Medical Coder Resume Samples

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N Denesik

Nash

Denesik

115 Schumm Lakes

San Francisco

+1 (555) 452 8305

115 Schumm Lakes

San Francisco

Phone

p +1 (555) 452 8305

Experience Experience

New York, NY

Medical Coder

New York, NY

Stark and Sons

New York, NY

Medical Coder

Perform compliance audits for designated providers/centers consistent with established audit protocol
Participates in provider/client/network meetings, which may include provider education through written communication
Assist in providing coding training to new physicians
Work overtime as requested by management
Maintains accurate productivity logs and provides this information to management in a timely fashion
Provide real time support and coordination with Primary Care Providers and MRA Coders as it relates to coding for HEDIS and STARS
Assist Management in assigned tasks and projects as necessary

Boston, MA

Remote Medical Coder

Boston, MA

Konopelski, Ledner and Spencer

Boston, MA

Remote Medical Coder

May be asked to participate in hospital revenue cycle or work flow enhancement/continuous improvement initiatives
Work with nationally recognized HIM professionals and a coding team of more than 250 colleagues in 35 states
Works closely with the client’s HIM and other support departments
Works with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital laws and guidelines for release of information
Work with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital

present

Dallas, TX

Certified Medical Coder

Dallas, TX

O'Reilly Inc

present

Dallas, TX

Certified Medical Coder

present

Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD - 10 - CDM, HCPCS and CPT codes
Communicate recommendations and/or suggestions to improve performance efficiencies
Possess a strong work ethic and high level of professionalism
Accurately codes office procedures for providers to ensure proper reimbursement
Maintain up - to - date Coding knowledge by reviewing materials disseminated by Department Manager
Engage in provider/ department contact and education as the primary liaison for clarification of documentation and coding
Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete

Education Education

Bachelor’s Degree in Competency

Cornell University

Bachelor’s Degree in Competency

Skills Skills

Proficient knowledge of medical terminology, ICD-9 and CPT coding
Strong medical coding skills and knowledge
Strong ICD10 coding knowledge
Gainshare bonus of up to 16% of salary (Gainshare is a bonus program given to all employees based on company profitability)
Strong knowledge of GEM mapping
Knowledge of and ability to use computer systems and other office equipment
Ability to perform detail-oriented work
Strong medical skills and knowledge
Ability to speak in a group setting. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Strong attention to detail

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Certified Medical Coder Resume Examples & Samples

3+ years of Certified Medical Coder experience in an Acute Care and/or Outpatient setting
AHIMA, RHIA or RHIT and/or CCP / CCS
Knowledge of coding guidelines, payor guidelines, federal billing guidelines
Knowledge of anatomy, physiology & disease processes

Medical Coder Resume Examples & Samples

Prior experience with coding, reimbursement, and follow-up with insurance companies
Tech savvy
Solid time management skills

Medical Coder Resume Examples & Samples

1+ year of Medical Coding experience
ICD-9-CM and CPT Coding experience
Orthopedic Coding experience
CPC or CCS

Medical Coder Resume Examples & Samples

Certified Medical Coder with either CPC or CPC-A with high degree of competency
Knowledge/experience with ICD-9 and CPT coding
High school diploma or equivalent GED required
Experience with MicroSoft Office

Cpc Fee for Service Medical Coder Resume Examples & Samples

· Certified Professional Coder (AAPC or AHIMA)
1 or more years of data analysis experience
Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
· Familiarity with eClinicalWorks EMR/PM (Desired)
Proficient with Medicare Fee For Service, Medicaid and Commercial payers guidelines and regulations
Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care
A thorough knowledge of Federal, State and Local regulations related to billing and insurance
Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models

Medical Coder Resume Examples & Samples

Experience with and exposure to compliance matters
Specific knowledge of the regulations and guidelines as they relate to documentation and coding
Competency with Microsoft Office
Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines
Coding certifications (CPC, CCS, CCS-P, CPMA, CEMC or CENTC); compliance certifications (CHC, CPCO) and/or Bachelor's degree
2 years coding experience
Revenue management and/or healthcare industry experience

FFS Certified Medical Coder Resume Examples & Samples

Certified Medical Coder with either CPC or CCS with high degree of competency in this area
Prior experience with Medical Office Practice Management System (EMR)
Associates or Bachelors’s Degree
Strong knowledge of ICD-9/10 coding

Certified Medical Coder Resume Examples & Samples

HIMA, RHIA or RHIT CCP, and/or CCS
2 years of hospital coding experience
Ability to research coding related issues
Hospital inpatient coding experience within the past 2 years and be knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
Ability to read, analyze and interpret medical records
Knowledge of 3M database

Medical Coder Resume Examples & Samples

Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc
Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustment
Deliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
Provide real time support and coordination with Primary Care Providers and MRA Coders as it relates to coding for HEDIS and STARS
Perform compliance audits for designated providers/centers consistent with established audit protocol
Coordinate with clinical leadership in development of provider training plans and for active support in the training process
Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management
Monitor Coding changes to ensure that most current information is available
Provide coding support to Central Billing Office as requested
Other duties as may be assigned
ICD-10 Proficiency Certification required
Certified Medical Coder with either CPC, CCS-P
Knowledge and experience in health care/managed care environment
Direct Cardiology coding experience ideal
Certified Cardiology Coder (CCC) preferred
Experience with HEDIS performance measures and Medicare STAR ratings

Certified Medical Coder / CPC / Educator Resume Examples & Samples

Prior work experience with curriculum design combined with stand up and delivery of complex content - specific to medical coding
Medical coding certification (AHIMA or AAPC)
Computer literate (MS Word, Power Point, Excel)
Ability to travel within the assigned region as necessary

Certified Medical Coder Resume Examples & Samples

Prior coding experience in managed care at least 5 years preferred
MRA/HCC coding for CMS model
Ability to work remote and independently
Drug Screen and Background Check
Certified Risk Coder

Medical Coder Resume Examples & Samples

3-5 years of Medical Coding experience
Certified Professional Coder (CPC)
Understand the importance of accuracy related to charge entry
Knowledge of standard governmental billing requirements, Payer requirements, and HIPPA regulations
Knowledge of insurance guidelines especially Medicare and state Medicaid
Hematology and Oncology coding certification

Outpatient Certified Medical Coder Resume Examples & Samples

2+ years of Coding experience and knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
RHIT/RHIA, CCS, AHIMA or CCP certification
Knowledge of Coding, Payor, and Federal Billing guidelines
Knowledge of Anatomy, Physiology & Disease processes
Competence in Coder training
CCS and knowledgeable with 3M/HDS coding application

Medical Coder Resume Examples & Samples

2+ years of work experience in a Healthcare-setting or equivalent education
American Academy of Professional Coders (AAPC) Certified Professional Coder –Apprentice (CPC-A) or American Health Information Management Association (AHIMA) Certified Coding Associate (CCA)
Knowledge Medical Terminology and Human Anatomy
Computer savvy (40 wpm)
(AHIMA) RHIA, RHIT, CCS, CCS-P, approved ICD-10-CM trainer, or approved ICD-10-CM/PCS trainer

