Coder Resume Samples

The Guide To Resume Tailoring

Guide the recruiter to the conclusion that you are the best candidate for the coder job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

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E Ebert

Ena

Ebert

290 Gleichner Skyway

Dallas

+1 (555) 431 0729

290 Gleichner Skyway

Dallas

Phone

p +1 (555) 431 0729

Experience Experience

Dallas, TX

Coder

Dallas, TX

Leuschke, Harber and Turner

Dallas, TX

Coder

Participate in departmental and physician network performance improvement initiatives
Perform work duties remotely, working on site as necessary for additional training and on-going education
Patient management, patient accounting, billing and managed care system processes competency
Assists in staff training, educational sessions, and participates in team meetings as requested by management
Meet and maintain charge lag and coding productivity standards within the time frame established by management staff
Work collaboratively with cross-divisional teams on diverse processes in the achievement of shared goals within established timelines
Provide feedback to providers in instances of coding-related problems

Phoenix, AZ

Certified Coder

Phoenix, AZ

Ferry, Lind and Terry

Phoenix, AZ

Certified Coder

Provide feedback query (sendbacks) to providers in instances of coding-related problems
Assist providers and clinician staff with billing problems and concerns
Follow coding guidelines as established within the Health Information Management department.
Assist Coding Manager to ensure charge tickets are up to date and with the correct CPT/ICD-10 codes
Effectively and efficiently work with ICD-10, CPT, and HCPCS reference books for proper billing
Back-up and assist other department personnel as directed
Assist with insurance and patient collections, along with other duties of the Business Office

present

Phoenix, AZ

Certified Professional Coder

Phoenix, AZ

Bradtke-Swaniawski

present

Phoenix, AZ

Certified Professional Coder

present

Confers regularly with physicians/care providers, clinical or ancillary managers, coders, or other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication to respond to and educate providers on specific departmental and clinic wide coding issues and updates including but not limited to the coding hotline and/or the coding website
Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD?s), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines
Provides feedback, recommendations, and participates as the coding representative for the Professional Coding Department on the Revenue Cycle Teams as requested by manager
Extensive local travel outside of office up to 50% in the North Florida area, but based in Daytona. North Florida covers the HMO markets of Panhandle (Pensacola), Jacksonville, and Daytona and all of the PPO/PFFS counties in between
Works on assignments that are routine in nature, requiring limited judgment. Has little or no role in decision-making. Errors can be made easily and quickly detected and result in only minor disruption to correct
Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process
Adhere to internal and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics

Education Education

Bachelor’s Degree in Competency

New York University

Bachelor’s Degree in Competency

Skills Skills

Proficiency in ICD-10, CPT, HCPCS and modifiers for coding professional fee services
Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines
Accuracy and attention to detail
Proficient with computer applications (MS office, Excel, etc)
Demonstrate ability to work with minimal supervision
Ability to use critical thinking skills to identify operational, system, or policy issues and communicate those issues to the coding manager
Ability to communicate through formal presentations to providers and or practice managers/directors
Demonstrated analytical skills, and the ability to translate documentation in different parts of a medical record into specific codes
The ability to work at a fast pace and maintain a high concentration level with accuracy is essential
Ability to effectively interact with staff, customers and management at all levels

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Certified Coder Resume Examples & Samples

2+ years of experience managing a high volume workflow
Advanced knowledge of Medical Coding (ICD-9 and CPT-4), Billing Systems and Regulatory Requirements
CPC or CCS certification, but will consider CPC-A or CCA certification
Prior Emergency Medicine Coding experience
Associate's and/or Bachelor's Degree in related field

Certified Professional Coder Resume Examples & Samples

3+ years of Clinical experience; 3+ years of Medical Coding experience 2 years’ experience in Health Insurance/Claims Processing and/or Utilization Review
Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist P from the American Health Information Management (AHIMA)
Proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding
Knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms
Knowledge of the health care delivery system
Clinical medical background
Microsoft Office/Suite proficient (Word, Excel, Access, etc.)
Knowledge/experience with computer processing systems

Email Marketing Developer / Coder Resume Examples & Samples

Writing programming code, either from scratch or by adapting existing HTML code and graphics packages
Troubleshoot HTML and revise code where necessary to integrate with internal tools and render properly across multiple email clients, browsers, and mobile devices
Building and testing email templates
Testing emails across multi-browser configurations and identifying any issues
Using initiative to research and develop code to solve challenges
Coding HTML and CSS from Photoshop mock-ups, for email templates

Certified Coder Resume Examples & Samples

3+ years of experience Coding in a Hospital, Physician, or Insurance environment
Certified Coding Profession (CPC) certification or CCS-P
Microsoft Office/Suite proficient
5+ years of' experience Coding in a Hospital, Physician, or Insurance environment
Experience in multi-specialty Physician Coding

Senior Coder Health Information Management Hour Days Resume Examples & Samples

Five years experience in current ICD and CPT coding of inpatient and outpatient records in an acute care facility and experience in using a computerized abstracting, encoding and database systems is required
2 years experience in oncology coding, preferred but not required
Credentialed as a Registered Health Information Technician or Health Information Administrator or Certified Coding Specialist

Professional Coder Resume Examples & Samples

Associates degree or equivalent work experience is preferred
Minimum of one year recent and relevant Medicaid, Medicare or large health insurance experience
Operational business unit familiarity is preferred (e.g. Claims, Member & Provider Relations, Other)
Strong presentation skills (training and education skills)
Strong PC skills (MS Office Tools)
Demonstrates experience in quality improvement, personal empowerment, diversity and teamwork
Demonstrates experience in coordinating interaction with client and business and technical teams to assist in defining, understanding and achieving the client's goals
Demonstrates experience in interpreting business processes to technical team members on projects

Auditing Coder Specialist Resume Examples & Samples

Strong organizational and time management skills
Working knowledge of Microsoft Word & Excel
High school diploma or equivalent required to be employed at Humana
Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test

Certified Coder Consultant Resume Examples & Samples

Coding certification (Industry-recognized coding certification from PHIA, AAPC and/or AHIMA. Apprentice status will not be considered.)
Extensive knowledge of medical claims processing and are familiar with ICD, CPT, HCPCS, revenue and DRG assignment
Ability to track and trend data and use those findings to make recommendations
Basic proficiency with MS Office (Excel, Word, and Access)
Possess self-drive and strong initiative
Facility coding credentials (CPC-H, COC, CIC, and/or equivalent)
Customer Care Portal (CCP) knowledge
Metavance and CAS claims processing experience
Medical billing experience
Provider Service Relations (PSR) and/or Provider Concierge Unit (PCU) experience
Previous supervisor or team lead experience

Mra Certified Coder Lee County Resume Examples & Samples

Training and presentation experience
Associate or Bachelor’s degree
Knowledge of Humana’s internal policies, procedures and systems

Mra Certified Coder Resume Examples & Samples

CPC or CCS-P Coding Certification
2 years prior medical coding experience
Strong organization and process management skills
Proficient with Microsoft Word, PowerPoint and Excel

Medical Records Coder Speclst Resume Examples & Samples

Client interaction
Ability to analyze reasons behind incomplete transactions
Understand process interdependencies
Perform quality audit in the process
Ability to define SOPs for new deals
Possess expert domain knowledge in Healthcare and Insurance domain

Icd-certifed Coder Consultant Resume Examples & Samples

Experienced Certified Coder
Extensive knowledge of multiple types of medical, procedural and diagnosis coding
Facility and/or Physician coding knowledge
ICD10 experience/knowledge
Comprehensive knowledge of Microsoft Word, Excel
AHIMA ICD 10 Approved Trainer
MTV/CAS experience
Project lead or consulting experience

Medicare Risk Adjustment Coder Resume Examples & Samples

Certified Medical Coder with either CPC or CCS with minimum of 3 years coding experience
Comfortable with face to face discussions with providers. Comfortable with working onsite in a provider’s office and offering feedback directly to the physician
Knowledge of medical office billing procedures and electronic medical records
Year round travel & up to 100% within an assigned territory of Johnson City, Bristol and Kingsport area. Possible occasional overnight travel outside of territory
Prefer knowledge of NCQA HEDIS measures. (National Committee for Quality Assurance and Healthcare Effectiveness Data and Information Set)

Coder / Analysts Resume Examples & Samples

BS or BA degree in Biological, Social or Physical Sciences or Humanities such as English, Philosophy, or History
Experience with environmental policies/regulations
Specialized experience in the National Environmental Policy Act, California Environmental Quality Act
Performance Based Service Contracts training or experience
3 + years of experience with environmental policies/regulations including specialized experience in the National Environmental Policy Act, California Environmental Quality Act
Excellent interpersonal skills with the ability to work on a large multi-disciplinary team
Proficiency with Microsoft Office Suite Applications (Word, Excel, PowerPoint, Project)
Excellent organization and high attention to detail
Strong work ethic with a positive attitude and commitment to producing quality work

Medicare Risk Adjustment Coder Resume Examples & Samples

CPC and/or CCS with high degree of competency in this area
Proficient in ICD-10
Prior coding experience in a medical office environment; 1+ yrs. of experience required
Strong knowledge of Microsoft Office XP products (Word & Excel)
Strong communication skills; both written & verbal
Ability to handle multiple tasks and deadlines with attention to detail
Associates and/or Bachelor’s Degree
Working knowledge of risk adjustment

Certified Professional Coder Bilingual English Resume Examples & Samples

Certified Professional Coder (CPC) and ICD-10 certification
Prior coding experience, preferably in a medical office environment
Must have reliable transportation
Associates or Bachelor’s Degree
Strong written and verbal communication skills; strong analytical, organizational and time management skills required

Certified Coder Resume Examples & Samples

Certified Medical Coder, CCS or CPC through AHIMA or AAPC with high degree of competency in this area
Strong knowledge of Microsoft Office XP products (Word, Excel)
Requires 75% travel in Tampa and Central Florida
Must have reliable transportation and valid driver's license
Medical Risk Adjustment experience

Coder Analyst Resume Examples & Samples

Extensive local travel outside of office up to 75% (Citrus to Collier to Highlands counties)
Must have reliable transportation and valid driver’s license
Strong written and verbal communication skills; strong analytical, organizational and time management skills

Onsite Learning Facilitator / Coder Resume Examples & Samples

Strong attention to detail and exceptional follow up skills
Strong technical knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Must have CPC certification
3+ years of coding experience required
Associates and/or Bachelor's degree
CPCI
MRA background
Working knowledge of WebEx

Certified Professional Coder Resume Examples & Samples

2+ years of Coding experience
Associate's Degree in Health Information Technology or related business degree
Current certification as a CPC or CCS-P
Computer literacy of medical information system, records management software, encoders, and email
Understanding of third party reimbursement rules and regulations
Experience with encoder software

Clinical Coder Resume Examples & Samples

1-2 Years experiencing in coding
3 or more years’ experience in the health industry
Excellent organizational skills desired
Excellent written and oral communication skills required
Legal Consulting or law enforcement background
Experience in managed care or health care administration desired
Excellent PC skills (including MS Word, Excel and Access required)

Bilingual Certified Professional Coder Resume Examples & Samples

High-school diploma
Proficient in the use of Computer, including MS-Outlook, Word, and Excel (Windows PC Applications)
Must be able to follow policies and procedures and work flexible schedule and location
Detail oriented and able to work efficiently in a stressful environment
Experience with eMR (electronic medical records)
Associate Degree (AA/AS) in Medical Related Field
5 years of experience in Medical Coding (ICD-9, CPT, HCPC) and Billing
Medical records Auditing Certification (CPMA) a plus

Coder Resume Examples & Samples

Medical records experience
2+ years of prior coding experience
Associate's and/or Bachelor’s Degree

Coder Resume Examples & Samples

AAPC Certification required
Analytical, organizational and time management skills
Must be willing to work overtime
One to three years of coding experience and ICD-9 knowledge

Certified Coder Resume Examples & Samples

Certified Medical Coder with either CPC or CCS through AHIMA or AAPC
Certified in ICD-9 coding
This position can at times require extensive travel, 50% in the Dade county area

Certified Professional Coder Resume Examples & Samples

3 years of Certified Medical Coder experience in an acute care and/or outpoint setting
AHIMA, RHIA or RHIT and/or CCP, CCS
Knowledge of coding guidelines, payment guidelines, federal billing guidelines
Outpatient and MLTC experience
Ability to research coding-related issues
Competent in coder training

Certified Coder Resume Examples & Samples

Coder certification
ICD-9 experience
ICD-10 training experience
Professional attitude $

Treasury Super Coder Resume Examples & Samples

Architectural improvements to the existing platform
Minor Works enhancements and Day 2 functionality
External Migrations work arising to due upstream data and technology changes
Provide 3rd Line Production support
Enable\Assist Business on key regulatory reporting requirements
Strong verbal and written communication skills with a good command over English and ability to explain complex technical and functional topics in simple terms over the phone

MRA / Certified Coder Resume Examples & Samples

Bachelor’s Degree in Communications, Education or similar field
Coding certification with either CPC or CCS designation
Exceptional interpersonal, public speaking and presentation skills
Strong technical knowledge of all Microsoft Office applications, including Word, Excel, Access and PowerPoint

Risk Adjustment Coder Resume Examples & Samples

Active New York State Registered Nurse license
AAS in Nursing
Sound knowledge of ICD-10 coding guidelines and regulations
MLTC Risk Adjustment Methodology knowledge
2+ years of recent and related experience in clinical record documentation review, diagnosis coding, and/or auditing
Experience with Microsoft Office products (Word, Excel, and Power Point)
Exceptional coding skills
Bachelor’s Degree in Nursing
Current AAPC or similar certification
MLTC experience

Mra Certified Coder Resume Examples & Samples

CPC, CCS-P, or CPC-A (with significant experience) Coding Certification
2+ years prior medical coding experience
Demonstrated time management skills
HCC coding experience

PPS Clinical Coder Resume Examples & Samples

Support and collaboration with PPI and SIU
Review medical record information to identify fraud, waste, or abuse
Make clinical determinations based on medical record reviews and document those findings in the PPI Audit Tool
Active Certified Professional Coder (CPC) – AAPC
ICD-10Certified
At least 2+ years of prior CPT coding experience and outpatient auditing experience
Experience in the healthcare/managed care industry
Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
Ability to work independently and manage workload
Excellent writing, editing, interpersonal, planning, teamwork, organizational and communications skills
Strong knowledge of Microsoft Office products (Word, Excel)
Strong knowledge of ICD-9 & ICD-10 coding
Experience in prospective payment methodologies
Strong knowledge of Microsoft Access
Proven proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology and medicine
Strong analytical, investigative and time management skills

Medical Biller / Coder Resume Examples & Samples

1+ year of previous Coding experience
Previous experience in a Medical Office setting
Familiar and proficient with ICD-10 coding

Cadet Liaison Coder Resume Examples & Samples

Must have 2-3 years of coding experience
Problem Solving & Team building skills
Proficient in the use of Microsoft Office
ICD-10 knowledge

Certified Professional Coder Resume Examples & Samples

1+ year of Coding experience
Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) certification
Solid Coding and Auditing background
Nursing Home experience

MRA Coder Resume Examples & Samples

CPC or CCS-P coding certification
18 months prior medical coding experience
Valid drivers licence
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB

Email Marketing Designer / Coder Resume Examples & Samples

Brand champion - Adhere to brand guidelines and direct others in using the Pearson brand
Shoot, edit and produce video
Print design and production backup
Manage and direct outsourced creative; photography, printers, coders, designers, etc. when required
Bachelor’s degree in Visual Communications, Graphic Design, Web Design, Web Development
3+ years of relevant experience working in a design, coding or marketing environment
A strong online portfolio showcasing examples of your work (graphic design, typographic skills and HTML/CSS proficiency)
Knowledge of SEO and web analytics
Knowledge of video shooting, editing and production process

Medical Certified Coder Resume Examples & Samples

Coding experience in a medical office environment
Knowledge and experience in health care environment/managed care
Strong knowledge/experience of ICD-9 coding
ICD-10 proficient preferred

PPI Reconsideration Coder Resume Examples & Samples

Certified Medical Coder
Minimum 6 months experience as a coder
Excellent PC skills (including MS Word, Excel and Access (basic knowledge) required
Strong knowledge of CAS
Claims processing experience
Research skills
Self-driven and the ability to multi-task
Associate’s or Bachelor’s degree desired
Experience working with diverse cultures desired
Experience in business writing or creative writing desired
Experience working in the Insurance Industry
Experience working in Humana Systems (CCP2, MTV)
Plan load or Provider experience

Spine Coder / Surgery Appeals Specialist Resume Examples & Samples

Bachelor's Degree in a related filed
Previous Spine Coding experience
Experience with Appeals, Claims, Clinical Documentation, and Reimbursement

Professional Coder Resume Examples & Samples

3+ years of Coding experience (Certification is required within one year of hire)
Associate's Degree or equivalent training
Certification within 1 year of hire, including: American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; and/or, American Academy of Professional Coders (AAPC): CPC-H
Great interpersonal skills
Successful completion of a Coding Certificate program with AHIMA approval status

Certified Professional Coder Resume Examples & Samples

2+ years of experience in Medical Coding
Medical Coding Certificate (CPC) through AAPC or AHIMA
Proficient knowledge in medical terminology and anatomy & physiology
Must be able to perform daily procedures, meeting high quality standards and using his/her independent judgment following standards and regulations
5 years of experience in Medical Coding

Certified Coder / Mra-jacksonville Resume Examples & Samples

Intermediate knowledge of Microsoft Office XP products Word and Excel
Knowledge of ICD-9 Coding
Extensive local travel outside of office up to 75% (Duval, Nassau, Clay, St. Johns, Putnam, Baker, Union, Columbia, Bradford counties)
Intermediate Access skills

Coder / Mra-miami Dade / Broward Resume Examples & Samples

Certified Medical Coder with either CPC or CCS with 1 year of prior coding experience in a medical/healthcare environment
Must have valid Driver’s License and reliable vehicle
Intermediate knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)
High school diploma or equivalent required

Onsite Coder / Coding Educator Resume Examples & Samples

Will provide direction and give guidance on coding best practices
The position can be located in Irvine or Torrance, CA
Coding experience
Working knowledge of Medicare Risk adjustment, ICD-10 and HCC requirements
Experience in a provider setting

Coder Editing Escalated Consultant Resume Examples & Samples

Coding certification (Industry-recognized coding certification from PHIA, AAPC and/or AHIMA)
Familiar with ICD, CPT, HCPCS assignment
Basic proficiency with MS Office (Excel and Word)
Strong problem solving & organizational skills
BS in healthcare or business related field
Billing and/or AR background

Professional Fee Coder Resume Examples & Samples

Required High school diploma or equivalent with additional training beyond high school preferred
Required: Three years of related experience
Certification as a Certified Procedural Coder (CPC) required

Senior Professional Fee Coder Resume Examples & Samples

Required: High school diploma or equivalent with additional training beyond high school preferred
Required: Five years of coding experience
Certification as a Certified Procedural Coder (CPC) or Certified Coding Specialist – Physician-based (CCS-P) required
Demonstrated proficiency in resolving claims/charge edits identified by electronic billing system as coding exceptions
Skill in problem solving
Ability to read, analyze, and interpret medical records and charge documents
Advance knowledge of medical terminology
General knowledge of CCI edits, MUE edits, LCD/NCD, and other payer coding policies
General computer knowledge, preferably with Epic, and MS Office knowledge

