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Coding Specialist Resume Samples
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Candidate Info
1
year in workforce
1
year at this job
Communications
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
15
years in workforce
3
years at this job
Health Information Technology
Coding Specialist
Coding and charging outpatient accounts - same day surgery, ER, UC, clinical, recurring, wound care.
- Programs used daily - Optum, 3m/ClinTrac, Meditech, Lynx, Vitalware
- Completed in-house I10 training
- Experience with (ICD9 & ICD10) on all account types
Candidate Info
10
years in workforce
2
years at this job
Medical
Medical Billing and Coding Specialist
- Demonstrated activities such as posting payments and charges to patients
- Recorded data electronically for collection, storage, analysis, recovery and reporting
- Prepared financial statements and billing statements
- Utilized classification software to assign clinical and hospital codes for reimbursement and data analysis
- Entered data, scheduled appointments and spoke with patients about payment options
Candidate Info
4
years in workforce
9
months at this job
BS
Healthcare Management
Coding Specialist
- Accurately assign CPT codes, ICD-9 codes and appropriate modifiers utilizing various billing/coding systems.
- Analyzes records for complete clinical documentation necessary to determine if additional documentation is needed to assign appropriate diagnoses and procedure and communicates with physicians or staff when necessary to obtain documentation and/or clarification.
- Processed 60-70 claims daily while maintaining 95% accuracy and achieving productivity goals.
- Experience with Epic and encoder
Candidate Info
8
years in workforce
1
year at this job
BA
Health Care Administration
Medical Coding Specialist
- Maintained knowledge of current Medicare/Medicaid policy changes
- Audited provider documentation/coding for accuracy and educate providers
- Reviewed charges to third party payers for accuracy
- Reviewed claims submitted to [company name] for correct coding and reimbursement or denial
Candidate Info
11
years in workforce
4
years at this job
Coding Specialist
OB/GYN, Pediatrics, REI and Dysplasia Clinics
- Abstract clinical data on all inpatient, outpatient, consultations and procedure charge from medical records and on line patient data. Maintain 95% accuracy rate.
- Analyzes and review third party payer reimbursement to ensure charge codes are reimbursed at the maximum benefit level
- Provide feedback to physicians, clinical and clerical staff to facilitate coding and communication.
- Continuing education classes, review publications for updated codes and reimbursement.
Candidate Info
5
years in workforce
1
year at this job
BS
Psychology
Human Services Technology
Billing and Coding Specialist
- Used knowledge of diagnosis and procedure coding to submit accurate claims to payers
- Specialized in knowledge of Medicare and Medicare Advantage plans and guidelines
- Ensured that diagnosis codes met medical necessity for each payer
- Edited claims, requested appeals/reviews and ensued payment
- Completed requests for medical records
- Assisted clients in creating and completing personal goals
- Supervised day program activities and education
- Completed documentation to comply with insurance guidelines
Candidate Info
12
years in workforce
1
year at this job
AAS
Medical Office Technology
Coding Specialist
- Analyzes and interprets information in the medical record and assigns the correct code(s) utilizing ICD-10-CM and/or CPT-4 classification system to the diagnoses/procedures of medical records according to the coding guidelines
- Evaluates medical record documentation to ensure that diagnostic and procedural codes and other relevant documentation accurately reflect and support the visit or procedure
- Reviews medical records for accurate charge capture (posting) and for completion of all pertinent procedures
- Accurately reviews medical records and determines diagnoses to be completed and sequenced according to documentation and coding guidelines
Candidate Info
5
years in workforce
3
years at this job
HS
High School Diploma
Communications
Remote Medical Coding Specialist
- Accurately review and code patient charts based on provider documentation with the ability to meet or exceed productivity goals of 200 charts per day
- Responsible for reviewing coding edits before submission to payers and making the necessary corrections for accurate claim processing and reimbursement
- Skilled in reviewing claim denials of coding related issues, making corrections when appropriate and coordinating with the billing department to insure accurate information gets resubmitted for correct reimbursement
- Assisted in educating other team members on correct coding practices and procedures as well as assistance on system applications
- Communicated directly with practice managers and providers to insure documentation accuracy, coding correction notifications, and patient related coding questions or issues
Candidate Info
2
years in workforce
2
years at this job
C
Medical Billing And Coding
AS
Science
BA
Anthropology
Coding Specialist
Assigns appropriate diagnoses codes to patients within the network.
