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Medical Coder Resume Samples
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0-5 years of experience
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
0-5 years of experience
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
0-5 years of experience
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
0-5 years of experience
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
0-5 years of experience
- 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
0-5 years of experience
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.
6-10 years of experience
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
0-5 years of experience
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
10+ years of experience
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.
10+ years of experience
- 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
0-5 years of experience
Apply ICD-9-CM Psychiatric and Rehabilitation diagnostic codes to patient encounters in compliance with applicable state and federal statutes/guidelines and Company policies and procedures.
- Reviews medical record documentation to select and appropriate coding sequence.
- Query providers as needed to ensure coding and documentation compliance.
- Meet quality and productivity standards and deadlines/turnaround times established by Company policies.
6-10 years of experience
Coding inpatient, outpatient, observation, emergency room, and diagnostic medical services with the appropriate codes from ICD9CM and CPT manuals
- Responsible for management and distribution of work to team members
- Ensure proper determination of billing requirements to Third party payers
- Verifies signatures and checks medical charts for accuracy and completion
- Utilizing company software and input information into computerized patient record system
- Handle the tasks of verifying the diagnoses and procedures of the patients with the physicians
- Handle the tasks of identifying billable claims, correcting and submitting insurance claims
- Handle other essential duties as assigned or required
0-5 years of experience
Communicate with the Auditor/Trainer discrepancies with the physician’s coding.
- Responsible for coding 120-135 outpatient encounters on a daily basis.
- Designed a timecard sheet on Excel for the company and a production sheet in Excel.
- Report daily productivity twice a month.
0-5 years of experience
Transcribe medical information for more than 100 patients
- Assign medical diagnosis codes to patient records for insurance purposes
- Apply charges and update patient records
- Prepare patient charts for registration according to physician’s assessment
- Provide interdepartmental support and service, e-mails and faxes
10+ years of experience
Assign diagnoses and procedural codes to Inpatient, Outpatient, Observation and ER encounters
- Meets and exceeds coding productivity requirements while maintaining performance in accordance with corporate compliance
- Participates in and applies the principles of the 3M DRG Assurance Program to ensure DRG assignment accuracy
- Extensive education in and knowledge of MS DRGs and POA
6-10 years of experience
Accurately evaluate and code diagnostic and procedural information for highly complex pediatric general
surgery procedures.
- Assist surgeons with development and implementation of electronic templates to ensure precise coding and billing.
- Chart auditing to insure that the level chosen by the physicians are correct.
- Contributing team member of monthly quality coding committee.
0-5 years of experience
Manage outpatient coding for medical centers registered with the hospital
- Process a minimum of 100 claims a day conforming to ICD-9 and CPT-4 standards
- Punch patient information into database
- Handle claims relevant to surgeries, chiropractor visits and diagnostic testing
0-5 years of experience
Protected the security of medical records to ensure that confidentiality is maintained.
- Reviewed records for completeness, accuracy, and compliance with regulations.
- Released information to persons or agencies according to regulations.
- Entered data, such as demographic characteristics, history and extent of disease, diagnostics procedures, or treatment into computer.
0-5 years of experience
Perform ICD-9-CM, CPT and HCPCS coding for reimbursement.
- Review, analyze, and approve codes for diagnostic and procedural information that determines Medicare, Medi-Cal and private insurance payments.
- Reviews non-CC/MCC records
- Ensure compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
- Review health records to identify proper relationships between procedure and diagnosis codes utilizing EndCoder systems and modifier relationships.
- Guarantee the final diagnoses and operative procedures as stated by the physician are valid and complete.
- Confirm appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
- Collaborate with the health care professionals to resolve discrepancies in coding practices.
0-5 years of experience
Ensure CPT and ICD-9 codes are correctly linked as per National Correct Coding Initiative Guidelines.
- Process insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed account information to confirm that patient and insurance information is accurate and complete.