Certified Medical Coder Resume Examples & Samples

Certified Medical Coder with either CPC, CCS, COC or CSSP with high degree of competency in this area
Prior 1 - 2yrs coding experience
Strong knowledge or certification in ICD-10 coding
Previous MRA or Chronic Care coding
Ability to visit and educate Clinic Staff

Certified Medical Coder Resume Examples & Samples

3 years of Medical Coding experience in an acute care setting
Knowledge of coding guidelines, payer guidelines, and federal billing guidelines
Knowledge of coding laws and federal law
Competent in Coder Training
CCS experience and knowledgeable with 3M/HDS coding application
Knowledge of anatomy, physiology and disease processes
Knowledge of medical terminology $
Inpatient experience

Certified Medical Coder Resume Examples & Samples

CPC or CCS-P Coding Certification or CPC-A with coding experience
Ability to drive to provider offices throughout Polk, Osceola, Orange, and Sumter Counties and be on site at provider offices approximately 75% of the time
Prior experience in a fast paced insurance or health care setting

Medical Coder Resume Examples & Samples

1+ year of related Coding experience (CPT, ICD-9, and ICD-10)
Outpatient Coding experience
Solid research and analytical skills
Data entry background

Medical Coder Resume Examples & Samples

Experience following-up with insurance companies
Prior experience with Managed Care Companies
Experience with credentialing
Working knowledge of Next Gen or Electronic Health record system

Certified Medical Coder Resume Examples & Samples

CPC, CRC, or CCS-P Coding Certification or CPC-A with coding experience
Minimum of 18 months of prior medical coding experience
Ability to drive to provider offices in the Memphis and surrounding areas approximately 3-4 days weekly
2+ years of Medical Coding experience

Medical Coder Resume Examples & Samples

Bachelor’s Degree in business administration or related field preferred/or a combination of advanced training and experience
2 years of experience with coding and reimbursement activities
Demonstrated knowledge of ICD-9 & CPT4 Coding
Demonstrated knowledge of computerized billing systems
Knowledge of third party insurance billing policies, procedures, regulations and billing requirements and government reimbursement programs

Certified Medical Coder Resume Examples & Samples

CPC, CRC, or CCS-P Coding Certification
CPC-A certification with coding experience
Ability to drive to provider offices and be in the field approximately 50%

Certified Medical Coder Resume Examples & Samples

CPC - A coding certificaiton with coding experience
CRC
2+ years of medical coding experience

Certified Medical Coder Front Line Leader Resume Examples & Samples

Responsible for MRA aspects of market management, including managing the MRA coder team
Executes MRA initiatives within the local market
Coordinates and deploys MRA training policies/objectives to the local team
Plans and directs MRA training techniques and suggests enhancements to existing training programs within existing markets
Use detailed analysis/consideration of financial and operational implications to make recommendations to the MSO and physician groups
Medicare Risk Adjustment, Documentation and Medicare Advantage experience
Knowledge of HCC/Risk coding
Professional coding certification such as CPC, CCS-P, CRC, or RHIT
Demonstrated experience partnering with senior leadership on strategic initiatives
Proven planning, preparation and presentation skills
Demonstrated ability to manage multiple projects and meet deadlines
Comprehensive knowledge of all Microsoft Office applications
Ability to travel throughout the local market approximately 2-3 days weekly with occasional overnight travel
Strong collaboration and relationship building skills
LPN, RN, or medical school graduate
HEDIS experience
Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
Comprehensive knowledge of Medicare policies, processes and procedures

Medical Coder Liaison Resume Examples & Samples

Evaluate the element of the medical record for diagnosis code selection
Must have 3+ years of coding experience
Effective Communication and Professionalism

Medical Coder Resume Examples & Samples

3+ years of Coding experience
Certification in American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; American Academy of Professional Coders (AAPC): CPC-H
Solid assessment and documentation skills
Successful completion of a Coding certificate program with AHIMA approval status

Certified Medical Coder Resume Examples & Samples

CPC, CRC.CCS-P Coding Certification
CPC-A with coding experience
18+ months of prior medical coding experience
Meidcare knowledge

Certified Medical Coder Resume Examples & Samples

CPC, CRC or CCS-P Coding Certification
18+ months of medical coding experience
Prior experience in a fast paced insurance, health care, or physician office setting
Medicare knowledge
HCC coding experience not required, but is a plus
Associate degree is a plus

Medical Coder Resume Examples & Samples

2+ years of ICD.10 coding experience
ICD.10 coding certification
Experience within Pathology

Medical Coder Resume Examples & Samples

Associate's and/or Bachelor's Degree in Health Information Management
AHIMA certification; Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P)
Knowledge of ICD-CM (current edition) and ICD-PCS coding systems
Microsoft Office/Suite proficient (Excel and Word
5+ years of Medical Coding experience or related work experience
Knowledge of 3rd party payer requirements and Federal / State guidelines and regulations pertaining to Coding and Billing practices

Remote Medical Coder Resume Examples & Samples

Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments
Be an active participant in client and Precyse staff meetings, training and conference calls, often using online technology
Learning is a daily part of your role with Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
Work with nationally recognized HIM professionals and a coding team of more than 250 colleagues in 35 states
You’re a key player in Precyse's Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
Our coding colleagues work for Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to Precyse
Active RHIA, RHIT, CCS, CCS-P, CPC or CPC-H
A minimum of two (2) years’ experience coding patient records in a hospital HIM department
Must have a thorough knowledge of medical terminology, anatomy and physiology
Must be able to pass a pre-employment assessment

Remote Medical Coder Resume Examples & Samples

Work closely with the client’s HIM and other support departments
Active RHIA, RHIT, CCS, CCS-P, CPC, COC, CIC, or CPC-H
Experience coding Inpatient Acute Facility and/or Outpatient medical records

Remote Medical Coder Resume Examples & Samples

Be an active participant in client and nThrive staff meetings, training and conference calls, often using online technology
Learning is a daily part of your role with nThrive – keep your coding knowledge base current with nThrive Education, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues
This education is being used by some of the top health systems in the country
Work with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states
You’re a key player in the nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
Our coding colleagues work for nThrive, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
Experience coding Inpatient Acute and/or Outpatient medical records
Must have a thorough knowledge of medical terminology, anatomy, and physiology

Medical Coder & Educator Resume Examples & Samples

Review, research and respond to practice billing and coding questions via Ask The Expert (SalesForce) platform within a designated timeframe
Collaboration with Radiation and Imaging team, participate in project calls and dashboard creation
Collaboration with Innovative Practice services to include answering coding questions and attending meetings
Research related to government regulations and commercial payer policies. Prepares and disseminates monthly newsletter
Coding changes/annual webinar
2 years project management experience

