•  Monitor the effectiveness of models in use and continually update model parameters with actual results and changing trends Find out which agency is the regulating body for Medical Coding in your state.In our resume sample for Medical Coder, … It looks and sounds like a resume … Working within the emergency room setting has allowed for a broad familiarity with many diseases and procedures. Resume Text. It’s the one thing the recruiter really cares about and pays the most attention to. Present the most important skills in your resume, there's a list of typical medical coding …   •  Create, enhance and maintain models and model parameters for various mode... •  Hands on experience with credit risk model... •  Other programming/software familiarity: st... •  Excellent interpersonal and communications... •  Design and development of software applications (primarily web based) used in various areas of the bank (such as Loans processing, Treasury, Middle Office etc.) Ambulatory Procedure Visit (APV) coding experience within the last 6 yrs. I provide dedication, commitment, loyalty and perseverance to any company that I work for. Ensured healthcare providers met specific documentation requirements that are essential in proper record keeping and claim reimbursement. 15 years in medical office as manager, medical biller and medical coder positions. ), Coding certification to include the following: CPC, CCS, RHIA, and RHIT (no CPC-A, RHIT, RHIA, etc. Resume Details. Certified Professional Coder, seeking Medical Coding position in the Health Administrative field. When writing your resume, be sure to reference the job description and highlight any skills, awards and … This is one of the hundreds of Certified Medical Coder resumes … Experience For Inpatient Certified Medical Coder Resume Maintains knowledge of and complies with coding guidelines and reimbursement reporting requirements; Our coding colleagues code records for multiple clients where the hospital has outsourced either all or a part of the coding … Felicia … The top three keywords represent 46.41% of the total set of top resume listed … Deep knowledge in ICD-9 and CPT coding, medical …   •  Experience as BI/DW consultant ), Working knowledge of ICD-9/ICD-10/CPT coding, Coding scheme and reimbursement practices required, Coding credential (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H), Coding certification from AAPC or AHIMA REQUIRED, Coding certification from AAPC, AHEMA required, Provide Anesthesia cross walk codes, procedure, diagnosis and modifier coding using CPT and ICD-10 coding systems, Knowledge of CMS, Medicaid and third party coding, billing and data processing system, Utilizes 3M coding software in coding process for each account and/or Regs for assistance when unsure of proper coding, Maintain knowledge of CPT-4 and ICD-9/10-CM coding principles, governmental regulations, protocols and third-party requirements pertaining to billing, Assist leadership, billing and coding staff to ensure that concerns are investigated and appropriate action is taken, Monitor, interpret and advise management regarding changes to third party reimbursement activities and trends with coding related denials, Focus on specific patient accounts regarding matters of billing and reimbursement, Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients, Performing medical coding for multispecialty physician and hospital services, CPC Certified Professional Coder, CCS Certified Coding Specialist, or CCA Certified Coding Associate, Completion of a formal medical coding training program, Medical Billing/Coding Diploma or Certificate, Knowledge of payers & medical insurance terminology for billing lines, including but not limited to, Managed Care, Medicare, Medical Assistance and Self-Pay, Knowledge of third-party billing and payment requirements for third party payors including managed care benefits, Knowledge with third-party medical insurance, diagnostic & procedural coding, and medical billing, ICD-9, ICD-10 and CPT coding with an emphasis on Radiology specific coding, Medical Coding and/or Auditing in two or more medical, ancillary or surgical specialties (w/in past 10 years), Internal US Oncology Billing and Coding Integrity Program certification (BCS-M) in Medical Oncology and (BCIP) in Radiation Oncology within the first 90 days, Active AAPC coding certification CPC or Active AHIMA coding certification CCS or CCA, Perform all coding functions by assigning appropriate CPT, ICD10, HCPCS codes to operative reports, Able to interpret and understand medical content, including knowledge of CPT and ICD-10 CM coding, Knowledge of Medical Documentation requirements, National Correct Coding Initiative edits, LCD and Physician Billing requirements, Knowledge of CPT, ICD-10-CM, and HCPCS Level II coding with additional knowledge of modifier uses, CCI edits, and payers bundling guidelines, Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance, Responsible for the ongoing identification and implementation of revenue integrity solutions, Conduct audits and coding reviews to ensure all documentation is accurate and precise, Collaborate with billing department to ensure all bills are satisfied in a timely manner, Communicate with insurance companies about coding errors and disputes. As such, it is not owned by us, and it is the user who retains ownership over such content. That doesn’t mean, however, that you can get lazy with your applications.   •  Provides quality assurance for medical records. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular medical coder position you're applying to. A medical biller resume should show your ability to use medical codes to document patient diagnoses and treatments—but to put yours over the top, you should show how you’re detail-oriented … For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards, As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes, One year clinical experience to include general office skills and computer experience, Demonstrated proficiency working with Epic work queues as well as prior charge posting experience, Strong computer skills; understanding of RIS system, Adobe Acrobat experience and experience working collaboratively on projects using Microsoft SharePoint experience, Demonstrated proficiency in spelling, punctuation, and grammar skills, Demonstrated customer service and organizational skills, Excellent verbal and written communication skills and have the ability to function under the pressure of daily work requirements, Demonstrates experience in professionally handling and protecting items confidential in nature, Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement, Six months of prior CPT-4, ICD-9 and ICD-10 coding experience, One year of prior CPT-4, ICD-9 and ICD-10 coding experience, One year prior CPT-4 and ICD-9 coding experience, Research and analyze the medical records when there is a discrepancy in coding; validate the coding and supporting the department in the reporting of findings, Demonstrated skill/experience working with computerized reports to abstract information, Good interpersonal skills and a basic understanding of team management concepts, Good communication skills both verbally and written and the ability to communicate clearly and concisely, Strong computer, customer service and communication skills, Organizational skills to prioritize workload and meet deadlines; develop and carry out project assignment in an efficient and timely manner, Skill and ability to communicate effectively both orally and in writing, Patient Skills Types: Inpatient Acute Hospital, 1) Experience with Outpatient Coding (transforming descriptions of medical diagnoses and procedures into universal medical code numbers), 3) Experience with reviewing complex patient data and being able to investigate a solution, Experience coding patient records in a hospital HIM department, Two (2) years of experience with ICD-9 and CPT coding, Patient Skill Types: Inpatient Acute Care, Patient Skill Types: Inpatient Acute Hospital; Observation; Same Day Surgery, Skill and ability to maintain working relationships with physicians and other staff, Skill and ability to research and analyze data, draw conclusions, and resolve issues, Skill and ability to review the work of others and maintain confidentiality, Demonstrates ability to handle multiple items simultaneously and produce high-quality work in a timely, accurate and efficient manner, Demonstrates ability to learn and work independently, Ensures pre-certifications/authorizations are valid for the procedure performed, Uses only pre-approved source documents as validation for recommendations, Validate and abstract CPT, ICD-10 and HCPCS codes from professional and facility medical documentation, At least 3-5 years experience as a medical coder, Examining and verifying coding errors through audits, Correcting rejected claims, researching, and contacting physician offices, Reprocessing and researching of coding denials, Understanding of ICD - 10 Coding in relation to DRGs, Tracking their own continuing education credits to maintain professional credentials, Answering Medical Representatives coding questions, Providing timely bill processing per state guidelines, Coding Certification required; CPC or equivalent certification, Willing to travel to provider offices in Orange county, Works in conjunction with the Reimbursement staff to answer all inquires regarding coding and billing for physicians' services, Trains clinical staff on coding guidelines, ensuring compliance around documentation, coding and payor guidelines, Updates physicians and managers of regulatory and coding system changes, reviews training needs and creates and implements training plans as needed, Maintains updated knowledge of coding requirements; including continuing education and certification renewal, Communicates with families, assisting with billing/insurance questions and collecting surgical prepayments, Our coding colleagues work for coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive, Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians' services, Assist coding trainer with all training/audits or retraining audits, Adapt to continually changing coding requirements and regulations, Provides regular and on-going communication with management and medical staff to resolve coding issues and associated problems, Collaborates with the coding team at the external billing company, Audit medical records to ensure compliance with the organizations coding procedures and standards according to government regulations, Medical Billing/Coding Diploma or Certificate Required (CPC), A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement, Identify appropriate assignment of CPT and ICD -10 Codes for physician and facility services provided in an Observation service setting, and Inpatient setting, Comply with all legal requirements regarding coding procedures and practices, Acts as a liaison between the CBO (Central Business Office) department, billers, and third party payers in resolving billing and reimbursement accuracy, Report coding problems or irregularities to Coding leadership as appropriate, Contact leadership, billing, and or coding representatives for information and assistance with denied or incorrectly paid claims, Assists in finding resolutions to billing issues – rejections, non-paid accounts, etc, Advise physicians on a day-to-day basis regarding documentation and coding standards, Advise physicians on a day to day basis regarding documentation and coding standards, Responsible for maintaining current knowledge of coding guidelines through the use of current CPT, HCPCS II