Medical Coding Specialists are involved in coding claims for reimbursement and dealing with insurance bills. The most significant roles and responsibilities listed on the Medical Coding Specialist Resume include – assisting in fee schedules, reviewing and pricing; assisting with reviewing billing, instructing and updating doctors regarding coding procedures and changes, processing bills and insurance claims, clarifying information that need clarity, and performing all other general administrative tasks as assigned.
Some of the core traits that will help you excel in this field include – the ability to read, interpret and analyze patients health records; accuracy, and detail-orientation, having strong morals and ethics, a good amount of social skills, proficiency working with computers and latest technologies, and fullest knowledge of EHR software. Typically, a Medical Coding Specialist will need a Bachelor-s degree or an Associate-s degree, preference is also given for those depicting relevant certification.
Summary : Looking to work full or part time as a remote inpatient coder in a hospital setting. Responsible for assisting with the review and coding of non-OASIS required assessments (SOC, ROC, Recerts, Follow Ups) for assigned care centers.
Customized programs to help medical practices maximize revenue.
Provided on-site management for private practices, clinics, hospitals and emergency physician groups.
Abstracted and assigned the correct CPT & ICD-9 codes from medical records.
Accurately examined and evaluates the medical record and health information by performing hospital outpatient, emergency medicine and physician specialty coding as well as hospital and physician audits, appeals process, chart analysis, abstracting and data entry.
Reviewed the medical records and accurately code the appropriate diagnoses and procedures using ICD-9-CM and/or CPT coding conventions.
Maintained a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-9-CM and CPT-4 coding guidelines to medical records diagnoses and procedures.
Responsible for handling a variety of assignments such as interim management, auditing and compliance regulations.
Experience
7-10 Years
Level
Management
Education
Medical School
Medical Coding Specialist Resume
Summary : Dedicated registered health information technician (RHIT) with 15 years of medical records coding experience, always looking to learn and grow in my professional career.
Researched diagnosis/procedures for accurate coding of Oasis Assessments with emphasis on Clinical Dimensions Case Mix Groups, understanding of the Prospective Payment System and coding guidelines and regulations for reimbursement for Medicare and non-Medicare products.
Responsible for the Coding Hot-Line for three agencies.
Worked closely with new and established Nurse's/PHV's to train them to be skilled in the thorough, precise and accurate documentation of patient diagnosis and assessments.
Helped to train thorough understanding of coding guidelines to insure quality patient care while understanding the necessity of insurance reimbursement to secure the quality of future patient care.
Educated/Trained of all Managers, Quality Review Nurses, Coders.
Conducted orientation for PHV's in coding and coding guidelines Designed and implemented a completely new coding process for home care.
Worked with IT, Clinical Operations and Educators to explain the importance updating an antiquated coding process to increase efficiency, accuracy, and most importantly, increased insurance reimbursement.
Experience
7-10 Years
Level
Management
Education
AAS
Certified Medical Coding Specialist Resume
Summary : Assigned ICD 9 codes to outpatient records and reconciled insurance coverage for DRG compliance Query the physician as needed, Participate in the mentoring process to establish and maintain quality performance standards, Educate providers on documentation guidelines and area of needed improvement for revenue purposes.
Skills : ICD9/CPT Coding, Microsoft-Word & Excell, Typing 48 Wpm With Proof Of Certification, Billing And Qualifying Medical Insurance, Customer Service, Medical Collections.
Description :
Attended workshops and company in-services to ensure quality assurance.
Successfully completed companies 12 week training course in anatomy & physiology, medical terminology, ICD-9 and CPT coding systems.
Performed random audits on billed charges and physician documentation.
Provided documentation support and feedback to insurance carriers and providers.
Responsible for accurately coding E/M visits, consults, vein mapping, and surgery charges on a daily basis.
Reviewed patient medical charts to code and prepare to be sent to the insurance company.
Currently coded urology hospital procedures, in office procedures as well as E&M inpatient and outpatient and ED coding.
Experience
7-10 Years
Level
Management
Education
Information Management
Medical Coding Specialist I Resume
Summary : Hard working and motivated Medical Coding Specialist had a understanding of ICD-10-CM, CPT coding procedures and some ICD-10-PCS. Keeps abreast of all reporting guidelines and coding changes. Has a certification for CCS with AHIMA, COC with AAPC and a BS in Business Administration from Mississippi Valley State University.
Skills : Microsoft Office, EMR, CPT, ICD9/10, ICD9/10, HCPCS.
Description :
Verifie Insurance for the students.
Spoke with the students regarding their insurance plan deductible, co-pay, Out of Pocket, Coinsurance, etc.
Fixed coding on Medical and pharmacy CMS 1500 claims to be processed.
Fixed rejections and denials. Worked closely to build relationships with Medicaid and BCBS and other insurance companies.
Helped to upgrade CLIA licensure. Posted payments on students' accounts.
Helped students get signed up for the school insurance or help the students to waive their insurance.
Reviewed patient medical charts to code and prepare to be sent to the insurance company.
Experience
7-10 Years
Level
Management
Education
Medical Records Certification
Medical Coding Specialist II Resume
Summary : Obtain a position as a medical coding specialist where can utilize the training and experience have reviewing physician documentation for accuracy and assigning the accurate ICD-10, HCPCS, and CPT codes for reimbursement.
