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Medical Coding Specialist Resume Samples
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Candidate Info
4
years in workforce
4
years at this job
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
3
years in workforce
2
years at this job
BS
Automobiles And Automobile Establishment
MBA
Web Programming And Networking
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
14
years in workforce
4
months at this job
AS
Clinical Coding Specialist
AS
Science
BA
Psychology
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
17
years in workforce
1
year at this job
AS
Associate of Science
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
3
years in workforce
3
years at this job
Medical Coding Specialist
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
20
years in workforce
18
years at this job
HS
High School Diploma
C
Medical Billing
BA
Nursing
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
8
years in workforce
8
years at this job
C
Medical Coding
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
7
years in workforce
2
years at this job
AAS
Medical
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
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
16
years in workforce
5
years at this job
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
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
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
6
years in workforce
5
years at this job
Medical Coding Specialist
Pre-billing audits on 100% of physician notes.
- Charge entry on Meditech and NextGen systems.
- Reviewing inaccuracies with physicians and non-physician practitioners.
- Obtained AAPC certification.
Candidate Info
20
years in workforce
1
year at this job
HS
High School Diploma
Food Service Management
Medical
Medical Coding Specialist
- Engage in medical coding in the Physician billing department
- Interpret medical terminology translation into the coding software system
- Completes statistical analysis based on data
- Utilize knowledge of CPT and ICD-10-CM to properly translate performed services into numerical code for insurance company reimbursements.
- Routinely communicates with insurance providers regarding submitted invoices/claims
- Work as a vital member of the medical office support staff team
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
6
years in workforce
2
years at this job
Medical Office Information Technology
Certified Medical Coding Specialist
- Centricity Medical Computer Program / Allscripts
- Identify, compile, audit and code patient data using ICD-9, CPT, HCPCS and online coding research and assistance programs.
- Review patient medical records, condition and treatment as needed for auditing and charge correction per task management.
- Resolve or clarify codes or diagnoses with conflicting, missing, or unclear
- Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care
- Review records for completeness, accuracy, and compliance with regulations.
- Research and resolve denials, unpaid claims.
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
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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