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Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material. Evaluates the record for documentation consistency and adequacy. medical coder objective resume sample. I have worked for family practice Dr.s and OB/GYN. Objective : Highly motivated individual with 10 years experience in the medical billing field that is very knowledgeable and organized. Sample Resume For Medical Billing And Coding With No Experience. Coding and charging for all professional and facility services for outpatient services for two Urgent Cares. Identify, compile, abstract, and code patient data, using standard classifications system. Initiated, performed and documented quarterly coding audits for physicians. Coding and charging for physical therapy services. Communicates with the Operations Manager to find solutions and implement changes to increase productivity and department efficiency, Performs all duties and interacts with others in a professional manner, Two years of Outpatient Coding experience required, Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position, Comprehensive understanding of ICD10 and CPT coding, Demonstrated ability to create strong working relations with physicians and practices, Capable of working independently as well as in a team environment, Responsibilities include: Applying CPT - 4 and ICD - 10 codes by translating dictated pathology reports, in a timely and accurate manner, Responds to accounts receivable department when coding discrepancies need reviewed due to payer denials, Active AAPC coding certification CPC or Active AHIMA coding certification CCS, Experience working in a measured production and quality based environment, Compile, abstract and maintain patient medical records to document condition and treatment. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. Medical Billing & Coding, Certificate of Completion: Institute Medical Billing & Coding: College/University – City, State Business Management: College/University – City, State Experience. Familiar with Medicare, commercial and private insurance carriers. 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, 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, 3+ years coding experience; outpatient or inpatient, CCS or CPC credentials through AHIMA or AAPC, 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, 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. I am a very experienced coder, I've been certified Like 20 years. Certified Coding Specialist with AHIMA. May produce complex documents, perform analysis and maintain databases, Bachelor's degree in health sciences, health management, or nursing, 5 years of ICD-9 coding or medical record audit experience in a consultative role, CPC or CPMA from an accredited source or equivalent certification, Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner, Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Motivated medical billing and coding specialist with over 10 yearsÕ experience in health operations management, billing, and coding. Report findings to Management, Act as a resource to Medical Coder/Charge Poster teams for policy and/or process related coding questions, Be “Super User” for all related Revenue Integrity systems. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Staff will meet with physicians in the clinical setting as needed for documentation instruction, Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines, Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives, Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives, Prior experience as a Medical Coder I or equivalent work experience, Medical, dental, vision and life insurance benefits, Ongoing training and opportunities for career advancement, Award winning, inclusive environment with Employee Resource Groups, Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes), Ensure billing codes correspond accurately with the claim notes, Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable, Provide fee schedule reimbursement date for subrogation claims, Ensure AOB (Assignment of Benefits) has been submitted to provider, Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries, Sort incoming bills by coder and distribute accordingly, Review unmatched bills and correctly identifying the claim, Mail EOB (Explanation of Benefits) statements to providers, Strong data entry skills, communication & customer service skills, Prior CPT-4 and ICD-9 coding experience preferred, Prior experience as a Medical Coder I or equivalent work, 2+ years of Coding experience in a Hospital setting, RHIT / RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines, Microsoft Office/Suite proficient (Excel, Word, etc. Summary : Inpatient Audit Consultant. Receive patients, schedule appointments, and maintain patient records. Skills : Medical Billing Co-Payments & Deductibles Payment Posting. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity, 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). . Resume for Entry Level Medical Coder (No Experience) ... Medical coders find work of coding explicit codes of any given system so that the payments of a healthcare professional can be managed. Completion: 2014. Participate in and support internal and external prospective and retrospective reviews and audits, Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires, Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients, Serve as project and process SMEs when needed, AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC, Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision, Basic Microsoft office skills: Word, Excel, PowerPoint, Ability to travel locally to various IPA sites, Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes, Ability to code from a variety of electronic medical records systems, This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics, Review insurance payments and denials and recommends coding corrections, National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), Experience working with the Affordable Care Act and Medicare Advantage (preferred), Interpret medical record data in order to process physician and/or facility charges, Three years of medical chart abstraction and coding experience or relevant work experience required, Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. Certificate Of Medical Coding Program In Professional Coding, Certificate In Medical Insurance Billing And Coding, How to write Experience Section in Medical Resume, How to present Skills Section in Medical Resume, How to write Education Section in Medical Resume. Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology. ), Experience working in a 200 bedside acute care hospital, Undergraduate degree in healthcare management, healthcare informatics, human biology, economics, or other related fields, We will also consider candidates with an associate’s degree and significant experience working as a medical coder, Certified as Coding Associate Certification (CAA), or equivalent, 5+ years of experience working as a medical coder, Passion for collaborating with others to identify disease concepts through medical codes and using the medical coding data in novel ways, Experience in preparing for transition to ICD-10, Experience maintaining code lists and using data management tools such as Excel, Tableau, and other is highly preferred, Strong problem solver with ability to research and frame answers to ambiguous coding questions, Self-starter able to work independently and deliver quality end-products in an entrepreneurial environment, Of mature disposition and personable; history of working as a team player in a dynamic and changing environment, Able to work well within teams across continents/time zones, Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies, Coding Technical Skills –Regulatory coding (ICD-10-CM and HCPCS/CPT) and associated reimbursement knowledge, Organization– Able to work independently; proactively prioritizes needs and effectively manages resources and time, Minimum (2) years experience in outpatient coding and/or Health Information Management REQUIRED, Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA), Position will require some weekly travel to offices within assigned area, Assign primary and secondary diagnosis and E/M level of service for both professional and facility components, Assigning appropriate physician number to each chart, Assigning appropriate ICD-9 and CPT codes (s) per client and payer specifications, Coding assigned facilities in a timely manner while adhering to quality standards, Entering down coded records into the coding system, Building strong knowledgebase of proprietary coding system, Reporting coding issues to the Coding Production Manager as appropriate, Assigns CPT procedure codes for clinician services to assure appropriate billing and reimbursement, Assigns diagnostic (ICD-9-CM and/or procedural codes (ICD-9-CM & CPT) on all medical record types at an advanced level to ensure proper reimbursement and accurate data base information, Input charges for all urgent care and clinic centers on a daily basis, Obtain insurance referrals and verify insurance coverage on a daily basis, File claims to the appropriate insurance company on a daily basis, Post all copayments and self-pay payments and reconcile on a daily basis, Send refunds to both patientand insurance carrier if there is an overpayment, Reviews charts and provides one-to-one and group educational feedback to the clinicians, Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate billing practices, Gather data and prepare information/reports as requested by Division Director of Medical Billing, Maintains confidentiality in all aspects of the job, Minimum 3 years specialty billing/coding in the area of internal medicine, family medicine and/or emergency medicine, Ability/knowledge to code multiple specialties, Knowledge of patient insurances.

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