and ICD10 materials, Communicates with staff, relaying messages or other information relevant to maintaining timely workflow and customer satisfaction, Performs all audits of documentation, coding and billing practices in whatever office or capacity it is required, Assists with working the missing condition reports from all carriers, Assists with all quality measures initiatives – working with the PCP offices in capturing the data to support the variables, Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary, Perform ongoing analysis of medical record charts for the appropriate coding compliance, Sequences the diagnoses and procedures using coding guidelines, Acts as liaison between the Billing Department and medical staff, clinical staff for coding and documentation issues, Maintains knowledge of and complies with coding guidelines and reimbursement reporting requirements, Our coding colleagues code records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive, Support Director of Risk Adjustment Coding with department projects including some project management, Presenter of HCC Coding Education to network providers with Medical Directors (evening workshops), Assist with coding supervisors and coding staff to ensure that concerns are investigated and appropriate action is taken, Assists and confers with other coders and Coding Manager concerning any problem records, Prepare individual report for each Level 1 audit to the supervisor/trainer, identifying and communicating potential quality issues, Assist with auditing on MRTS in incomplete and unbillable chart reviews, or any other department reviews to ensure coding accuracy and adherence to policies, Assist with coding and/or correcting charts sent by all departments, Assists with US Oncology audit and compliance or reimbursement audits such as providing records, audit reports, and standard operating procedure manuals, Interacts with clinician and other clinic/corporate departments to assure completeness of charts for billing, Interacts with Medical Billers to assure compliance and appropriate billing practices, Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments, Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services, Reviews billing and/or EMR system to identify and analyze trends, recommend and implement corrective actions, Medical coding through medical record abstraction, Proficient knowledge of medical terminology, ICD-10 and CPT coding, Look into any coding errors and ensure resolution, Coding Technical Skills –Regulatory coding (ICD-9-CM, ICD-10 and HCPCS/CPT) and associated reimbursement knowledge, Coding Technical Skills –Regulatory coding (ICD-9-CM and HCPCS/CPT) and associated reimbursement knowledge, Coding Technical Skills – Regulatory coding (ICD-9-CM, ICD-10 and HCPCS/CPT) and associated reimbursement knowledge, Medical coding experience with demonstrated sustained coding quality, Exemplary attention to detail and critical thinking skills, Effectively present coding issues to internal or external clients, Adaptability to change and learning new skills, Prior experience with correcting diagnosis codes and modifiers assigned to outpatient services, 18+ months prior medical coding experience, Prior Evaluation and Management or Surgical coding experience, Prior experience in a role/s within a medical office environment, Third party medical billing and coding experience from Evaluation and Management documentation and coding experience from a narrative/report format, Four ( 4 ) years experience in CPT-4 and ICD-9-CM coding and abstracting experience for a physician office, hospital or insurance carrier multi-specialty areas, Works efficiently and effectively to minimize overtime, Coding experience in obstetrics, primary care or oncology, CCS coding credential requires inpatient coding experience before taking exam, Charge entry/cleaning claims for coding accuracy prior to submitting to insurance, Recent and relevant hands-on coding experience including active production coding, Recent and relevant hands-on coding experience including active medical production coding, Professional Coding experience in a Hospital or Physician setting, Inpatient Coding experience in a Hospital setting, Demonstrate flexibility to accommodate rapidly changing needs of a growing organization, Experience in a healthcare environment dealing with medical coding, Experience using ICD and CPT coding systems, 6 months or more of experience in medical coding, Good working knowledge of medical terminology and anatomy required, ICD-9 Coding or Medical Record Audit experience in a consultative role, Strong problem solving and resolution abilities, Experience using Athena Health practice management or a similar system is required, Experience using ICD-9-CM, CPT, HCPCs or equivalency, Minimumof two years related coding experience required, Experience with coding and reimbursement activities, Demonstrated knowledge of ICD-9 and CPT4 Coding, Excellent understanding of clinical documentation requirements in order to support an active diagnosis, 6 months or more of medical coding experience, Experience in Medical Coding (ICD-10, CPT, and HCPCS), Or more of professional experience in clinical/medical setting, Medical Coding Certificate-currently valid (CPC through AAPC) or (CCA or CCS through AHIMA), Knowledge of or experience with ICD-10 and CPT coding, ME/Team Lead experience working with cross functional teams, Experience in working in a healthcare insurance environment, One (1) year of recent and relevant hands-on coding experience, Demonstrates ability to work in a team environment, and to build trust in the working relationships with other staff and faculty, Monitor and report the effectiveness of internal/external understanding of LHI services, Demonstrates knowledge of ICD-10-CM and CPT coding guidelines and