Medical Coder Resume Examples & Samples

Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
Clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through file review. This could include Medical
Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies and consideration of relevant clinical information
Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns
Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding & billing
Identifies aberrant billing patterns and trends, evidence of fraud, waste or abuse, and recommends providers to be flagged for review
Maintains and manages daily case review assignments, with a high emphasis on quality
Provides clinical support and expertise to the other investigative and analytical areas
Participates in provider/client/network meetings, which may include provider education through written communication
Participates in training of new staff, and serves as a clinical resource to other areas within the clinical investigative team
2+ years of current CPT/HCPCS coding experience (entering codes, auditing etc.)
Possess an unrestricted nursing license (RN/LVN/LPN) or a current certified coder (CPC/CCS/RHIT etc.)
Ability to work 8:00 am to 4:30 pm CST Monday through Friday and overtime as business needs require
Healthcare Claims experience
Managed Care experience
Investigational and/or Auditing experience

Medical Coder Resume Examples & Samples

Understanding of ICD-10 Coding in relation to DRGs
Travel up to three days per week to providers offices
2+ years of coding experience
AAPC (CPC) or AHIMA (CCS) certification
Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook and navigate in a Windows environment
Travel up to 3 days per week to providers offices
CCS-P
Managed Care / IPA / Health plan experience
Bilingual Spanish

Senior Medical Coder Resume Examples & Samples

*This is an office based position***
Support the Risk Adjustment Department in the processing of attestations as well as coding and documentation education to our provider network
Travel up to 25% - Orange County and Long Beach,CA
CCS or CPC credentials through AHIM or AAPC
ICD10 Certification
Travel up to 25% in Orange County and Long Beach, CA

Medical Coder Resume Examples & Samples

Adjudication of claims with zero critical errors
Completion of claims in queue within specified time frame
Setting productivity benchmark
Good written Communication Skills
Eye for Details
Analytical Skills
Professional demeanor
Ability to work accurately and efficiently at all times, including those of high processing volume
Ability to multi-task and manage time efficiently under the pressure of deadlines
Sensitivity to the confidential nature of the data and proprietary company information
Flexibility to work in shifts
Good Leadership skills (Leader without Title)

Certified Medical Coder Resume Examples & Samples

Review and assign accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (eg, inpatient hospital)
Develop policy and work with Managed Care and Medical Affairs on trends that require payor interaction
Update education through online information as well as courses available in order to maintain strong coding skills and knowledge of legal compliance standards
Create and maintain reports for coder use in tracking productivity, denials, level of service changes made by coders, and to comply with internal audit standards
Reviews all physician documentation to ensure compliance with third party and regulatory guidelines
Engage in provider/ department contact and education as the primary liaison for clarification of documentation and coding
Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine
Understanding of how to integrate medical coding and payment policy changes into a practice's reimbursement processes
Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services
ICD-10-CM Official Guidelines for Coding and Reporting
CPT® coding guidelines and parenthetical notes
Modifier use
Services covered under Medicare Parts A, B, C and D
Apply coding to payment policy
Place of service reporting
Fraud and Abuse
NCCI edits
NCD/LCD
HIPAA
ABNs
RVUs
Ability to apply the above skills and knowledge in audit settings and educate on findings
Minimum of 2+ years knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture

Medical Coder, Cdst-tricare Resume Examples & Samples

Maintain thorough knowledge of coding policies and procedures, and medical terminology/technology
Is able to determine benefit and coverage based on TRICARE policy and UHCMV guidelines
Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance
Attend and participate in Prior Authorization List (PAL) Committee and Episode of Care (EOC) Committee and collaborate with PGBA on ensuring coding in CRT is consistent with PGBA processing of referrals/authorizations
Work closely with Utilization Management team to ensure timely updates of CRT for change orders and contract modifications
Work closely with IT developers on enhancements and releases
Able to recode authorization/referral requests to ensure TRICARE coverage and consistency in claims payment (unlisted codes, etc)
Assist with annual review of Prior Authorization List and support coding changes as required
1+ years of experience in a medical office or similar setting, in a medically related role such as customer service, administrative support, medical care or clerical related role, or an Associate's Degree (or higher)
Certified Medical Coder ( CPC, etc) with current certification
TRICARE knowledge and experience
Graduate of an Accredited Medical Coding School
Ability to navigate a PC to open applications, send emails, and conduct data entry
Ability to create, copy, edit, send and save using Microsoft Word, Excel, and Outlook
Ability to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86
Associate's Degree (or higher) or some college
Hospital coding experience
Military Service experience
Demonstrated attention to detail

Certified Medical Coder Resume Examples & Samples

Certified Medical Coder with either CPC or CCS with high degree of competency in this are
1-2 years prior coding experience in a medical office or hospital environment
Strong knowledge of ICD-10 coding

Medical Coder Resume Examples & Samples

Understand CPT and ICD coding
Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCSs, Modifiers, and CPT codes, based on National Coding Guidelines
Abstract data elements
Assists in the identification and recommendation of system edits
Code within timeframes established by Allina hosptial coding standards
Knowledge of APC classification
Will be reviewing provider dictation and charge entry done by business ops personnel to make certain that correctCPT codes are billed and appropriate diagnoses assigned in accordance with Provider dictation
Communicate effectively with providers
Reports for coder use are created and maintained in both business software applications and are used for tracking productivity, denials, and level of service changes made by coders
Update education through online information as well as courses available to them in order to maintain strong coding skills and knowledge of legal compliance standards
Knowledge of Medicare/CMS requirement and Allina Policy; will perform the job in accordance with Allina’s Standards of Business Conduct, which include principles of legal compliance, ethics and integrity, confidentiality, protection of assets and avoidance of conflict of interest and inappropriate business relationships

Medical Coder Resume Examples & Samples

Certified as a professional coder (CPC or CCS-P)
1+ year of medical record coding and record review experience
Strong medical coding skills and knowledge
Knowledge of ICD-10 and experience working in a managed care health plan organization

Medical Coder Resume Examples & Samples

Work with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
Enjoy the benefits and learning experience of being exposed to different HIM environments
Be an active participant in client and MedAssets-Precyse staff meetings, training and conference calls, often using online technology
Learning is a daily part of your role with MedAssets-Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
You’re a key player in MedAssets-Precyse's Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to MedAssets-Precyse
A passion for coding and the desire to work for a company that values you!
2+ years of experience coding patient records in a hospital HIM departmentt

M HIS Senior Medical Coder Resume Examples & Samples

Review physician documentation and code diagnoses and procedures using current ICD-10-CM and CPT-4 coding conventions to assure the specificity of diagnoses, procedures and modifiers assignments as appropriate for optimal reimbursement for hospital and/or professional charges
Accurately code procedures and diagnosis according to specific policies and procedures
Assist with denials related to coding issues as necessary
Participate in Quality Management activities, as appropriate
Provide client support as needed
Perform related work as required and/or assigned. Maintain a 3% error ratio or below for Quality Assurance
High School Diploma or higher from an accredited institution
AAPC and or AHIMA certification
Minimum of one or more (1+) year(s) of experience with medical coding in Radiology setting
Associate's Degree in Health Information Management or higher from an accredited university
Hold RHIT
Certified Interventional Radiology Coder (CIRCC)
Extensive knowledge of CPT, ICD-10 coding systems and Coding guidelines
Capable of working under time restraints. Excellent oral and written communication skills
Ability to plan, organize and prioritize job duties under general supervision
Excellent customer service and customer relations skills
Time management skills to meet client productivity goals
Highly motivated, independent and innovative

