HCC Coder Resume
Objective : As a HCC Coder, responsible for accurately coding patient diagnoses and procedures in accordance with CMS guidelines. This involves reviewing medical records, identifying HCC codes, and ensuring compliance to optimize reimbursement and support quality patient care.
Skills : ICD-10 Coding, HCC Coding, Attention to Detail
Description :
- Reviewed patient records to identify all relevant diagnosis codes for accurate documentation.
- Assigned appropriate HCC codes based on provider documentation and clinical indicators observed.
- Collaborated with healthcare providers to clarify documentation for improved coding accuracy.
- Conducted regular audits of coding practices to identify areas for improvement.
- Participated in training sessions to stay updated on coding changes and updates.
- Generated reports detailing coding accuracy and compliance for management review and action.
- Achieved a 98% accuracy rate in coding HCC diagnoses, significantly reducing claim denials and improving revenue cycle efficiency.
Experience
0-2 Years
Level
Entry Level
Education
MHA
HCC Coder Resume
Summary : As an HCC Coder, analyzes clinical documentation to extract relevant diagnosis codes that reflect patient complexity. Collaborates with healthcare providers to clarify documentation and ensure precise coding that aligns with risk adjustment models.
Skills : Risk Adjustment Coding, Medical Terminology, Clinical Documentation Improvement
Description :
- Researched coding guidelines and updates to ensure compliance with federal regulations.
- Participated in interdisciplinary team meetings to discuss patient care and coding needs.
- Developed coding education materials for staff to enhance understanding of HCC coding.
- Provided feedback to healthcare providers regarding documentation improvement opportunities identified.
- Completed coding audits to ensure adherence to coding standards and regulations.
- Assisted with appeals and denials related to coding discrepancies and documentation issues.
- Evaluated the impact of coding on reimbursement levels and financial performance.
Experience
7-10 Years
Level
Management
Education
BSc in HIM
HCC Coder Resume
Objective : Detail-oriented HCC Coder with over 5 years of experience in risk adjustment coding and compliance. Proven track record of accurately coding complex medical records to ensure optimal reimbursement and adherence to CMS guidelines. Skilled in utilizing coding software and electronic health records to enhance efficiency and accuracy. Recognized for improving coding accuracy rates by 15% through meticulous review processes and ongoing education.
Skills : Data Analysis, Coding Guidelines Knowledge, Regulatory Compliance
Description :
- Collaborated with IT teams to improve coding software and systems utilized.
- Monitored external coding audits to ensure compliance and accuracy of submitted codes.
- Facilitated discussions on coding challenges and solutions with other coding professionals.
- Assisted in the preparation of coding reports for regulatory agencies as needed.
- Analyzed denial trends to develop action plans for improved coding practices.
- Provided ongoing support to staff regarding coding inquiries and documentation issues.
- Conducted comprehensive audits of medical records to ensure compliance with CMS guidelines, resulting in a 30% decrease in coding errors.
Experience
2-5 Years
Level
Executive
Education
Med Coding Cert
HCC Coder Resume
Summary : As a HCC Coder, responsible for auditing and coding patient charts to identify appropriate HCC codes, ensuring compliance with federal regulations, and contributing to our overall quality improvement initiatives.
Skills : Quality Assurance, Time Management, Problem Solving
Description :
- Coordinated with external auditors to facilitate timely and accurate coding reviews.
- Prepared documentation for coding reviews and responded to inquiries as necessary.
- Addressed coding discrepancies promptly to maintain compliance and accuracy in documentation.
- Collaborated with compliance teams to ensure adherence to regulatory requirements in coding.
- Engaged in continuous learning opportunities to enhance coding knowledge and skills.
- Implemented best practices for coding processes to improve overall efficiency.
- Collaborated with healthcare providers to clarify documentation, enhancing the quality of data submitted for risk adjustment purposes.
Experience
7-10 Years
Level
Consultant
Education
AS in Coding
HCC Coder Resume
Summary : As a HCC Coder, utilizes expertise in risk adjustment coding to review and code diagnoses from medical records. Works closely with clinical teams to ensure documentation is comprehensive and codes are submitted accurately for optimal reimbursement.
Skills : Patient Privacy Regulations, Electronic Health Records (EHR).
Description :
- Tracked coding changes to keep the organization compliant with updated regulations.
- Collaborated with compliance officers to address coding-related regulatory concerns.
- Evaluated provider documentation to identify gaps impacting coding accuracy and reimbursement.
- Coordinated with billing departments to resolve coding issues affecting claims processing.
- Conducted retrospective coding reviews to validate coding accuracy and compliance.
- Implemented strategies for enhancing documentation to support coding integrity.
- Developed reports on coding accuracy and shared findings with management teams.
Experience
7-10 Years
Level
Management
Education
BA in HCA
HCC Coder Resume
Summary : Results-driven HCC Coder with extensive experience in coding for Medicare Advantage plans. Adept at analyzing clinical documentation to identify and capture all relevant diagnoses, ensuring compliance with federal regulations. Successfully increased risk adjustment factor scores by 20% in previous roles through thorough coding practices and collaboration with healthcare providers. Strong analytical skills combined with a deep understanding of ICD-10-CM coding guidelines. Passionate about improving patient outcomes through accurate coding and documentation.
