An Outpatient Coding Specialist takes care of handling reimbursements from patients’ health insurance providers. A well-drafted Outpatient Coding Specialist Resume mentions the following core duties – assigning medical codes to each patient’s procedures, or diagnosis to file medical claims and receive reimbursement, undertaking responsibility for assigning medical codes to diagnoses and procedures of patients, assigning codes to medical services rendered by healthcare providers, and undertaking responsibility for assigning medical codes for patients who have not been admitted to the hospital.
Hiring employers prefer to hire those with the following skills and abilities – the ability to assign accurate medical codes, extensive research skills, the ability to use coding software, and knowledge of a variety of codes and guidelines; and a good understanding of the insurance and regulations. Depending on the size of the facility, either a postsecondary certificate or an associate’s degree may be required.
Objective : Seeking a position as an Outpatient Coder where my extensive experience will be used to further my career.
Skills : Communication, Customer service, and Interpersonal Skills.
Description :
Hold a High School Diploma degree in General Studies from Galesburg High School.
Reviewed records for appropriate documentation.
Compiled medical records for purposes relating to data retrieval, research.
Coded diagnoses, operations, and procedures for appropriate reimbursement.
Performed routine clerical duties.
Completed codes accurately and in a timely manner.
Applied knowledge of coding systems, including ICD-9-CM, CPT, HCPCS.
Experience
2-5 Years
Level
Junior
Education
High School Diploma In General Studies
OutPatient Coding Specialist Resume
Headline : Seeking an OutPatient Coding Specialist position in a hospital or clinic setting where I can utilize my strong medical knowledge and organizational skills. I have a strong work ethic, reliability, good sense of judgment with an enthusiastic attitude.
Skills : Microsoft Office, Encoders.
Description :
Experienced in performing coder duties pertinent to ICD-9, CPT, HCPCS, and DRG standards and techniques.
Coded and abstracted from surgical operative notes.
Experienced using Encoder software.
Knowledged of HIPPA Guidelines and Coding denials.
Abstracted and compiled data from medical records for appropriate reimbursement for hospital and/or professional charges.
Trained in ICD-10.
Accurately abstracted required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), Occurrence Codes, and other designated data.
Experience
5-7 Years
Level
Executive
Education
GED
OutPatient Coding Specialist Resume
Summary : As an OutPatient Coding Specialist, responsible for Providing a strong knowledge base that capitalizes the knowledge of medical documentation and operational functions for compliance and HIPPA guidelines in an ethical environment.
Skills : Coding Specialist, Planning Skills.
Description :
Coded ER accounts on a daily routine.
Coded the outpatient Wound Care accounts, and also cover and code the outpatient CLINIC accounts when needed.
Attended AAPC Boot Camp and acquired my CPC certification.
Trained in the outpatient coding field I have learned a great amount of knowledgeable information that I use in my everyday job duties as a coder.
Trained in ICD10 outpatient coding and I am getting ready to sit for my ICD10 proficiency exam.
Used Organizational skills and the ability to work without direct supervision.
Identified when a physician query is appropriate for further clarification.
Experience
10+ Years
Level
Senior
Education
MS
OutPatient Coding Specialist Resume
Objective : Highly skilled acute care facility outpatient coder proficient in ICD-9-CM /CPT 4 and ICD-10-CM/PCS coding of Ambulatory Surgery cases; Emergency Department to include Trauma 1 facilities; Radiology, outpatient OB to include high-risk cases; Interventional Radiology; Rehabilitation; ancillary services including outpatient clinic visits. Additional skills include auditing as pertains to GAGAS; thorough knowledge of Medicaid/Medicare policies and procedures as well as HCC coding; extensive knowledge of Medical Records daily operations.
Skills : Training Skills, Planning SKills.
Description :
Accurately coded ED records for acute care facilities utilizing PICIS and Quantum.
Documented improvement classes provided to nursing staff as well as ED providers which increased revenue in the month of June and July.
Collaborated with EMR Coordinator to create and implement a standard protocol for capturing Critical Care Level 6.
Extensive knowledged of outpatient infusion coding as provided in the ED setting.
Worked closely with nurse auditing staff to improve charge capture for medically necessary treatments per LCD/NCD.
Realized and reported missing CPT codes in the chargemaster, improving charge capture.
Coded outpatient SDS and radiology reports as needed.
Experience
2-5 Years
Level
Executive
Education
MS
OutPatient Coding Specialist Resume
Headline : To establish a long-term career in a company where I may utilize my OutPatient Coding Specialist professional skills and knowledge to be an effective Associate Program Manager and inspiration to those around me.
Skills : Outpatient ED And Ancillary Coding, ICD-10 Training. Experience With CAC Software.
Description :
Abstracted and code Emergency Department, Ancillary, and EMS charts assigning ICD-9-CM and CPT codes (ICD-10-CM codes since Utilize Epic EHR software for all documentation needs.
Utilized 3M HDM and CAC software with integrated AHA Coding Clinics for the abstracting and coding of patient charts.