Senior Medical Coder Resume Examples & Samples

Support clinical code reviews
Provide support for onsite audit reviews regarding clinical documentation
Provide support of new and established group coding for Care Management
Create and maintain project plans and documentation related to clinical editing
High school education or equivalent experience
Certified coder via AHIMA or AAPC or an RN
Knowledge of physician coding methodologies including CPT, HCPCS, facility coding methodologies
Experience with Windows applications - MS Office, PowerPoint-Creating/Managing Presentations, Excel- Creating/Updating spreadsheets, formulas, and Word- Creating/Updating documents
Experience leading and facilitating virtual meetings
Excellent verbal and written communication/presentation skills

Medical Coder Resume Examples & Samples

Ability to review medical record documents to derive at accurate and appropriate ICD10 codes for claims
Ability to contact physician’s office to ask additional questions or seek additional information/ records to derive at valid ICD10 code (Strong communication skills and phone etiquette)
Ability to collaborate with AR team on denials related to diagnosis codes
Certified medical coder
Strong ICD10 coding knowledge

Medical Coder Ii Flexible Schedule Hrs Per Week Resume Examples & Samples

Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment
Participate in special projects and/or completes other duties as assigned
1- 2 yrs medical coding; Endocrinology preferred

Medical Coder Resume Examples & Samples

Solid problem solving and time management skills
Working knowledge of CPT, ICD-10, or ICD-9
Previous HEDIS experience
Open to Registered Nurse (RN) or Licensed Practical Nurse (LPN)

Certified Medical Coder Resume Examples & Samples

Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA,
Knowledge/experience with ICD-10 and CPT coding
This role requires travel within the general/local area

Medical Coder Resume Examples & Samples

Support the Risk Adjustment Department in the review of provider medical records for compliant documentation and coding
Identify appropriate assignment of ICD - 10 Codes for Professional services
Coding and Documentation Education to our PCP Network
HCC education to our Provider and Specialist Network
Support the Coding Processors in the review of PCP completed attestation forms
Ad Hoc projects as they come up
3+ years coding experience; outpatient or inpatient
CCS or CPC credentials through AHIMA or AAPC
ICD - 10 Certification
EHR experience
Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook, Excel and navigate in a Windows environment
Access to reliable transportation that will enable you to travel to Physician offices and company meetings
HCC experience
Managed care experience

Medical Coder Ii Pulmonology New Hire Bonus Resume Examples & Samples

Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines
Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided
Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account
Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty
Associate degree in related field preferred
2-4 years coding experience required. Pulmonology experience preferred

Medical Coder Representative Resume Examples & Samples

Performs various clerical functions as requested by the supervisor or group lead
Responsibilities include: Applying CPT-4 and ICD-9 codes by translating dictated pathology reports, in a timely and accurate manner
Responds to accounts receivable department when coding discrepancies need reviewed due to payor denials
Understand and follow all department and company SOP’s
Perform special projects as assigned by the manager
Ability to work independently and on a team

Medical Coder Resume Examples & Samples

Updated Medical Coding Certification is mandatory
Minimum of 1 years of coding experience in an MLTC preferred but not required
Thorough knowledge of ICD-9 and working knowledge of ICD-10 coding is required

Medical Coder Resume Examples & Samples

Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns
Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing
Possess an unrestricted Nursing License (RN/LVN/LPN) or are a current Certified Coder (CPC/CCS/RHIT etc.)
Ability to work 8:00 am to 5:00 pm CST Monday through Friday and available to work overtime as business needs require
Experience with MS Excel with the basic ability to create and save a report

Certified Medical Coder Resume Examples & Samples

Accurately abstract information from the medical records and accurately assign ICD10 CM with appropriate modifiers and CPT codes
Ability to communicate effectively and courteously with staff and others
Must be well organized and detail oriented
Communicate recommendations and/or suggestions to improve performance efficiencies
Dependable, self-starter, and deadline driven
Ability to work well independently as well as in a team setting to achieve organizational goals
Possess a strong work ethic and high level of professionalism
Certified Professional Coder (CPC) and ICD-CM certification proficient are required
One to two years of coding experience required
Specialty coding experience in GENERAL SURGERY and/or UROLOGY preferred
Knowledge of legal and regulatory government provisions
Knowledge of insurance rules and guidelines
Must maintain absolute confidentiality

Medical Coder Quality Analyst Resume Examples & Samples

Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD-9/ICD-10) and Healthcare Common Procedure Coding System (HCPCs) guidelines
Documents Decisions on reviews through notations and enters notes in appropriate company systems
Ability to discuss and present on decisions made to appropriate internal and external individuals/groups
Coordinate with team members to understand trends and schemes related to billing issues/coding trends
2+ years of experience in coding and medical billing
Associates degree or related field experience
Clinical and/or coding expertise in a Physician office, SNF, ALF, Hospital setting, and/or billing/office
Strong organizational/time management skills and be able to work independently or as a team
Strong knowledge of CMS 1500 and UB04 data elements
Strong knowledge of ICD, CPT, HCPC and Revenue Codes
Ability to support heavy work load volume and meet unit standards while engaging multiple priorities
Current CPC Certification
Behavioral Health experience
Serves as a resource on moderately complex issues related to coding / billing

Medical Coder Resume Examples & Samples

Abstracts from patient charts/medical records all billable services in assigned specialties. Staff will translates these services into the correct CPT (Procedure) and ICD (Diagnosis) codes with all necessary and applicable modifiers
Staff will conduct training sessions for physicians and staff clinicians in individual or group settings on coding rules and federal regulations. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. Staff will meet with physicians in the clinical setting as needed for documentation instruction
Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines
Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives
Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives

Medical Coder Resume Examples & Samples

Prior experience as a Medical Coder I or equivalent work experience
Progressive Offers
Gainshare bonus of up to 16% of salary (Gainshare is a bonus program given to all employees based on company profitability)
Medical, dental, vision and life insurance benefits
Ongoing training and opportunities for career advancement
Award winning, inclusive environment with Employee Resource Groups
401(k) plan
Tuition assistance
Employee discounts
Child care subsidy

Medical Coder Resume Examples & Samples

Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes)
Ensure billing codes correspond accurately with the claim notes
Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable
Provide fee schedule reimbursement date for subrogation claims
Ensure AOB (Assignment of Benefits) has been submitted to provider
Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries
Providing timely bill processing
Sort incoming bills by coder and distribute accordingly
Review unmatched bills and correctly identifying the claim
Mail EOB (Explanation of Benefits) statements to providers
H. S. Diploma or GED
Strong data entry skills, communication & customer service skills
Prior CPT-4 and ICD-9 coding experience preferred
Prior experience as a Medical Coder I or equivalent work
Solid PC skills

Inpatient Certified Medical Coder Resume Examples & Samples

2+ years of Coding experience in a Hospital setting
RHIT / RHIA, CCS, AHIMA or CCP certification
Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines
Knowledge of Medical terminology
Knowledgeable of 3M database
Microsoft Office/Suite proficient (Excel, Word, etc.)