Billing Specialist, / Spine Surgical Coder Resume Examples & Samples

Performs abstracting on E&M services, complex diagnostic studies, and/or endoscopic, interventional or surgical procedures. Requires the ability to read the progress note and or procedure/surgical results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires strong knowledge of the carrier coverage policies and documentation requirements for specialty specific service lines. Must know the Medicare and Medicaid teaching physician documentation billing rules
Serves as a resource to the FERC Team Leads, Compliance Auditors, Medical Collectors and Billing Specialists I & II. Requires a billing and coding knowledge level that provides guidance on and resolution to resolve claim denials, rejections and backend coding edits
Performs manual charge entry for all non-EpicCare and non-automated sites of services. This includes E&M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment
Investigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules
Periodically assists in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned
Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records

Production Coder Resume Examples & Samples

Applies Good Manufacturing Principles in all areas of responsibility
Demonstrates and drives the Thermo Fisher values – Integrity, Intensity, Involvement and Innovation (The Four I’s)
Monitors label production runs for accuracy and completeness in accordance with SOP’s and completing the daily production goals
Ensure that all equipment for coding is maintained as per procedure. This includes keeping up with all current preventative maintenance practices on a daily basis
Communicate any problems with the Project Management Department as well as the area leader
Set-up all PDR/PRG’s in CLPS as per Department SOP’s
Process all replacement labels
Maintain work area in a neat and safe manner. This includes taking out all the necessary garbage, shredding all scrap labels, breaking up all excess cardboard boxes and disposing of them and cleaning all equipment as necessary on a daily basis at the end of your shift
Responsible for processing returns of remaining unprinted stock after computerization has been passed and shipped. This will be a Production Coding function but the sole responsibility of a designated employee
Works hand-in-hand with cross-functional department managers and supervisors to meet company goals and objectives
Conducts all activities in a safe and efficient manner
Other duties may be assigned to meet business needs
2+ years knowledge of how to use a ruler for measuring and have basic math skills
2 + years of computer knowledge with Outlook, Word and Excel
Previous experience in clinical packaging environment
2+ years Knowledge of how to operate and manipulate basic printer technologies
Previous design software knowledge a plus
Ability to work with confidential information
Ability to communicate effectively with all levels of personnel
Strong basic math skills
Strong ability to work as a team, collaborate with colleagues and share workload as needed to provide quality customer support
Knowledge and experience with cGMP compliance

Coder Resume Examples & Samples

Responsible for applying diagnostic and procedural codes to patient health information for data retrieval, analysis, and claims processing
Works as a liaison to physicians in order to obtain medical information required for diagnosis and procedure coding
Assists in staff training, educational sessions, and participates in team meetings as requested by management
Effectively abstracts pertinent information from outpatient records and assigns codes utilizing 3M
Knowledge of ICD-9 CM, CPT, HCPCS Codes
Collaborates with Patient Accounting to solve denials, billing, and coding issues
Conducts effective audits as requested by management
Bachelors degree or equivalent coding experience required
0-2 years of experience preferred
CCS/CPC or be eligible for certification within one year of hire
Should have the ability to be a dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines
Strong interpersonal, oral, and written communication and organizational skills
Able to work well independently on a team and as a trainer/facilitator

Coder Educator Resume Examples & Samples

Experience in delivering physician and/or coder education
Evaluation and management chart auditing experience
Highly knowledgeable in Medicare Evaluation and Management guidelines
Demonstrate clear understating of the Official ICD-9-CM Guidelines for Coding and Reporting
Experience in development and implementation of PowerPoint presentations education

Coder Educator Resume Examples & Samples

Assesses and identifies skills, competencies and areas of learning and instruction needed for new hires, staff and department management. Assists with the development of education and training within specified area, which may include preparation of related educational materials
Plans and coordinates the orientation programs for new hires to provide an introduction to the department and facility, to define employment expectations and standards, to provide prerequisite knowledge required, and to train in the basic job skills
Provides for onsite support of trainees, and acts as a knowledge resource for all staff. Problem-solves and troubleshoots issues involving HIMS electronic applications. This may include monitoring and reviewing clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete

Professional Fee Coder Resume Examples & Samples

Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry. Investigates and resolves charge errors
Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care
Works held claims and claim edits in the CCF claims processing system
Maintains proficiency in related CCF billing systems, productivity standards, and records to be used for reconciliation and charge follow up. Utilize ICD10 and CPT-4 coding systems and materials
Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems
Minimum of two years of coding experience in a health care environment and or medical office setting required
Candidate must currently be employed as a Professional Fee Coder I at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of Professional Fee Coder I for six months to apply for a Professional Fee Coder II position

Professional Fee Coder Resume Examples & Samples

Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry
Maintains records for reconciliation and charge follow up
Investigates and resolves charge errors
Maintains proficiency in related CCF billing systems and productivity standards
Utilizes ICD10 and CPT-4 coding systems and materials
This position is for an entry level non-certified professional with a minimum of one year related experience in health care environment or medical setting or a new graduate from an accredited program (CPC,CCS-P, Candidate must complete the Cleveland Clinic Coding competency exam to be considered for the position
In order to move forward, trainee must have successfully obtained their coding certification ( CPC,CCS-P, RHIT, CCA) RHIT, CCA)

Professional Fee Coder Resume Examples & Samples

Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry
Maintains records to be used for reconciliation and charge follow up
Responsible for working professional held claims in CCF claims processing system
Reviews, abstracts and processes services from surgical operative report
Reviews, communicates and processes physician attestation forms
Communicates with physician and other CCF departments (co-surgery) to resolve documentation discrepancies
Assists with Evaluation and Management (E&M) audits and other reimbursement reviews
Responsible for working E&M denials on the denial database
Minimum of 3 years coding to include 1 year of complex coding experience in a health care environment and or medical office setting required
Must demonstrate and maintain accuracy and proficiency in coding and claims editing to be considered for a Professional Coder III position
Candidate must currently be employed as a Professional Coder II at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of a Professional Coder II

Radiation Coder & Educator Resume Examples & Samples

Conduct regular and on-going review of medical record documentation, for coding and documentation compliance. This also entails report generation and preparation
Appeal coordination with Patient Assistance Support
Collaboration with Managed Care regarding payer contracts
Collaboration/partnering with Revenue Cycle Management regarding payer related issues
Researches, prepares, and develops coding material that will be presented to network practice physicians, clinical team and business staff via on-site, web based, and other methods of training
Development of coding tools/aids

Lead Clinical Quality Coder Resume Examples & Samples

Trains and orients new team members according to CHS specific guidelines while utilizing the facility encoder, HBOC and EMR
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance
Assists Coding leadership with continuing education for all coding personnel
Facilitates peer review and training for Coding personnel
Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, RAC, DA2, Clinical Care Management and other coding reviews as requested
Reviews inpatient and/or outpatient medical records to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes and POA indicator for all diagnosis codes

Lead Clinical Quality Coder Arrowpoint Resume Examples & Samples

Prepares and performs coding audits to ensure consistent, high quality coding, MS-DRG, APC, Present on Admission, Patient Safety Indicators, Hospital Acquired Conditions and Core Measures
Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors
Assists with rebilling accounts when necessary

Clinical Coder, / Acute Care Resume Examples & Samples

Reviews moderate to high complexity medical records to identify the appropriate principal diagnosis and procedure codes and all other appropriate secondary diagnoses and procedure codes and assign Present on Admission indicators, Hospital Acquired Conditions and Core Measures for all diagnosis codes
Facilitates appropriate MSDRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines
Reviews charges and Evaluation and Management levels
Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input
Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding

Clinical Coder, / Acute Care Resume Examples & Samples

Reviews low complexity medical records to identify the appropriate principal diagnosis and procedure and all other appropriate secondary diagnoses and procedures
Reviews charges including Evaluation and Management levels
Abstracts coded data and other pertinent data in the hospital electronic health record
Ensures the accuracy of data input
Stays abreast of coding principles and regulatory guidelines related to outpatient coding

Coder Resume Examples & Samples

Perform coding and related duties using established Steward Coding Service's policies in an accurate and timely manner. Review medical documentation and encounter forms and assign CPT, ICD-10, HCPCS II and modifiers based on documentation and payor requirements
Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems
Maintain adequate knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals
Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue
Function as a resource to Steward internal units and external customers. Research and resolve coding inquiries. Make recommendations for coding policy changes
Develop and maintain division specific coding procedures (SOPs)
Complete special projects as assigned by management which require defining problems, determining work sequences, summarizing findings, and implementing required changes
Participate in coding education for providers and co-workers
Maintain coding certification
Proficiency in ICD-10, CPT, HCPCS and modifiers for coding professional fee services
Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines
Proficient with computer applications (MS office, Excel, etc)
Demonstrate ability to work with minimal supervision
Ability to use critical thinking skills to identify operational, system, or policy issues and communicate those issues to the coding manager
Ability to communicate through formal presentations to providers and or practice managers/directors
Education: Completion of a Coding Certificate program or Health Information Technology program CPC, CCS-P preferred or work experience equivalent
Course work in anatomy and physiology, medical terminology strongly preferred
A minimum of 2 years of experience in coding

Coder Resume Examples & Samples

Provide daily direction and communication to Coding staff to ensure proper coding is efficient and effective for the data entry department. Provide continual evaluation of processes and procedures
Interface with Physicians, Nurse Practitioners, and other Managers to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices. Reviews and implements coding policies and procedures, obtain clarification of conflicting ambiguous or non-specific documentation
Establishes and implements short- and long-range goals that support company and site standards, objectives, policies, strategic directives and operating procedures. Plans, organizes, and conducts individual and group provider in-service programs related to payor regulations, documentation and billing guidelines
Conducts quality control studies of coding and other aspects of billing, identifies and corrects problems; implements quality control audits. Oversees all facets of the daily operations of the organizational unit, ensuring compliance, state, and federal laws, policies, and regulations
Provide performance feedback and coaching on a regular basis to each employee. Write and administer performance reviews for skill improvement
Be available for employees that experience work problems providing appropriate coaching, counseling, direction and resolution
Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations
Researches, analyzes, and responds to inquires regarding compliance, inappropriate coding, denials, and billable services. Develops and implements systems to maintain records of compliance materials
Coordinates prospective and retrospective coding audits and reviews; identifies key risk areas and processing inadequacies; and takes appropriate preventive and/or remedial actions. Abstracts and modifies standard medical coding guidelines, procedures and issues training materials, as required
Insure employees have appropriate training and other resources to perform their jobs develop additional skills. Respond to and resolve employee relations issues expressed by staff. Create and maintain favorable working relationship with all other company employees to foster and promote a cooperative and harmonious working climate which will be conducive to maximize employee morale, productivity, and efficiency/ effectiveness
Address disciplinary and/or performance problems according to company policy. In conjunction with Human Resources, prepare disciplinary actions and communicate effectively with employees on such actions and make effective/appropriate decisions relative to corrective actions as required
Keep immediate supervisor promptly and fully informed of all problems or unusual matters of significance and take prompt corrective action where necessary or suggest alternative courses of action that may be taken
Project a favorable image of the company to promote its aim and objectives
Perform all duties and responsibilities in a timely and effective manner in accordance with established company policies to achieve all the overall objectives of this position
Perform other duties and responsibilities as required or requested
High School diploma plus 3 years experience directly related to the duties and responsibilities specified
Certified Coding Specialist (CCS); CCS-P (Certified Coding Specialist – Physician Based); or CPC (Certified Professional Coder)
Advanced interpersonal and communication skills required
High level administrative and organizational skills,
Must be self motivated / directed
Advanced analytical and problem solving skills necessary
Ability to exercise independent judgment based upon established policies, protocol or practices
Solid, working knowledge of medical billing operations in order to effectively plan and manage day-to-day operations of moderately large scope
Ability to provide and support a vision and direction. Advanced knowledge of medical coding, billing systems, regulatory requirements and auditing concepts and principles
Ability to organize data to illustrate results of billing compliance studies against claim denials
Ability to assess provider compliance with billing regulations and define areas in which additional training is required to meet standards

Coder Resume Examples & Samples

Responsible for assigning diagnostic and procedural codes to patient records in adherence to ICD-10-CM and CPT/HCPCS codes or other designated coding classification system based on source documentation within the patient record
Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures
Reviews medical records for data abstracting of specified data elements
Assigns and sequence codes accurately based on patient record documentation
Assign the appropriate discharge disposition based on patient records documentation
Assign the appropriate Present On Admission (POA) indicator and Hospital Acquired conditions (HAC) based on medical record documentation
Abstract and enter coded data hospital statistical and reporting requirements
Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution
Use coding resources as tools to ensure coding compliance
Meets coding and abstracting quality and productivity standards
Track and maintain continuing education credits to maintain professional credentials
Communicate with co-workers, management and hospital staff regarding clinical and reimbursement issues
Performs all job functions in compliance with federal, state and local laws, and hospital policies and procedures
Conduct chart reviews based on third-party audits or based patient complaints received from the system financial services
In keeping with the AHIMA "Guidelines for Achieving A Compliant Query", and hospital policies and procedures query the medical staff when additional documentation clarification is required to achieve optimal coding
Performs other duties as required by the position

Coder Resume Examples & Samples

Demonstrated knowledge of hospital outpatient ICD-10 CM and CPT-4 coding rules
Knowledge of APC and DRG assignment logic, National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines and the contents of a medical record required
Knowledge of compliance guidelines essential. Background knowledge of analysis, assembly, terminal digit filing, and physician’s incomplete process preferred
Familiarity with billing functions and the components of a charge description master preferred
Demonstrated analytical skills, and the ability to translate documentation in different parts of a medical record into specific codes
The ability to work at a fast pace and maintain a high concentration level with accuracy is essential
The ability to effectively and tactfully communicate the relationship between coding and documentation with physicians required. Computer keyboarding skills, and experience with computerized coding/abstracting systems and encoders also required

Medical Records Coder Resume Examples & Samples

Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit
Assesses the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned
Applies knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures
Applies knowledge of current approved coding guidelines (as published in Coding Clinic for ICD10-CM) to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services with a 95% accuracy rate
Applies knowledge of current coding guidelines and regulatory agency guidelines to assign the correct diagnosis and procedure codes for hospital outpatient services with a 95% accuracy rate
Applies knowledge of CPT format, guidelines and notes to locate the correct codes for all services and procedures performed during the encounter/visit and sequence them correctly
Applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and cormorbid conditions, and other diagnoses and significant procedures which require coding
Applies knowledge of the Prospective Payment System to confirm DRG assignment which ensures optimal reimbursement
Refuses to fraudulently maximize reimbursement by assigning codes that do not conform to approved coding principles/guidelines
Applies knowledge of the Outpatient Prospective Payment System to confirm APC/APG assignment which ensures optimal reimbursement
Applies knowledge of ICD10-CM instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly
Attaches modifiers to procedure or service codes when applicable
Accurately codes for the professional vs. technical component when needed
Clarifies conflicting, ambiguous, or nonspecific information appearing in the record by consulting the appropriate physician
Participates in quality assessment to ensure continuous improvement in ICD10-CM and CPT coding and collection of quality health data
Demonstrates the ability to recognize potential coding quality issues from an array of data
Accurately enters data into Meditech, verifying any existing information
Is cooperative in interactions, treating customers with courtesy, respect and compassion
Is patient when responding to questions and answers questions appropriately
Responds to requests in a timely manner
Handles interruptions in a skillful way
Maintains a professional appearance and demeanor
Strives to prevent/resolve customer concerns to the customer's satisfaction
Attends and participates in staff meetings and inservices and/or reviews documentation as required
Assists in the orientation of others and actively participates in mentoring
Two to four years coding experience in a health care setting
Working knowledge of ICD10-CM and CPT-4 coding systems
Certified Coding Specialist or Accredited Health Information Technician credentials preferred

Senior Coder Resume Examples & Samples

The senior coder shall, in conjunction with the Coding Director, be responsible for the day-to-day management and operations of the Coding department
Review physician documentation for the purposes of risk adjustment utilizing the current ICD-9 Coding guidelines
Have a working knowledge of ICD-10 implementation, conventions, and guidelines
Assist the Coding Director in hiring, educating, and evaluating coding staff
Be able to travel monthly to Providers offices to provide coding education/support
Participate as a team member by involving other departments in project planning and implementation
Supports others in the department and provides help and assistance when possible
Regularly attends and participates in team and/or departmental meetings and activities
Keeps others in the department informed of relevant information
Regularly offers and requests constructive feedback and coaching
Establishes and maintains effective working relations
Performs with internal and external service excellence by welcoming patients/customers/employees in a warm, friendly manner. Actively listen and constructively respond to questions and concerns in a timely manner
Ensures that the dignity of the patient/customer/employee is maintained at all times
Respects the diversity of the patient/customer/employee population
Demonstrates safe and effective use of equipment

Html Coder Resume Examples & Samples

Intermediate English language skills – must be able to understand written and spoken instructions in English and be able to write clear emails in English
Excellent HTML coding skills for Mailings
Intermediate knowledge of Photoshop and Dreamweaver
Ability to work quickly and efficiently
Meticulous attention to details and aesthetics

Facility Outpatient Coder Resume Examples & Samples

Function as an Outpatient Prospective Payment System (OPPS) coding, billing, reimbursement, and regulatory policy subject matter expert (SME) for Optum360 Coding Solutions
Apply expertise in current coding systems (ICD - 9 - CM / ICD - 10 - CM / CPT / HCPCS), OPPS and Ambulatory Surgery Center (ASC) reimbursement methodologies, and operational expertise to provide up - to - date, clear and concise content for all products
Apply basic knowledge of other payment systems for example, Inpatient Prospective Payment System (IPPS) End Stage Renal Disease (ESRD), Home Health and Skilled Nursing
Apply working knowledge of the 837i and UB-04 claim forms
Maintain official sources that are a defensible source of information to support product content
Respond to ICD - 9 - CM / ICD - 10 - CM / CPT / HCPCS and Medicare questions / queries for internal and external customers
Suggest new product ideation and product enhancements in a timely manner that reflects customer needs and industry standards
Provide New Product SME, Clinical Technical Editor (CTE) team members, Product Managers, Sales and Marketing with information on healthcare industry changes that impact our business
Deliver high quality content, on time and within budget. Responsible for working within project guidelines also known as scope of work (SOW), leading projects or working collaboratively as a Tech 1 or 2, and meeting schedule deadlines (standard 100%) while maintaining the accuracy and integrity of the content (accuracy standard 97%)
Demonstrate ability to perform work in a team environment, both as a peer in a Tech 1 & Tech 2 partnership and as a lead CTE as necessary
Demonstrate the ability to multitask and toggle between multiple projects
Keep pace with market standards by keeping abreast of regulatory changes, official coding guidelines, and by developing and maintaining relationships with customers and industry experts within and outside of Optum360
Responsible for conducting research to support the creation of new products or product updates by using various avenues such as hard copy reference material (internal & external publications), internet searches inclusive of CMS website, other official websites, list serves, databases, seminar / conference material, interviews, and interactions with customers
Update both the scope of work and product spec document for each update throughout the year prior to the kickoff meeting i.e., specifically list all components of the product under component checklist inclusive of each individual attachment, describe in detail update requirements under scope of work, list the official resources to be used, review and update the product spec section of the document. If product specs are not included in the SOW template they must be added prior to the product going to Print Services
Communicate schedule changes and content concerns to the Director and Product Manager
Responsible to contribute new product ideas
Enhance the visibility of Optum360 by conducting presentations or functioning as an expert in panel discussions at professional conferences / seminars at a national, state or local level, by functioning as a contributing editor for professional journals, or by functioning as an advisory board member
Responsible for assisting in the development of Coding Solutions CTE goals and measurable business objectives
Meet or exceed all MBOs, accuracy and TAT standards
Relationships

