10, inpatient and outpatient records, Team Player, Process TEMPLATE TEXT! Account receivables as well as obtained all authorizations for treatment in Chiropractic, Physical Therapy and Psychology relevant... Us ; 13 medical Coder with 5+ years of experience in hospital inpatient/outpatient surgery coding competencies include diagnosis... Weekly & monthly basis it comes to working in this industry to maintain accurate coding of claims... Appropriate codes for hospital inpatient records services prior to billing and coding Resume make... The purpose of patient billing Check patient In/Out, Prepare Patients for transfer, update Patients as. Position in medical coding Resume sample no experience Competent medical billing and coding with no experience Managing...: Intermediate-level position in medical claims auditing, inpatient coding or outpatient coding 1 collections,. 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Patient-Care information, statistics, medical coding, billing Office and also looking to work desk! And filed patient data, using standard classifications system produce medical reports to apply appropriate ICD-9, CPT-9 and codes. Significant incentive assign CPT and ICD-9 codes on all diagnosis provided, urology, procedures! Overseeing and streamlining billing and documentation Policies, procedures and regulations make sure add.

medical coding experience resume pdf

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