Health Information Medical Coder Remote Resume Examples & Samples

AHIMA credential required: RHIA, RHIT or CCS
Must be skilled in inpatient rehabilitation coding with at least 3 years of recent experience in this type of coding
This is a remote coder positon

Medical Coder Resume Examples & Samples

Accurately code pathology reports using the correct ICD and CPT code
Quality of coded accessions above 90 percent
Productivity Goal of a minimum of 24 per hour (after training)
Verify that accounts have accurate CPT coding on hospital reporting
Correctly work amendments and addendums
Denials and appeals sent from AR representatives
Make phone calls and send faxes to doctor offices for updated clinical information as needed
Responsible for filing and maintaining confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors and AmeriPath
Billing edits specific to business unit and coding procedures
Reconciliation measures
Audits of coded work/processes
Comply with all State, Federal, and professional regulations as well as departmental policies and procedural manuals
Adherence to HIPAA Regulations
2+ years of experience in CPT and ICD coding
Experience using a computer and Microsoft Office (Word, Excel, and Outlook)
AAPC Certified Medical Coder
1+ year in Pathology coding
Experience in GE Centricity
Experience in Onbase scanning system
Ability to read, analyze and interpret pathology reports

Optum Data Management Medical Coder Resume Examples & Samples

Create medical codesets for a variety of decision support solutions
Provide medical coding expertise in the development and implementation of licensed solutions and projects related to health care cost, risk and quality - of - care
Consult with internal and external customers or project teams in the use of the drug hierarchy and drug or lab test code sets
Develop update processes for codesets to support ongoing operations & management of analytic products
Provide coding expertise to projects led by data science and machine - based learning teams
Provide occasional project management when necessary
Medical coding certification
1+ years as an inpatient facility - based medical coder in the United States
3+ years working with healthcare / clinical claims data
Experience using Access (ability to write queries, import files and manipulate data)
Experience using Excel (ability to filter, sort, basic functions)
Experience using MS - DRGs or other types of global payment systems
Experience using online - coding references such as Encoder - Pro
Must live in Twin Cities, MN or be willing to relocate
Some experience with managing small projects
Experience working within a managed care environment from either a payer or a provider perspective
Experience with the billing bundled payments
Experience using drug and lab test taxonomies
Possess recent knowledge and / or experience using other coding systems such as SNOMED or LOINC
Demonstrated strong organization skills (e.g., prioritize and manage multiple tasks, meet deadlines, complete complex long - term projects)
Utilize your strong interpersonal skills to work cohesively in a team environment

Hospice Medical Coder Resume Examples & Samples

LPN or LVN licensed in the state where program is located
Certified Medical Coder Required
Graduate of accredited practical nurse or vocational nursing program
Minimum of one-year general nursing experience
Community health/Hospice or medical/surgical experience
Self-directed with ability to work with little supervision
Demonstrate excellent observation, good nursing judgment and communication skills
Ability to provide good written documentation in a timely manner

Medical Coder Resume Examples & Samples

1 year of experience
ICD-10 experience mandatory
Understanding of ICD-9 codes and how they will translate to the new ICD-10 code set
Strong knowledge of GEM mapping
Proficiency in assigning accurate medical codes for diagnoses, procedures and services performed in the outpatient setting
Proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology and medicine
HCS-D certification or agreement to complete within 6 months

Senior Inpatient Medical Coder Resume Examples & Samples

Adhere to and maintain required levels of performance in both Coding accuracy and productivity
Identify appropriate assignment of CPT and ICD-10 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting
Abstract additional data elements during the Chart Review process when coding, as needed
Maintain a thorough understanding of assigned Client Coding specifics
Review and maintain a record of charts coded, held, and/or missing
3+ years of Inpatient medical coding experience (hospital, facility, etc.)
Experience working in a 200 bedside acute care hospital

Medical Coder Analyst, Claims Resume Examples & Samples

Undergraduate degree in healthcare management, healthcare informatics, human biology, economics, or other related fields
We will also consider candidates with an associate’s degree and significant experience working as a medical coder
Certified as Coding Associate Certification (CAA), or equivalent
5+ years of experience working as a medical coder
Passion for collaborating with others to identify disease concepts through medical codes and using the medical coding data in novel ways
Experience in preparing for transition to ICD-10
Experience maintaining code lists and using data management tools such as Excel, Tableau, and other is highly preferred
Strong problem solver with ability to research and frame answers to ambiguous coding questions
Self-starter able to work independently and deliver quality end-products in an entrepreneurial environment
Of mature disposition and personable; history of working as a team player in a dynamic and changing environment
Able to work well within teams across continents/time zones

Certified Medical Coder Resume Examples & Samples

Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies
Coding Technical Skills –Regulatory coding (ICD-10-CM and HCPCS/CPT) and associated reimbursement knowledge
Organization– Able to work independently; proactively prioritizes needs and effectively manages resources and time
Other General Technical Skills –
Minimum (2) years experience in outpatient coding and/or Health Information Management REQUIRED

Medical Coder Resume Examples & Samples

Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA)
Position will require some weekly travel to offices within assigned area
Knowledge of MRA and HEDIS
Knowledge of ICD-10

Medical Coder Resume Examples & Samples

Assign primary and secondary diagnosis and E/M level of service for both professional and facility components
Assigning appropriate disposition codes
Assigning appropriate physician number to each chart
Assigning appropriate ICD-9 and CPT codes (s) per client and payer specifications
Coding assigned facilities in a timely manner while adhering to quality standards
Entering down coded records into the coding system
Building strong knowledgebase of proprietary coding system
Reporting coding issues to the Coding Production Manager as appropriate

