Medical Coding Specialist Resume Samples

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Medical Coding Specialists code healthcare claims with the purpose of obtaining reimbursement from insurance companies or healthcare programs run by the government. Those interested in a Medical Coding Specialist position should be able to perform the following tasks: collaborating with medical staff, using medical classification software, reviewing claims to make sure they follow rules, and researching medical records. Our collection of resume samples for Medical Coding Specialist showcases skills like knowledge of medical terminology and coding procedures, attention to details, accuracy, teamwork, time management, and confidentiality. Employers select resumes highlighting a degree or certificate in medical coding.

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1

Medical Coding Specialist

Analyzed and researched both Clinical and Safety data terminology to enable accurate dictionary code assignment. Provided training/mentoring to Data managers and Clinical Coders and acted as sponsor contact for coding related issues. Recognized, initiated and resolved data discrepancies which prohibited data coding.

  • Participated in creating, reviewing and approval of study specific coding guidelines to produced dependable and precise coding.
  • Organize and prioritize workload as defined by sponsor driven project milestones and deadlines to achieve all defined coding related goals.
  • Compiled study specific prohibited medication listings for clinical review and approval which demonstrated enhanced medication aptitude and accelerated study deviation analysis.
Candidate Info
4
years in
workforce
4
years
at this job
2

Medical Coding Specialist

  • Correctly coded and billed medical claims
  • Identified and resolved patient billing and payment issues
  • Reduced outstanding AR balance by 43% in the first two months
  • Routinely communicated with insurance providers regarding submitted invoices
  • Responsible for PQRS and MU implementation and reporting
  • Provided training to newly hired employees
Candidate Info
3
years in
workforce
2
years
at this job
BS
Automobiles And Automobile Establishment
MBA
Web Programming And Networking
3

Medical Coding Specialist - Anesthesia

  • Managed revenue cycle and support for Anesthesia healthcare services.
  • Reviewed medical records for completeness, accuracy and compliance with regulations.
  • Released information to persons and agencies according to regulations.
  • Protected the security of medical records to ensure that confidentiality was maintained.
  • Accurately assigned the appropriate designated codes to each patient record by reviewing the information provided on the anesthesia record, operative note and any other documentation utilizing ICD-9-CM and CPT-4 classification coding systems; 45 medical records per hour.
Candidate Info
14
years in
workforce
4
months
at this job
AS
Clinical Coding Specialist
AS
Science
BA
Psychology
4

Medical Coding Specialist

Engaged in medical coding for an eight doctor practice

  • Translated performed procedures into numerical codes according to ICD-9 standards
  • Prepared patient bills based on received services
  • Updated office and procedure codes from ICD revisions
Candidate Info
17
years in
workforce
1
year
at this job
AS
Associate of Science
5

Medical Coding Specialist/physician Educator/chart Auditor

  • Responsible for annual/bi-annual audits and Education of primary care and specialty providers in Mental Health, Internal Medicine, Surgery, Pediatrics, Dermatology, Radiology, Anesthesia, Oncology, and OB-Gyn.
  • Responsible for training and auditing newly hired coding specialists.
  • Developed and updated all providers super-bill.
  • Maintained a spreadsheet for trend analysis.
  • Corrected data in response to edits received, and supported claim edits.
  • Responsible for correcting accounts returned for coding, billing or system errors.
Candidate Info
3
years in
workforce
3
years
at this job
Medical Coding Specialist
6

Medical Coding Specialist/front Office Manager/receptionist

  • Perform various billing tasks utilizing ICD9, ICD10 and CPT codes for posting charges for professional providers; posting of insurance and patient payments; experience with paper and electronic claims to managed care companies/3rd party payers/Medicare; preparing itemized statements to patients; collections from insurance companies and patients with overdue charges; A/R and deposits; explanation of benefits interpretation and follow-up
  • Assisted healthcare providers with managed care credentialing requirements
  • Pursued patient eligibility, authorizations, and referrals
  • Maintained provider schedule, noting appointments and cancellations
  • Scheduled and greeted patients; routed calls and inquiries on multi-line system and transcribed messages; purchased supplies; prescription refills; scheduling and performed data entry
  • Handled documentation requests including filing and typing correspondence
  • Type medical transcriptions and daily progress notes
  • Implemented and trained employees on electronic prescribing software, electronic medical billing and HIPPA regulations
  • Interviewed and trained new employees on office procedures/practices
  • Created and executed numerous projects using MS Office
Candidate Info
20
years in
workforce
18
years
at this job
HS
High School Diploma
C
Medical Billing
BA
Nursing
7

Medical Coding Specialist

  • Communicating documentation discrepancies and questions to the attending physician.
  • Determine the proper ICD-9-CM and CPT-4 procedure codes to be assigned by researching and examining medical records, coding manuals and other pertinent documentation
  • Communicates with coworkers and physicians to resolve and clarify questions and documentation discrepancies
  • Sorts completed charts by payer, updates the chart tracking system and distributes completed charts to the appropriate personnel
  • Review audited charts and coder communications and corrects errors
  • Maintains knowledge of current trends and practices in coding principles and government regulations through reading materials and/or attendance at educational meetings or seminars
  • Assists in quality and quantity monitoring activities as assigned
Candidate Info
8
years in
workforce
8
years
at this job
C
Medical Coding
8

Medical Coding Specialist

Olympia Fields

  • Assign ICD-10-CM and or CPT-4 codes/modifiers upon review of the medical record documentation.
  • Consults with providers when selection of the principal diagnosis, procedure, or complication is in question.
  • Review and correct any inaccurate patient information.
  • Exceed and meet productivity expectations.
  • Perform related duties and responsibilities as required.
Candidate Info
7
years in
workforce
2
years
at this job
AAS
Medical
9

Patient Service Representative, Medical Coding Specialist

  • Completed and processed medical multi-specialty super bills in accordance with coding and insurance guidelines
  • Served as clinical coding and billing liaison with billing and accounts receivable unit, physicians, and other clinical staff
  • Provided front desk coverage and floated to various clinics to help with billing and front desk coverage
Candidate Info
1
year in
workforce
1
year
at this job
Communications
10

Medical Coding Specialist

  • Precisely reviewed medical records and applied appropriate ICD-9, CPT-4, and HCPCS codes for insurance payment and billing
  • Examined medical payment denials and resubmitting claims with correct and exact information
  • Reviewed medical records for provider education ensuring accurate insurance billing
Candidate Info
16
years in
workforce
5
years
at this job

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