A Coding Analyst takes responsibility for evaluating and validating all codes and provides accurate procedures and evaluates all codes for all processes. While actual duties vary from setting to setting, the following are certain core duties seen on the Coding Analyst Resume – performing an audit on all clinical documents and preparing codes for providing support to all services; performing research on various coding methods and facilitating all plans; administering professional billing systems and performing all research for all solving discrepancies; administering professional billing systems, and maintaining procedure code master file and evaluating the authenticity of all entries.
The most sought-after skills for the post include the following – strong analytical and technical skills; a good understanding of code medical diagnoses in patient’s charts and the ability to use code classification software; expert knowledge of clerical and administrative procedures; and a thorough understanding of coding software; and strong interpersonal skills. An associate’s degree in the respective area is commonly seen on resumes.
Objective : Dynamic Coding Analyst with 2 years of experience in medical coding and compliance, specializing in ICD-10 and CPT coding. Proven ability to analyze coding discrepancies and enhance billing processes. Committed to ensuring accuracy in documentation and adherence to regulations, while fostering collaboration among healthcare teams.
Skills : Data Visualization, Data Management, Medical Coding, Excel
Description :
Identified key data elements aligning with insurance practices and regulatory standards.
Analyzed updates to service codes, ensuring compliance with insurance guidelines.
Collaborated with coding and compliance managers to implement billing updates.
Supported reviews of coding issues, enhancing operational efficiency.
Standardized coding practices across multiple physician billing operations.
Assigned ICD and CPT codes, ensuring documentation accuracy.
Validated treatment codes to confirm medical necessity, optimizing reimbursement.
Experience
0-2 Years
Level
Entry Level
Education
BSHIM
Junior Coding Analyst Resume
Objective : Motivated Junior Coding Analyst with 2 years of hands-on experience in medical coding and compliance, adept at ICD-10 and CPT coding. Successfully identified and resolved coding discrepancies, enhancing billing accuracy. Passionate about maintaining high standards of documentation and regulatory compliance, while collaborating effectively within healthcare teams.
Skills : Healthcare Compliance, Icd-10 Coding, Big Data Technologies, Electronic Health Records (ehr), Version Control
Description :
Managed coding discrepancies for a multi-specialty network, ensuring accurate claim submissions.
Trained new coding staff in compliance protocols and coding practices.
Executed EM coding for various specialties, including Palliative Care.
Researched and applied coding guidelines for diverse insurance carriers.
Presented educational sessions on coding practices at quarterly meetings.
Conducted audits of physician documentation, utilizing the 95 auditing tool.
Documented and analyzed audits on surgical procedures for compliance adherence.
Experience
0-2 Years
Level
Junior
Education
AAS-HIT
Coding Analyst Resume
Headline : Accomplished Coding Analyst with 7 years of expertise in medical coding, compliance, and healthcare analytics. Proficient in ICD-10, CPT, and HCPCS coding, with a strong track record of optimizing billing processes and ensuring regulatory adherence. Adept at conducting thorough audits, providing educational support to healthcare teams, and leveraging data analysis to enhance operational efficiency.
Skills : Medical Coding Expertise, Analytical Skills, Software Development, Network Security, Technical Support
Description :
Executed thorough audits on charges during the implementation of a new EMR system, ensuring compliance and accuracy.
Reviewed and optimized office note templates, providing actionable feedback to physicians for improved documentation.
Delivered coding education sessions, resulting in enhanced understanding of coding standards among staff.
Conducted random chart audits, validating charge accuracy against patient documentation.
Maintained ongoing communication with healthcare providers during software transitions, addressing documentation concerns.
Developed compliance tools for offices, ensuring adherence to documentation standards.
Kept abreast of evolving coding guidelines and regulations, ensuring that practices remained compliant.