Skills : Abstract ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, And HCPCS Codes For Payment. Microsoft Office Including Word, Excel, And PowerPoint. Typing Speed 45 WPM, And 10 Key Proficiency.
Description :
Reviewed physician documentation and assigning the proper ICD-9, ICD -10,CPT, and HCPCS codes to send for insurance reimbursement.
Provided education about compliance and documentation accuracy to providers and ancillary staff.
Able to help the transition be as seemless as possible and have helped physicians and ancillary staff find the appropriate codes to crosswalk from ICD-9 to 10 because of extensive knowledge.
In charged of coding for a new clinic our organization has recently acquired and have provided trainings to providers and ancillary staff.
Used extensive knowledge and training in ICD-10 has been beneficial with the recent transition.
Ability to adjust and apply insurance regulation changes and updates.
Responsible for all charge router responsibilities to make sure codes are dropping accurately.
Experience
7-10 Years
Level
Management
Education
HCSD Certificate
Associate Medical Coding Specialist Resume
Summary : Looking to work full or part time as a remote inpatient coder in a hospital setting, Effectively maintained a 95% accuracy level of Evaluation Management, DX and CPT coding each month while working as a remote coder. Continually met the established quality and quantity standards in a timely basis.
Skills : Knowledgeable of regulations and guidelines outlined by HIPPA, CMS, and other regional and local policies.
Description :
Worked with claims to facilitate claim reviews Analyze and respond to all inquiries related to processed claims from providers and internal .
Assisted team with facilitation of modifications/edits within EPIC Perform specialized audits with providers.
Became Certified Coding Specialist Skills Used Extensive medical background Anatomy & Physiology Microbiology Pharmacology Medical Coding in the in-.
Currently coded urology hospital procedures, in office procedures as well as E&M inpatient and outpatient and ED coding.
Provided revenue enhancements in a risk aversive environment through optimal coding in a rule-dominated system.
Provided off site coding for multi- specialty practices, clinics, hospitals and emergency physician groups.
Analyzed Emergency Medicine medical reocrds and assign appropriate CPT, ICD-9 and HCPS codes.
Experience
7-10 Years
Level
Management
Education
BCHH-C ICD-10
Medical Coding Specialist Resume
Summary : To obtain employment as a Medical Billing and Coding Specialist utilizing knowledge of medical terminology, insurance policies, and extensive knowhow of ICD-10, CPT, ICD- 9, HCPCS.
Skills : ICD-9 ICD-10 Medical Coder.
Description :
Reviewed the complex medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-10CM and CPT coding conventions.
Effectively appllied ICD-10 and CPT coding guidelines to inpatient and outpatient diagnoses and procedures.
Correlated information from approved clinical documentation not limited to Pathology, Radiology, and/or other Physicians Consultations after review by Attending Physicians, wherever appropriate.
Advised nursing staff and patient accounts department in their ICD selection.
Performed ICD-9-CM analysis on admissions, and recertifications.
Troubleshoot for QI manager, ICD problems in submitted billing.
Evaluated quality of coding on OASIS before submission to Medicare.
Experience
7-10 Years
Level
Management
Education
Medical Terminology
Medical Coding Specialist Resume
Headline : Medical billing and coding specialist with 10 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Skills : Attention To Detail, Medical Coding, Utilization Review.
Description :
Correctly coded and billed medical claims.
Researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Researched questions and concerns from providers and provided detailed responses.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Experience
5-7 Years
Level
Executive
Education
Medical
Sr. Medical Coding Specialist Resume
Objective : To be able to enhance my knowledge and skills and go beyond in the field that have taken and integrate the theories and principle that have learned and apply it for company's beneficial.
Skills : Data Managment, Statistical Analysis, Research Methodology, SAS, SQL, REDCap, Access, Excel, Word, Powerpoint, Medical Terminology, Medical Coding.
Description :
Confirmed patient demographic, insurance and referring physician information is accurately entered.
Researched and resoluted of coding projects as assigned.
Performed ongoing analysis of medical record charts for the appropriate coding compliance.
Responsible for abstracting and assigning codes on HCC/ RxHCC, PAF and HQPAF coding level for compliance on the requirement of CMS guidelines in the Ingenix/Optum softwares.
Responsible in meeting minimum of 95% coding quality based on CMS guidelines.
Attended conference calls as necessary to provide excellent organizational and problem-solving skills as required.
Reviewed/audited charts on a specific given of time.
Experience
2-5 Years
Level
Executive
Education
BS In Electronics
Medical Coding Specialist Resume
Headline : To secure a position that uses skills, knowledge, experience and commitment to excellence to the fullest degree as a Medical Coding Specialist.
Skills : Well Organized, Fast Learner, Work Well Under Pressure, Get Along Great With Others, Trustworthy, Etc.
Description :
Reviewed patient's medical charts, found diagnoses and past medical history that could still be active.
Received a $4.00 an hour raise once passed this exam.
Performed qualitative analysis to ensure coding accuracy, ensure diagnoses and procedures meet current coding requirements and accurate reflection of .
Performed/assisted in data quality reviews and audits as necessary and within scope of expertise.
Abided by the standards of Ethical Coding as set forth by AHIMA and CMS.
Coded of surgical procedures performed by dermatologists such as debridement, lesion excisions, flaps, MOHS micrographic surgery, etc.
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