Medical Coder Resume Examples & Samples

Assigns CPT procedure codes for clinician services to assure appropriate billing and reimbursement
Assigns diagnostic (ICD-9-CM and/or procedural codes (ICD-9-CM & CPT) on all medical record types at an advanced level to ensure proper reimbursement and accurate data base information
Assigns modifiers to codes
Input charges for all urgent care and clinic centers on a daily basis
Obtain insurance referrals and verify insurance coverage on a daily basis
File claims to the appropriate insurance company on a daily basis
Post all copayments and self-pay payments and reconcile on a daily basis
Send refunds to both patientand insurance carrier if there is an overpayment
Reviews charts and provides one-to-one and group educational feedback to the clinicians
Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate billing practices
Gather data and prepare information/reports as requested by Division Director of Medical Billing
Handle billing correspondence
Maintains confidentiality in all aspects of the job
Minimum 3 years specialty billing/coding in the area of internal medicine, family medicine and/or emergency medicine
Ability/knowledge to code multiple specialties
Knowledge of patient insurances. Ability to provide instruction to the patients and their families regarding insurance coverage procedures
Ability to perform standard office procedures according to established protocols
Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing
Knowledge of and ability to use computer systems and other office equipment
PC skills, with emphasis on Windows applications, and ability to use a mouse
Keyboarding/data entry skills
Ability to perform detail-oriented work
Thorough knowledge of medical terminology, anatomy, physiology and disease process
Ability to work independently yet in conjunction with a team
Ability to adapt to a changing and growing atmosphere
Good time management and organizational skills
Knowledge of medical reimbursement methodologies
Ability to speak in a group setting. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Courteous and professional demeanor
Willingness to work as a team player to meet common goals of the department
Demonstrates excellent verbal and written communication skills
Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations
Promote positive department morale through effective teamwork
The employee must have the ability to work overtime hours when necessary
Willingness to learn new skills and help in different areas

Medical Coder Supervisor Resume Examples & Samples

Monitor and plan for incoming coding volume
Schedule and monitor weekly and daily workflows for coders to insure compliance with month end schedule
Maintain employee PTO schedules and request overtime as needed
Monitor completion and submission of daily production reports by each coder and prepare weekly production status report
Coordinate with trainer to ensure updates to Contract Information Sheets, Coding Contract Information Sheets, Revenue Center Listings, Coding Sheets, and Policy & Procedure manuals are distributed and reviewed by staff
Assist manager with maintenance of manuals, newsletters, reference materials, etc
Assist with interviewing applicants for potential employment, process all new employee paperwork
Assist with annual review evaluations for all Coding department employees
Assist with coding and/or correcting charts sent for review from other departments
Act as technical resource to coders on issues regarding coding or MRTS
Review & monitor employee hours in Kronos
Works with manager to develop and implement corrective action and/or disciplinary action
Establish and monitor QA production schedule for seniors
Review patient complaints from the Patient Services Department
Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT procedural coding
Extensive knowledge of medical terminology, regulatory requirements, and physician billing and reimbursement
Effective organizational, analytical, and communication skills
Working knowledge of Microsoft Word and Excel
Minimum high school diploma or equivalent, B.S. or B.A. preferred or equivalent of management/supervisory experience in physician billing related field
CPC or CCS-p certification preferred
1-2 years in a work leader, auditor, or supervisory position
2-4 years previous medical coding experience, emergency medicine experience preferred
Manages Clerk(s), Coder(s), and Senior Coder(s)

Medical Coder Resume Examples & Samples

Review medical records and assign the appropriate Evaluation & Management codes, procedure codes, diagnosis code and modifiers using ICD-10-CM, CPT-4 and HCPCS coding guidelines
Communicate coding problems or irregularities to the Billing Operations Manager
Communicate with the physicians regarding chart documentation questions and issues
Note and communicate trends in physician documentation with the Medical Director over the specific market and/or clinic
Assist in providing coding training to new physicians
Assist in providing annual coding refresher training to all physicians
Maintain working knowledge of medical terminology, coding guidelines and regulations
Posts all time of service payments and researches batches that are out of balance
Works closely with the Accounts Receivable and Customer Service representatives to assist with payment denials, appeals and patient related coding questions
Works in a team-oriented environment to achieve organizational goals
Attends training sessions and meetings as required
Performs other duties as requested

Certified Medical Coder Resume Examples & Samples

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete
Accurately codes office procedures for providers to ensure proper reimbursement
Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD - 10 - CDM, HCPCS and CPT codes
Coding credential required (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H)
3+ years' PCP / Outpatient coding experience

Medical Coder Resume Examples & Samples

Adhere to and maintains required levels of performance in both coding accuracy and productivity
Identify appropriate assignment of CPT and ICD - 9 Codes for Physician and facility services provided in an observation service setting, and outpatient setting
Maintain up - to - date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
2+ years' experience outpatient coding
Experience with MS Office (i.e. Word, Excel, Outlook)
Familiarity with the multiple computer systems used in HIM (Encoder, EMR, EPIC, Billing / CDI Systems)
Coding Certification

M HIS Senior Medical Coder Resume Examples & Samples

High School Diploma/GED or higher from an accredited institution
Minimum of three (3) years of combined experience in physician and facility Diagnostic Radiology and/or Interventional Radiology coding and auditing
Certification in AAPC and/or AHIMA
ICD-10 trained
Associate’s Degree in Health Information Management
Hold a certification of any of these credentials; CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC
Experience in both vascular and non-vascular interventional radiology coding
Strong attention to detail, capable of working under time restraints
Must have good research skills
Excellent customer service and customer relation skills
Highly motivated, independent and innovative. Strong team player

Medical Coder Resume Examples & Samples

Identify errors, problems, or issues and present to Coding management for resolution
Attend departmental and training meetings a scheduled
Extensive knowledge of ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding
Typing speed of 35-45 WPM

Remote Medical 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 , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic)/ Recurring; Interventional Radiology; Injection and Infusion, Hospital Clinic; Wound Care, Physician Pro Fee; Technical Fee; Evaluation and Management and any associated charge capturing with any patient type
Performs coding to maintain work volume to include claim edit resolution and data quality reviews on outpatient encounters to: validate the ICD-10—CM, CPT and HCPCS level II code assignments, modifiers, APC groupings, missed secondary diagnosis and procedures
Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services
May be asked to participate in hospital revenue cycle or work flow enhancement/continuous improvement initiatives
Monitors daily workload for coders and assures distribution of work is appropriate to ensure timely coding to meet Service Level Agreement
Reports issues to management as appropriate which impact operational flow of work
Assists with training and orientation of new coding colleagues, development of coding job aides to improve understanding of coders as appropriate and requests from Patient Financial Services or Care Management
Completes reports and distributes as requested
Complete assigned work functions utilizing appropriate resources
Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital
Laws and guidelines for release of information
Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or
Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines,
Government regulations, protocols and third-party requirements regarding coding and/or billing
Participate in continuing education activities to enhance knowledge, skills, and maintain current
Credentials
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
Radiology Certified Coder (RCC)
Minimum of two years technical coding experience that includes complex outpatient ambulatory services and ancillary coding or demonstrated level of higher proficiency such as
Interventional radiology, wound care, oncology and relevant hands-on coding experience
CRC – Certified Risk Adjustment Coder
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)
Proficient computer knowledge including MS Office (Outlook, Word, Excel, Power Point)
Must display excellent interpersonal and problem solving skills with all levels of internal and external customers