Bilingual Market Research Coder Resume Examples & Samples

Ability to effectively read and comprehend English verbatim responses
Ability to read and then categorize survey responses from surveys completed in Spanish to English
Able to work across multiple projects at the same time in order to meet deadlines
Ability to maintain well organized project information and materials
Skilled and effective in the use of the Internet when researching various project requirements
Ability to monitor, adjust and revise their work to ensure high quality prior to delivery
Effectively create a summary of important points within a file of comments for client review
Support and assist Team Leaders and fellow Coders in a positive proactive manner
Self-motivated, positive attitude
Proficiency in Microsoft office (word and excel programs)
Client service approach
High level of organization
Professional appearance and attitude
Commitment to the team environment
Technical knowledge
Fluent (reading and writing) in English and Spanish
Strong knowledge of social media platforms including Facebook, LinkedIn, Twitter and Instagram

Remote HIM Coder Resume Examples & Samples

Analyzes and interprets documentation from medical records and completes accurate coding of hospital-based diagnoses and procedures
Analyzes and interprets documentation from medical records and completes accurate professional fee coding of diagnosis and procedures, charge review, E/M assignment and charge router
Abstracts and/or validates required data elements into the coding and abstracting screens/system
Communicates with providers for missing documentation or questions regarding documentation and offers guidance and education when needed
Associate Degree
2 years of health industry experience

Coder Resume Examples & Samples

Analyzes and interprets documentation from medical records and completes accurate coding of diagnoses, procedures, and professional fees
Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. Reviews and edits charges
Status: Full-time

Coder Associate Resume Examples & Samples

Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing
Communicates with providers for missing documentation elements and offers guidance and education when needed
Reconciles billing issues by determining the rationale for rejecting and correcting inaccurate charges

Principal Clinical Coder Resume Examples & Samples

Functions as the Lead Coder on multiple projects
Responsible for coding of clinical and/or safety data and ensures coding consistency, uniformity, and clarity across all pertinent data. Verifies with relevant authorities that sponsors’ license requirements are met
Researches and resolves coding-related questions. Creates queries and/or notifies relevant parties as to coding discrepancies. Functions as the Project Lead on coding only studies including legacy recoding projects
Participates in audits and bid defense meetings
Serves on project teams to coordinate and lead development activities for clinical coding projects. Attends meetings, participates in discussions, focuses on deliverables, and provides constructive criticism. Keeps those responsible for project management informed of any issues that might impact project target dates, scope, or budget and escalates potential problems effectively and in a timely manner. Balances multiple task assignments and communicates needs to supervisor to obtain needed resources
Develops project-specific coding guidelines incorporating best coding practices and sponsor-specific guidelines
Participates in ongoing review of auto-coded and interactively coded clinical/safety trial data for accuracy and overall consistency
Collaborates with Lead Data Manager/Drug Safety Manager to track and resolve outstanding coding queries/considerations
Generates study-specific clinical coding reports (data and/or safety) on a regular basis to maintain high quality coding
Provides leadership, mentorship, training, guidance, and support to other department members based upon expertise in clinical coding. Collaborates with clients, peers, lead clinical coders and project teams to serve as a subject matter expert representing clinical coding in internal and external meetings

Emergency Department Facility Coder Resume Examples & Samples

Review and maintain a record of charts coded, held, and / or missing
Coding credential required from AHIMA/AAPC (ROCC, CPC, COC, CCS, CPC-P)
3+ years of Emergency Department facility coding experience
Intermediate level of Microsoft Excel

Facility Outpatient Coder Resume Examples & Samples

Adhere to and maintains required levels of performance in both Coding accuracy and productivity
Coding credential required from AHIMA/AAPC (ROCC, CCS, CPC, COC, CPC-P)
A minimum of 3 years outpatient facility coding experience
Must have ICD-10 experience

Data Collection Associate Coder Resume Examples & Samples

Collects and transmits consumer product data gathered from assigned/selected UPC’s on a weekly basis by
Researching and locating UPC’s/products assigned
Scanning UPC’s via hand-held device
Transmitting collected data daily
Plans and organizes assigned work within CROSSMARK Retail Data/Coding Collection by reviewing
Store assignments/mapping work
Utilizes resources for Coding UPC’s
Newsletters
Submitting time card and expense information in accordance with CROSSMARK’s established procedures and schedules
Communicates effectively with district management and coworkers by
Attend all Market, Team, and District Meetings, as necessary
Determine what is/is not a display; data that should/should not be collected
Manage a positive, professional relationship in various interpersonal retail store encounters with store managers, employees, and retail customers
Work independently and without daily supervision after initial training and qualification period is complete
Complete Audit Skills Assessment Qualification Exercise within eight (8) weeks of hire
Ability to work independently while following directions
Basic PC skills or willingness to learn PC skills
Must keep driver’s license and insurance information current

Ohi-oakwood / Beaumont Medical Records Coder Resume Examples & Samples

Serve as the main point of contact and subject matter expert regarding Cardiology coding
Responsible for attending meetings and in-services to enhance coding knowledge, compliance skills, and maintenance of credentials
Treat patient confidentiality with the utmost respect
Meet or exceed productivity standards while maintaining a minimum 97% accuracy rate
Build productive relationships with all parties involved in the processing of patient medical records
Must have a minimum of 4-6 years relevant work experience
Must be certified with the AAPC or have the CCS-P certification; those with an apprentice status will not be considered
Must be proficient in medical terminology
Prior experience coding Cardiology

HIM Coder Resume Examples & Samples

Clarifies discrepancies in moderately complex documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
Performs follow-up coding of moderately complex medical records as a result of internal or external reviews which have identified Coding or APC discrepancies
Maintains knowledge and skills; reads current coding resources, clinical information, videos, etc
Meets or exceeds productivity and quality standards and established department benchmarks
Assigns facility E and M (CPT) levels based on CCHS guidelines
A minimum of one year of prior experience abstracting, identifying, reviewing, and assigning moderately complex ICD-9-CM and ICD-10-CM, and CPT codes for the emergency department and outpatient types is required
Successful completion of the Cleveland Clinic Coder Trainee Program may offset the experience requirement

Coder Resume Examples & Samples

Reviews documentation and data. Identifies diagnostic and procedural information
Identifies reportable elements, complications and other procedures. Ensures complete disease and procedure reporting. Verifies documentation supports diagnoses, procedures, and treatment results
Identifies discrepancies, potential quality of care, and billing issues
Serves as coding consultant to care providers
Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions
Abstracts data elements for administrative/planning reports, reimbursement and research
Keeps abreast of advances in technology, diagnosis, and treatment of diseases that affect coding and reimbursement changes
Handles special projects as requested
Serves as resource by answering questions and providing leadership to health data analysts. Provides ongoing training to staff as needed
Stays abreast of current regulations to maintain certification
Minimum two (2) years of coding and records/data analyzing experience in a health care (acute and/or ambulatory care) setting
Associate's degree in related field
Demonstrated knowledge of and skill in PC navigation, mainframe, internet and intranet
HIM Coder/Abstract, Inpatient coding experience in all specialties
Outpatient facility experience
Knowledge in ICD-9, ICD-10 CM and PCS, CPT4/HCPCS coding experience
CCS certification, RHIT or RHIA certification

Professional Services Coder Resume Examples & Samples

Review Medical Records to identify diagnoses/procedures
Under supervision, codes all diagnostic and operative information from the medical record using ICD-9-CM, CPT and HCPCS coding classification systems
Verifies and abstracts all medical data from the record to assign appropriate codes for the following settings: Inpatient Hospital (IP), Hospital Emergency (ED), Hospital Observation (HOPS), Hospital Ambulatory (HAS), Hospital Outpatient (HOV) and Medical Office
Corrects data as appropriate
Review Medical Records to resolve Ingenix and HealthConnect Coding Edits
Under supervision, identify and resolve coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with ICD-9-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as KP Regional and Local policies
Correct data as appropriate
Work Organization and Prioritization:Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements
Completeness of Medical Record Data
Under general supervision, interacts with clinical contacts to clarify and promote accurate documentation of patient diagnostic and procedural information
Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted or encounter data corrected, prior to submitting the data
Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the Professional Service Coder II
Provides feedback to monitor service provider and line of business compliance with regulatory requirements
Confidentiality/Security of Systems: Maintains and complies with policies and procedures for confidentiality of all patient records
Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained
Consistently supports the precepts of Corporate Compliance and the Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures
Answers the telephone promptly and identifies themselves and the department
Acts as a resource person to other departments regarding coding questions and issues
Minimum of two (2) years, within the last three (3) years, certified professional coding experience

Certified Professional Coder Resume Examples & Samples

Responsible for reviewing primarily medical and ancillary type workque charge sessions within KP HealthConnect and applying coding principles for correct coding
Research, code, and/or data enter encounters that are not supported by KPHC with the External Service capture tool
Review all other charges sessions submitted non traditionally via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied
Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor in basket messages for timely responses
Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor
Communicates and participates in departmental meetings and intitiatives involving Coding and the Revenue Cycle Enhancement process
One (1) year of experience in a healthcare setting with proficiency in medical terminology is required
One (1) year of customer service experience is required
Knowledge of coding practices is preferred
Knowledge of compliance and regulatory requirements is preferred
Strong data management skills including proficiency in MS Office applications is preferred

Certified Professional Coder Resume Examples & Samples

Review and code workques, charge review session including all internal services within the workques as assigned by applying coding principles for correct coding, including sequencing
Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor inbasket messages for timely responses
Communicate and participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process
Minimum two (2) years of experience in a healthcare setting with proficiency in medical terminology is required
Minimum two (2) year of coding experience is required
Minimum two (2) years of customer service experience is required
Minimum two (2) years of knowledge in coding practices is required
Minimum two (2) years of knowledge of compliance and regulatory requirements is required

Certified Professional Coder Resume Examples & Samples

Review and code services that are potentially reimbursable, including Medicare, Medicaid, Workers Comp, and other third party payers by applying correct coding principles
Review and code ambulatory non-surgical services, and apply coding principles for correct coding
Respond to questions from providers through inbasket messages, coding hotline or in person as needed
Identifies workflow issues and works with supervisor to address changes in process
Serves as a regional resource to other coders and healthcare professionals for documentation guidelines and proper ICD9, CPT and HCPCS level II Coding guidelines
Works in collaboration with Coding Supervisor, Revenue Integrity and Patient Financial Services to provide input on front and back end errors trends that impact Revenue Cycle Enhancement
Communicates and participates in local, regional, and operational strategic meetings and initiatives involving coding and the revenue cycle enhancement process
Participates in data quality and revenue cycle validation processes on a rotating basis
Four (4) years of experience in a healthcare setting with proficiency in medical terminology is required
Three (3) years of coding experience is required
Three (3) years of customer service experience is required
Three (3) years of knowledge in coding practices is required
Three (3) years of knowledge of compliance and regulatory requirements is required (not sure if you want to specify or not)
Ability to work independently with minimal supervision is preferred

Health Information Coder Resume Examples & Samples

Review medical records to identify diagnoses/procedures. Independently organizes & prioritizes all work to ensure that records are coded in timeframes that will assure compliance w/regulatory requirements. Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment
Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines & other appropriate classification systems. Demonstrates knowledge of anatomy & physiology to interpret general medical classifications for coding discharge data Including the most complicated encounters/cases
Assigns Codes. Codes all diagnostic & operative info from the medical record using ICD-9-CM, CPT & HCPCS coding classification systems & independently quality checks own work. Selects the DRG for each inpatient case. Optimizes hospital payment legitimately & ethically by utilizing approved coding guidelines & conventions
Verifies & abstracts, all medical data from the record to complete a data abstract on each hospital encounter. Corrects data as appropriate. Ensures that all data abstracted is consistent w/guidelines outlined by TJC, OSHPD & CMS, regional & local policy. Completion of Medical Records Interacts w/physicians to clarify & accurately document patient diagnostic & procedural info
Enters patient info into the computerized inpatient & outpatient medical record databases, ensuring the accuracy & integrity of the medical record abstract data prior to transmitting case to Government Reimbursement for billing. Ensures timely record availability by meeting established coding & abstracting productivity standards
Independently conducts medical record documentation auditing to monitor physician compliance w/regulatory requirements i.e., Physician Review Project. Confidentiality/Security of Systems. Maintains & complies w/policies & procedures for confidentiality of all patient records. Demonstrates knowledge of security of systems by not sharing computer logons
Other Duties Answers the telephone promptly & identifies themselves & the Dept. Acts as an expert resource person to other coders & personnel in other hospital Depts regarding coding questions & issues. Other duties as assigned by supervisors. Supervisory Responsibilities: This job has no supervisory responsibilities, but may provide guidance & assistance to other coders
Must have at least three (3) years of hospital inpatient experience coding within the last five (5) years
Background knowledge analysis, assembly, terminal digit filing, and physician's incomplete processing preferred

PRN Coder Resume Examples & Samples

Clarifies highly complex discrepancies in documentation and coding
Assures accuracy and timeliness of highly complex/high acuity coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
Identifies, reviews, and interprets highly complex/high acuity codes
Abstracts highly complex clinical information from high acuity inpatients, surgical outpatients and observations at for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols
Accurately codes high complexity/high acuity cases
Extracts pertinent highly complex information from clinical notes, operative notes, radiology reports, laboratory reports, specialty forms, etc. using ICD-9-CM/ ICD-10-CM/PCS codes, POA indicators and PSI indicators
Determines code assignments pertinent to diagnostic workups for accurate MS-DRG/APR-DRG assignment
Follows up on highly complex/high acuity coding of medical records as a result of internal or external reviews which identified Coding, APC or DRG discrepancies
Supports special studies in relation to coding and abstracting information according to policies and procedures
Maintains knowledge and skills via written coding resources, clinical information, videos, etc
A minimum of three years of experience abstracting, identifying, reviewing, and assigning highly complex/high acuity ICD-9-CM, ICD-10-CM, CPT, PCS, POA and PSI indicators for inpatient, surgical outpatient and observations is required
Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases may offset one year of the required experience

Coder, Westchester Resume Examples & Samples

Reviews physician documentation and performs audits to determine accuracy
Knowledge of ICD–9 and ICD–10 coding guidelines
Skill in multi-tasking
Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public
Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures

Coder Outpatient Remote Resume Examples & Samples

1 Code diagnoses and procedures within quality standards (95% accuracy)
3 Pre-bill accounts receivables (A.R.)
4 Ensure confidentiality statement is signed
5 Demonstrate knowledge and utilize computer systems: Meditech, Cerner, ImageNow, Dictaphone, JATA, Outlook Email, Internet, and 3M Online Coding References
6 Perform Emergency Department coding
8 Perform Clinical Referral Coding (CLI): physician order with diagnosis, medical necessity for test, and no CPT coding. 1. Perform inpatient coding and DRG assignment
1 Assist in ensuring coding quality is commensurate with corporate compliance
3 Demonstrate ability to prioritize tasks according to urgency. Develop a routine that allows for maximum use of time. Exhibit ability to effectively multitask. Level 3 Subject Matter Expert (in addition to above duties)

Remote Coder, Op Senior Resume Examples & Samples

Ability to assign corresponding PCS codes (after dates of service 10/1/2014)
Functional knowledge of facility EMR, encoder and other support software
Completion of basic coding course (academic, seminar, workshop or facility-based), including medical terminology and basic anatomy and physiology, or an equivalent combination of education and experience also required

Aapc Certified Coder for DMC Group Southfield Resume Examples & Samples

Knowledge of billing applications
Skill in verbal and written communication
Skill in organizing work, making assignments, and achieving goals and objectives

Coder Resume Examples & Samples

Reconciles billing reports against practice reports to identify missed billing opportunities and subsequently works with leadership, providers, and other applicable team members to capture lost revenue. Ensures all end of day reports are run timely and accurately. Audits daily checklist and reconciliation reports
Upon completion of coding, ensures that practice staff is following organizational standards of performance within the charge entry process. Office charges are to be preferably entered same day or within the benchmark of 48 hours; Facility based charges are entered <5 days. Any deviations are reported to practice manager or director. Acts as a backup for entering charge when needed
Works closely with physicians to ensure timely, accurate submission of billing
Reviews denials (tasks) and provides necessary action to correct any billing errors. Reviews and corrects coding errors. Review fee schedules and reimbursement guidelines to ensure accurate coding and billing. Tasks claims for appeals as necessary
Educates physicians as to what documentation is required to support their coding and ensures all opportunities are captured and maximized
Stays abreast of changes in CPT and ICD coding and transfers knowledge to all applicable stakeholders and institutes changes as necessary
Assists with developing and updating coding resources as required to ensure compliance and to reflect the latest CPT/ICD changes
Reviews payer QA reports to ensure parameters are met and incentive charges are posted and payments are received
Runs and reviews AR and aging reports for action. Review account of balance reports for action to assist in ensuring staff is aware to collect account balances at TOS
Works with various members of the leadership team and RCM staff to provide assistance with claim rejection and other potential issues
Provides coding A/R support to satellite offices. Some travel in between offices and to main hospital is required
Assist with special project related to revenue capture, reporting and auditing
Other duties as assigned by practice management

Coder / Charge Entry Spec Resume Examples & Samples

Registers patients timely, professionally and accurately
Makes required telephone calls to obtain valid insurance information
Review edits for any coding errors and follow up with appropriate vendor, director supervisor or department manager
Correct any errors using the specific audit report within the same day of receipt of report
Communicate information clearly both verbally and written
Adheres to all departmental policies and procedures

Coder Resume Examples & Samples

Upon completion of coding, work closely with charge entry staff to ensure accuracy in charge posting
Maintain strong knowledge of NextGen EPM
Work closely with physicians to ensure timely coding of encounter forms and submission for charge posting
Prepare written bulletins to the physicians as changes in CPT and ICD-9/10 coding is published as it pertains to their specialty
Work with Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
Work with Director and RCM staff to provide assistance with claim rejection
6 months coding experience with working knowledge of NextGen Charge entry process preferred

Medical Office Coder Resume Examples & Samples

Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements
Initiative– Independently takes prompt proactive steps towards problem resolution
Contributing to Team Success–Actively participates as a member of the Center’s team to move the team toward the completion of goals
Policies & Procedures – Articulates knowledge and understanding of organizational policies, procedures, and systems
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred

Cbo-certified Coder / Billing Specialist Resume Examples & Samples

Required: Coding certification by accredited physician billing organization
Customer service experience in a medical office setting required
Prior experience in medical office billing and collections preferred
Demonstrates effective organizational and time-management skills
Demonstrates excellent oral and written communication skills
Demonstrates basic computer skills
Demonstrates current knowledge of payor procedures and requirements
Ability to accurately interpret EOB for practice and patients
Ability to problem-solve and multi-task in the work environment

Coder IP / OP Resume Examples & Samples

Requires an associate's degree and at least 2 years experience in coding or medical records using ICD and CPT coding systems
Wound Care experience a plus
Must pass both the CHS IP/OP test with a 95% or higher
RHIT, RHIA, CPC or CCS registration required

Coder Resume Examples & Samples

Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting systems as part of a corporate coding organization
Codes Emergency Department and Ancillary care records
Consults Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems
Attends coding education as scheduled
Mandatory overtime may be required based on business needs
Minimum 1 (one) year acute care hospital outpatient coding experience preferred
Knowledge of ancillary testing (laboratory, X-ray, EKG)
Understanding of coding practices and official guidelines
Experience with PC, mainframe applications, and encoding systems
Strong time management skills to balance coding responsibilities

Coder Resume Examples & Samples

Codes Observation, Outpatient Surgery, Interventional Radiology, Cardiac Catheterization, and Wound Care records
Minimum 2 (two) years of acute care hospital outpatient coding experience preferred
ICD-10-CM & PCS trained, required

Coder Resume Examples & Samples

Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting system as part of a corporate coding organization
Primarily codes inpatient records and may have experience in outpatient coding
Consults the Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems
Minimum of 2 (two) years acute care hospital inpatient coding experience strongly preferred