Utilized Microsoft Office software including Outlook and Word for internal communication needs; Excel for the personal tracking of daily productivity.
Maintained 95% accuracy and 95% productivity throughout employment.
Participated in monthly department meetings and educational presentations via conference call communication.
Participated in ICD-10-CM online education via 3M educational website and fulfill all course needs.
Communicated with other departments in problem solving initiatives related to interfacing documentation with Epic EHR software.
Experience
5-7 Years
Level
Executive
Education
Associate Of Science
OutPatient Coding Specialist Resume
Objective : To obtain a part-time OutPatient Coding Specialist position with an emphasis on Sales Support/Office Management utilizing extensive experience and skills. Productive in contributing effectively towards the objectives of a team, and is able to share knowledge, ideas, and information.
Skills : Coding Specialist, MS Office.
Description :
Recognized when the documentation is missing or incomplete and routes appropriately.
Validated chargemaster-driven CPT code assignment and routes appropriately.
Completed review and final coding when query and/or documentation is available.
Maintained the Quality Standards set by UTSW/HIM Coding.
Maintained the Productivity Standards set by UTSW/HIM Coding.
Reviewed and analyzed medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record.
Communicated with Medical Staff as appropriate to clarify documentation issues for accurate coding.
Experience
2-5 Years
Level
Executive
Education
MS
OutPatient Coding Specialist Resume
Objective : ICD-9 / CPT/ HCPCS EOB/ ERA/ RA MS Word, Excel, Coding Aging Report PowerPoint, etc. HIPAA Payment Posting Encoder Software (3M) OSHA Balance Transfer AAPC CCI Edits Medical Terminology CMS-1500 Form Optum CCI Edits Medisoft Operations UB-04 Form High attention to detail NDC Codes TAR Form Insurance Verification Medicare/Medi-Cal.
Skills : Training Skills, Patient Data.
Description :
Accurately assigned ICD-9- CM diagnostic and CPT-4 procedure codes to patient records using the 3M encoding system.
Assigned codes from documentation of outpatient medical records.
Followed established current coding guidelines to ensure the most precise codes.
Assigned the appropriate modifiers to the CPT procedure when applicable.
Reviewed and assessed the accuracy, completeness, specificity, and appropriateness of diagnosis codes for the patient's chart.
Abstracted and entered patient data, ICD-9-CM, and CPT codes into the Cerner system using the procedural and UHDDS guidelines.
Assigned appropriate ICD-9-CM/ICD-10-CM and CPT codes to Emergency Room, Ancillary, and outpatient diagnostics coding cases.
Experience
2-5 Years
Level
Executive
Education
Bachelors In Business Administration
OutPatient Coding Specialist Resume
Objective : Highly qualified Outpatient Coding Specialist with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.
Skills : Patient Care, Clinical Skills.
Description :
Validated ED E/M levels and drug administration charges.
Maintained productivity logs.
Abstracted clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted.
Assisted Patient Financial Services with interpretation and selection of appropriate ICD or CPT codes and /or other information requested for accurate billing and reimbursement.
Possessed knowledge and understanding of failed bill parameters.
Reviewed and ensured accurate procedure charge capture for Emergency and Observation visit types.
Resolved routine coding issues/problems and appropriately seeks assistance from the Coding Supervisor.
Experience
2-5 Years
Level
Executive
Education
Bachelors In Business Administration
OutPatient Coding Specialist Resume
Summary : To secure a challenging and responsible Outpatient Coding Specialist position in a healthcare organization where my talents and abilities will be beneficial to the company, and at the same time have the opportunity for professional growth.
Skills : Training Skills, Patient Care.
Description :
Extremely knowledged with regard to Medical Coding guidelines and coding techniques (ICD-9, CPT-4, HCPCS, and DRG's).
Able to type 65+ wpm.
Participated in continuing education activities to enhance knowledge, skills and keep credentials current.
Assigned interim DRGs for in-house patients at month end.
Completed MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window).
Assisted the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC).
Adhered to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines.
Experience
7-10 Years
Level
Management
Education
Associate In Applied Science
OutPatient Coding Specialist Resume
Objective : Responsible for Coding data from records utilizing computerized coding systems and Medical records, and also Coding and entering data timely by meeting productivity standards.
Skills : Planning Skills, Data Management.
Description :
Compiled daily work list from eRequest, CRT, and/or other systems.
Taken action and resolve alerts/edits for the following patient types within established procedures and thresholds: Same Day Surgery (SDC), Observation (OBV), Wound Care, Outpatient Cardiac Cath, along with back up coverag for Emergency Department (ED), Recurring (RCR), Clinical (CLI), and Provider Office Visit (POV), as applicable.
Monitored the aging of accounts held by an alert/edit, prioritize aged accounts first, and report to leadership.
Worked with team members in billing, revenue integrity, and/or the Medicare Service Center to resolve alerts/edits.
Entered detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution.
Resolved alerts/edits daily, following established procedures and thresholds.
Worked with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits.
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