A detail-oriented and professional Certified Medical Coder is involved in reviewing and analyzing medical coding and billing for processing. The job description entails reviewing accurately the code office procedures for reimbursements. Other tasks shouldered by these Coders and mentioned on the Certified Medical Coder Resume are – receiving and reviewing patient document and chart to check accuracy, ensuring that the codes are active and working, reporting on incomplete coding, meeting daily coding targets, handling co-pays, balances and charge positioning, and performing additional duties as assigned.
To become eligible for fulfilling the above-mentioned duties, the Certified Medical Coder is supposed to mention these qualifications in the Resume – strong knowledge of medical terminology, physiology and anatomy; knowledge of medical record software, and the ability to multitask. A high school diploma or a Bachelor’s degree in the related field is mandatory, a medical coding certificate and valid state licensure are as well required.
Objective : Detail-oriented Certified Medical Coder with 5 years of experience in accurately coding medical records and ensuring compliance with industry standards. Proven ability to enhance billing accuracy and optimize coding processes.
Efficiently accessed and utilized hospital billing systems to compile physician records for accurate coding.
Reviewed and coded medical records using ICD-10 and CPT systems, ensuring compliance with regulations.
Verified billable services by analyzing physician documentation for accuracy.
Input coding results into EMR and Practice Management systems, streamlining billing processes.
Utilized departmental resources to support accurate coding practices and enhance efficiency.
Analyzed medical records to assign appropriate codes to diagnoses and procedures, ensuring compliance.
Organized and maintained medical records for effective patient billing and account management.
Experience
2-5 Years
Level
Junior
Education
Certified Diploma
Sr. Certified Medical Coder Resume
Summary : Detail-oriented Certified Medical Coder with 10 years of experience in coding and compliance. Proven track record in enhancing accuracy and efficiency in medical coding processes while ensuring adherence to regulations.
Skills : Medical Coding Software, CPT Coding Proficiency, ICD-10-CM Expertise, Data Management Skills, Regulatory Compliance
Description :
Coded medical records for various departments, ensuring compliance with coding standards.
Maintained confidentiality of patient records while ensuring data accuracy.
Reviewed and verified records for completeness and adherence to regulations.
Collaborated with healthcare professionals to clarify coding discrepancies.
Utilized coding software to assign appropriate diagnosis-related groups (DRGs).
Entered patient data accurately into electronic health records (EHR) systems.
Participated in regular coding team meetings to enhance coding practices.
Experience
10+ Years
Level
Senior
Education
AAS
Jr. Certified Medical Coder Resume
Objective : Detail-oriented Certified Medical Coder with over 5 years of experience in coding and auditing medical claims. Proficient in ensuring compliance with regulations and maximizing reimbursement through accurate coding practices.
Code a diverse range of medical claims, including E&M, inpatient, outpatient, and surgical services.
Conduct thorough audits of medical charts to ensure accuracy and compliance, maximizing reimbursement.
Analyze and resolve claim denials by investigating coding discrepancies and resubmitting corrected claims.
Provide training and guidance to physicians on documentation standards and coding accuracy.
Manage scheduling for physicians and ultrasound services, ensuring efficient operations.
Address scheduling conflicts with a focus on problem-solving and timely resolutions.
Investigate and resolve account discrepancies related to payments and adjustments.
Experience
2-5 Years
Level
Junior
Education
Education
Registered/Certified Medical Coder Resume
Headline : Detail-oriented Certified Medical Coder with 7 years of experience in ICD-10, CPT coding, and insurance claims processing. Proven ability to enhance coding accuracy and compliance while optimizing revenue cycle management.
Skills : Proficient in medical coding software, Analytical skills, ICD-10 Coding, CPT Coding, Claims Processing
Description :
Reviewed charge tickets for accuracy and completeness, ensuring compliance with coding standards.
Assigned appropriate ICD-10 and CPT codes based on medical documentation and service details.
Collaborated with healthcare providers to clarify documentation and improve charge capture.
Monitored billing processes to ensure timely submission of claims and resolution of discrepancies.
Performed data entry of professional charges with a focus on accuracy and efficiency.
Utilized IDX system for charge entry, maintaining high standards of data integrity.
Conducted audits of coding practices to identify areas for improvement and compliance.
Experience
5-7 Years
Level
Executive
Education
Diploma
Certified Medical Coder III Resume
Headline : Detail-oriented Certified Medical Coder with 7 years of experience in accurate coding, compliance, and documentation. Proven track record in optimizing reimbursement processes and enhancing coding accuracy.
Skills : Surgical Coding, Family Practice Coding, Cardiac Coding, Cardiology Coding, ICD-10 Proficiency
Description :
Accurately completed claims paperwork and documentation for timely processing.
Conducted research on new diagnoses and procedures to enhance coding knowledge.
Verified patient eligibility and claims status with insurance providers.
Addressed provider inquiries with detailed and accurate responses.
Analyzed CPT and ICD-10 coding discrepancies for compliance and accuracy.
Experience
5-7 Years
Level
Executive
Education
Medical Assistant
Certified Medical Coder II Resume
Headline : Detail-oriented Certified Medical Coder with 7 years of experience in accurately coding medical records, ensuring compliance with regulations, and optimizing billing processes. Proven track record in improving coding accuracy and efficiency.