100

Coder IP Resume Examples & Samples

Basic computer skills (i.e. MS Office, including Word, Excel, Outlook, etc.)
Demonstrates competency in the use of computer applications and coding and abstracting software currently in use
Demonstrates excellent organizational skills
Comprehensive understanding of the DRG structure and regulatory requirements
Demonstrates appropriate interpersonal skills when working with both internal and external customers
Knowledge of Medicaid and Medicare rules and regulations
Service Excellence skills

101

Clinical Coder Resume Examples & Samples

Feedback any coding queries or issues with source documentation to the onsite hospital lead or other nominated person
Liaise with CHKS clinical coding professional lead for any coding queries
To ensure completion of coding; continually striving to maintain timeliness, accuracy, completeness and consistency of clinical coding when on a client site
To adhere to the clinical coding conventions and procedures, as defined by the World Health Organisation (WHO) and National Classifications Service
To follow locally defined variations to coding rules where defined in each of the organisations clinical coding policy
To organise and prioritise workload as appropriate to meet the agreed weekly/monthly clinical coding deadlines as set by the client, ensuring the number of episodes are completed as outlined in individual contracts, without comprising data quality
To act as an ambassador for CHKS Coding and Financial Assurance by providing a professional coding service
To promote CHKS Coding and Financial Assurance as an expert and professional coding, audit and consultancy services provider and recognise potential opportunities to obtain further work with clients
ACC – Accredited Clinical Coding
Knowledge of coding all specialties
Knowledge of coding complex specialties
Knowledge of the Data Protection Act, confidentiality and information security requirements

102

HIM Coder Resume Examples & Samples

CCS, CPC and RHIT, or RHIA required
Two (2) years experience in ICD-9-CM, CPT-4 Coding and DRG assignment preferred
Ability to accurately and completely code diseases, operations and special procedures according to ICD-9-CM and CPT Coding Guidelines
Thorough knowledge of medical terminology, anatomy, and physiology. - - Ability to perform on a computerized encoder. Ability to perform accurately on a CRT. Ability to file records accurately both alphabetically and numberically
Codes all diagnoses, operations and special procedures contained in a medical record by: (a) researching entire record to compile and accurately code all required components (b) utilizing all volumes of ICD-9-CM and CPT Code books or encoder software to locate correct codes (c) following all guidelines established for coding diseases, operations, and special procedures (d) performing DRG and ASC assignment via computerized grouper (e) maintaining updated code books
Keys codes in correct sequence and verifies when encoder is used
Enters abstract data in correct fields on the abstract screen after data has been manually abstracted from the record
Searches for clinical data necessary for entry into DX/DR charge assignments, enters and verifies for processional fee process
Monitors and works the unbilled report to assure completion of coding and billing according to departmental standards
Communicates with other departments as necessary concerning coding assignment

103

HIM Lead Coder Resume Examples & Samples

Five years inpatient coding experience required
Advanced training in medical coding (ICD9-CM, CPT and APC)
Medical terminology, anatomy and physiology required
Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by telephone or letter in replying to inquiries
Two years of supervisory experience preferred
Ability to work remotely

104

HIM Analyst, Coder Resume Examples & Samples

Assigns complete and accurate ICD-10 codes to all medical records in a timely fashion
Follows all UHDDS and corporate guidelines for code selection
Abstracts all data regarding ICD-10 codes physician, procedures and disposition
Completes physician queries as needed for complete and accurate coding of medical records
Assists in training staff and physicians regarding clinical documentation improvement
Will assist department director as requested

105

HIM Senior Coder Resume Examples & Samples

Computer skills
Ability to read medical reports, interpret lab values as pertinent to coding diagnoses, abstract pertinent information from records and to provide a meaningful information by telephone or letter replying to inquiries
Successfully completed coding classes in accredited school
Lt /span>Ability to work remotely
Education and training in medical coding (ICD-9CM. ICD-10CM, CPT, and APC), medical terminology, anatomy, and physiology or HIM college course work, and /or Associate's degree highly preferred
Coding Certificate or CCS Required

106

Coder Resume Examples & Samples

Typing, 10 key and computer skills required
Proficiency in Microsoft Office applications required
Must have effective interpersonal skills in addition to excellent written, oral communication skills
Understanding of functions and work flow of clinical/hospital departments' relation to charge integrity and billing responsibilities
Patient management, patient accounting, billing and managed care system processes competency
Extensive knowledge of hospital/healthcare operations
Demonstrates strong analytical skills and problem solving abilities
Strong teamwork skills and the ability to effectively communicate with all management levels
A mpn bsp Ability to speak and hear, to allow discussions with customers, employees, and peers
A mpn bsp Ability to cope with and remain calm under stress
A mpn bsp Ability to respond to telephone calls
A mpn bsp Ability to make sound and independent decisions
A mpn bsp Bending and lifting (5-30 lbs), grasping, fine hand coordination, pushing and pulling
A mpn bsp Ability to repeatedly twist, squat, and stoop
A mpn bsp Sitting/standing for long periods of time
A mpn bsp Reaching for and handling charts, reports, and supplies
Certified Coding Certificate required
Minimum five years of experience in a healthcare or clinical setting, with three or more years of demonstrated leadership skills

107

HIM Senior Coder Resume Examples & Samples

Advanced training in medical coding (ICD-9-CM, CPT and APC), medical terminology, anatomy, and physiology required
Minimum of 2-3 years coding experience in OP/IP
Successfully completes an in-house coding test scoring a 70 or higher

108

Senior Coder, Physician Office Resume Examples & Samples

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; Wound Care, Emergency Department, Ancillary (Diagnostic) / Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee; Evaluation and Management
May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries
Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital laws and guidelines for release of information
Policies and procedures as evidenced by in-service attendance and daily practice; notifying
Promoting confidentiality and using discretion when handling patient and/or client information
Three (3) years of recent and relevant hands-on coding experience with all record types: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology,
External customers

109

ICD Remote Coder Resume Examples & Samples

RHIA, RHIT, CCS, etc credential with a minimum of four (4) years of Medicare inpatient and outpatient (recent hands-on production) coding experience in an acute care hospital setting
Thorough knowledge of ICD-10-CM and CPT coding principles and rules, Coding Clinic guidelines, coding compliance, etc
Effective written and verbal communication skills; ability to meaningfully engage other coding professionals, provide feedback, teach or lead by example, etc
Experience with encoder technology and computerized abstracting systems, along with electronic health record (EHR) familiarity (Cerner and McKesson HPF are preferred)
Inpatient and outpatient coding proficiency demonstrated initially by successful completion of the Tenet coding exercise and/or AHIMA competency skills assessment tool

110

Coder Resume Examples & Samples

Accurately codes outpatient conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding
Coding will include but is not limited to Emergency Room, Recurring Outpatient, Outpatient Diagnostic, Day Surgery, and Observation patient types
Resolves billing error reports, identifies and reports error patterns, and, when necessary, assists in implementation of workflow changes to reduce billing errors
Adheres to the Tenet Coding Compliance Program

111

Coder Resume Examples & Samples

1) Must have knowledge of medical terminology, and be skilled in the use of DSM5 and ICD-10 medical terminology
2) Must be able to type accurately and have basic clerical training, which includes computer skills, basic filing skills, and fundamental knowledge of office procedures
3) Must be able to perform assignments with minimal supervision
4) Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations
5) Must be able to work successfully under highly stressful conditions
6) Must be able to make sound, independent judgments based on scientific and/or ethical principles
7) Must be able to make independent and responsible decisions within current policies and procedures of the medical record dept
8) Must be able to comprehend and perform oral and written instructions and procedures
9) Must be able to collaborate with other multidisciplinary team members in an appropriate fashion
10) Must be capable of adapting to varying workloads an work assignments on a constant basis
11) Must have effective comprehensive reading skills, strong communication skills, written and verbal
12) Must possess a valid California Drivers License in order to drive hospital vehicles or on hospital business

112

Coder Associate Resume Examples & Samples

Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
Minimum one (1) year of coding, medical records, claims or billing area experience
Completion of an accredited Health Information Management program
Knowledge of diagnosis reporting standards

113

Coder / Charge Entry Spec Opthalmology FTE Resume Examples & Samples

Work closely with physicians to ensure timely submission of billing forms to allow for coding and charge entry timely to meet the 0-3 lag initiative
Educate physicians as to what documentation is required to support their coding and ensure that they are capturing all coding possibilities
Work with Manager/Sr. Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
Work with Manager/Sr/ Director and RCM staff to provide assistance with claim rejection
Work with vision plans to obtain authorizations to ensure appropriate information for charge entry to maintain clean claims
Work tasking to meet KPI initiatives

114

Coder Resume Examples & Samples

Consults with physicians, managers, and support staff to clarify documentation and interpret clinical information necessary to correct claims in review status for Claims Manager
Interacts with Reimbursement Specialist to ensure most productive and current charge tickets. Identifies omissions and /or errors
Ensures charge reconciliation procedures exist for all charges and resolve individual issues when identified
Assists charge entry personnel with CPT/ICD-9 coding
Provides communication between Reimbursement Department, physicians and necessary personnel
Uses the Claims Manager, ICD-9-CM and CPT coding systems to accurately code all professional services
Follows policies and procedures as it pertains to Claims Manager corrections and processes
Identifies compliance risks and issues in accordance with policies described in the Cleveland Clinic Corporate Compliance Manual
Maintains patient and employee confidentiality at all times as it pertains to review of medical records
Adheres to CMS/Medicare Part B coding guidelines and principles
Tracks and trends physician/departmental coding patterns and reports same to the Reimbursement Manger/Supervisor. Implements Claims Manager Edit requests when necessary through appropriate request processes
Advises Reimbursement Manager of modification needed to the Claims Manager process
Maintains complete and up-to-date documentation and files at all times
Minimum of two years of multi-specialty CPT and ICD-0-CM coding experience for Part B professional service
Extensive CPT and ICD-9-CM training or experience
Analytical skills developed through formal or experience with medical practice or other health care organizations
Claims Manager-Ingenix, DOS, Group Wise, and /or Internet experience helpful

115

Coder Specialist / Auditing Resume Examples & Samples

Certified Medical Coder with either CPC, CCS or CCA
Knowledge of ICD-9 and ICD-10 coding
Strong knowledge of Microsoft Office (Word, Excel, PP)
This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits

116

Professional Fee Coder Resume Examples & Samples

Billing/Charge Reconciliation Specialist activities to ensure accountability for all services performed and compliance with billing and internal standards is maintained
Identifies opportunities and efficiencies in business office functions and operations
Manages patient accounts receivable and conducts denial analysis
Monitors departmental accounts receivable to achieve appropriate reimbursement percentages and maintain financial stability within the department
Analyzes accounts receivable to identify inequities in payment
Collaborates with CCF contract management for resolution of payment issues
Conducts revenue-reporting analysis of costs associated with performing examinations and surgical/medical procedures and recommends fee modifications
Maintains departmental charge master files and performs ongoing reviews of professional and technical charges per compliance guidelines
Administers responsibilities associated with departmental expansion
Assists in practice startup, new service lines, and affiliate programs to ensure corporate compliance adherence to capture appropriate revenue
Completes finance accounting and maps revenue of billable services
Other duties include research analysis, IDE compliance, and billing follow up
Minimum four years extensive CPT and ICD 9 CM coding and medical billing and reimbursement experience
Understanding and applying third party and government payer regulations
Experience providing education and trend analysis related to revenue and reimbursement

117

Coder / Transcriber Resume Examples & Samples

English fluency (Must read, write, and speak the language fluently)
Excellent analytical, communication, and typing skills
Must be comfortable working both independently and with a team

118

Coder Resume Examples & Samples

Must have a high school diploma or equivalent required
Associate’s degree in related field preferred
0-2 years of Coding experience required
Completion of ICD-9 or CPT coding course required
Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology preferred

119

Associate Manager, Email Coder / Developer Resume Examples & Samples

Work with creative team to translate designs into flawless HTML email code
Test email rendering across multiple email clients (Litmus knowledge a plus)
Troubleshooting creative and deployment issues
Develop/implement email best practices
Stay up to date with latest email best practices, including responsive development

120

.NET Coder Resume Examples & Samples

Experience of Visual Basic .NET and Visual Basic 6
A “customer service” orientation and must be able to work in line with deadlines
Pensions/Employee Benefits experience is desirable

121

HIM Coder Trainee Resume Examples & Samples

Accurately assigns ICD-9-CM, CPT, E/M level codes using accepted coding guidelines
Abstracts medical record according to policies and procedures
Must apply critical and analytical thinking skills to perform duties
Must meet coding deadlines to expedite the billing process, facilitate quality review process and retrieval of data for research purposes
Continues to increase knowledge and skill
Attends and participates in coding education sessions
A minimum of one year of healthcare experience preferred

122

Coder Resume Examples & Samples

Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient records in order to assign appropriate ICD-10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices
Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and to support calculation for severity of illness and risk of mortality reporting
Follows UHDDS definitions, CMS regulations and Official and Internal coding guidelines
Utilizes information on diagnostic reports (i.e. radiology, pathology, EKG reports, laboratory values, doctors’ orders and administrative medication forms) to accurate code patient charts in accordance with the Official Coding Guidelines
Completes daily work assignment as directed by Coding Support
Works within service line structure where applicable based on patient type
Abstracts pertinent data, determines and sequences codes for diagnoses and procedures, and enters all information into the computerized coding and abstracting system
Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures, including but not limited to placing accounts on hold, to ask questions to management, and initiate queries
Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment
Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations by work type in order to support department and organization goals for DNFB dollar amounts and bill hold days
Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes in coding system as required for accurate posting to CCHS billing system
Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support the accurate reporting of coded data for severity of illness and risk of mortality
Utilizes coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the proper CPT code hierarchy
Submits timely, accurate and concise daily productivity reports in accordance with department policy and practice
Attends and participates in coding section and department meetings, in service training sessions, seminars and workshops
Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies as they are noted during daily work performance
College Diploma in Medical Coding or one year coding experience in a healthcare environment required
Associate or Bachelor Science degree in Health Information Technology preferred
Knowledge of ICD and CPT Coding Guidelines and Principles
Strong knowledge base of anatomy and physiology and medical terminology
Working knowledge of pathophysiology and basic pharmacology
Knowledge of Official Inpatient and Outpatient Coding Guidelines
Ability to review medical records and make accurate decisions

123

Senior Professional Fee Coder Resume Examples & Samples

Required: Five years of related experience
Required: Certification as a Certified Procedural Coder (CPC)
Demonstrated proficiency in resolving claims identified by Medicode as coding exceptions
Completion of basic medical terminology, ICD.9, and CPT coding course work

124

HIM Senior Coder Resume Examples & Samples

Co mputer skills
Ab ility to read medical reports, interpret lab values as pertinent to coding diagnoses, abstract pertinent information from records and to provide a meaningful information by telephone or letter replying to inquiries
Su ccessfully completed coding classes in accredited school
Ab ility to work remotely
Mu st demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer

125

Professional Fee Coder Resume Examples & Samples

Required: High School diploma or equivalent with additional training beyond high school preferred
Required: Certification as a Certified Procedural Coder (CPC) required
Knowledge of CPT and ICD-9 coding. Knowledge of medical terminology
Must be able to communicate effectively, both orally and in writing
General computer knowledge, preferably with IDX, and MS Office knowledge

126

Coder Resume Examples & Samples

High School Diploma/GED required, coding credentials-CPC, CPMA, CCS-P required
One year medical record experience required and one year coding experience or technical training
Strong communication skills with English language in order to understand and be understood by physicians

127

Certified Coder Resume Examples & Samples

Must have CPC (Certified Professional Coder)
Minimum of 2 years HCC coding experience
Strong knowledge of anatomy and physiology, pharmacology and pathophysiology of diseases
Strong computer skills, intermediate skills in Excel
Prior experience working in a cross-functional team
Demonstrated ability to manage competing priorities
Demonstrated ability to adapt quickly to change
CRC preferred
Experience in documentation improvement preferred

128

Coder / Charge Entry Spec Per Diem Resume Examples & Samples

Maintain logs for charge capture process for all billings; sedation, daily care, etc
Upon completion of coding, ensure correct charge entry process
Maintain strong knowledge of NextGen EPM to ensure correct charge entry. Meet the standards set for charge entry
Work closely with physicians to ensure timely submission of billing forms to allow for coding and charge entry timely to meet the lag initiatives
Educate physicians as to what documentation is required to support their coding and ensure that they are capturing all coding responsibilities
Prepare written bulletins to the physicians as changes in CPT and ICD-10 coding is published as it pertains to their specialty
Assist in developing and updating fee slips as required to ensure compliance and latest CPT/ICD changes
Work with Manager/Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
Work with Practice Managers and RCM staff to provide assistance with claim rejection
6 months coding experience with working knowledge of NextGen charge entry process preferred

129

Senior Clinical Data Coder Resume Examples & Samples

Manage all phases of coding data management activities from study start up to database close, which may include
Excellent technical skills including but not limited to the knowledge of Clinical Trial/Data Management/ Coding Systems, PMED, MS-Office products
Sound awareness of all relevant regulations, including ICH-GCP, 21 CFR 11
Advanced knowledge of medical terminology and coding dictionaries (e.g.MedDRA & WHODrug)
Possess a thorough understanding of the various tasks related to clinical trial initiation, ongoing monitoring / processing and lock
Ability to carefully weigh the priority of project tasks and to direct the team accordingly
Ability to understand the strengths and development areas of team members
Ability to lead a virtual global team as required
Ability to reach win-win solutions to solve problems
Ability to make appropriate decisions in ambiguous situations
Communicate and work effectively with clients
Contribute to process improvements
Effective time management in order to meet team objectives
Commitment and performs consistently high quality work
Excellent in written and oral English. Excellence in regional languages as needed
Must be able to demonstrate proficiency with all tasks from data start-up through data-base lock. Previous relevant coding, data management work experience required; clinical and/ or research experience with solid understanding of clinical trials methodology and terminology required

130

Medical Biller / Coder Resume Examples & Samples

1+ year of experience in Medical Coding
Knowledge of ICD 10
CPC

131

Certified Professional Coder for Houston Market Resume Examples & Samples

Skill in analyzing situations accurately and taking effective action
Ability to set priorities among multiple requests
Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment

132

Coder, Days Resume Examples & Samples

At least one year of experience working in an acute hospital setting coding outpatient Emergency Room records, outpatient Surgery Records and ancillary coding
Must be competent in working with a computerized en-coder
High School Diploma successful completion of college courses in medical terminology ad anatomy/physiology - preferred
Certified Coding Specialist Credential - preferred

133

Cadet Liason / Coder Liason Resume Examples & Samples

This position can be located in Kansas city, Springfield MO, or Rogers, AK
Responsible for identify the impact diagnosis coding has on risk adjustment models
At least 1 year experience with in a provider setting

134

Coder Resume Examples & Samples

Communicate with providers and practices to ensure all encounter forms are current
Disseminate information regarding new codes and/or coding policies either by payer or through regulations
Create and maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State of Massachusetts as well as national payor coding guidelines as they pertain to professional coding and reimbursement
Educate providers and clinical staff through review and education of documentation
Champion coding compliance, through Revenue Cycle team utilization of recognized professional references, and adherence to established coding convention and regulation
Specialty coding and auditing
Computer literacy of medical information system, records management software, encoders
Demonstrated coding (ICD-9-CM and CPT) expertise
Professional interpersonal and organizational skills
Attentive to detail and organization

135

Coder Diagnostics Home Care Resume Examples & Samples

Demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders. Six months providing coding services within a broad range of health care facilities
Specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associates degree in a related health care field
Analyzes medical information from medical records. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, APCs, POAs and reconciliation of charges
Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, attending physician, consulting physicians, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment

