Summary : Medical Coder with 10 years experience in hospital inpatient/outpatient surgery coding. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Medical Coding Fresher Resume Samples. Skills : Medical Billing Co-Payments & Deductibles Payment Posting. My tenure is proof that I am passionate about my work and have the right attributes to excel in the profession. There are a lot of medical billing and coding in our life. Medical Coder Medical Coding Resume Examples . 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. Answer inquiries concerning the progress of medical cases, within the limits of confidentiality laws. Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation. Medical Scribe Resume; Medical Billing Resume; Data Entry Resume; Medical Technologist Resume . Responsible for requestor payments(collections). If you are applying for an entry-level medical coder job, you need to shift focus from your experience section elsewhere. Assigned and sequence appropriate diagnostic/procedure billing codes in compliance with Medicare and third party payors. Hard working and fully certified Medical Coding Specialist has a full understanding of ICD-9-CM and CPT coding procedures.Excellent data entry skills allows for accurate coding of medical information and provided care.Has an Associate’s Degree in Medical Billing and Coding Certification as a Medical Coding Specialist and seven years of experience. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative. Development of Policies & Procedures and workflows for use on daily operations, training, quality assurance and compliance. Maintain accuracy, exceed department productivity and quality goals. Supplies correct ICD 10 diagnosis codes on all diagnosis provided. 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. This education is being used by some of the top health systems in the country, 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, 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, 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. Medical Billing And Coding Resume With No Experience. ), 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. In a field that’s quickly developing, push your resume to the head of the pile with an attention-getting resume highlighting your experience in medical billing and coding. Certified in ICD-9 and ICD-10. Key responsibilities listed on the Medical Coder Resume include the following – receiving and reviewing patient charts and documents, ensuring accuracy of all codes, meeting daily coding production, ensuring proper coding on provider documentation, handling co-pays, charge posting and balances; storing electronic records of every patient, keeping track of medical records, processing the admission and discharge of patients; and undertaking all other work as assigned. Evaluated and reviewed group and individual medical case records against federal, institutional, and healthcare quality assurance criteria. Create, maintain, and enter information into databases. 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. Employer 1 Collections Supervisor, Nov 2012 – Present. Receive and screen telephone calls and visitors. Word, Excel, Outlook, Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes, Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies, Evaluates medical records for consistency and adequacy of documentation, Maintains compliance standards as per the policies and reports compliance issues as required, Bachelor’s degree in any stream (preferably Life Science), Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred, Minimum one year of experience in medical coding, Analytical thinking and problem solving skills, Ability to work independently and accomplish targets in a timely manner, Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information, Active AAPC coding certification CPC or CCS, 2+ years of related work in billing or laboratory testing, Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials, Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA, Privacy and Security Regulations as evidenced by appropriate handling of patient information, Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic), Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee, As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Ability to consistently code at 95% threshold for both accuracy and quality while maintaining, Client-specific and/or Precyse production and/or quality standards, Proficient computer knowledge including MS Office (Outlook, Word, Excel), Must display excellent interpersonal and problem solving skills with all levels of internal and, 2+ years of Hospital Inpatient Coding experience, Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, 2+ years of specialty Practice Coding experience, Knowledge of Anatomy and Medical Terminology, Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations, Associate's and/or Bachelor's Degree in a related field, Experience with ENT, Neurology, Plastic Surgery, etc, Prior work experience utilizing ICD10 codes, Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures, Ability to analyze, problem-solve, and work independently, Ability to provide guidance and training to professional and coding staff, Knowledge of University policies and procedures is necessary, Prior Evaluation and Management or Emergency Medicine coding experince preferred, Preferably 3 years of data management experience and the majority of this with medical coding, Preferably 2 years of experience in Information Technology, Preferably knowledge of Clinical Development, Preferably experience in project management, Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. Actively code diagnoses (ICD-9) based on medical record documentation, Review records for completeness, accuracy and compliance with regulations. Position requires working in our Queens office, 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. ICD-10, Inpatient and CPT represent an additionally healthy share of the employer Medical Coder job postings with their combined total of 30.43%. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. March 16, 2020 by admin. A career into this line requires specific education credentials such as a degree in related field with a Medical Coding Certificate. . Verify accuracy of documentation such as Medical Records, Procedures, Medical Coverage and Date of Service to insure a correct claim is sent and prompt payment from payers. Hedis Nurse Resume Examples. 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. Analyze and interpret Medical records for Ground and Air Ambulance transports. Whether you’re looking for a sideways move into medical billing or are climbing the ranks, your resume helps you leverage your experience and skills. medical coder objective resume sample. Audits records to ensure proper submission of services prior to billing. Resume For Medical Coding Job. hospital, large physician group practice, health plan, etc. Objective : To obtain a job in which I can be personable and a team player giving quality time and treatment to job duties and other staff members. Identify mistakes in reports and check with doctors to obtain the correct information. Seeks a position of increased responsibility and authority. 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, 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, 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, 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, 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, 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, Perform Coding duties as appropriate according to pre - determined schedules, Participate in Coding department meetings, 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. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues.
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