Medical Coder Resume Examples & Samples

Medical Coding and Billing
Clinical Workflow knowledge
Proficient in Microsoft Word, Outlook, and Excel
High level of organization with the ability to multi-task effectively
Self-motivation with a proven ability to learn quickly, multi-task, and work independently
Flexibility to respond in a fast-paced, diverse, and changing environment
Organized, disciplined and detail oriented
2 years of relevant and recent work experience in the medical coding field
ICD-10 CM Certified
EHR knowledge strongly preferred

Office Based Certified Medical Coder Resume Examples & Samples

Perform Coding duties as appropriate according to pre - determined schedules
Participate in Coding department meetings
Maintain up - to - date Coding knowledge by reviewing materials disseminated by Department Manager
3+ years of coding experience in Family Practice/Internal Medicine
Experience Coding from paper charts as well as EMR
MS Office experience required i.e. Word, Excel, Outlook

Medical Coder Resume Examples & Samples

Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes
Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
Evaluates medical records for consistency and adequacy of documentation
Maintains compliance standards as per the policies and reports compliance issues as required
Bachelor’s degree in any stream (preferably Life Science)
Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred
Minimum one year of experience in medical coding
Knowledge of ICD-10 coding preferred
Analytical thinking and problem solving skills
Excel proficiency
Ability to work independently and accomplish targets in a timely manner

Medical Coder, Pathology Resume Examples & Samples

Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information
Active AAPC coding certification CPC or CCS
AAPC ICD - 10 certification
Working knowledge of medical terminology
2+ years experience in medical coding
2+ years of related work in billing or laboratory testing
Pathology coding experience

Remote Medical Coder Resume Examples & Samples

Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials
Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA
Privacy and Security Regulations as evidenced by appropriate handling of patient information
Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic)
Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee
Evaluation and Management
As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective
Ability to consistently code at 95% threshold for both accuracy and quality while maintaining
Client-specific and/or Precyse production and/or quality standards
Proficient computer knowledge including MS Office (Outlook, Word, Excel)
Must display excellent interpersonal and problem solving skills with all levels of internal and
And experience

Inpatient Certified Medical Coder Resume Examples & Samples

2+ years of Hospital Inpatient Coding experience
Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
Working knowledge of Medical Terminology

Specialty Practice Medical Coder Resume Examples & Samples

2+ years of specialty Practice Coding experience
ICD-10 certification
Knowledge of Anatomy and Medical Terminology
Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations
Associate's and/or Bachelor's Degree in a related field
Experience with ENT, Neurology, Plastic Surgery, etc

Medical Coder Outpatient Resume Examples & Samples

Prior work experience utilizing ICD10 codes
Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures
Ability to analyze, problem-solve, and work independently
Ability to provide guidance and training to professional and coding staff
Knowledge of University policies and procedures is necessary
Prior Evaluation and Management or Emergency Medicine coding experince preferred

Medical Coder Resume Examples & Samples

Preferably 3 years of data management experience and the majority of this with medical coding
Preferably 2 years of experience in Information Technology
Preferably knowledge of Clinical Development
Preferably experience in project management

Remote Medical Coder Resume Examples & Samples

Works closely with the client’s HIM and other support departments
Works with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
Works with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states
You’re a key player in nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
Experience coding Inpatient Acute and/or Outpatient records
A minimum of two (2) years’ + experience coding patient records in a hospital HIM department

Certified Medical Coder Resume Examples & Samples

Previous inpatient and outpatient coding experience with experience in Medicare and Medicaid coding preferred
RHIA, RHIT, CCS, CCS-P, CCA, or CPC credentials required
Basic knowledge of medical terminology, anatomy and physiology, and coding systems

Medical Coder Resume Examples & Samples

Adheres to and maintains required levels of performance in both coding accuracy and productivity
Identify appropriate assignment of CPT and ICD-10 Codes for physician and facility services
Provide documentation feedback to Providers, as needed, and query physicians when appropriate
Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by CDQI Management and Optum
Travel to provider offices for feedback and training three days per week on average
1+ year coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting
Familiarity with multiple computer systems used in HIM

Medical Coder, Contingent Worker Resume Examples & Samples

Medical Coding Certificate
Two years’ experience using ICD-10-CM
Computer competency

Certified Medical Coder Resume Examples & Samples

2+ years of experience in Medical Coding (ICD-10, CPT, and HCPCS) Testing required
If selected for this role, you will be required to complete and pass a background check/investigation for AHCA compliance
Bi-lingual English/Spanish highly desired

Senior Medical Coder Resume Examples & Samples

Coding credential required (CCS, CCS-P, CPC)
2+ years of coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting
2 + years of experience with HCC
Experience coding from paper charts as well as EMR

Medical Coder Resume Examples & Samples

Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources
Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information
Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers
Selects the appropriate reimbursement grouper based on financial class for the particular account
Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications
Abstracts and enters demographic, clinical and related patient information into the computer system
Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping
Reconciles, identifies and retrieves medical records to be coded
Maintains a 95% ongoing accuracy rate
Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity
Maintains accurate productivity logs and provides this information to management in a timely fashion
Assists in the orientation and development of new coding personnel
Assumes professional responsibility for development of skills and ongoing education to maintain certification
Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature
Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the Operations Manager to find solutions and implement changes to increase productivity and department efficiency
Performs all duties and interacts with others in a professional manner
Two years of Outpatient Coding experience required
Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
Comprehensive understanding of ICD10 and CPT coding
Demonstrated ability to create strong working relations with physicians and practices
Capable of working independently as well as in a team environment

Medical Coder / Call Center Collections Resume Examples & Samples

Certified Coder
2 Years Experience in Field
Call Center Experience
Collections Experience

Medical Coder, Pathology Telecommute Resume Examples & Samples

Responsibilities include: Applying CPT - 4 and ICD - 10 codes by translating dictated pathology reports, in a timely and accurate manner
Responds to accounts receivable department when coding discrepancies need reviewed due to payer denials
Active AAPC coding certification CPC or Active AHIMA coding certification CCS
Experience working in a measured production and quality based environment

Medical Coder Resume Examples & Samples

Compile, abstract and maintain patient medical records to document condition and treatment. Actively code diagnoses (ICD-9) based on medical record documentation
Review records for completeness, accuracy and compliance with regulations. Protect the security of medical records to ensure that confidentiality is maintained
Participate in inter-rater reliability testing/peer review exercises, as requested
Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information
Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes
Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding
Knowledge of anatomy, physiology and medical terminology
Excellent verbal, math and written communication skills
Data entry
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Medical Coder Resume Examples & Samples

Responsible for conducting non-routine audits, documenting & communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits
Conduct risk assessments and preparation of work plans
Develop an understanding of the operations, system processes and procedures used in areas being audited
Review and test for compliance with institutional policies and procedures, applicable laws and regulations through the inspection of physical operations, processes, retrieval and review of documents and investigation of irregularities and errors
Compile information and/or prepare reports and analyses setting forth results of compliance audits with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action
Develop recommended corrective actions to address issues detected
Actively participates in exit conferences, providing clarification and supporting information necessary
Bachelors degree and coding certifications REQUIRED**