136

Coder Specialist Resume Examples & Samples

Provide training to physicians and staff to improve coding outcomes
Skill in customer service
Skill in computer hardware and software use
Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives
Skill in analyzing situations accurately and taking effective

137

Coder, Days Resume Examples & Samples

Answers phone and respond to verbal requests in a timely manner. Phones with in three rings and response to verbal requests within 30 minutes
Codes and abstracts all medical records for the purpose of reimbursement and research. Coding complies with federal regulations according to diagnoses, operations and procedures using ICD-9-CM and CPT codes
Accurately codes ED and OP encounters maintaining a 95% accuracy rate
Daily assures that all codes are entered into the AS400 System and runs SMART on a daily basis
Reviews monitoring reports to assure that there are no outstanding accounts awaiting final diagnosis
Serves as a liaison between medical records and the business offices of the hospital and the physician offices regarding any coding questions or discrepancies
Assists in training in coding
Responsible for continuing education and completion of lessons in EDUCODE
Is always responsible for the maintenance of timely coding
Responsible for clerical functions in the absence of clerical support
Understands HIPAA, privacy and confidentiality and demonstrates minimum necessary standard according to position
Performs other related duties as assigned or requestederiatric and pediatric patients as needed
Orients, instructs and trains assigned personnel and volunteers
Cooperates with other personnel to achieve department objectives and maintain good employee relations, interdepartmental objectives, and infection control policies
Consistently demonstrates a professional and proactive attitude and actions in all interfaces with employees, hospital staff and physicians as well as patients
Provides for privacy and patient/employee dignity by maintaining employee/patient and departmental confidentiality with no infractions
Promotes personalized care and attention by complying with appropriate hospital/departmental dress

138

Certified Medical Billing Coder, Days Resume Examples & Samples

Maintains accuracy when abstracting
Maintains accuracy when assigning procedure codes
Contacts physicians or appropriate personnel of diagnosis when needed
Stays current with ICD-9-CM and CPT-4 through coding clinics and seminars, as well as changes in the Medicare/Insurance industry
Accounts daily for all patient records to be coded and notifies AR Manager immediately of records missing
Associates Degree required
Must be a Certified Coding Specialist
1-3 years of hands on coding experience required
2 years of healthcare billing experience strongly preferred

139

Coder, Ip Senior Resume Examples & Samples

Coding Labor Productivity:Meets and/or exceeds Conifer’s coding productivity guidelines
Experience using EPIC electronic Health Record (EHR)
Ability to travel
Office Work Environment

140

Certified Professional Coder Resume Examples & Samples

Prepares reports as requested by operations team
Ability to multi-task, manage details and organize efficiently and effectively
Ability to interact with patients, medical and administrative staff, and the public effectively

141

Health Information Coder Resume Examples & Samples

Evaluation and Management coding as well as outpatient surgical coding
Charge entry and charge reconciliation
Review of and working the unbilled reports

142

Weekend Emergency Department Facility Coder Resume Examples & Samples

Identify appropriate assignment of CPT and ICD - 10 Codes for Physician and facility services provided in an Emergency Department setting
Provide documentation feedback to Providers, as needed, and queries physicians when appropriate
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
Participate in Coding department meetings and educational events
Experience with various Encoder systems (i.e., 3M, EPIC)

143

Outpatient / Provider Coder Level Resume Examples & Samples

Sets up appointments to visit pathology laboratories for quality control. Professionally interacts with hospital and laboratory personnel keeping the strictest adherence to HIPPA rules and regulations
Maintain sufficient knowledge to review, abstract and code all types of difficult pathology reports. Users the latest coding manuals to be current and accurate in assigning the correct codes
Work with other Utah Cancer Registry staff to understand the internal process and how physician providers, hospital staff and other personnel relate to the acquisition of data
Serve as a resource for hospital cancer registrars when data is requested
Exercise excellent communication skills to contact laboratory, hospital and physician’s offices to acquire pathology information which includes demographic information and missing reports
Conduct quality control activities for pathology coming into the office so the information meets the highest standards for case finding
Train and inform other members of the staff of changes in procedure. Evaluates workflow for improvements and more efficiency
Active participation in professional organizations including the Utah Cancer Registrar’s Association and the National Cancer Registrar’s Association (as allowed)
Attend training and in-service meetings as requested for instruction on the most current standard requirements

144

Certified Coder Resume Examples & Samples

Minimum 3 to 5 years direct experience in medical coding of cardiology services including invasive, interventional, electrophysiology, and peripheral procedures
Physician billing office experience a must
Knowledge of medical terminology, anatomy and physiology
Working and thorough knowledge of medical coding, CPT, HCPCS II, and ICD10
Ability to enter and bill charges in a timely manner in a high volume practice setting
High degree of detailed focus, decision making abilities and independent judgment
Computer skills required
Working knowledge of Practice Management applications necessary
Proficient with MS Word, Excel and Outlook applications
Basic knowledge of Cardiac, Thoracic or Vascular Surgery a plus
Should be able to review and audit documentation for process improvement
Minimum of 3 years experience in hospital or clinical billing or coding
Current Coding certification required
Understanding of billing and/or collections in a healthcare setting
Detailed knowledge and understanding of government pay methodologies (Ambulatory Payment Classification, NCCI/OCE edits)

145

Coder Resume Examples & Samples

Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines
Communicates professionally with providers, practice management, and other stake holders either verbally or in writing
Responsible for working encounters in the coding work queue or task lists in a timely manner
Meets or exceeds organizational coding production and quality standards
Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits
Reviews and resolves coding denials
Participates in special projects and completes other duties as assigned

146

Professional Fee Coder Resume Examples & Samples

Ability to research and find answers to complex coding questions
Ability to read, analyze, and interpret medical records and charge documents independently
Batches charge documents
Considers all information received as confidential
Corrects transactions and maintain TES and Medicode workfiles at acceptable levels
Deals with physicians and other employees in a respectful and professional manner as described in Baylor College of Medicine’s Code of Conduct
Meets established coder performance standards
Responsible for applying basic ICD.9 and/or CPT codes in compliance with national standards and other medical agency guidelines to charge documents received in the billing office
Responsible for identifying, reporting, and researching coding errors
Understands physician office operations including insurance and managed care
Understands government and insurance regulations as they apply to physician billings, particularly to the academic practice
Understands the patient accounting system and how correct coding affects billing and collections. ? Performs other duties as assigned
Required: One year of related experience. No experience necessary if the candidate/employee is currently certified as a Certified Procedural Coder (CPC)
Preferred: General computer knowledge, preferably with EPIC and MS Office
Certification as a Certified Procedural Coder (CPC) preferred. The CPC will be required after nine months of employment

147

Coder Resume Examples & Samples

Prior work experience in the healthcare field specifically related to coding and/or medical billing and compliance is required
Demonstrated proficiency in medical coding, with active E/M coding experience required
Minimum of 1-3 years coding and or advanced billing/collections experience with emphasis on Medicare and Medi-Cal requirements required
Demonstrated knowledge of coding and compliance standards is required. Good working knowledge of ICD/CPT4/HCPCS coding, medical claims billing and procedures is required. Familiarity of state and federal laws, professional standards, and accreditation standards is necessary. Prior usage/knowledge of Epic is desired
Excellent organizational, interpersonal and oral communication skills are required. Tact and diplomacy with patients, providers and staff for sensitive matters, strong ability to multi-task, and ability to maintain organized records so that the documentation trail is transparent to others as required. Knowledge of computers: Excel and Word proficiency, and skill in the operation of other office equipment. Employee must be able to work independently as well as a part of a team and the ability to access State and Federal websites for coding, billing and reimbursement information

148

Clinical Coder Resume Examples & Samples

Responsible for coding clinical and/or safety data and ensures coding consistency, uniformity, and clarity across all pertinent data. Verifies with relevant authorities that sponsors’ license requirements are met
Researches and resolves coding-related questions. Creates queries and/or notifies relevant parties as to coding discrepancies
Participates in the preparation for audit meetings and bid defense meetings
Attends QuickStart Camp and identifies coding requirements for sponsors
Identifies and refers reported terms that are not able to be coded per coding guidelines to Lead Data Manager/Drug Safety Manager for further disposition
Participates in ongoing review of auto-coded and interactively coded clinical and/or safety data for accuracy and overall consistency
Generates study-specific clinical coding reports (data and/or safety) on a regular basis to facilitate an ongoing review of the coding
Obtains sign-off and approval of the clinical coding report from the sponsor according to study timelines
Shares coding expertise in meetings with all relevant parties including the sponsor, and as required
Attends team and sponsor meetings as the Clinical Coding representative
Reviews and understands study protocols and other related materials. Maintains an overall knowledge of regulatory guidelines, industry standards, and new technologies as they relate to coding requirements

149

Medical Records Coder Speclst Resume Examples & Samples

· SME for all coding specialties like E/M, radiology, anesthesia and should possess good communication skills. Should possess active certification from AAPC with minimum 5 years of coding experience
· Role Responsibilities
· Act as a highly skilled specialist in one or more specialties in coding should train people on new automation process when there is business requirement
Responsible for coordinating and executing coding staff development through training on automation tool
· Should do an audit for any test files received in automation process
· Competency and training programs should be established and maintained to ensure the coder’s quality accurately reflects good improvement in tool development
· Develop and manages process document shared in relate to tool development
· Should assists and collaborates with the Coding Managers for all aspects of automation process assists with projects, testing and new implementation
· Develops and applies specialized knowledge within own discipline
Deepens knowledge through exposure to new assignments and continuous learning
· Applies research, information gathering and analytical and interpretation skills to problems of diverse scope
Develops solutions to a variety of problems of moderate complexity in coding
· Understands and applies principles, concepts, theories, technologies and standards of professional field
· Good working knowledge and demonstrated ability utilizing systems, tools and procedures to accomplish job
· Builds deeper understanding of processes, procedures, customers and organization
· Assists program or process development and implementation - Coordinates activities and processes
· Regularly exercises discretion and independent judgment on business matters
· Involved with local or business specific engagement initiatives in support of broader programs
· Assumes responsibility to improve service, efficiency and quality of work
· When assigned to a customer team, actively participates on small to medium sized project teams in support of customer deliverables
· Contributes to area by ensuring quality of output. Contributes to the completion of milestones associated with specific projects or activities within own area
· Applies knowledge and understanding of customer needs and other internal/external contacts
· Mentors the coders and train them towards tool development
· Understands gaps in employee skill and organization requirements
· Any life science graduates (BPT, nursing, medical transcription preferred)
· Minimum 5 years of coding experience required
· Strong knowledge in human anatomy and Physiology
· Willing to learn concepts quickly and develop in the area of specialization of new specialties
· Certification like CPC or CPC-H is mandatory
· Should have very good attitude
· Flexible to work in shifts
· Understand process interdependencies
· Excellent interpersonal and communicational skills due to the nature of the work performed as a trainer
· Should possess knowledge on ICD-10 –CM
· Should have comprehensive knowledge varied coding software
· Ability to deliver effective training
· Should able to work in automation software related to coding specialties

150

Coder Resume Examples & Samples

Provide feedback (sendbacks) to providers in instances of coding-related problems
Back-up and assist other department personnel as may be directed
Assist physicians and nursing staff with billing problems and concerns
Required: at least 2 years of previous medical coding experience with extensive knowledge of medical terminology
Preferred: 3 to 5 years of coding experience
CPC, RHIT or equivalent certification is required
Auditing Evaluation and Management experience is preferred
Task-oriented

151

Coder Resume Examples & Samples

Run and review Risk Assessment Reports
Provide timely feedback to physicians regarding their patient’s Risk Assessment Factor (RAF) score
Assist Manager in educational sessions focused on Hierarchical Condition Categories (HCCs) and RAF scoring
Keep the Manager abreast of any changes to RAF scoring process
Along with Manager meet regularly with Medicare Advantage payers’ personnel
Effectively and efficiently work with ICD-9, CPT, and HCPCS reference books and electronic tools for proper billing of assigned specialties
Provide feedback to providers in instances of coding-related problems
Assist physicians and clinical staff with billing problems and concerns
Along with Lead Coder, conduct annual RAF audits on all providers, physicians and NPPs
Extensive knowledge of medical terminology required. Understanding of HCCs and RAF scoring preferred
Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) required
Working knowledge of 10-key calculator
Good verbal and written communication skills. Ability to use correct English grammar and spelling

152

Certified Coder PRN CBO Resume Examples & Samples

Communication – Communicates clearly, concisely and professionally
Customer Orientation – Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Decision Making– Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences

153

Senior Coder Resume Examples & Samples

Conducts physician chart audits (includes research and presentation)
Assists with formal training programs for physicians and clinical staff by determining training needs
Assists with researching, analyzing, and responding to inquiries regarding compliance, coding, and inappropriate coding
Trains, instructs, and/or provides technical support to physicians and staff as needed regarding coding compliance and third party payer requirements
Provides oversight of other coder/auditor team members as delegated
Assists with developing practitioner and staff education opportunities, provides coding and audit result reporting
Be able to conduct training sessions for physicians and staff on relevant topics such as; documentation guidelines, Medicare/Medicaid regulations, and the Correct Coding Initiative
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials
Enhances professional growth and development through in-service meetings, educational programs, conferences, etc
Maintains strictest confidentiality
Assists in the preparation of training materials
Available to assist and direct other coders or other appropriate staff in coding, HCC opportunities and reimbursement issues
Minimum: 3-5 yrs coding experience in a Primary Care environment
Preferred: Supervisory experience
Excellent understanding for Medicare Risk Adjustment and Hierarchical Condition Categories (HCC)
Excellent understanding of ICD-10 coding classification and guidelines
Excellent understanding of CPT coding and guidelines in an outpatient setting
Excellent computer skills Microsoft Office, Word and Excel
Good Organizational skills
Good Communication skills with all level of Teammates
Must be able to meet designated deadlines and productivity standards
Must have strong Interpersonal skills and excellent Customer Service skills
Punctual, with reliable attendance and present a professional image
Ability to travel locally to clinics (75%)
Valid Driver’s license

154

Coder / Auditor Resume Examples & Samples

Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues
Interacts with physicians and center administrators regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Provides second-level review of billing performances to ensure compliance with legal and procedural policies to ensure adherence to regulations prohibiting unbundling and other questionable practices. Report coding patterns identified within the audit process to the Supervisor, and identify corrective measures to compliance problems
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9 materials, the Federal Register, and other pertinent materials
Enhances professional growth and development through in-service meetings, educational programs, conferences, etc. Maintains strictest confidentiality
Performs related work and projects as required
Must have 2-3 years of coding experience in a Primary Care environment
Excellent understanding of medical terminology, disease process and anatomy and physiology
Strong understanding of ICD-9-CM coding classification
Excellent understanding of CPT coding within a Primary Care environment
Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) and Medicare Advantage reimbursement a plus
Strong Computer skills (i.e. MS Office)
Good organizational skills and ability to meet designated deadlines and productivity standards
Ability to work well with all levels of staff in a courteous, professional manner
Ability to travel to various clinics within Florida
Bilingual a plus (English/Spanish)

155

Anesthesia Coder Resume Examples & Samples

Assign ICD-9, CPT-4 and HCPC codes from documentation
Vocational or technical education beyond high school
Minimum of 1 to 2 years recent anesthesia professional services coding experience in a high volume coding environment
CPC or CCS-P or equivalent certification
Must possess knowledge of third party reimbursement regulations and billing practices
Possess moderate knowledge of level 1 and 2 modifiers
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity
Detail oriented with the ability to identify and resolve problems
Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
Radiology coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CTs, MRIs, nuclear medicine, and basic IR procedures
Multi-specialty coders must possess correct coding EM and at least 2 other specialties
Able to work TES (Transaction Editing System) edits of moderate complexity
Ability to communicate clearly and work effectively with co-workers
Ability to work as a team member in all activities

156

Medical Records Coder Resume Examples & Samples

Responsible for review of Medical Records. Identify coding and documentation deficiencies
Ensure Charge coding accuracy
Monitor accuracy of physician documentation and coding for compliance
Assist with the continuous quality improvement process to identify coding training needs and assure timeliness of charge completion
Perform as a team member with other coders and providers to improve and maintain coding processes
High school diploma required with college preferred
Strong knowledge in medical terminology, anatomy and physiology, ICD-9/ICD-10 and CPT-4 coding with 2 or more years of working knowledge required
Medical records auditing experience preferred
CPC or CCS – P certification required
Microsoft skills required in both Word and Excel

157

Lead Coder HIM Resume Examples & Samples

Minimum of 5 years work experience of acute hospital inpatient ICD-9-CM/ICD-10 coding/abstracting and DRG assignmenMinimum of 3 years work experience of acute hospital or Ambulatory Surgery Center (ASC) outpatient ICD-9-CM/ICD-10 and CPT/HCPCS coding/abstracting, and APC assignment
Strong knowledge of regulatory data reporting requirements
Strong leadership, organizational, and communication skills
Successful completion of academic courses in medical terminology, anatomy, physiology, ICD-10-CM and CPT
CCS credential (Certified Coding Specialist)

158

Certified Coder Resume Examples & Samples

SDS a plus
Flex M-F/Weekend shift
Associates degree or higher in Health Information Management
RHIT/RHIA or CCA/CCS/CPC required
A minimum of 3 years coding experience preferred, will consider two years

159

Spec, Phys Svc Coder Resume Examples & Samples

Locate and understand Medicare CCI, LCD edits
Uphold productivity standards set by management
Present coding issues to internal or external clients, when necessary
Meet deadlines and complete assignments before monthly closing date
CPC, CPC-A or CCS-P or equivalent certification
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
Conduct self in an ethical, honest, and professional manner
Demonstrate continued willingness to learn and grow
Proficient in Microsoft Word, Excel

160

Coder, Inpatient Senior Resume Examples & Samples

Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
Proficient in ICD 10 PCS and ICD 10 CM
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

161

Coder, Op Resume Examples & Samples

Goal: Average coding quality standard of =>95% accuracy per monitoring period
Does not meet =<95% accuracy
Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency

162

Clinic Coder / Receivables Clerk Resume Examples & Samples

Utilize knowledge of ICD-9 and/or ICD-10 and CPT coding principles to code daily batches of tickets from the Allen County Regional Clinic and the Outpatient Surgical Clinics in a timely manner as evidenced by staff and Medical Office Manager
Communicates with Physician/ARNP/PA as needed to complete the coding process in an accurate manner
Communicates with patients regarding charges on their account in a professional manner as evidenced by staff/patient and Medical Office Manager
Performs other billing/accounting duties as assigned
Economical utilization
Maintains a clean work area

163

Professional Coder Opthalmology FTE Resume Examples & Samples

Obtain authorizations for vision plans and ensure that the appropriate plan (medical vs vision) is billed for each encounter
Work with Manager to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
Correct Real Med and Tasking Coding issues for out-patient encounters daily
Work with Manager to Practice CBO to provide assistance with claim rejection and accounts receivable collection
1 – 3 years ICD-9/10, CPT, HCPCS coding experience preferred. Basic A/R understanding to be able to work with Real Med rejections and Tasking