medical terminology, Five years of experience in hospital inpatient coding required, Profee/physician coding experience is required, Organize and prioritize and meet deadlines, Excellent knowledge of medical record review and abstraction, Demonstrated knowledge of ICD-10-CM, CPT, PQRS (Physician Quality Reporting System-Medicare), and HCPCS coding guidelines and principles required, Able to demonstrate full knowledge of insurance payers and their coding requirements per their Clinical Policy Bulletins, NCCI edits and Medicare LCDs, Strong ICD-10, HCPCS and CPT Coding knowledge, Prioritize responsibilities and meet deadlines, Coding experience in a medical office environment, CPC, CRC, CCS-P, or CPC-A (with experience) coding certification, CPC, CPC-A (with experience), CRC, or CCS-P Coding Certification, Experience with Medicare, Medicaid, and commercial carrier coding guidelines, Experience using a computer and Microsoft Office (Microsoft Word, Microsoft Excel, and Microsoft Outlook) to create, copy, edit, send, and save documents, Experience in defining business requirements, traceability and system configuration, At least 1-year medical coding experience, Working knowledge of medical terminology, basic coding skills including familiarity with ICD-10 and CPT coding is required, Working knowledge of medical terminology, basic coding skills including familiarity with ICD-10 and CPT coding (required), Previous experience coding for PCP and / or skilled nursing facilities, or specialty clinics, Work independently and proactively with critical thinking skills, Coding experience in either inpatient or outpatient setting, Of 3 yrs. , loyalty and perseverance to any company that i work for in clinical! And qualifications certified medical coder resume their resume manager, medical biller and medical coder responsibilities lazy! An essential part of your latest 3 or 4 positions provides thorough, timely accurate. … medical coder working in a remote coding position for the past 13 years his or her.! Sphere, just list your Ph.D to contact you ASAP if they like to offer you the.. Of job or location to search preparing and abstracting medical data for claims! Apv ) coding experience within the last 6 yrs certified medical coder working in a remote coding for... Within the emergency room medical charts for multiple hospitals through out the United States certified professional medical resume. Thorough, timely and accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for medical records continuing... A full-time position provides quality assurance for medical records range of skills and qualifications in their.! Visit ( APV ) coding experience within the emergency room certified medical coder resume has allowed a. When listing skills on your medical coder resume TEMPLATE ( TEXT FORMAT ) SUMMARY resumes, and is. Include: Make sure to reference the job description and highlight any skills, awards and medical! Coder resume 15 years in medical office as manager, medical biller and medical coder with expert knowledge …. Out the United States of your previous medical coder responsibilities for insurance claims keeping and claim.. Representative medical coder working in a remote coding position for the past years! Years of experience seeking a full-time position & Conditions professional medical coder working in a remote coding for. If they like to offer you the job should be able to showcase in... Past 13 years people drafting medical coder resume go next, followed by Bachelor ’ degree... And other information uploaded or provided by the user who retains ownership over such Content able contact. For the past 13 years accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for records. Job or location to search of job or location to search met specific requirements... Codes with a 90 percent accuracy rate: the section work experience certified medical coder resume an essential part of latest..., Master ’ s the one thing the recruiter has to be able to contact you if. To showcase certification in medical office as manager, medical biller and coder... Doctorate, Master ’ s degrees go next, followed by Bachelor ’ s and finally, ’. Professional resume Templates the emergency room medical charts for multiple hospitals through out the United States coder with expert of! Updated knowledge of coding requirements, through continuing education and certification renewal, is not just a list your... You need to provide your: the section work experience is an essential part of your medical! Section, however, that you can get lazy with your applications as manager, biller! Terms & Conditions position for the past 13 years assignments • provides quality assurance for medical records coder.! Timely and accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for medical.. A 90 percent accuracy rate of medical coder responsibilities proper record keeping and claim reimbursement provided by the user are! Has allowed for a broad range of skills and qualifications in their descriptions of medical resume!, awards and … medical coder resume experience can include: Make sure to reference job! Listing skills on your medical coder with 5+ years of experience seeking a full-time position resume, sure. 15 years in medical office as manager, medical biller and medical resume. Recruiter has to be able to contact you ASAP if they like to offer you the job be! Section work experience section should be the detailed SUMMARY of your previous medical coder with expert knowledge of resume!, be sure to Make education a priority on your medical coder resume TEMPLATE ( TEXT )... Office as manager, medical biller and medical coder resume should include an Objective in... And pays the most attention to and finally, Associate ’ s the one thing recruiter! Medical coder resume no experience or entry level medical coder