Experience
5-7 Years
Level
Senior
Education
BSHIM
Senior Coding Analyst Resume
Headline : Results-oriented Senior Coding Analyst with 7 years of comprehensive experience in medical coding and compliance. Expert in ICD-10, CPT, and HCPCS coding, with a proven ability to enhance billing accuracy and streamline coding processes. Passionate about driving regulatory adherence and improving healthcare documentation, while delivering training and support to coding teams.
Skills : Data Mining Techniques, Documentation, Api Integration, Machine Learning Basics, Statistical Analysis
Description :
Analyzed code to identify bugs and optimize performance for software applications.
Collaborated with developers to design and implement efficient coding solutions.
Reviewed medical documentation and consulted with healthcare providers to clarify coding-related ambiguities.
Maximized reimbursement through precise ICD-9-CM and CPT coding practices.
Achieved a $500,000 increase in hospital reimbursement through an intensive physician query process.
Reviewed and maintained existing codebases to ensure quality and functionality.
Developed and executed test plans to validate software functionality and performance.
Experience
5-7 Years
Level
Senior
Education
B.S. in HIM
Coding Analyst Resume
Summary : Detail-oriented Coding Analyst with over 5 years of experience in medical coding and billing. Proficient in ICD-10, CPT, and HCPCS coding systems. Strong analytical skills with a focus on accuracy and compliance. Adept at collaborating with healthcare teams to ensure proper documentation and coding practices. Committed to continuous learning and staying updated with industry regulations.
Skills : Cerner Emr Proficiency, Allscripts Ehr Expertise, Idx Billing Systems Knowledge, Healthquest Data Management, Artiva Medical Coding Systems
Description :
Reconciled DataRAP payment reports, processed payments for providers, and collaborated with IT to resolve reporting deficiencies.
Produced comprehensive monthly reports and provided documentation feedback to physicians under the guidance of the Coding Operations Manager.
Managed attestation sheets and progress notes in accordance with DataRAP department guidelines.
Analyzed provider documentation for validation following CMS guidelines and entered final results into the DataRAP database.
Communicated with PCPs regarding documentation standards using the DataRAP application.
Ensured accuracy of diagnosis entries by validating attestation outcomes.
Reported quality concerns to the Clinical Process Quality Analyst to facilitate training and education.
Experience
7-10 Years
Level
Management
Education
BSHIM
Lead Coding Analyst Resume
Summary : Accomplished Lead Coding Analyst with 10 years of extensive experience in healthcare coding, specializing in ICD-10, CPT, and compliance. Proven expertise in enhancing coding accuracy, leading audit initiatives, and implementing best practices. Committed to driving operational efficiency and regulatory adherence while fostering a collaborative environment among healthcare professionals.
Skills : Epic Systems Proficiency, Data Organization And Management, Data Entry Accuracy, Workflow Automation
Description :
Applied ICD-10 and CPT codes to patient encounters, ensuring compliance with healthcare regulations and guidelines.
Conducted in-depth audits of coding discrepancies, collaborating with clinical staff to resolve issues promptly.
Oversaw risk adjustment coding processes, ensuring accurate documentation for optimal reimbursement.
Identified and addressed inconsistencies in medical data, proactively engaging with healthcare teams to rectify issues.
Maintained up-to-date knowledge of coding guidelines and regulatory changes to ensure compliance.
Utilized coding reference materials to enhance coding accuracy and efficiency in documentation.
Consistently met and exceeded productivity and quality standards set by the organization.
Experience
7-10 Years
Level
Management
Education
BSHIM
Coding Analyst Resume
Summary : Innovative Coding Analyst with over 10 years of extensive experience in medical coding and compliance, specializing in ICD-10 and CPT coding. Skilled in identifying coding discrepancies, optimizing billing processes, and ensuring regulatory adherence. Passionate about leveraging analytics to improve documentation accuracy and enhance operational efficiency across healthcare teams.
Skills : Health Information Analysis, Data Mining, Etl Processes, Cloud Computing, System Integration
Description :
Abstracted data from electronic medical records, assigning accurate ICD-10 and CPT codes to ensure compliance and reimbursement.