164

Clinical Coder Resume Examples & Samples

To support the QuintilesIMS Real-World Evidence Solutions team in creating clinical code sets from study protocols (and other sources) to support clients’ needs, medical/epidemiological research and data analyses, using ICD10, OPCS, READ and SNOMED-CT classifications
To organise and prioritise workload as appropriate to meet the agreed clinical coding deadlines
Promote continuous improvement in data quality by keeping abreast of development and innovations in the medical, surgical and coding disciplines
Keep up-to-date with the Coding Classifications
Ensure that patient confidentiality is maintained in accordance with the laws of confidentiality
Maintain an active dialogue with colleagues in the Real World Evidence team to facilitate and grow their understanding of clinical coding concepts and issues
Hold the National Clinical Coding Qualification (ACC)
Moderate clinical coding experience in the UK gained working in the NHS, health care, managed care, health insurance, disease management, pharmaceutical or consulting industries
Have a solid understanding of drug/disease claims information and coding systems used in the UK (READ, ICD, etc)
In-depth knowledge and expertise in the application of the rules and conventions of clinical coding
Knowledge of the Data Protection Act and Caldicott principles
Knowledge of the health care and pharmaceutical industry
Ability to provide solutions to meet client needs and maximize value of deliverables
Competency with Microsoft Office, particularly Excel and Access

165

Certified Coder Resume Examples & Samples

Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specific documentation, or codes that do not conform to approve coding guidelines, while utilizing professional communication skills
Demonstrate the ability to self-report daily tasks and assignments as well as identifying any billing trends that affected daily billing productivity
Assists A/R collectors with resolving coding conflicts with third party carriers. Investigates and resolves EDI rejections. Daily batches and reports

166

Coder Quality Analyst Hims-acute Care Resume Examples & Samples

Excellent communication and responsiveness skills
Prior auditing experience
Ability to code both Inpatient and Outpatient (to include outpatient surgeries of all types, as well as ED)
Provides coding and guidance for non-standard billing. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification (APC) or utilized operational systems Provides explanatory and reference information to internal and external customers regarding clinical documentation which may require researching authoritative reference information from a variety of sources
Reviews medical records. Performs a Second Look at clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Monitors coding work and trends, then provides education where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines
Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on attending physician queries to ensure that the clinical documentation supports the patients treatment and outcomes. Identifies training needs for medical and coding staff. Provides written updates and spreadsheets as to data findings. Serves as a team member for internal coding accuracy audits
Acts as a knowledge resource to ancillary clinical departments and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams initiatives to improve clinical documentation. Assists with education and training of Coding Apprentice or other staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees in order to properly educate physicians, nursing, coders, CDMs, etc with proper and accurate documentation for positive outcomes
Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Provides findings for use as a basis for development of HIMS compliance plans, education of clinical coding staff and functional assessments
Maintains a current knowledge in all coding regulatory updates, and in all software used for coding and health information management for the operational group. Monitors and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and the effect on Case Mix Index by use of specialized software
As assigned, tracks and creates monthly reports for the Charge Description Master Planning committee to identify coding and Health Risk Adjusted Factors accuracies, potential revenue enhancement areas, and identifies opportunities for education of staff
May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill

167

Coder / Manager Health Information Management Resume Examples & Samples

7 years experience in medical records, including at least 2 years in a supervisory role
Experience with supervision, hiring, and evaluations. Previous experience in electronic medical record environment
At least 2-5 years experience as a Record Room Administrator required
Must have 2-5 years of Coding experience

168

Outpatient / Provider Coder Level Resume Examples & Samples

Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting appropriate personnel
Reviews and abstracts information from patient records and assigns appropriate coding classification
Examines and reviews basic coding rejections, which includes educating internal staff with writing appeal letters, and reviewing payer guidelines
Evaluates data on charge sheets
Interacts with appropriate contacts on billing related issues and charge sheets
Uses and applies basic regulatory guidelines as instructed by supervisors, or other coding personnel
Assures adherence to department quality and productivity standards
Communicates and coordinates with external departments as needed
May resolve suspended charges in the editing system

169

OP Coder Resume Examples & Samples

Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager

170

Coder Resume Examples & Samples

CCS, CCP, CCP-H, RHIA or RHIT, or eligible
1 or more years of previous hospital experience as a Coder, preferred
Knowledge of diagnoses/procedures in accordance with ICD/CPT4 coding principles
Ability to work with physicians in a collaborative manner

171

Order Entry Coder Resume Examples & Samples

Reviews, enters and manages customer orders into SAP, PICPOS and Evantage, per the customers’ order request. Provides a graphic visual representation for both the customer’s approval and for the manufacturing process using various tools and computer aid software. This position is focused on doing this with the highest level of quality and appropriate productivity
Provides feedback on customer issues such as ordering errors, missing information and invalid requests
Supports continuous improvement efforts to drive quality and productivity improvements

172

Coder Resume Examples & Samples

Keep abreast of all government, commercial payer, and corporate coding policy additions, deletions and changes
Review for accuracy in coding for services performed at ASCs, including, but not limited to, Gastroenterology, Ophthalmology, Orthopedics, General Surgery, Pain Management, Evaluation & Management, and Anesthesia services
Review for coding compliance with the ICD-9-CM and HCPCS/CPT coding guidelines
Review for coding compliance with CMS rules and regulations
Review for operational compliance to include verification of

173

Coder Resume Examples & Samples

Code ICD-10 diagnoses, links appropriate diagnoses with CPT procedure codes, and corrects any incorrect coding by provider
Provide feedback query (sendbacks) to providers in instances of coding-related problems
Assist Coding Manager to ensure charge tickets are up to date and with the correct CPT/ICD-10 codes
Maintain strict confidentiality
Demonstrate and exemplify behavior consistent with DaVita’s core values – service excellence, integrity, team, continuous improvement, accountability, fulfillment, fun
Attend and complete all required training and development to include annual compliance training
At least 2 years of previous medical coding experience with extensive knowledge of medical terminology
Ability to work with providers and nursing staff in a courteous and pleasant manner

174

Medical Records Coder Resume Examples & Samples

Utilize best practice processes gained through experience with regard to work assignments, project management, and quality of output while maximizing overall team performance
Codes and abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines
Follow strict coding guidelines within established productivity standards for all accounts assigned
Address billing/coding related inquires for providers as needed
Interact with other healthcare professionals and physicians regarding coding issues
Nurture a positive relationship with more junior team members to provide mentorship to them
Contribute to the team to ensure quality and accuracy of team output
Work to ensure the team is meeting or exceeding contractual and service level agreements
Keep abreast of external industry trends and latest information

175

Radiology Coder Resume Examples & Samples

Location/Facility – Baylor Scott and White Health at Temple
Associate’s Degree or equivalent experience required
RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-P, COC, CIC or CIRCC certification required
Minimum of one year of experience required

176

Medical Records Coder, Htpn Resume Examples & Samples

Solid experience
Certified Coder
This position is NOT remote

177

Coder Resume Examples & Samples

2 years outpatient and/or inpatient coding experience in an acute care setting
Must demonstrate competency of inpatient and/or outpatient (i.e infusions, interventional radiology, observation) coding guidelines
Basic knowledge of Microsoft Windows applications and emails and troubleshooting computer problems
Prefer charge capture experience

178

Coder, Health Information Management DV Resume Examples & Samples

Two years of experience in acute care health information and data entry in medical record procedures or equivalent education/ experience, ICD-10-CM coding and CPT coding
Working knowledge of Diagnosis Related Group (DRG) reimbursement
1 to 2 years of ICD-9-CM/ICD-10-CM and CPT coding in an acute care setting
1 year of acute care observation, same day surgery and wound care
10 Key accuracy test; 90% accuracy
Satisfactorily completes coding screening test
Medical terminology test; 90% accuracy
Certified Coding Specialist (C.C.S.), Certified Professional Coder-Hospital (CPC-H), Certified Coding Associate (CCA), Registered Health Information Technician (RHIT) –OR- Registered Health Information Administrator (RHIA)
Basic keyboard skills and the ability to access and input data into computer programs
Ability to operate office equipment such as computer terminal and printer, telephone, copier, fax machine
Ability to sequence both simple and complex tasks in the correct order
Ability to communicate clearly with co-workers, medical staff and the general public regarding health information needs and concerns
Ability to work well under pressure with limited supervision and meet deadlines
Detail orientated, effective organizational skills

179

Coder Certified Resume Examples & Samples

2 years acute care coding experience
Graduate of accredited program in Health Information Management or have current CCS coding certification
Must have good analytical skills, and the ability to work at a fast pace and maintain a high concentration level and accural
Computer keyboarding skills
Works under pressure for accuracy and deadlines
Ability to utilize a computerized encoder/grouper
Type 45 words per minute
Ability to code accurately using ICD-10-CM and CPT coding systems following recognized coding guidelines and ethical standards
CCS Certification

180

Risk Adjustment Coder Resume Examples & Samples

Location/Facility – [Enter Facility Name] (i.e. Baylor Regional Medical Center at Plano)
Knowledge of ICD-9-CM and CPT coding conventions, and clinical documentation
HCC experience preferred
Experience providing physician feedback
Group training experience preferred
Ability to pass in-house coding exam with 90% or above
Knowledge of Microsoft Word, Excel, and Powerpoint

181

Hospital Coder Resume Examples & Samples

Ability to speak, read, write, and communicate effectively in English
Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner
Ability to work independently without supervision

182

Senior Coder Trainer Resume Examples & Samples

Serve as a key resource on complex and / or critical issues
Review work performed by others and provide recommendations for improvement
Forecast and plan resource requirements
Authorize deviations from standards
Provide ICD9 and ICD10 Hierarchical Condition Category (HCC) coding trainings to practitioners
Assist in managing provider relationships as related to CMS-HCC Risk Adjustment payment methodology, proper chart documentation, and diagnosis coding
Review groups of charts to identify trends and patterns in documentation practices and convert findings into executive level summaries as well as a physician specific education plans
Present documentation and coding information to practitioners in both group and 1:1 settings
Develop diagnosis coding tools for providers as needed
Develop customized action plans based on provider’s needs related to their opportunities in documentation
Attend provider meetings when a coding expert is required
Attend and participate in internal coding discussions
Work collaboratively with the clinical team in development of disease specific training, education and tools
Serve as internal subject matter expert for both procedure and diagnosis coding questions and analysis for medical group
Consult on clinical coding questions as it relates to diagnostic and CPT coding
Review and analyze coding trends related to diagnosis coding
Audit physician charts for documentation accuracy compared to diagnosis codes submitted on encounter
Provide education to clinical and administrative staff around changes to diagnosis and CPT coding
Maintain Coder certification. Examples include CPC, AHIMA, CPMA, CPC-RA
Work special projects
5+ years’ experience in claims processing, provider data maintenance, contracting, or contract loading
5+ years coding experience
Must be a certified professional coder
Intermediate level of proficiency with all facility / ancillary contract reimbursement methodologies
Excellent communication skills required including ability to communicate effectively with various levels of leadership
Intermediate proficiency in MS Office (Excel and PowerPoint)

183

Pro Fee Coder Resume Examples & Samples

Ensures integrity of data prior to transmission
As necessary, provides Physicians and other staff with information relative to coding
Prepares reports as requested and related clerical tasks

184

Coder Resume Examples & Samples

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
Initiative – Independently takes prompt proactive steps towards problem resolution
Decision Making – Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
Contributing to Team Success – Actively participates as a member of the Center’s team to move the team toward the completion of goals
Minimum (2) years experience in outpatient coding and/or Health Information Management required

185

Coder Resume Examples & Samples

Education: At least Associate Degree or Equivalent
Minimum of two years experience required
Must have one of the following certifications: RHIA,RHIT, CCA, CCS, CCS-P, CPC-P, COC, CIC, or CIRCC

186

Senior Software Engineer / Coder Resume Examples & Samples

Contribute to the software design and development of a Java/Grails-based based application with an Adobe Flex UX
Participate at every stage of the full agile (Kanban) SDLC: requirements, architecture, design, implementation, review, etc
Develop unit, integration and performance tests to build the quality into the product
Participate in technical and functional review of user stories and features
6+ years of object-oriented or functional software design and development experience
Experience with full-stack java ecosystem web application development: Java, Groovy, Grails, O/R Mappers, IoC, JavaScript
Excellent grasp of SQL / RDBMS
Focus on quality: strong automated testing habits, including knowledge of the xUnit tools, Gherkin-like frameworks, etc
Experience with SaaS/Cloud/Microservices, High-Availability design, DevOps ecosystem is a plus
Experience with RESTful architectures
Good knowledge of object oriented or functional design, design patterns, and programming techniques
Good working knowledge of web and application servers (like Jetty, WebSphere, Tomcat, Apache)
Experience working in an Agile environment such as Lean-Kanban/Scrum/XP; Agile practices such as pairing, TDD, daily scrum, retrospectives, planning poker, etc
Excellent written and oral communication skills, strong teamwork ethic
Knowledge of database design & domain modeling
Knowledge of development with Adobe Flex
Knowledge of Ruby on Rails
Healthcare industry experience is a plus
Knowledge of security testing and analysis is a plus
Knowledge of O/R mappers – Hibernate, etc

187

Hospice Non-clinical Coder Resume Examples & Samples

Certified Coder with credentials in ICD-9 and ICD-10
Current ICD-9 (10) coding certification preferred; required within 6 months of hire
1 year experience in medical coding preferred experience in Home Care or Hospice

188

Clinical Coder Resume Examples & Samples

Registered Nurse or Registered Physical Therapist, Bachelor's Degree preferred
Current OASIS C Certification and ICD-9 (10) coding certification preferred; required within 6 months of hire
Current state license as a Registered Nurse or Registered Physical Therapist
Current CPR certification preferred
Current driver’s license. Must have reliable transportation and insurance
Five years of professional experience preferred in Home Care or Hospice, excellent understanding of OASIS and Medical Coding practice. Strong knowledge of home health and hospice regulations

189

Risk Adjustment Coder Resume Examples & Samples

Creation and implementation of a coding accuracy and improvement program for the Utah market
Create and execute the plan for improvement across the Utah market
Work with network managers, medical director, market leader, stakeholders and other employees to ensure improvement in coding accuracy
Focus on improvement via internal and external education, innovative programs and provider engagement
Work closely with local teams as well as corporate teams
Coding review and education with providers and team
Clinical Quality Documentation assessment
Work Plans for CDQI
Cross - functional collaboration with multiple teams and functions
High School Diploma / GED or higher education
2+ years of experience in a coding or billing role
Current Coding Certification is required for this position. UHG will recognize any of the following Coding Certifications: Certified Professional Coder (CPC) from AAPC or Registered Health Information Technician (RHIT) or Certified Coding Specialist - Physician - based (CCS - P) from AHIMA
Experience educating others to improve results in clinical coding
Certified Risk Adjustment Coder (CRC)

190

Database Administrator & SQL Coder Resume Examples & Samples

Maintain SQL Server, its parts and dependencies
Operation Management
Log Management
Security Management
5-10 years of relevant work experience
Bachelor’s degree in a related area
Knowledge of Database Administrator role is preferable
Expert knowledge of SQL Server, its parts and dependencies including hardware and software requirements (SSRS)
In depth knowledge of SQL Server Management Studio (SSMS), T-SQL, and SQL troubleshooting
SQL Server via Excel and Access
Migration of processes from MS Office to SQL Server
Knowledge of Oracle database is preferable
Market Risk knowledge including basic product knowledge of CDS, IR Derivatives, Fixed Income Securities a plus; Knowledge of VaR and Stress VaR methodologies a plus
Knowledge of Yield/Credit Curve engineering techniques a plus
SSIS knowledge and MIS skills a plus
Eligible to work in the US

191

Creative Coder Resume Examples & Samples

Code real-time interactive experiences in GLSL and Javascript through multiple iterations through to polished release
Prototype interactive augmented reality experiences in our proprietary systems and using standard frameworks and tools (Cinder, openFrameworks, Processing, After Effects, Max/MSP, Origami)
Communicate interactive concepts effectively in writing, images, storyboards, and videos
Creatively solve problems in translating effects ideas into code execution
Generate new ideas for effects
Collaborate closely with art, design, engineering, product, QA, research, and partnership teams from conception to launch
Learn from data on released effects to refine existing effects and develop new ones
2+ years of experience writing OpenGL / GLSL shaders
A link to an online portfolio showcasing your work is required (Include link on your resume)
Portfolio including interactive and creative coding work
Experience designing and developing interactive augmented reality, computer vision, and/or face-tracking interactive experiences
Experience with Javascript, openFrameworks, Processing, Cinder, Max/MSP, Unity3D, After Effects

192

IR Coder Resume Examples & Samples

Accurately assigns ICD-9-CM, HCPCS and/or CPT-4 codes, Evaluation and Management levels, as appropriate, and abstracts pertinent information from patient’s records
Ensure codes are assigned in compliance with all Federal, State, and client requirements as well as meets AHA Official Coding Guidelines
Demonstrates thorough knowledge of medical terminology, standard medical abbreviations, anatomy and physiology and pathophysiology
Engage in prescribed query process and provider education as the primary liaison for clarification of documentation that is inadequate, ambiguous or unclear for coding purposes
Adheres to Official Outpatient Coding Guidelines, CMS policies and regulations and all client internal policies and procedures. Must keep abreast of coding guidelines changes, reimbursement policies and reporting requirements
Reports any coding or documentation concerns to direct supervisor real-time for necessary follow-up and client communication
Communicates professionally and effectively with other coding staff, physicians and client staff. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and Certified Professional Coders Association (AAPC)
Demonstrates effective time management skills by completing all assignments within time constrains and calendar schedule
Actively participates in all Adreima training, client training on facility computer systems, encoders and processes necessary to complete assignments
Reviews all client coding reference material and applicable policies and procedures to insure compliant and consistent coding
The coder must act independently in highly diverse and complex situations
May include mentoring and assisting in training of other coders within the department
Interact with and provide high-level analysis of trends to appropriate Management & Revenue Managers
Participates in coding/auditing discussions to ensure best practice efforts and process are implemented ensuring maximum reimbursement through appropriate coding
Serve as a resource person to answer ongoing charge/revenue and coding related to Medical Coder Apprentice and other coding staff
Performs medical chart validations/audits, meeting minimum productivity standards. Interact with medical staff members when discrepancies arise in the charts in order to resolve the issue
Must be able to work independently and remotely with little supervision while maintaining the company policy on coding productivity
Works with key departments to summarize and report out on chart audit results, trends and opportunities
Must be CIRCC certified
A minimum of 2-3 years’ experience in Interventional Cardiology /Interventional Coding
Additional RHIT,CCS or CPC-H credential a plus
1+ years of coding experience
Encoder Pro
EMR
Proficiency with Microsoft Office Systems
ICD-10 Training
Knowledge of accounting principles and procedures

193

Coder Resume Examples & Samples

· Associates degree preferred; High School Diploma or equivalent
· 2+ Years Experience
· CPC required

194

Retail Data Collection Associate Coder Resume Examples & Samples

Inputting product identification information into laptop Coding system
Attends and Participates in Group Training Conference Calls
Reports assignments in a timely fashion
Tracks work and performance
Meets CROSSMARK Retail Data Collection defined standards of work volume, quality, accuracy, cost containment, completeness, and timeliness by
Complying with travel and mileage standards established by Coder Data Collection
Following district management and CROSSMARK expectations on cost containment
Completing assignments and transmitting data according to CROSSMARK’s established procedures and schedules
Communicating no less than weekly with district management regarding schedules/issues
Advising district management of promotional activity changes within retail outlets
Suggest ways of improving work methods and procedures to increase efficiencies in assignments and/or collection processes
Make edits at Point of Purchase
Complete all assigned work in a timely, accurate, and cost effective manner
Complete Causal/NSIC and PCT Skills Assessment Qualification Exercise within four (4) weeks of hire
Must be able to read, write and have basic math skills

195

Coder, Cert Resume Examples & Samples

To accurately assign ICD-9-CM and CPT codes to patient accounts for billing and statistical purposes
Follow-up with the HIM staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner
Must be able to code and research all types of accounts (i.e. inpatient/outpatient)