- Charge entry and payment posting
- Knowledgeable of Medicare, Medicaid, Blue Cross/Blue Shield and Commercial health insurance policies
- Assist and coordinate with physician office staff in resolving claim and coding issues.
- Posting A/R according to individual insurance contracts.
- Professionally responded to customer inquiries regarding account status.
- Resolve complex billing denials related to coding errors by submitting Operative Reports to all insurance companies for claim reconsideration.
- Attended appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
0-5 years of experience
Assigned ICD-9 for diagnoses, treatments, and procedures according to the appropriate classification system for patient
- Entered patient’s demographic information into MedBook computer software.
- Reviewed patients registration forms for accuracy and completeness.
- Handled front office duties including filing, check in and checkout patients.
0-5 years of experience
Assign codes for anesthesia services for a large physician group, using CPT codes and guidelines.
- Ensure appropriate documentation is available for anesthesia start and stop times.
- Append the appropriate ASA status modifiers and determine optimal base unit values.
- Remain current with state and federal guidelines relative to anesthesia coding.
0-5 years of experience
Code an average of 100 E/M and procedures services that are performed in the ER daily
- Query physicians for accuracy on documentation of medical charts and procedures
- Work closely with other team members to improve the functionality of our department
- Document data and error rates on excel spreadsheets for data entry
0-5 years of experience
- Abstracts clinical information from a variety of medical records and assigns appropriate ICD 9 and/or CPT codes to patient records according to established guidelines.
- Assist staff members with medical necessity denials as well as payer rules regarding CPT, ICD 9 assignment.
- Provide coding and documentation advice to the physicians.
- Seek clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
- Attend training seminars/webinars to maintain coding guidelines and reimbursement reporting requirements.
- Attend bi-monthly meetings with IR Chief to address unresolved issues/questions.
0-5 years of experience
Abstract and code HCC diagnoses and documentation information
- Research and resolution of coding projects
- Document requested information from the medical record
- Determine valid encounters, including legibility and valid signature requirements
- Identify valid face-to-face encounters
- Perform ongoing analysis of medical record charts for the appropriate coding compliance
- Meet daily production and quality goals
0-5 years of experience
Code, enter and review office visits for accurate ICD-9, CPT and HCPCS codes for Patient charges and Laboratory charges.
- Created and submitted claims to insurance companies
- Insurance follow up on claim appeals/denials
- Generate reports for denied claims
0-5 years of experience
- Responsible for the coding for the out patient for the medical center.
- Responsible for handling different types of medical claims which includes surgery, physical therapy, ER, diagnostic testes, etc.
- Utilized HCPCS level III, ICD-9 and-3 for the coding.
- Maintained the 97 percent of accuracy and productive quality.
10+ years of experience
- Accurately assign ICD-9-CM and CPT-4 codes and sequence diagnosis and procedures per patient medical record.
- Assure the assignment of complete, accurate, timely and consistent codes by the coding department.
- Reconcile clinical notes, patient encounter form, and health information for compliance with HIPAA rules and CMS regulations.
- Provide coding and documentation advice to the coding and billing departments.
- Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse.
- Conduct training, in-service and other education regarding diagnosis, procedure code assignment, regulatory requirements for compliance and data quality.
- Tutored new coders for compliance with ICD-9 classification systems and coding guidelines.
