Coding Specialist Resume Samples - Page 2

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Coding Specialists are responsible for translating patients’ data into a special code format. These codes are used for billing, recordkeeping, and research. A well-written example resume for Coding Specialist should mention work responsibilities like extracting data from documents such as diagnosis forms, researching predetermined code lists, entering codes into computer applications, and clarifying information when needed. The ideal candidate for this job should mention in their resumes qualifications like medical coding expertise, attention to details, accuracy, effective communication, time management, and teamwork. An Associate’s Degree in medical coding or a similar field is necessary for this position.

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11

Coding Specialist

Coding Speialist- CPC

  • Received Provider documentation, and assigned proper E/M and ICD-10/ ICD-9 and modifiers
  • Reviewed documentation for accuracy and completeness.
  • Coded procedures based on documentation provided.
  • IDX TES edits, CCI, LCD
  • Interpret regulatory and payer rules and directives concerning coding.
  • Contacts physicians and other health care professionals or designated liaison to obtain diagnosis information required for coding and billing of outpatient services.
  • Uphold productivity standards / daily quota set by management
  • Maintain company accuracy rate of 95% in monthly internal audits
  • Meet deadlines and complete assignments before monthly closing dates
Candidate Info
7
years in
workforce
2
years
at this job
HS
Medical Insurance Billing And Coding
12

Coding Specialist

  • Perform a variety of medical billing and coding functions, including working directly with physicians; maintain strong focus on confidentiality, accuracy and follow through for patient service, information gathering, data analysis, reporting and documentation.
  • Perform daily coding and abstracting of Urology and Gastroenterology/Hepatology visits from reports ensuring department standards of completion.
  • Identifies issues, tracks inconsistencies and communicate to appropriate parties, via Excel reports, to help organization effectively manage process for chart completion and support reimbursement.
  • Educate physicians and clinical staff on changes in coding and reimbursement.
  • Ensure the privacy and security of protected health information per HIPPA requirements.
  • Assists in training and orientation of new employees.
Candidate Info
3
years in
workforce
3
years
at this job
Health Information
13

Physician Insurance Billing /coding Specialist

Enter physician charges. Prepare & submit EDI & manual claims to TP payors.

  • Assists with reporting of daily cash to include, credit card payments & co-pays
  • Complies with various government & non-government billing regulations
  • Investigates accounts to identify any unusual issues affecting payment delays & follows up with appropriate parties.
  • Responsible for follow-up & review of delinquent patient accounts.
  • Contacts patients regarding outstanding balances & makes arrangements according to policy.
  • Codes procedures for authorizations for surgeries & codes inpatient & outpatient medical records.
Candidate Info
9
years in
workforce
8
months
at this job
14

Coding Specialist

  • Reviewing provider service charges, supporting documentation and verifying proper ICD-10, HCPCS and CPT coding is complete according to coding guidelines.
  • Processing lab, radiology, physical therapy and behavioral health services.
  • Working knowledge of Medicare PPS billing for Federally Qualified Health Center.
  • Actively resolving payment disputes based on National Correct coding Initiative Edits (NCCI.)
Candidate Info
18
years in
workforce
2
years
at this job
AAS
Business Management And Marketing
15

Coding Specialist

  • Abstract coding hospital surgeries for cardiovascular: catheterizations, catheter ablations, electrophysiological studies, implantable cardioverter defibrillator (ICD), pacemaker insertions, stress tests, general surgery, and gastroenterology
  • Abstract coding E/M for Cardiovascular and Family Practice
  • Educate staff on charting documentation basics, authorizations, and billing
  • Educating physicians on E/M documentation and CMS guidelines
  • Responsible for A/R and appealing claims
Candidate Info
12
years in
workforce
10
months
at this job
HS
Insurance Processor
AS
Clinical Medical Assistant
16

ER Coding Specialist

  • Review emergency department medical records for proper physician documentation.
  • Accurately assign and sequence codes for Evaluation and Management visits, diagnosis and procedures according to ICD 9 - CM, CPT and HCPCS - Level II
  • Maintain current knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS.
  • Maintain CCS credential with AHIMA
Candidate Info
6
years in
workforce
2
years
at this job
Coding
17

Coding Specialist

  • Accurately assigned ICD-10-CM, CPT, and HCPC codes to verbal descriptions of patients’ conditions and the healthcare services provided to treat those conditions; including, outpatients, and office visits
  • Excellent knowledge of medical terminology
  • Exceptional understanding of anatomy and physiology; also taken classes in anatomy and physiology
  • Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT, HCPCS Level II and modifier coding assignments
  • Proficient in ICD-10-CM coding
  • Assigned evaluation and management codes (both the 1995 and 1997 Documentation Guidelines).
  • Coded for obstetrical services including antepartum care, deliveries and postpartum care.
  • Coded for surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc.
  • Excellent judgement and reasoning abilities to make medical decision
  • Outstanding data entry skills, with 10-key touch
Candidate Info
8
years in
workforce
2
months
at this job
C
Medical
BA
Accountancy
MA
Master of Arts
18

Inpatient Coding Specialist (remote)

  • Responsible for accurately coding acute care patient records for reimbursement.
  • Code medical records with ICD-9 and 10 coding while maintaining 97% accuracy and achieving productivity goals.
  • Reviewed and coded charts for Cardiac, Med-Surg, Trauma, Orthopedics, OB-Gyn, Newborn, Pediatrics and Psychiatry.
  • Extensive use of 3M HDM, CAC, Epic and Cerner Power charts.
  • Maintain productivity rate of 2 charts per hour.
  • Complied with regulations and requirements for coding guidelines and policies.
  • Works collaboratively with CDI staff to advise and assist with complex inpatient cases, reviewing clinical indicators and documentation for appropriate MS-DRG assignment.
  • Query physicians for uncertain and indefinite documentations.
Candidate Info
12
years in
workforce
3
years
at this job
Ahima
Dental Medicine
Icd-9 Training
19

EMS Medical Coding Specialist

  • Consistently and accurately assign the appropriate CPT codes to each chart according to Federal, [company name]
  • Accurate understanding and application of client manual information to daily assignments
  • Provide feedback to clients regarding such issues as excessive down coding and lacking documentation
  • Meet routine deadlines and work schedules as well as timely and accurate completion of special projects and any other duties as assigned
Candidate Info
2
years in
workforce
10
months
at this job
Medical Terminology
20

Coding Specialist

Coding Specialist

  • Review OASIS for Quality Assurance, conference with Clinicians for appropriate corrections and complete all Diagnosis coding to insure maximum reimbursement as medically supported for Medicare, Medicare Managed Care and Non-Medicare Payment Sources.
  • Review of Physician orders, Clinical notes and Homebound documentation for Quality Assurance purposes and RAP and Final Claim submissions, when needed.
  • Liaison for staff for Questions related to Medicare, OASIS, Physician orders, Clinical documentation, Homebound, Medical Necessity and Non-Medicare Claims.
  • Assist Administrator and Clinical Manager with Quality Assurance issues and offer advice on Improvement measures to include in staff meetings/memos.
  • Assist Administrator, Director of Nursing, Assistant Director of Nursing & Corporate Billing Department with Claim submission error corrections and offer prevention measures.
  • Coordinate timely submissions of RAPs, Claims and OASIS data.
  • OASIS Validation Records review and address errors, when needed.
  • Create Audit tools for Quality Assurance purposes.
Candidate Info
27
years in
workforce
8
years
at this job
HS
High School Diploma
Pre-med

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