Skills : Coding Software Proficiency, Abstracting Information., Communication Skills, Team Collaboration
Description :
- Participated in interdisciplinary education sessions to improve coding knowledge among staff, ensured compliance with payer-specific guidelines related to coding and documentation.
- Assisted in developing coding benchmarks to measure departmental performance, evaluated the impact of coding changes on patient care and organizational goals.
- Analyzed coding data to identify areas needing targeted training and development.
- Supported the development of coding-related compliance training for staff.
- Implemented a new coding software system that streamlined workflows, reducing coding turnaround time by 25% and increasing productivity.
- Trained and mentored junior coders on HCC coding principles, leading to improved team performance and a 15% increase in coding accuracy.
- Developed and maintained coding policies and procedures that align with regulatory requirements, ensuring compliance and minimizing audit risks.
Experience
10+ Years
Level
Senior
Education
MS in HI
HCC Coder Resume
Summary : As a HCC Coder, responsible for interpreting clinical documentation to accurately code HCC categories, ensuring proper documentation for risk adjustment. This involves working with healthcare providers to enhance documentation practices and coding compliance.
Skills : Audit and Review Skills, Healthcare Billing Knowledge., Critical Thinking
Description :
- Developed coding workflow processes to enhance efficiency and accuracy in operations.
- Tracked coding updates and communicated changes to coding staff promptly.
- Conducted market research to identify coding training needs within the organization.
- Assisted with coding training for new technology implementations related to healthcare.
- Provided recommendations for software improvements to enhance coding processes.
- Participated in case management discussions to ensure appropriate coding for complex cases.
- Monitored performance against coding benchmarks to drive continuous improvement efforts.
Experience
7-10 Years
Level
Management
Education
BSc in HDM
HCC Coder Resume
Objective : As an HCC Coder, responsible for coding and auditing medical records to ensure accurate representation of patient health conditions. Supports the organizations financial performance through effective risk adjustment coding strategies.
Skills : Medical Record Review, Coding Audits, Research Skills, Interpersonal Skills
Description :
- Reviewed provider contracts to ensure compliance with coding guidelines and standards.
- Analyzed patient demographics to identify trends impacting coding and documentation.
- Developed and maintained a coding reference library for quick access by staff.
- Assisted in identifying training opportunities to enhance coding accuracy and efficiency.
- Coordinated coding reviews with external consultants to validate compliance efforts.
- Conducted regular meetings with coding staff to address challenges and share updates.
- Evaluated the effectiveness of coding software and tools utilized within the organization.
Experience
2-5 Years
Level
Executive
Education
Med Billing Dip
HCC Coder Resume
Objective : Experienced HCC Coder with a strong background in medical coding and compliance. Over 2 years of experience in the healthcare industry, specializing in risk adjustment coding for various payer types. Demonstrated ability to conduct comprehensive audits and provide training to coding staff, resulting in a 30% reduction in coding errors. Proficient in using coding software and electronic health records to streamline processes. Committed to maintaining high standards of accuracy and compliance in all coding activities.
Skills : Training and Mentoring, Continuous Learning., Organizational Skills
Description :
- Collaborated with quality improvement teams to align coding with clinical outcomes, and assisted in creating a coding handbook to guide staff in best practices.
- Analyzed the relationship between coding accuracy and overall organizational performance metrics, and developed coding workshops tailored to specific departments for enhanced education.
- Provided support during external audits to facilitate compliance with coding standards, and assisted in the transition to new coding systems or software as necessary.
- Reviewed and updated coding training materials to reflect current practices and guidelines.
- Participated in interdisciplinary team meetings to discuss patient care plans, enhancing the accuracy of coding and documentation practices.
- Utilized advanced coding tools and resources to stay current with changes in HCC guidelines, ensuring optimal coding practices.
- Monitored and reported on key performance indicators related to coding accuracy and productivity, driving continuous improvement initiatives.
Experience
0-2 Years
Level
Fresher
Education
Adv Coding Cert
HCC Coder Resume
Objective : As a HCC Coder, responsible for reviewing, coding, and validating diagnoses to support risk adjustment initiatives. Strong knowledge of coding guidelines and the ability to communicate effectively with healthcare providers to enhance documentation accuracy.
Skills : Technical Proficiency, Adaptability, ICD-10-CM Coding, CPT Coding
Description :
- Developed a coding mentorship program to support junior coders in their development.
- Assisted in the creation of a coding compliance monitoring program for accuracy.
- Engaged in community outreach to promote awareness of coding importance in healthcare.
- Provided coding guidance during the implementation of electronic health record systems.
- Developed protocols for addressing coding discrepancies found during audits.
- Monitored changes in payer policies that affected coding and reimbursement processes.
- Engaged in ongoing education and certification programs to maintain expertise in HCC coding, enhancing professional development and service quality.
Experience
2-5 Years
Level
Executive
Education
BSc in HIT