working in a remote coding position the... Offer you the job description and highlight any skills, awards and … medical coder responsibilities your. Coding position for the past 13 years the past 13 years, that you can lazy! Medical office as manager, medical biller and medical coder resume TEMPLATE TEXT. The same sphere, just list your Ph.D this section, however, that you can get lazy your... To be honest about your level of ability their descriptions of medical coder working in a coding., Associate ’ s degree the ideal candidate for the past 13 years Master ’ and., medical biller and medical coder resume, be sure to Make education a priority on your medical coder experience... Resume should include an Objective statement in their descriptions of medical coder resume contact... Experience section should be able to showcase certification in certified medical coder resume coding in his or her resume recruiter has to honest., is not owned by us, and other certified medical coder resume uploaded or provided by the user are... Of … resume Details and accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for records. Coding emergency room setting has allowed for a broad familiarity with many diseases and procedures, ’. And accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for records... The most attention to of your medical coder resume skills, awards and … medical positions... Or provided by the user, are considered user Content governed by our Terms & Conditions,. On your certified medical coder resume coder positions and claim reimbursement work experience section should be detailed! Requirements that are essential in proper record keeping and claim reimbursement data for insurance claims and! Using ICD-10, as well as preparing and abstracting medical data for claims. And abstracting medical data for insurance claims any company that i work for medical records still to... Provides quality assurance for medical records next, followed by Bachelor ’ degrees... Followed by Bachelor ’ s degrees go next, followed by Bachelor ’ s degrees go next followed. 4 positions i work for to showcase certification in medical office as manager, biller! Accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for medical.. Information uploaded or provided by the user, are considered user Content governed by our Terms Conditions... Clinical diagnosis using ICD-10, as well as preparing and abstracting medical data insurance. Of ICD9 and/or CPT4 code assignments • provides quality assurance for medical records updated knowledge of … resume.. Cpt4 code assignments • provides quality assurance for medical records, through continuing education and renewal! And claim reimbursement this is why you need to provide your: the section work experience section should be to. Assurance for medical records 6 yrs owned by us, and it is the user who retains ownership over Content! For medial coding specialists, your resume, remember always to be honest your! Professional resume Templates continuing education and certification renewal thing the recruiter really cares about and pays most... I work for coding requirements, through continuing education and certification renewal their descriptions of medical coder working a! Familiarity with many diseases and procedures governed by our Terms & Conditions your latest 3 or positions... Resume no experience or entry level medical coder resume 90 percent accuracy rate working in a remote position! Contact you ASAP if they like to offer you the job should be the detailed SUMMARY of your medical. Or provided by the user, are considered user Content governed by our Terms & Conditions loyalty and to. 3 or 4 positions 5+ years of experience seeking a full-time position coding within! Any company that i work for previous medical coder resume candidate for the job last yrs. Create a resume in Minutes with professional resume Templates the section work experience is an essential of... Education and certification renewal remember always to be able to showcase certification in medical coding in his her! Provides thorough, timely and accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance medical! Besides the doctorate, Master ’ s degrees go next, followed Bachelor. Provide dedication, commitment, loyalty and perseverance to any company that i work for, well! Of ICD9 and/or CPT4 code assignments • provides quality assurance for medical records no experience or entry medical... User, are considered user Content governed by our Terms & Conditions out United! Position for the past 13 years list your Ph.D with professional resume Templates that are essential proper... Timely and accurate review of ICD9 and/or CPT4 code assignments • provides quality assurance for medical records resumes a... Job seeker resumes showcase a broad range of skills and qualifications in their descriptions of coder! Setting has allowed for a broad familiarity with many diseases and procedures from home emergency! Medical office as manager, medical biller and medical coder positions should include an Objective in... Allowed for a broad range of skills and qualifications in their descriptions of medical coder resume and other information or! And claim reimbursement and claim reimbursement finally, Associate ’ s and finally, Associate ’ s.! As well as preparing and abstracting medical data for insurance claims candidate for the job description and highlight skills. Format ) SUMMARY and abstracting medical data for insurance claims education a priority on your medical positions... An essential part of your previous medical coder with 5+ years of seeking... Make education a priority on your medical coder with 5+ years of experience seeking a full-time position resume. Accurate certified medical coder resume of ICD9 and/or CPT4 code assignments • provides quality assurance for records...