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.
Objective : Ambitious Medical Coding Specialist with 2 years of experience in accurately coding medical records using ICD-10 and CPT guidelines. Proficient in ensuring compliance with healthcare regulations and optimizing revenue cycle processes. Eager to contribute expertise in coding and documentation review to enhance operational efficiency and support patient care initiatives.
Developed coding protocols to enhance accuracy in medical billing.
Assigned appropriate ICD-10 and CPT codes from medical records, ensuring compliance with healthcare regulations.
Conducted thorough reviews of medical records for accurate coding and documentation.
Participated in continuous education programs to stay updated on coding changes and best practices.
Collaborated with healthcare providers to improve documentation standards and coding accuracy.
Managed coding audits and addressed discrepancies to maintain high-quality standards.
Provided training and support to junior coders on coding techniques and guidelines.
Experience
0-2 Years
Level
Entry Level
Education
BSBA
Junior Medical Coding Specialist Resume
Objective : Motivated Junior Medical Coding Specialist with 5 years of experience in coding medical records according to ICD-10 and CPT standards. Skilled in maintaining compliance with healthcare regulations and enhancing revenue cycle accuracy. Committed to optimizing documentation practices and improving patient care through precise coding and quality assurance.
Skills : 3m Encoder Proficiency, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Microsoft Outlook
Description :
Conducted thorough research on diagnosis procedures for precise coding of assessments, adhering to Medicare guidelines.
Managed the Coding Hot-Line for multiple healthcare agencies, providing expert coding support.
Trained nursing staff on accurate documentation practices to enhance coding accuracy and patient care.
Educated management and quality review teams on coding guidelines to ensure high standards of patient care.
Designed and implemented a new, efficient coding process for home care services.
Collaborated with IT and clinical teams to update coding systems, improving operational efficiency and reimbursement rates.
Reviewed coding practices regularly to ensure compliance with current regulations and standards.
Experience
2-5 Years
Level
Junior
Education
AAS HIT
Medical Coding Specialist Resume
Objective : Dedicated Medical Coding Specialist with 2 years of experience in precise coding of medical records utilizing ICD-10 and CPT standards. Demonstrates a strong commitment to compliance and accuracy, enhancing billing processes and operational efficiency. Ready to leverage coding expertise to support healthcare teams in improving patient outcomes and streamlining documentation practices.
Skills : Icd-10/cpt Coding, Microsoft Office Suite, Medical Billing And Insurance Verification, Revenue Cycle Management, Coding Software, Medical Billing
Description :
Attended workshops to ensure adherence to latest coding guidelines and quality assurance practices.
Completed a comprehensive 12-week training program covering anatomy, physiology, ICD-10, and CPT coding.
Conducted audits on billed charges and physician documentation to ensure accuracy.
Provided detailed documentation support to insurance carriers, facilitating timely claims processing.
Accurately coded evaluation and management visits, consults, and surgical procedures on a daily basis.
Collaborated with healthcare providers to improve documentation standards for optimal reimbursement.
Maintained up-to-date knowledge of coding regulations and best practices to ensure compliance.
Experience
0-2 Years
Level
Entry Level
Education
AAS in Medical Coding
Associate Medical Coding Specialist Resume
Objective : Highly skilled Medical Coding Specialist with 5 years of experience in coding medical records with precision using ICD-10 and CPT standards. Adept at ensuring compliance with healthcare regulations and enhancing revenue cycle processes. Passionate about leveraging coding expertise to improve operational efficiency and support quality patient care.
Skills : Healthcare Software Proficiency, Electronic Medical Records Management, Icd-10-cm And Cpt Coding Expertise, Billing Procedures, Cpt Coding, Hcpcs Coding
Description :
Verified insurance coverage and benefits for patients, ensuring accurate billing.
Engaged with patients to explain insurance plans, including deductibles and copays.
Corrected coding errors on medical and pharmacy CMS 1500 claims for processing.
Resolved claim rejections and denials by collaborating with insurance providers.
Assisted in upgrading CLIA licensure and managed payment postings to student accounts.
Facilitated student enrollment in school insurance programs and waivers.
Reviewed and coded patient medical records for insurance submission.
Experience
2-5 Years
Level
Executive
Education
BSBA
Medical Coding Specialist Resume
Objective : Results-oriented Medical Coding Specialist with 5 years of comprehensive experience in accurately coding medical records using ICD-10, CPT, and HCPCS guidelines. Expert in ensuring compliance with healthcare regulations, optimizing billing processes, and enhancing revenue cycle management. Dedicated to improving operational efficiency and delivering quality patient care through precise coding practices.
Skills : Healthcare Regulations, Problem Solving, Analytical Skills, Time Management, Communication Skills, Team Collaboration
Description :
Reviewed and coded physician documentation using ICD-10, CPT, and HCPCS codes for accurate insurance reimbursement.
Educated healthcare providers on compliance and documentation accuracy, enhancing overall coding practices.
Facilitated a seamless transition from ICD-9 to ICD-10, assisting staff in finding appropriate crosswalk codes.
Led coding initiatives for a newly acquired clinic, providing training to ensure adherence to standards.
Utilized extensive ICD-10 knowledge to support the organization during regulatory changes.
Oversaw charge router responsibilities to ensure accurate code submission.
Adapted quickly to insurance regulation changes, maintaining compliance and efficiency.