196

HIM Coder Resume Examples & Samples

Clarifies complex discrepancies in documentation and coding and assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
Follows up on complex coding of medical records as a result of internal or external reviews which have identified Coding or DRG discrepancies
Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc
Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services
Identifies medical and surgical complications and untoward events for accurate MS-DRG / APR-DRG or APC assignment
A minimum of two years of experience abstracting, identifying, reviewing, and assigning complex ICD-9-CM, ICD-10-CM, PCS codes, POA and PSI indicators, surgical complications, CPT codes for inpatient/outpatient types is required
Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on moderately complex cases may offset the experience requirement

197

Coder Resume Examples & Samples

Locates and interprets information on procedure reports to accurately code the patient lab encounter
Reviews questionable and problematic procedural documentation and notifies appropriate parties for follow up action
Facilitates timely and appropriate charge entry and billing for HVIS services
Tracks HVIS patient and charges daily for auditing purposes and to ensure all charges are entered in a timely and appropriate fashion
Assists with compiling of data and other information needed for charge audits
Assists with compiling data regarding procedures performed for administration as needed
Provides education and assistance to physicians and staff for coding and billing purposes
Attends and participates in inservice training, section, and department meetings, seminars, and workshops
Assists in the development and implementation of policies and procedures regarding HVIS billing processes
Monitors, implements & educates on changes in CPT code guidelines in conjunction with HVIS administration
Utilizes general office equipment and computer systems/software applications necessary to perform functions
College Diploma in Medical Coding or one year coding experience in a perioperative or procedural environment
Knowledge of medical terminology and anatomy
Must be a Certified Professional Coder, Certified Interventional Radiology Cardiovascular Coder preferred

198

Coder Resume Examples & Samples

Reviews open-ended data from online, telephone, or mail-in surveys
Develops code lists using Ascribe by grouping similar responses into specific categories
Performs a variety of administrative tasks
Sample look-ups using internet resources
Perform timing of survey questionnaires for survey bids
Assigns numeric code values to open-ended responses
Performs data-entry from mail-in surveys
Prepares verbatim files of open-ended responses as needed
Cleaning open-ended responses for spelling and grammar
Some college education (preferably in Applied Social Science/Mathematics-Statistics/Business)
Previous market research experience is an asset
Previous data coding is a strong asset
Proficient in MS Word, Excel, and Outlook (or similar programs)
Knowledge of Ascribe and SPSS is considered an asset
Attention to detail-oriented
Strong analytical skills with the ability to comprehend data
Excellent written and verbal communication skills, and interpersonal skills
Typing proficiency of 45+ wpm
Good understanding of research principles
Ability to work in a fast-paced, team environment under tight deadlines
Bilingualism (French and English) is a requirement
Must be available during business hours Monday to Friday, for a minimum of 30 hours per week

199

Physician Coder / Auditor Resume Examples & Samples

Responsible for conducting internal monitoring and auditing of provider documentation
Responsible for communication audit findings to the provider(s), and/or appropriate management staff by way of written or verbal reports
Responsible for monitoring provider's compliance with auditing program and reporting noncompliance to appropriate individual
Responsible for reviewing all insurance guidelines to ensure coding/documentation compliance; and
Responsible for acting as a resource for Physician's Billing and Clinic staff with issues related to documentation and/or compliance

200

Hospitalist Coder Resume Examples & Samples

Access various electronic health record (EHR) applications to obtain medical records
High School or equivalent required: College preferred
Advanced knowledge of medical coding (ICD-10 and CPT-4), billing systems and regulatory requirements
Required to code 75 encounters per day
Detailed orientated and able to meet targeted deadlines

201

Email Designer / Coder Resume Examples & Samples

Participate in conversations with the publishers about upcoming email campaigns and creative
Propose and design email creative that is in line with the publisher’s overall campaign objectives and best practices
Code mobile responsive emails by hand once creative has been signed off on
Create mobile responsive templates that the publishers, even those with limited HTML skills, can easily update themselves
Perform initial quality assurance on emails to ensure that they render on various client/browser combinations
Assist in the routing of initial email draft(s) and subsequent revisions
Create or seek out images to be used in emails
2+ years of professional experience designing and coding emails in a B2C environment (publishing/retail, specifically, a plus)
Ability to code mobile responsive emails by hand (not merely utilizing a WYSIWYG editor)
Ability to build relationships across multiple groups and communicate effectively with both peers and upper management, both written and verbally
Knowledge of varying levels of rendering support for the major email clients (Gmail, Yahoo, Outlook, Outlook.com, iOS, and Android) and devices
Experience with and knowledge of table-based HTML and CSS/media queries as it applies to email
Self-starter with the ability to multi-task effectively
Follows current trends in design and coding
Is able to be flexible in terms of design aesthetic based on clients’ requests
Attention to detail and strong project management skills
Has agency experience
Experience creating mobile responsive HTML emails
Familiar with Salesforce Marketing Cloud/ExactTarget or similar large-scale Email Service Provider
Ability to also design/build web pages/forms

202

Hospital Coder Resume Examples & Samples

Code from hospital records, physician notes and ancillary records. Assign modifiers and sequence codes appropriately to accurate reflect services provided
Gather and verify current demographic information including insurance information, insurance benefits and eligibility and obtains valid authorizations and referrals; contacting insurance companies (as necessary)
Process daily billing; completing and submitting daily and monthly statistics and assisting the Practice Manager and physicians with coding and billing duties as needed
Obtains medical information from physicians and hospitals when required to validate correct coding
Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when indicated
Responds to accounting or billing inquiries from physicians and management
Ensures medical records are complete and forwards to appropriate departments for filing and/or audit
Notifies physicians when documentation is unavailable for coding and billing and works with physicians on correct documentation of services
Follow all government and payer coding guidelines and HIPAA guidelines
Certification in Professional Coding (CPC) is preferred and in some sites may be required
Surgical coding and coding modifiers experience preferred

203

Certified Coder Resume Examples & Samples

Primary resource for medical coding updates and information
Provides advice on coding issues and researches procedures
Reviews coding procedure coverage with the state and implements accordingly
Maintains and updates HIPAA Code Workgroup
Maintains a library of code books and relevant resources for the department

204

Certified Coder Resume Examples & Samples

Knowledge of JCAHO, Medicare/RAC, Medicaid and Third Party regulations and mechanisms for payments or recoupments
Collect quality measures data for incentive programs such as PQRS, Meaningful Use, and other specified programs upon request
Ensure accurately coded charges for all clinics and capture missed charges with periodic trending reports
Knowledge of financial, operational, and medical record components of physician office practices
Provide financial information on accounts to patients, staff, physicians and administration as needed
Must be a professional with excellent communication skills; provide support to the clinicals and any other duties as deemed necessary

205

Coder Resume Examples & Samples

Ability to assign ICD-9 and CPT-4 codes to medical records
Coding certificate program or coding classes which includes medical terminology, anatomy and physiology or equivalent
Three year coding experience in an acute care setting for inpatient and outpatient coding preferred

206

HIM Lead Coder Resume Examples & Samples

Three to Five years acute care inpatient and outpatient coding experience required
Auditing experience of acute care IP/OP coding preferred
Advanced training in medical coding (ICD10-CM/PCS, CPT and APC)
Computer skills and excellent customer service are required
Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent
Able to travel amongst the facilities

207

Coder Resume Examples & Samples

Preferred Bachelor's Degree or Associate Degree in Health Information Management and/or closely related field- Required minimum two (2) years acute hospital outpatient based coding experience. An equivalent combination of education and experience may be considered. Experience working in a remote environment preferred; required for PRN Coders.- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Interventional Radiology Cardiovascular Coder (CIRCC)
A) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available
Maintain the Quality Standards set by UTSW/HIM Coding
Maintain the Productivity Standards set by UTSW/HIM Coding
Mentor/train on designated coding service lines as requested to ensure quality
Maintains an expert level of knowledge of coding related guidelines and practices

208

Medical Record Technician Coder Clinical Documentation Improvement Specialist Resume Examples & Samples

Develops and conducts training concerned with medical record documentation educational and functional training requirements to ensure program objectives are met
Determines and meets training needs of extra-departmental professional, para-professional and non-professional personnel by originating training material, providing orientation to newly assigned interns and residents, participating in in-service programs conducted throughout the hospital
Assists in the development of guidelines for data compatibility, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to insure that all information is fully documented and supported
Provides advice and guidance on a medical records program in relateion to such issues as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc
Analyzes situations or processes and recommends improvements or changes in documentation as deemed necessary
Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities
Reviews the medical record and discusses the case with the clinical staff and performs admission reviews for specific patient population to facilitate appropriate clinical documentation and ensures the level of services and acuity of care are accurately reflected in the medical record; and
Reviews all clinical documentation, lab results, diagnostic information and treatment to ensure documentation reflects severity of illness, acuity and resource consumption
One year of experience that indicates knowledge of medical terminology and general understanding of the health records. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work. ~OR~
Two years of education above the high school with a minimum of 12 semester hours directly related to MRT work (e.g. courses in medical terminology, anatomy and physiology, and introduction to health records). ~OR~
Equivalent combinations of experience and education as follows: (a) six months of experience that indicated knowledge of medical terminology and general understanding of the health records AND one year of above high school with a minimum of 6 semester hours of health information technology courses; OR (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month bases for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures

209

Medical Record Technician Coder Resume Examples & Samples

Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues
Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and ability to use judgment in completing assignments with incomplete or inadequate guidelines
Comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and skill in applying said classifications based on health record documentation
Skill in applying current coding classifications to a variety of specialty care areas to accurately reflect service and care provided based on documentation in the health record
Ability to communicate with clinical staff for specific coding and documentation issues such as recording inpatient and/or outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health care documentation and code assignment
Ability to research and solve coding and documentation related issues; and
Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete. Assignment. Employees at this grade level serve as developmental MRT coders and receive minimal monitoring. Coders may perform either inpatient or outpatient coding duties or may perform a combination of inpatient and outpatient coding
To begin, click to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire

210

Coder Resume Examples & Samples

Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information
Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers
Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures
Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested
Minimum two (2) years of coding, medical records, claims or billing area experience
Experience in outpatient or inpatient coding in Medicare, Medicaid, and third party liability billing area

211

Coder Resume Examples & Samples

Ability to effectively communicate (verbally and in writing) in English
Ability to write legibly (Clinical Areas)
Additional languages desirable

212

Coder Certified Resume Examples & Samples

1year experience working in an acute care facility performing chart assembly and analysis
Working knowledge of medical terminology, anatomy and physiology
Familiarity with chart assembly and analysis, basic disease process and pharmacology
A Registered Health Technician (RHIT) or Registered Health Information Administrator (RHIA)
2/24/2017

213

HCC Coder Resume Examples & Samples

Audit Medicare and Secure Horizon's patient problem lists 1-2 days prior to each visit. This includes
Ability to work with providers and teammates in a courteous and pleasant manner
Ability to work with a high level of speed and accuracy over long periods of time and stress
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Strong skills in medical record audit and review
Knowledge of insurance rules and regulations preferred
Record of dependability in previous employment

214

Edit Coder Resume Examples & Samples

Reviews claim denials in comparison with medical records for the determination of accurate assignment of all documented diagnoses and procedures adhering to the standards of ethical coding. 15%
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM/PCS, ICD-10 initiatives, and CPT/HCPCS coding. Stays current with CMS annually updated National Correct Coding Initiative Coding Policy Manual, CMS coding and billing regulations, MUE and OCE. 10%
Monitors inpatient and outpatient unbilled accounts report for outstanding and/or uncoded outpatient encounters to reduce accounts receivable days for outpatients. Brings identified issues to department managers for resolution. 10%
Ability to think/work independently, yet interact positively with team
Outstanding interpersonal communication skills as well as excellent oral and written communication skills
Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures
Ability to sit and work at a computer for a prolonged period of time completing assessments and analysis
Work environment is at a moderate noise level

215

Coder Associate Resume Examples & Samples

Reconcile billing issues by determining the rationale for rejecting and correcting inaccurate charges
Medical coding rules, regulations, and compliance utilizing ICD 9 or ICD 10
Anatomy, physiology, and medical terminology
Location/Facility – Killeen, TX
High School diploma/GED equivalent required

216

Coder IP, HIM Resume Examples & Samples

Must posses in-depth knowledge of anatomy and physiology, medical terminology, reimbursement principles, health record content, sequencing of diagnoses and the use of coding software
A trainee is not acceptable for this job due to the complex nature and specialty knowledge-base associated with coding requirements/guidelines
A CHS pre-employment coding test must be taken with preferred pass ratio of 80%

217

Senior Safety Coder Resume Examples & Samples

Primary coding resource for assigned products and studies . Accurately codes and has oversight of junior staff coding of assigned data fields including, but not limited to, adverse events using MedDRA and concomitant medications using WHO Drug in accordance with company coding conventions
Effectively performs coding-related functions for assigned studies. Prepare and manage coding assignments for new studies and collaborate with clinical team representatives on approach to coding strategy for assigned products and oversight of assigned studies including sign off of document as it impacts medical coding review, product approval, analysis of coded data for safety review and signal detection and patient safety
Identifies when terms or drug names are inadequate, ambiguous or unclear for coding purposes and direct query generation in such aspects. Also, identify and resolve coding discrepancies; and review coding listings for accuracy and consistency
Participate in identification of clinical trial prohibited meds, exclusionary medical history and appropriately issue escalation
Participate in the development of coding conventions, Standard Operating Procedures and Work Practices as a member of coding team. Delete
Assist in the maintenance of coding dictionaries and in the development/updating of MedDRA GPT training course content and contribute to the updating and maintenance of GVTA, and ATC reports
Keep abreast of coding guidelines internally and externally. Provide consultation to junior coding staff, safety reviewers, study physicians, and clinical team members regarding study specific coding questions. Does not initiate strategic decisions, but is responsible for supporting the department, division and company's strategic direction
Provide Coding training/overview to Clinical team members, Clinical Research Organizations, Investigators and investigator sites as needed, in support of clinical trials
Orient and oversee training of new coding team members and quality assessment of coding for assigned studies. Serve as a mentor and a coach to new and/or less experienced coders
Impacts medical coding quality and consistency and resultant ability to complete analysis of coded data for safety review, signal detections, issue identification, product approval and patient safety

218

Medical Records Coder Resume Examples & Samples

Assist with special projects as required
Prior experience in homecare and hospice coding strongly preferred
CPC or HCS-D certification- two years of coding experience required
Advanced ICD-10-CM & CPT-4 coding conventions
Extensive DRG/APC reimbursement knowledge

219

Radiology Coder Resume Examples & Samples

Prepare billing and registration worksheet
Contact insurance companies to verify insurance data on accounts
Utilize Payer Search program to obtain correct insurance code information
Complete the registration and billing of all accounts in the OBR system
Release all billing and registrations according to established department guidelines
Submit billing worksheets to the Corporate office, in a timely manner, in accordance to the shipment schedule
Perform appropriate coding of Consults, Delivery Attendance, and Newborn Nursery as required by productivity needs
RDS notes will be reviewed, as scheduled, on each baby currently in the unit. Based on certain criteria extracted from RDS and documented on the coding flowsheet, assign a CPT and ICD-10 code. These codes are then compared to what RDS has chosen
Upon identification of a discrepancy in the codes, initiate discussion with the physician(s) at which time physician makes decision as to final code(s)
Any coding changes made are tracked on a spreadsheet and maintained as supporting documentation to the change
Compare census to the database report, as scheduled, and submit all corrections as instructed
Reconcile the month-end statistical reports and submit to the Corporate Office as established by the department guidelines
Provide support services to the Corporate Office
Inform the Regional Corporate Office of any changes in the hospital or unit policies and procedures
Under general direction of the Coding Manager, this position codes diagnosis and procedures for assigned Radiology cases
In performing the coding requirements this position is required to follow internally established policies and procedures in addition to various industry standard and authoritative coding resources provided
Identify and report any potential compliance risks and reimbursement opportunities to the Coding Manager and/or the Director of Revenue Cycle Management
Education/Training/Experience
Certified as a Professional Coder from a nationally accredited association (CPC, CCS-P, RCC)
At least one year medical coding experience – radiology preferred
Interventional radiology coding experience a plus

220

Coder Resume Examples & Samples

Abstract pertinent information from patient records within various inpatient and outpatient types. Assign International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) / International Classification of Diseases, Tenth Revision, Clinical Modification Procedural Coding System (ICD-10 PCS) codes or Healthcare Current Procedural Coding System (HCPCS) codes, creating ambulatory payment classification (APC) or diagnosis related group (DRG)
Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations
Meet coding productivity standards and accuracy rate determined by company policy. (See Coding Productivity and Quality Standards.)
Closely communicates with the clinical documentation specialist and advises on coding rules and guidelines and supports the clinical documentation improvement program
Educate, train and communicate with medical staff regarding accurate documentation for the purposes of coding
Keep abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
Abstracts data and reports to the Virginia Trauma Registry
Participate in the appeals process for coding denials. Initiate and respond to requests for billing to support medical necessity, appropriateness of code assignment, combining accounts based on payer requirements and other activities to support the billing function
Answer telephone and respond to requests in a professional, timely manner
Maintain professional credentials through ongoing coding education as well as company requirements for annual continuing education
Contributes to quality improvement activities of the department and the organization, including participating in internal department and corporate audits
Participate in other department or organizational activities as requested
Effective Oral and written communication skills
Demonstrated competence with personal computers, networks, and Microsoft Office
Experience with various coding abstracting and coding systems
Ability to work independently or as a team member to accomplish tasks or projects
Ability to prioritize work assignments during periods of stress
Ability to sit for long periods of time
Corrected visual acuity for long periods of reviewing/reading medical records and viewing a computer monitor
Knowledge and skills to correctly assign principal diagnosis for inpatients and reason for visit/first listed diagnosis for outpatient encounters. Correctly assign additional diagnoses based on coding rules and guidelines
Experience and/or education in ICD-10 CM/ ICD-10 Procedural Coding System (PCS) coding required
Certification or licensure as a
Certified Coding Specialist (CCS) or must obtain CCS credential within 2 years (required)

221

Senior IP Coder Resume Examples & Samples

Exceeds =>95.01% accuracy
Proficient at writing AHIMA complaint physician queries
Ability to mentor less experienced staff in all areas of coding. Assists in the training of new and transitioning coding staff
Experience in an academic/teaching hospital

222

Coder Analyst Resume Examples & Samples

Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness
Required: High school graduate or equivalent is required
Preferred: Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed

223

Accounts Receivable Coder Resume Examples & Samples

Codes and abstracts and average of 32 patient charts daily
Maintains daily productivity log and provides copy to AR Manager at the end of each week
Contacts AR Manager with any issues that will affect productivity or unbilled report
Adheres to confidentiality policies and procedures at all times
Monitors and corrects and discrepancies on the Unbilled and Alert Financial Report daily, contacting AR Manager for resolution
Ability to work effectively in a fast paced environment
Must be proficient using computers and multiple programs

224

Senior Professional Fee Coder Resume Examples & Samples

Completion of basic medical terminology, ICD-10, and CPT coding course work
General computer knowledge, preferably with EPIC, and MS Office knowledge
Five years of related experience
Certification as a Certified Procedural Coder (CPC)

225

Mrt Coder Clinical Documentation Improvement Specialist Cdis Resume Examples & Samples

465794200
Job Announcement Number
Incumbent develops and conducts seminars, in-services, informational briefings, and conferences concerned with health record documentation, educational and functional training requirements
Advises and assists HIMS managers/leads in the identification of needed training, in-services or educational opportunities for clinical and administrative staff
Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups
Graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups
Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis
Facilitates improved overall quality, completeness and accuracy of health record documentation
Collaboratively works with the professional clinical staff and coding staff to provide support and education on documentation issues
Ability to establish and maintain strong verbal and written communication with providers; 5. Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines; II-G35-8
Knowledge of severity of illness and risk of mortality indicators; and