- Specializing in home-care coding
- Working knowledge of OASIS, Encore, and PPS
- Working remotely since June 2015
- Recently AAPC trained in ICD-10
Candidate Info
7
years in workforce
2
years at this job
HS
Medical Insurance Billing And Coding
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
3
years in workforce
3
years at this job
Health Information
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
9
years in workforce
8
months at this job
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
18
years in workforce
2
years at this job
AAS
Business Management And Marketing
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
12
years in workforce
10
months at this job
HS
Insurance Processor
AS
Clinical Medical Assistant
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
6
years in workforce
2
years at this job
Coding
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
8
years in workforce
2
months at this job
C
Medical
BA
Accountancy
MA
Master of Arts
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
12
years in workforce
3
years at this job
Ahima
Dental Medicine
Icd-9 Training
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
2
years in workforce
10
months at this job
Medical Terminology
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
27
years in workforce
8
years at this job
HS
High School Diploma
Pre-med
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
11
years in workforce
7
months at this job
AAS
Healthcare Support
Coding Specialist
- Responsible for coding outpatient procedures in the Gastroendoscopy center
- Communicating with doctors and nurses regarding patient diagnosis and treatment plans
- Informing doctors about insurance requirements
- Entering and verifying charges for procedures
Candidate Info
10
years in workforce
5
years at this job
Senior Certified Coding Specialist
- Perform quarterly compliance audits
- Provide billing and coding education and training to Physicians and billing staff
- Prepare and present coding education to Physicians
- Evaluate and maintain organizational unit goals
- Analyze and monitor billing errors and conduct daily audits
- Communicate all trends and issues with immediate management team
Candidate Info
19
years in workforce
2
years at this job
Dermatology
Medical Coding
Computer Programming
Coding Specialist II
- Remote Position
- Responsibilities include Abstracting daily Outpatient Ambulatory Surgery and Emergency Room Narrative reports, using ICD-9 CM, ICD-10 CM, CPT-4, following all guidelines per CMS. Utilize Cerner, 3M Encoder, GE IDX, Code Assist/Code Ryte, ClinTrac
- Focus is spent on ED and Same Day Outpatient Surgery coding.
Candidate Info
23
years in workforce
5
months at this job
C
Medical Coding
Medical Coding
Business
Medical Coding Solutions, Remote Coding Specialist
- Coding Inpatient, ER, Same Day Surgery, and Ancillary
- Experience coding for multiple hospitals throughout the United States
- Experience with [company name], Optum, Cerner/Powerchart, Citrix, AllScripts
- Experience coding a wide variety of procedures
Candidate Info
8
years in workforce
3
years at this job
C
Office Technical Support
C
Medical Coding Specialist
AS
Health Informtion Management
HIM Inpatient Medical Coding Specialist
- Apply knowledge of ICD-10 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly
- Maintains high quality and quantity standards
- Decipher medical terminology in patient's medical records in order to identify all diagnosis, conditions, problems and procedures in a variety of medical specialties in an acute care setting
- Proficient in computerized Coding Technology such as 3M CAC, Cerner, EPIC and Horizon Patient Folder
- Analyze and abstract medical record for correct admit/discharge dates and enter proper surgery dates
- Maintains current knowledge and changes of the information contained in the Coding Clinic, and the Official Guidelines for Coding and Reporting
- Proven ability to use independent judgment and work remotely with minimum supervision
- Able to adopt, modify and prioritize coding functions
- Good interpersonal skills and the ability to function as a team member
- Consistently learning and enhancing coding skills and technical knowledge to adapt to the constant changes in the medical coding environment
Candidate Info
10
months in workforce
3
months at this job
HS
High School Diploma
AS
Health Information Management
BS
Health Information Management
Coding Specialist
- ICD-10 coding for the Radiology Department
- Registration
- Billing for outpatient
- Analyzing clinical data
Candidate Info
4
years in workforce
9
months at this job
AAS
Health Information Technician
Customer Service
Certification
Remote Impatient Coding Specialist
- Supply correct ICD-10-CM diagnosis & procedure codes for inpatient charts
- Accurately follow coding guidelines
- Maintain monthly productivity and audits goals
Candidate Info
7
months in workforce
5
months at this job
Medical Auditing
Icd 10
Medical Billing And Coding
Medical Billing and Coding Specialist
- Coding E/M and Procedures for Urgent Care and Dermatology Clinic
- Coding diagnoses that meet medical necessity and LCD's
- Working claims, denials, and accounts receivable
Candidate Info
17
years in workforce
2
years at this job
C
Certificate
License
Radiologic Technician
Regional Coding Specialist
- Onsite regional auditor of three markets
- Coding for General Surgery
- Educate staff on coding and documentation guidelines
Candidate Info
11
years in workforce
8
months at this job
AS
Mysore
BS
Education
Out-patient Coding Specialist
- Coding for multiple providers including family practitioners, pediatricians, physical therapists, x-rays, labs.
- Review and assign accurate medical codes for diagnosis, procedures and services performed by physicians and other healthcare providers at the clinic.
- Attend provider meetings that include coding and documentation issues, providing coding education to the physicians
- Providing responses to physicians and clinical staff queries with respect to compliance
- Handling patient or care-giver queries regarding billing concerns
- Interacting with schedulers to help ensure timely services are provided to the patients
- Audit physician's documentation to ensure compliance with regulatory guidelines
- Processing referrals for patients to be seen by specialist, as necessary
- Ensure clean coding practices to facilitate timely billing and minimize the number of insurance denials.
Candidate Info
11
years in workforce
11
years at this job
AS
Medical Record Technician
BA
Business Administration
Medical Coding Specialist
- Coding Emergency Room
- Medicare Coding
- Generate medical and statistical reposts using Microsoft Excel
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