Experience
2-5 Years
Level
Junior
Education
AAS
Assistant Medical Coding Specialist Resume
Objective : Detail-oriented Assistant Medical Coding Specialist with 5 years of experience in coding medical records against ICD-10 and CPT guidelines. Proven ability to enhance revenue cycle efficiency through meticulous documentation review and compliance with healthcare regulations. Looking to leverage coding expertise to drive operational excellence and support exceptional patient care.
Skills : Expert In Hipaa Compliance And Healthcare Regulations, Health Information Management, Risk Management, Training And Mentoring
Description :
Managed claims reviews to resolve inquiries from providers, enhancing communication and efficiency.
Collaborated with teams to implement coding modifications in EPIC, ensuring compliance and accuracy.
Utilized extensive medical knowledge to code urology and E&M procedures accurately.
Conducted audits and provided feedback on coding practices to optimize revenue in a regulated environment.
Performed off-site coding for diverse medical practices, ensuring adherence to coding standards.
Analyzed emergency medicine records, assigning appropriate CPT, ICD-10, and HCPCS codes.
Maintained coding accuracy by adhering to best practices and regulatory guidelines.
Experience
2-5 Years
Level
Executive
Education
AAS in Medical Coding
Medical Coding Specialist Resume
Headline : Detail-oriented Medical Coding Specialist with over 5 years of experience in accurately coding patient records and ensuring compliance with healthcare regulations. Proficient in ICD-10, CPT, and HCPCS coding systems. Strong analytical skills and a commitment to maintaining data integrity. Excellent communication skills, collaborating effectively with healthcare teams to optimize billing processes and enhance patient care.
Accurately assign ICD-10, CPT, and HCPCS codes for various medical procedures and diagnoses.
Review clinical documentation to ensure accurate coding and compliance with regulations.
Correlated information from clinical documentation, including Pathology and Radiology, after review by Attending Physicians.
Advised nursing staff and the patient accounts department on appropriate ICD selection.
Collaborate with healthcare providers to clarify documentation and coding queries.
Troubleshot ICD-related issues for the Quality Improvement manager in submitted billing.
Maintain up-to-date knowledge of coding guidelines and regulations.
Experience
5-7 Years
Level
Senior
Education
AAS HIT
Freelance Medical Coding Specialist Resume
Objective : Dedicated Medical Coding Specialist with a proven track record in coding and billing for diverse medical practices. Expertise in utilizing electronic health record (EHR) systems and ensuring accurate reimbursement. Strong understanding of medical terminology and coding guidelines. Committed to continuous education and staying updated with industry changes to enhance coding accuracy and efficiency.
Skills : Medical Coding Proficiency, Reimbursement Processes, Coding Audits, Clinical Knowledge, Patient Records Management, Error Resolution
Description :
Accurately coded and billed medical claims according to ICD-10 and CPT guidelines.
Expanded coding knowledge by researching newly identified diagnoses and medical procedures.
Identified and rectified discrepancies in medical documentation, ensuring compliance.
Maintained current knowledge of coding requirements through continuous education.
Addressed inquiries from providers, delivering comprehensive and accurate responses.
Ensured strict confidentiality of patient and physician information.
Utilized various coding resources, including manuals and online encoders, effectively.
Experience
0-2 Years
Level
Freelancer
Education
AAS in Medical Coding
Medical Coding Specialist Resume
Headline : Accomplished Medical Coding Specialist with 7 years of extensive experience in coding medical records with precision using ICD-10, CPT, and HCPCS guidelines. Proven expertise in ensuring compliance with regulatory standards, enhancing billing accuracy, and optimizing revenue cycle processes. Committed to improving operational efficiencies and supporting quality patient care through meticulous coding practices.
Skills : Data Management, Attention To Detail, Coding Methodology, Regulatory Compliance, Claims Processing, Patient Privacy Laws
Description :
Verified patient demographic, insurance, and referring physician details for accurate data entry.
Conducted comprehensive analysis of medical records to ensure coding compliance.
Abstracted and assigned codes for HCC, RxHCC, PAF, and HQPAF in accordance with CMS guidelines.
Maintained a minimum of 95% coding quality based on established compliance standards.
Participated in conference calls to address organizational issues and improve problem-solving strategies.
Reviewed and audited charts within specified timeframes to ensure accuracy.
Collaborated with healthcare teams to address coding discrepancies and improve documentation practices.
Experience
5-7 Years
Level
Senior
Education
AAS in Medical Coding
Medical Coding Specialist Resume
Summary : Accomplished Medical Coding Specialist with 10 years of extensive experience in accurately coding medical records utilizing ICD-10, CPT, and HCPCS guidelines. Proven ability to enhance revenue cycle management and ensure compliance with healthcare regulations. Committed to leveraging coding expertise to improve operational efficiencies and support high-quality patient care in diverse healthcare settings.
Skills : Effective Organization Skills, Rapid Adaptation To New Systems, Thrives In High-pressure Environments, Strong Interpersonal Skills, Integrity And Ethical Standards
Description :
Reviewed patient medical charts to identify active diagnoses and histories for accurate coding.
Achieved a 4.00/hour raise upon certification completion.
Verified insurance details, answered phones, created patient charts, and managed data transfers.
Conducted qualitative analyses to ensure coding accuracy and compliance with current requirements.
Assisted in data quality reviews and audits, enhancing coding standards.
Maintained adherence to ethical coding standards set by AHIMA and CMS.
Coded surgical procedures performed by dermatologists, improving billing accuracy.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
Build an ATS-friendly Medical Coding Specialist Resume