226

Coder Resume Examples & Samples

Able to analyze office progress notes, procedural and operative records to identify and independently assign accurate ICD and CPT/HCPCS codes following policies/procedures established by MPAS
Abstracts pertinent information into the billing system accurately and timely
Effectively utilize ICD, CPT/HCPCS and related materials to investigate coding issues and produce accurate results
Understands and applies Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) and communicates this information to staff, management and physicians
Serves as a resource to providers and clinical staff on coding questions and documentation requirements/guidelines and provides feedback as needed
Monitors services performed to assure all encounters are captured (charge capture reports), coded and billed within timeframes established byMPAS
Assists with payor denials, patient questions related to billing issues, and makes decisions on whether to appeal claims for payment
Keeps abreast of current changes in coding and reimbursement requirements for government programs and other third party payers
Actively participates in meetings and/or seminars and disseminates the information to peers to enhance the knowledge and skills of the department
Demonstrates the ability to educate/train others as needed
Conducts billing audits to ensure the accuracy of the codes assigned
Evaluates and implements processes to ensure accurate reimbursement
Strong working knowledge of physician coding rules and guidelines
Knowledge of physician payment system
Ability to interpret, analyze and abstract data/documentation
Takes initiative
Ability to work in a continuously changing environment, flexible
Experience in multi-specialty physician coding is highly preferred
At least two years of previous coding experience is preferred

227

Research Data Coder Resume Examples & Samples

Sorts, counts, opens mail received for the study, which includes completed questionnaires from the study subjects, personal notes and queries from subjects, documents pertaining to morbidity follow-up, notifications of name and address changes from post offices. Files these documents after appropriate work has been completed
Check questionnaires for completeness, evaluates subjects' write-in responses and enters corresponding numeric codes onto forms. Re-copy damaged or unusable forms. Bursts, trims, inter-files and boxes forms and otherwise prepares them for optical scanning or for key entry
May perform other functions as needed for preparation of mailings to specific sub-sets of the study cohort, entry of specific data sets drawn from the cohort, operating optical scanning equipment, transporting boxes of questionnaires to storage or computer processing facility, light typing, and photocopying
Active and enrolled in high school or a College or University Program required

228

Hospice Non Clinical Coder Resume Examples & Samples

Certified Coder with current credentials in ICD-10
Current ICD-10 coding certification required
Minimum of one (1) year experience in Home Health or Hospice Coding required
Employee must have access to current Home Health code book and/or online Home Health Coding Center
Current, up-to-date computer system
Dual computer monitors preferred but not required

229

Edit Coder Resume Examples & Samples

Responsible for modifying and completing moderate to high complexity coding and charging edits/errors using ICD-9-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations
Abides by the Standards of Ethical Coding as set forth by AHIMA
Abstracting required clinical information from the medical record
Working in Bill Scrubber systems a requirement
RHIA, RHIT or CCS preferred
Zero to one year hospital outpatient coding experience
Comprehensive knowledge of ICD-9 and CPT coding systems
Strong knowledge base of changes in LCDs and NCDs
Previous auditing experience or strong training background in coding and reimbursement
Comprehensive knowledge of the APC structure and regulatory requirements

230

Med Rec Coder, Days Resume Examples & Samples

Performs review functions associated with accurate code assignment on referral and recurring patient accounts
Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital referral accounts according to the supporting physician documentation in the record
Validates that all clinical tests performed meet medical necessity according to local and national policies
Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, Uniform Hospital Discharge Data Set, CPT, and CMS guidelines
Abstracts data in compliance with national, state, regional, and local policies which includes all of the following. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out. Communicates to various departments when charges need to be added, deleted, or changed and when discharge dispositions and patient type/status needs clarified. Assigns proper modifiers when needed. Reviews the encounter for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart-coding screen
Meets and exceeds established coding and abstracting quality and productivity standards
Maintains the confidentiality of employees, patients, administrative staff and medical staff information at all times without any infraction
Remote coding
Comprehensive knowledge of coding functions, rules, and guidelines
Critical thinking and problem solving skills are essential along with the ability to work independently, remotely and with minimal supervision. Must be self-motivated and able to use electronic resources
Remain informed and educated about changes in the reimbursement system and coding conventions and current updates
KNOWLEDGE AND SKILLS REQUIRED
Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
A minimum of one year outpatient coding experience preferred for a referral and recurring coder. Credentials as a RHIA, RHIT, CCS, or CPC are preferred or within six months of taking the national certification examination
Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

231

Coder, Days Resume Examples & Samples

Performs review functions associated with accurate code assignment on emergency room and wound care patient accounts
Assigns diagnosis and procedure codes following ICD-9 and 10 Official Coding Guidelines for diagnoses and procedures, CMS, CPT, Coding Clinic guidelines, various other governing bodies and Department coding policies and procedures
Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital emergency room accounts according to the supporting physician documentation in the record
Assigns correct ASC/APC modifiers to ensure appropriate reimbursement and assigns the correct revenue code for all CPT codes when applicable
Interacts with HIM employees and other departments to resolve issues and escalates problems to the appropriate level for resolution. Report any excessive or unusual write-offs to the appropriate level for further investigation
Is proficient in navigating the electronic medical record and all supporting information management and billing systems. Must be proficient in the use of the encoder and computer assisted coding software application
Demonstrate expert job knowledge and applies current coding and billing regulations, policies, processes, and procedures with effective decision-making and problem solving skills
Participates in department performance improvement reviews and coding reviews. May provide training and support and or quality support as directed. Is flexible and willing to adapt to changes in the work environment
Computer proficiency required
Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS). Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS)
Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
A minimum of one year outpatient coding experience preferred for an emergency room and other outpatient coding

232

Physician Coder Resume Examples & Samples

Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling
Performs data entry of abstracted physician information into specialty- specific databases
Maintains a 95% coding accuracy rate as measured through quality reviews
Maintains daily productivity as outlined: E/M - 7-10 codes per hour, Surgery - 5-7 codes per hour average, depending on specialty
Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services
Conducts educational sessions to the medical staff for coding and documentation compliance
Responsible for assisting Manager/Director with auditing coded accounts and in developing quality controls to ensure consistent coder education and feedback
Assist Manager/Director in coordinating the onboarding of new coders by providing training and support with various systems

233

Emergency Department Facility Coder Resume Examples & Samples

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
Coding credential required from AHIMA/AAPC (ROCC, RHIA, RHIT, CCS, CPC, COC, CPC-P)
2+ years Emergency Department facility coding experience

234

Coder, Remote Resume Examples & Samples

Coding Technical Skills ‐ regulatory coding (ICD‐9‐CM, ICD‐10‐CM, ICD‐10‐PCS, MS‐DRGs, and POA Assignment)
Communication ‐ communicates clearly and concisely
Customer orientation ‐ establishes and maintains long‐term customer relationships, building trust and respect by consistently meeting and exceeding expectations
Analytical Skills - effective evaluation, synthesis and use of information gathered
Initiative - independently takes prompt proactive steps toward problem resolution
Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi‐task
Policies & Procedures ‐ articulates knowledge and understanding of organizational policies, procedures and systems
PC Skills ‐ demonstrates proficiency in Microsoft Office applications and others as required
Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
Work Independently - is self‐supporting; not needing to rely on others to complete a job
Minimum one year of acute care hospital inpatient coding strongly preferred

235

Medical Records Coder Resume Examples & Samples

Utilize ICD-10 CM and CPT-4 coding rules and regulations, as well as pertinent reference materials required for the accurate and specific assignment of codes for diagnosis and procedure statements for outpatient medical records utilizing the 3M encoder/grouper
Assigns appropriate CPT codes for infusions and injections
Appropriately adds stop bills to accounts
Review and solve OCE and LCD edits fired during EPIC coding session
Routes accounts with missing documentation, op reports, and diagnosis for medical necessity to appropriate EPIC WQ
Completes accounts returned for final coding
Abstracts all required information into EPIC
Abstracts required data elements into Care Discovery tool at 95% accuracy
Appropriately applies modifiers to CPT codes as required
Adds procedure codes to inpatient claims being billed as outpatient claims as needed
Interacts with physicians, ancillary departments, CDM Manager, Registration, Business Office and others as needed regarding documentation and other issues
Utilizes all NorthShore University HealthSystem data systems (EPIC, 3M, EPF, etc) to ensure complete and accurate coding and edit resolution
High school graduate
RHIT, RHIA, CCS, CPC, or CCA
Minimum two years facility coding outpatient types preferred
Full understanding of ICD-10-CM and CPT-4 coding classification, APC payment groups and applicable outpatient rules and regulations
Working knowledge of computers, automated encoder (3M) and Microsoft Windows
Ability to follow detailed instructions with a high degree of accuracy
Thorough understanding of billing revenue codes and charges

236

Outpatient Complex Coder Resume Examples & Samples

Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record, including histories, physicals, operative reports, diagnostic testing reports, pathology reports, therapy notes and discharge summary, etc
May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code
Verifies and/or requests documentation to support compliance
Assigns diagnostic and procedural codes in accordance with coding principles and established guidelines
May review and correct coding errors, edits, rejections and/or disputes
Charge entry when appropriate
Performs a comprehensive review of the documentation to ensure the presence of all necessary elements, such as: patient identification, provider signatures and dates
Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor
High School Diploma or G.E.D. equivalent required
Additional specialty coding certification required or Bachelor’s Degree required
1-2 years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems
Minimum of three years coding experience, specialty coding experience preferred
Certification as a Registered Health Information Technician (RHIT), CPC, CPC-A, CCS, CCP or CCA certification required

237

Creative Coder, User Interfaces, Building Resume Examples & Samples

Collaborate with Product Designers and Product Managers to define compelling consumer-facing products
Collaborate with designers in discussions about product and interaction design, contributing with the technical perspective to the exploration of solutions and alternatives to problems
Contribute with best-in-class programming and prototyping skills to develop low and high fidelity design deliverables
Code/implement front-end experiences - mobile, web, and beyond
Create beautiful, detailed animations via CSS keyframes and/or other JS libraries
B.S. or M.S. Computer Science and 5+ years in relevant work experience
Experienced in front-end web markup and scripting, including HTML5/CSS3 and Javascript
Familiarity with mobile design principles and accessibility best practices
Experience with design/development tools (whether it’s Framer.js or Invision or Origami or analogous)
Ability to prototype in hardware (Arduino, Particle, etc)

238

Certified Nurse Coder Resume Examples & Samples

CPC accreditation/certification through AHIMA or AAPC or equivalent organization
Details of accreditation/certification/core proficiencies must be submitted with resume
Must be familiar with Medicare /NCCI coding

239

Coder Resume Examples & Samples

Review documentation on patient records and assign CPT-4 codes and physician identification numbers for each patient record
Complete daily productivity reports
Other duties as assigned by the supervisor
Extensive knowledge of medical terminology
CPC, CCS-p, or RHIT certification or eligibility within two years
1-3 years previous physician coding experience required or graduation from a coding technical school

240

Coder Resume Examples & Samples

Interaction with other departments, such as operations, may be required to resolve questions or gather relevant data needed to process invoices
Indexing, entering data from a non-electronic vendor, into the invoicing system before the invoice can be assigned coding. May involve communication with the Accounts Payable department to determine vendor’s invoicing status
Process invoices that may require some calculation, or different charges to multiple properties or general ledger codes in one single invoice
Review invoice data in invoice system, and if incorrect dispute invoice back to vendor for correction
Able to adjust priority of process by vendor, date, or another factor
Occasional collaboration with other departments to review coding process for specific issues
An ability to work with a deadline or quota is needed
Knowledge of Microsoft Word, Excel, and Outlook
Experience in the oil and gas industry accounting
Proficient in data entry
Good organizational and prioritization skills
Microsoft Excel skills important, previous experience with Oildex a plus
Ability to multi-task, work under pressure and meet deadlines
1-2 years of experience in the Oil and Gas Industry

241

IP Coder Resume Examples & Samples

Must posses in-depth knowledge of anatomy and physiology, medical terminology, reimbursement principles, health record content, sequencing of diagnoses, and the use of coding software
A trainee is not acceptable for this job due to the complex nature and specialty knowledge base associated with coding requirements/guidelines
A CHS pre-employment coding test must be taken with preferred pass rate of 80%

242

Coder Resume Examples & Samples

Works on assignments that are routine in nature, requiring limited judgment. Has little or no role in decision-making. Errors can be made easily and quickly detected and result in only minor disruption to correct. Contacts are primarily within the immediate work unit. Contacts involve obtaining or providing information requiring little explanation or interpretation
Normally receives detailed instructions on all work
Escalates issues to supervisor for resolution, as deemed necessary
Administer physician quality reporting initiative (PQRI) data to report quality measures; maximizing incentive payments at the time of billing
0 – 1 year’s related experience
Great computer skills with demonstrated proficiency in word processing, spreadsheet and email applications
General knowledge of governmental rules and regulations as they affect billing and coding processes
Detail oriented with strong analytical and organizational skills
Strong time management skills with the ability to multitask concurrent priorities in an organized manner
Strong interpersonal skills with the ability to work cohesively within a team environment
Possess a positive, enthusiastic and energetic attitude
Excellent oral and written communication skills to effectively communicate with all levels of management

243

Coder Resume Examples & Samples

Ensure the appropriate assignment of the applicable diagnostic and/or procedural code(s) to patient health information documents
Assist with the assignment and coordination of daily coding activities for the team(s) in alignment with company goals and objectives within the assigned function(s)
Ensure standard reports are generated and distributed for management review on a routine basis
Monitor new clinical sites and perform due diligence by providing high level support and guidance of coding operations as necessary
Perform coding audits on a routine basis; ensuring data accuracy and integrity
Establish and maintain strong working relationships with cross-divisional teams; coordinating activities in achievement of shared goals within established timelines
Serve as an SME by serving as a resource to immediate team(s), internal and external customers; investigating, resolving and communicating complex issues as necessary
Mentor other staff as applicable

244

Coder Resume Examples & Samples

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 or two or more of the following patient types: Observation, Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic) and Recurring; Wound Care, Hospital Clinic; Physician Pro Fee; Technical Fee or Evaluation & Management
Review and analyze clinical records to ensure that MSDRG/APC assignments accurately reflect the diagnoses/procedures documented in the clinical record
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected
Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or required
Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying 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; promoting confidentiality and using discretion when handling patient and/or client information
Active RHIA or RHIT or  CCS, CCA, COC (formerly CPC-H), CCS-P, CPC
Two (2) years of recent and relevant hands-on coding experience with
Acute Inpatient or two or more of the following patient types: Observation, Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic) / Recurring; Wound Care, Hospital Clinic; Physician Pro Fee; Technical Fee and Evaluation & Management
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective October 1, 2015)
Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Precyse production and/or quality standards
Roficient computer knowledge including MS Office (Outlook, Word, Excel)
Must display excellent
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Other credentials such as: Certified Gastroenterology Coding Specialist (CGCS) or CIC a plus

245

Coder / Analyst Resume Examples & Samples

Monitor’s analysis queues daily to keep workflow moving for coding and billing compliance
Analyzes quantitatively the medical record for deficiencies, assigning the record to the appropriate physician(s) for completion
Performs accurate analysis in accordance with H.I.M. Analysis Policy & procedure
Meets work standards for analyzing of medical records as follows
High School Diploma or equivalent with continued education and/or certificate programs in medical records and terminology, required
Minimum of two (2) years progressive experience in medical records of an acute care setting, required
Excellent interpersonal skills with all customers

246

Coder Resume Examples & Samples

American Health Information Management Association (AHIMA)-or- American Academy of Professional Coders (AAPC) certified coding credential
2 years of working in a medical office or physician billing office, or equivalent office experience
Any AHIMA or AAPC coding-related credential; credential-eligible applicants may apply
Experience working with physicians, with an emphasis on coaching and communication
Electronic Medical Records (EMR) experience

247

Coder Abstractor Resume Examples & Samples

Current AHIMA or AAPC coding credential that is hospital/acute care related
Knowledge of medical terminology, ICD-10, CPT and DRG coding
Ability to communicate effectively; strong verbal and written communications skills
Accreditation as Registered Health Information Technician (RHIT) or Certified Coding Specialist
CCS
CPC-H
One year hospital based HIM Department background/experience or experience through practicum or an AHIMA accredit Health Information Technology or Health Information Management program
One year of hospital-based coding experience

248

Coder Abstractor FTE Resume Examples & Samples

Must attend meetings and trainings onsite at the Everett, WA facility
AHIMA or AAPC coding credential that is hospital/acute care related
Basic computer skills including how to operate a PC
Knowledge of medical terminology, ICD-9, CPT and DRG coding
Graduate of an AHIMA accredited Health Information Technology or Health Information Management program or self-study course
One year hospital based HIM Department background/experience or experience through practicum or an AHIMA accredited Health information Technology or Health Information Management program

249

Coder Abstractor Resume Examples & Samples

Associate and/or higher degree in a healthcare related program
AHIMA or AAPC coding credential
Accreditation as Registered Health Information Technician (RHIT) or Register Health Information Administrator (RHIA)
One year of acute hospital based coding experience - inpatient, ED or ASU
Associate degree in Health Information Technology
CCS certification
One year of hospital-based HIM department background experience of experience through practicum of an AHIMA accredited Health Information Technology or Health Information Management program

250

HIM Coder / Certified Resume Examples & Samples

Assigns codes accurately to each record for diagnoses and procedures performed according to ICD-9-CM and CPT-4 coding and classification systems. (This includes assignment of “modifiers” on required cases)
Utilizes resources needed to adhere to coding guidelines (e.g. Coding Clinic, Coding Handbook, etc.). Also uses reference materials (medical dictionary, Physicians Desk Reference, approved abbreviations) to ensure accuracy to align with Coding Compliance Regulations (Department of Justice/OIG)
Abstracts data from the medical record and enters data directly into the 3M Application software. (Utilizes data sheet only when needed during downtime). Responds correctly to prompts for refining of codes as well as tracking case managed patients, readmission status, discharge disposition, birth weight, O.R. minutes, lesion size, type of anesthesia and ASA classification
Obtains corresponding pathology reports to ensure accurate coding to support documentation within the record
Works in concert with DRG Validator on “DRG Assurance”. Verifies proposed DRG to ensure accurate assignment for direct relationship to finance and reimbursement
Meets the required productivity and competency levels established for a full time Inpatient Coder. (Inpatient:20 )
Meets productivity and competency standards for coding of Ambulatory Surgical records for a full time employee.(Outpatient:36) Codes pre-admission surgical testing forms on assigned day
Codes and enters discharges/re-admits at time of receipt from transferring unit
Completes DOH forms for appropriate records, i.e. Spontaneous Termination of Pregnancy, Alzheimer’s, Congenital Malformation, Induced Termination of Pregnancy, and Sterilization
Responsible for submitting DOH forms to the responsible person in a timely manner to ensure DOH Regulations are met. Keeps a log of all forms sent
Assists in data audits as requested. Responds to suggestions for change in timely manner
Assigns charts to appropriate review area for coding validation check
Responds to physician’s coding questions when necessary
Physical Demands: Requires the ability to sit for long periods of time, high visual activity to review documents, high level of concentration without allowing distraction to impact workflow
High School Graduate or equivalent, required
Completion of one-year Coding Certification program or equivalent experience in coding, required
Credentialed CCS/RHIT, Required
One year of coding experience in an acute care setting with a complex case Mix and a skill level required to perform the job with accuracy
Requires excellent knowledge ICD-9 and CPT-4 coding principles
Requires good interpersonal skills in order to interact effectively with physicians and reviewers
Requires knowledge of medical terminology, anatomy and physiology

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