100

Medical Coder Resume Examples & Samples

Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion
Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record
Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary
Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility
Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students

101

Certified Medical Coder Resume Examples & Samples

Proficiency in Microsoft Office: Excel, Word, Access; Outlook; Internet
Business analysis knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills
Customer service: Skilled to communicate with all levels of management, internal and external customers
Ability to work well as a member of a team or independently
Business Communication: Must be able to effectively communicate across technical and business constituencies in writing effective business specifications and requirements
Managed Care Coding experience required; knowledge of industry and regulatory requirements regarding coding required; risk adjustment experience preferred
Two to five years related experience required
Coding Certification required; CPC or equivalent certification by AAPC
Strong understanding of all coding guidelines including NCCI edits
Must be ICD10 certified
Experience reviewing medical documentation according to both Medicare and Medicaid regulations
Risk Adjustment Coding experience preferred
AA/AS - Associates Degree or equivalent required
BA/BS - Bachelors Degree or equivalent preferred
This is not a remote or work from home position. Position requires working in our Queens office

102

Medical Coder Resume Examples & Samples

Must perform all essential duties and responsibilities of the Medical Coder position
Respond to Revenue Integrity Report findings and make applicable coding additions or corrections
As delegated, review Compliance audit findings, respond and/or correct billing system within allotted timeframe for coding corrections
Conduct training and maintain training checklists and reference material in cooperation with Management
Perform QA ailment hold review and related training as needed. Report findings to Management
Act as a resource to Medical Coder/Charge Poster teams for policy and/or process related coding questions
Assist Management in assigned tasks and projects as necessary
Be “Super User” for all related Revenue Integrity systems. (Intergy, Clinical R&V, G4 Studio, OWAN)
Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI
Detail oriented and possesses excellent analytical skills
Work under limited supervision with ability to understand and meet deadlines as workload necessitates
Ensure applicable laws and regulations of working with confidential information are adhered to
Meet department productivity standards
Consistently reports to work on time and prepared to perform duties of position
Demonstrate flexible and efficient time management and ability to prioritize workload
Communicate regularly with Management about Department issues or process improvement initiatives
Medical Billing/Coding Diploma or Certificate Required
2 or more years of coding experience in hospital or medical office setting required
Proficient knowledge of medical terminology, ICD-9 and CPT coding
Excellent computer skills including Microsoft Office especially Word and Excel
Strong command of English language
Ability to communicate clearly and effectively verbally and in writing

103

Medical Coder Resume Examples & Samples

Confirm patient demographic, insurance and referring physician information is accurately entered into practice management system
Confirm insurance verifications and authorizations, as required
Communicate with Financial Counselors regarding insurance authorizations and referrals
Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines
Enter all CPT and ICD-9 coding into practice management system timely and accurately for code capture
Enter all word codes into practice management system per company policy and procedures
Follow established check and balance systems to ensure complete and accurate code capture
Respond to audit findings and make applicable coding additions or corrections
Update practice management system patient’s account notes with any changes made to patient information or as otherwise dictated by company policy and procedure
Confirm all documentation required for coding is complete and meets required regulations
Must be able to plan and prioritize workflow
Experience in hospital or medical office setting

104

Medical Coder / Educator Resume Examples & Samples

Certified Professional Coder Certification (AAPC)
Extensive travel outside the office is required and a valid driver’s license is required. Travel could be up to 50%
Must have reliable transportation with valid driver’s license and insurance
Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required
Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude
Comprehensive knowledge of Microsoft Word and Excel and Access
Bachelor’s Degree in Business or a related field
Prior Coding experience, preferably in a medical office
Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems
Knowledge and experience in a health care environment/managed care

105

Senior Medical Coder Resume Examples & Samples

Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether a) the diagnosis codes are supported by the documentation and agree with ICD 10 Guidelines for Coding and Reporting
Review all medical record documentation for HEDIS and STARs capture and closure. Participate in and support internal and external prospective and retrospective reviews and audits
Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires
Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients
Serve as project and process SMEs when needed
High school education or GED
AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC
3+ years of experience in medical coding
1+ years of HCC coding experience
Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision
Basic Microsoft office skills: Word, Excel, PowerPoint
Ability to travel locally to various IPA sites
Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes
1 year of HCC coding in Medicare
Ability to code from a variety of electronic medical records systems

106

Medical Coder Resume Examples & Samples

This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics
Review insurance payments and denials and recommends coding corrections
National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
Experience working with the Affordable Care Act and Medicare Advantage (preferred)

107

GI Medical Coder Resume Examples & Samples

Interpret medical record data in order to process physician and/or facility charges
Three years of medical chart abstraction and coding experience or relevant work experience required
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases

108

Medical Coder Resume Examples & Samples

Bachelor's degree in health sciences, health management, or nursing
5 years of ICD-9 coding or medical record audit experience in a consultative role
CPC or CPMA from an accredited source or equivalent certification

109

Medical Coder Resume Examples & Samples

Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner
Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Codes inpatient and outpatient conditions and procedures as documented in ICD-CM Official Guidelines for Coding and Reporting
Resolve errors associated with billing and claims processing; identify and report error patterns; and design workflow changes to reduce errors
Coordinate and facilitate annual code updates with program staff
Assist in reviewing and validating MMIS ICD-10 modifications
Coordinate with program and operations staff, and MMIS IT to update, and maintain ICD logic; and help resolve mapping discrepancies
Reviews provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Resolve questions with provider
Verify and abstract specific clinical and demographic data, APR-DRG assignment, and APG/EAPG outpatient assignment
Assure appropriate diagnosis and grouper assignment. Extract required information from source documentation and enter into system
Identify and report non-payment Provider Preventable Conditions (PPC)
Review error reports; correct or complete missing data elements
Act as a resource for staff on coding issues, monitor changes in regulations that impact clinical documentations, reimbursement and coding and disseminate changes in coding rules
Ensure that computer systems are updated with annual code changes and updates
Produce clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services
Review training and communications materials and billing instructions, and oversee staff training
Three to five years of coding experience in a health care setting (i.e. hospital, large physician group practice, health plan, etc.)
Proficient in ICD-9-CM ICD-10-CM/PCS and CPT coding system, DRG, APG, MS-DRG and APCs and official coding guidelines
Ability to plan and prepare for ICD-10CM/PCS updates
Knowledgeable in medical terminology, anatomy and physiology, abnormal lab results, disease processes, and pharmacology-drug names
Basic computer knowledge and familiarity with systems used in healthcare, proficiency with Microsoft Office
Ability to work independently, and in a matrixed, team oriented, fast paced project environment
RHIA, RHIT, CCS, or CPC certification
Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines
Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed

110

Medical Coder Resume Examples & Samples

2 + years of experience in Medical Billing
Able to respect and maintain patient confidentiality at all times
Bi-lingual English/Spanish desired
5 years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing

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