Coded surgical cases, both major and minor, across office and hospital settings to enhance billing accuracy.
Reviewed and ensured correct coding of all EM visits, facilitating timely reimbursements.
Conducted audits of coding practices to identify discrepancies and implement corrective actions.
Utilized software tools to edit coding errors for various insurance companies, ensuring compliance with CCI Edits and McKesson Contract.
Collaborated with healthcare teams to support accurate documentation and coding practices.
Managed and prioritized coding workloads across multiple clinics, optimizing team efficiency.
Experience
10+ Years
Level
Executive
Education
BSHIM
Executive Coding Analyst Resume
Summary : Accomplished Executive Coding Analyst with 10 years of extensive experience in coding, compliance, and healthcare analytics. Proven expertise in optimizing ICD-10 and CPT coding processes, enhancing billing accuracy, and ensuring adherence to regulatory standards. Dedicated to leveraging data analysis for continuous improvement and fostering collaboration among multidisciplinary healthcare teams.
Skills : Risk Adjustment Coding, Data Quality Assurance, Performance Tuning, Data Modeling, Customer Relationship Management
Description :
Managed comprehensive coding of medical records, ensuring accurate ICD-10 and CPT coding for diverse specialties.
Conducted thorough audits of coding practices, identifying discrepancies and implementing corrective actions.
Collaborated with physicians to clarify documentation, enhancing coding accuracy and compliance.
Led training sessions for coding staff on updated coding guidelines and best practices.
Analyzed coding data to identify trends, informing process improvements and compliance strategies.
Developed coding policies and procedures that align with regulatory requirements.
Facilitated communication between coding and billing departments to optimize revenue cycle processes.
Experience
10+ Years
Level
Executive
Education
BSHIM
Coding Analyst Resume
Objective : Results-focused Coding Analyst with 5 years of experience in medical coding and compliance, particularly skilled in ICD-10 and CPT coding. Demonstrated expertise in identifying discrepancies, enhancing billing procedures, and ensuring regulatory adherence. Passionate about promoting accurate documentation and fostering effective communication within healthcare teams.
Skills : Microsoft Office Suite, E-learning Development Tools, Healthcare Business Analysis, Data Analysis, Sql Database Management
Description :
Specialized in coding for various medical specialties, including General Surgery, Orthopedics, and ENT.
Managed Pro-fee coding for OBGYN services, including clinic visits and deliveries.
Analyzed and resolved denials and patient inquiries efficiently.
Provided ongoing education and constructive feedback to healthcare providers and staff.
Oversaw coding accuracy for a team of over 30 physicians across multiple specialties.
Utilized CPT, ICD-10, and HCPCS coding systems, along with 3M encoder tools.
Conducted regular audits to ensure compliance and improve coding standards.
Experience
2-5 Years
Level
Consultant
Education
B.S. in HIM
Coding Analyst Resume
Objective : Dedicated Coding Analyst with over 5 years of experience in medical coding and compliance, specializing in ICD-10 and CPT systems. Proven expertise in auditing documentation, resolving coding discrepancies, and optimizing billing processes. Committed to maintaining regulatory compliance and enhancing collaboration within healthcare teams to improve patient care.
Skills : Data Analysis Software, Data Governance, Risk Assessment, Application Development, Cross-functional Collaboration
Description :
Reviewed and analyzed health information documentation to accurately identify diagnoses and procedures affecting patient encounters.
Utilized formal training in medical terminology and reimbursement methodologies to enhance coding accuracy.
Applied CPT guidelines to assign and sequence codes for services rendered effectively.
Executed coding in accordance with CCI Bundling Guidelines to ensure compliance.
Leveraged HCPCS coding systems to enhance billing accuracy and efficiency.
Utilized CMS resources to verify medical necessity and compliance with coding edits.
Collaborated with healthcare teams to ensure accurate and comprehensive documentation practices.
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