Utilized coding manuals and resources to assign accurate diagnostic and procedural codes, ensuring proper billing for services rendered.
Conducted quarterly coding audits, identifying discrepancies and collaborating with management for resolution.
Communicated documentation errors with pathologists for timely corrections and amendments to medical records.
Drafted letters to establish medical necessity for reconsideration of claims denied by Medicare.
Developed and delivered internal training sessions to promote correct coding practices within the department.
Acted as a resource for providers and customer service on coding guidelines and documentation requirements.
Analyzed provider documentation for up-coding, unbundling, and inappropriate modifier usage.
Experience
5-7 Years
Level
Executive
Education
Associates In Business
Certified Medical Coder I Resume
Headline : Detail-oriented Certified Medical Coder with over 7 years of experience in accurate coding and billing. Proficient in ICD-10, CPT, and HCPCS coding, ensuring compliance and maximizing reimbursement for healthcare providers.
Conducted thorough reviews of medical records to ensure accurate coding of diagnoses and procedures.
Utilized coding software and resources to assign appropriate ICD-10, CPT, and HCPCS codes.
Collaborated with healthcare providers to clarify documentation and coding queries.
Maintained up-to-date knowledge of coding guidelines and regulations to ensure compliance.
Performed regular audits of coding practices to identify areas for improvement.
Provided training and support to junior coders on coding standards and practices.
Generated reports on coding accuracy and compliance for management review.
Experience
5-7 Years
Level
Executive
Education
Associate Of Science
Associate Certified Medical Coder Resume
Summary : Detail-oriented Certified Medical Coder with over 10 years of experience in coding for diverse medical specialties. Proven track record in ensuring accurate billing and compliance with coding regulations.
Skills : Medical Coding, ICD-10 Coding, CPT Coding, HCPCS Coding, Medical Billing
Description :
Conducted comprehensive audits of provider services to ensure compliance with coding standards.
Reviewed patient medical histories and diagnoses to assign accurate codes.
Processed and billed medical claims for various services, ensuring timely reimbursement.
Identified and corrected discrepancies in medical documentation to maintain accuracy.
Kept abreast of coding updates through continuous education and certification.
Prepared surgical billing packages with all necessary documentation.
Maintained a 98% accuracy rate in code assignment, contributing to revenue integrity.
Experience
10+ Years
Level
Senior
Education
Associate Of Arts
Asst. Certified Medical Coder Resume
Summary : Detail-oriented Certified Medical Coder with 10 years of experience in coding, compliance, and documentation. Proven track record in optimizing coding accuracy and efficiency while ensuring adherence to regulatory standards.
Accurately code inpatient, outpatient, and emergency department records, ensuring compliance with coding guidelines.
Train and mentor new medical coders, enhancing team performance and knowledge.
Collaborate with HIM operations and various departments to resolve coding discrepancies efficiently.
Work closely with the Accounts Receivable team to address coding denials and rejections promptly.
Provide education to healthcare providers on documentation requirements to improve coding accuracy.
Conduct thorough code reviews in accordance with Medicare, BCBS, Aetna, and other payer policies.
Consistently exceed weekly coding metrics while contributing to team goals and objectives.
Experience
7-10 Years
Level
Consultant
Education
Medical Billing And Coding
Lead Certified Medical Coder Resume
Summary : Detail-oriented Certified Medical Coder with over 10 years of experience in accurate coding, billing, and compliance. Proven track record in optimizing revenue cycle processes and ensuring adherence to coding standards.
Skills : Clinical Terminology, ICD-10-CM, Human Anatomy Knowledge, Gastroenterology Coding
Description :
Performed medical coding for outpatient services, ensuring compliance with coding guidelines.
Coded for Emergency Room, Lab, Radiology, and Ancillary Services, maintaining high accuracy.
Abstracted patient charts for medical billing, ensuring timely submission of claims to insurance companies.
Utilized Electronic Health Information systems to enhance coding efficiency and accuracy.
Communicated with physician offices for order clarifications and diagnosis confirmations.
Faxed necessary information to departments to ensure accurate coding of medical diagnoses.
Participated in ICD-10 training, improving the accuracy of medical record filing.
Experience
7-10 Years
Level
Management
Education
Associate In Office
Certified Medical Coder Resume
Headline : Detail-oriented Certified Medical Coder with 7 years of experience in accurate coding, compliance, and documentation. Proven ability to enhance revenue cycle processes and ensure adherence to coding guidelines.
Skills : Medical Coding Software, Data Entry Skills, Interpersonal Skills, ICD-10 Proficiency, CPT Coding Knowledge
Description :
Accurately sequenced codes based on comprehensive medical record documentation.
Collaborated with clinical staff to resolve documentation discrepancies and improve coding accuracy.
Ensured compliance with HIPAA regulations by maintaining confidentiality of sensitive patient data.
Conducted thorough research and resolution of complex coding projects as assigned.
Documented requested information from medical records to support accurate coding.
Provided expert guidance on coding queries to enhance operational efficiency.
Addressed patient billing inquiries effectively, both in-person and via phone.
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