Medical Coder Resume Samples

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Medical Coders help physicians determine the right treatment by offering information about patient records, preexisting conditions, and the most effective therapies that are currently available. They may also be involved with patient admission and discharging procedures. The most successful resume samples for Medical Coders emphasize familiarity with medical terminology, organizational skills, communication abilities, techniques for obtaining patient information, and IT skills. Postsecondary certificates in health care related field are common experience in Medical Coder resumes.

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1

Medical Coder / HCC Coding

Reviewed member medical records for providers to verify and insure appropriate and accurate diagnosis and procedural data in compliance with CMS and state specific guidelines.

  • Reviewed member charts, lab and consult reports for identifying documented diagnosis
  • Advised providers of missed opportunities
  • Developed relationships with providers and staff with consistent communication and training
  • Developed and maintained standard auditing policies and procedures
  • Educated providers in correct documentation and coding and provided educational material
Candidate Info
3
years in
workforce
4
months
at this job
Medical
2

Medical Coder

Researched and provided proper and current medical/anesthesia codes, using the CPT and ICD-9 books

  • Coded for 9 different practices out of 5 different states
  • Utilized all the correct coding initiatives for each and every insurance policy as well as state law requirements
  • Reviewed EOB's for various insurance carriers and completed necessary appeals needed for denials received
Candidate Info
15
years in
workforce
3
years
at this job
AAS
Business Management
AAS
Medical Office Administration
3

Medical Coder

Reviewed scanned medical records for documentation related to disease or symptoms and diagnostic descriptions for a given encounter.

  • Demonstrated knowledge and ability to assign ICD-9 CM codes to the highest specificity ensuring that diagnostic codes and documentation accurately reflect and support the visit encounter.
  • Maintained a 97% or above accuracy rate
  • Maintained consistent daily production of greater than 40-60 reviews per day
  • Ability to identify ICD-9CM codes with HCC or RxHCC value
  • Worked on Special Projects including RADV Audits, CPT Assessment, and Vendor Training
  • Reviewed In Home Physician Evaluations for Prospective Risk Adjustment
  • Performed audits of Prospective and Retrospective employees
  • Performed IDQA for charts in preproduction stage
Candidate Info
15
years in
workforce
3
years
at this job
4

Medical Coder

Abstracted ICD and CPT codes for Radiology department which included MRI's, CT Scans and X-rays

  • Assisted with Pain Management and GI coding
  • Assembled paper charts and scanned them into system
  • Assisted Medical Records department with filing
  • Attended all coding meetings and seminars
Candidate Info
4
years in
workforce
5
months
at this job
AAS
Health Information Technology
Association
5

Outpatient Medical Coder

  • Abstract clinical information for a variety of medical records
  • Assigned appropriate ICD-9 and CPT codes to patient records
  • Analyzed, entered and manipulated databases and confirmed appropriate DRG assignments
Candidate Info
5
years in
workforce
11
months
at this job
BS
Healthcare Administration
6

Medical Coder

Responsible for accurately coding medical claims to obtain reimbursement from various insurance companies and governmental health programs.

  • Ensure healthcare providers meet specific documentation requirements that are essential in proper recordkeeping and claim reimbursement.
  • Record, store, and report medical coding information to create statistics of healthcare encounters.
  • Specialize in coding for Wound Care and Physical/Occupational Therapy Departments.
  • Serve as a liaison between the healthcare providers and Billing Department.
  • Compare account charges with documentation to ensure it is correct for final claim submission.
Candidate Info
15
years in
workforce
4
months
at this job
BS
Health Information Management
BA
Science And Technology
MA
Management And Business
7

Certified Medical Coder

Responsible for timely and accurate coding/filing for ER physicians, Cardiovascular/Thoracic Surgery and General Surgery

  • Accurately assign ICD 9 codes, sequencing diagnosis per patient medical record for physician billing in CVT Surgery and General Surgery specialties
  • Review and abstract relevant clinical data from electronic medical records to select the appropriate CPT code for procedures
  • Audit E/M billing for ER department to improve coding data accuracy for Medicare compliance reimbursement
  • Ensure all coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
  • Consult with physicians to ensure optimal reimbursement and compliance for organization's clients
Candidate Info
11
years in
workforce
6
years
at this job
AS
Graphic Design
AS
Information Technology
8

Medical Coder

Code medical records with ICD-9, CPT-4 and HCPCS processing 200 claims daily while maintaining 95% accuracy and achieving productivity goals

  • Responsible for performing claims review based on medical records documentation and compliance guidelines to ensure accurate patient billing
  • Coordinate and review all patient accounts to ensure proper billing-coding following medical guidelines and compliance rules
  • Code drugs and anesthesia for pain management
Candidate Info
24
years in
workforce
2
years
at this job
HS
Medical Billing And Coding
BS
Engineering
9

Out-patient MEDICAL CODER

Interpret health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology and medical terminology to identify code able diagnosis and procedure.

  • Assign and sequence the correct ICD-9 CM and CPT code accurately and completely.
  • Interpret and applied regulatory guidelines to coding and reimbursement decisions.
  • Assure adherence to department quality and productivity standard.
  • Reconciles NCCI correct edits and discrepancies prior to final coding.
  • Maintain 100% correct coding and accuracy.
  • Experience in coding ER E/M level, Radiology, Laboratory, MRI, Pre-Natal, Labor Observation, Pre -admission Testing.
  • Using Modifier and HCPC and adding charges when needed.
Candidate Info
20
years in
workforce
13
years
at this job
HS
Medical Billing And Coding
10

Medical Coder

  • Worked from home & on-site Coding Office Visits and Procedures ICD9 & CPT into PACE Software System
  • Used Encoder Software Coding Program
  • Responded to patient and Insurance inquiries
  • Coordinated Coding with Medical Transcriptionists and Front Desk Staff
  • Consistently meet or exceed three day turn-around time of coding
  • Clarified treatment with Doctors, Physician Assistants & Physical Therapists ensuring assignment of the correct code
Candidate Info
19
years in
workforce
13
years
at this job
C
Medical Coding

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