0-5 years of experience
- Looked over patient’s electronic health records for missing information and errors
- Applied the correct codes for encounters and submitted claims
- Reported any errors and missing information
6-10 years of experience
- Review, analyze and manage medical record information to identify appropriate coding of diagnostic and treatment procedures based on CMS categories
- Maintain strict patient and physician confidentiality
- Resourcefully use various coding books, procedure manuals and on-line encoders
- Actively maintain current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing
10+ years of experience
Code all in patients and out patient procedures in Radiology
- Daily coding of CT’s, MRI’s, PET’s, Ultrasounds, Bone Density
- Electronically transmit Medicare on daily basis
- Assist Administrator with billing and software issues
- Responsible for daily credits and debits to hosp accts
- Assist referring physicians and staff with TARS
- Train all new data entry clerks
- Compile statistical data for PR Director and Medical Director
0-5 years of experience
- Provide accurate Anesthesia coding for hospitals and surgery centers
- Review and properly code surgical Pathology reports
- Audit off-site coders and provide feedback
- Conduct physician chart reviews/audits in preparation for ICD-10
- Research Billing department inquiries concerning diagnosis/procedure codes and duplicate charges
0-5 years of experience
Responsible for entering Patient Demographics in PK system
- Daily verifications of patients insurance on Emdeon System
- Responsible for updating Daily Spreadsheets
- Processed patients prescriptions refills
- Forward prescriptions to Billing Department
0-5 years of experience
- Reconcile anesthesia records from various departments
- Look up insurance information for upcoming charges
- Enter anesthesia charges into IDX for GI, OB, and OR
- Resolve conflicts within calculation reports
- Handle incoming mail, telephone calls and faxes
6-10 years of experience
- Evaluate the effectiveness of the implemented recommendations and decide on its retention.
- Make suggestions to redesign the coding procedures to simplify process and eliminate the possibilities for mistakes.
- Perform medical coding audit of the organization to find out inefficiencies and discrepancies within the billing systems and drafted bills.
- Gather medical records and accounting statements from record department for assessment.
- Review the organization’s coding and billing systems for accuracy.
- Bring to notice any calculation errors, overestimations within the bills.
- Daily use of reports and in office procedures using CPT, ICD 9 and HCPCs codes.
0-5 years of experience
Handled patients health records while honoring medical and legal guidelines
- Verified health insurances and process authorizations for patients future surgeries
- Informed patients about medical bills and upcoming appointments
- Scanned and filed medical records in alphabetical order
0-5 years of experience
- Responsible for collecting, posting, and managing account payments
- Review records for completeness, accuracy and compliance with regulations
- Complete insurance and other claim forms
- Answer telephones, and direct calls to appropriate staff
- Interview patients to obtain medical information and measure their vital signs, weight, and height.
- Responsible for submitting claims and following up with insurance companies.
0-5 years of experience
Process medical bills for automobile related claims
- Call providers for updates and, or information
- Process payments for medical providers and insured’s
- Responsible for provider line and responding to inquires
- Support team of five typing correspondence for injured parties
- Serves as receptionist when needed
- Deliver incoming mail and/or packages to the proper person upon receipt, processed outgoing mail and distribute faxes
- Provide customer service by assisting customers face-to-face as well as over the phone
- Provide routine office support for claims unit
- Order files from Iron Mountain for entire claims office
0-5 years of experience
Review anesthesia documentation procedural and surgical documentation.
- Assures documentation by physicians conforms to compliance and legal requirements.
- Provide feedback to the practitioners on coding practices.
- Ensures strict confidentiality of medical records and responsible resolution of coding edits that occurs.
- Assign ASA codes, surgery CPT codes as well as diagnosis pertaining to ICD-9 guidelines.
- Additional daily coding of day surgery outpatient procedures, critical care trauma, pain management.
- Critical care trauma acute care facility coding
- Inpatient progress notes, and consults facility coding
- Following CMS guidelines for a teaching facility acute care
- Utilizing Cerner, IDX and Optum Encoder
0-5 years of experience
- Reviewed medical records for accuracy of ICD-9 and CPT codes.
- Ensure accuracy of patient data.
- Maintain confidential information.
0-5 years of experience
Coding from patient medical records based on exams and treatment plans
- Entering changes after coding is completed.
- Obtain daily authorization for PIP/WC/DME as needed for treatment.
- Answering phones and scheduling appointments
10+ years of experience
- Posted charges for family practice and OB specialty providers.
- Monitored patient’s medical records for dictation and coding accuracy.
- Monitored patient’s insurance demographics thru online verification access.
- Processed clean claims for billing.
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Medical Coder
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
