Certified Coding Specialist Resume Samples

A Certified Coding Specialist is a healthcare professional who maintains records and health data using a system of codes that are used to categorize the information of patients. Typical work activities listed on the Certified Coding Specialist Resume include the following – using an appropriate system of coding to categorize patients and about their treatments; taking responsibility for acting as a communication link between the billing office and the care provider’s office; filing and retrieving medical records, and reviewing patient information for pre-existing conditions.

A high school diploma or GED is sufficient to get hired. However, those with an associate’s degree in applied science degree program get a better chance, as these programs consist of various learning skills in health data management, procedure coding, health record maintenance, medical billing practices. Other crucial skills include – knowledge of billing terminologies and superior coding experience.

Certified Coding Specialist Resume example

Certified Coding Specialist Resume

Objective : A Motivated, quality-oriented professional with a solid base of career preparation and training as a Medical Biller and Coder, familiarity with procedures and rules and regulation and Office Skills, and a commitment to provide quality Billing and Coding services.

Skills : Extensive experience with electronic medical records, Attention to detail, excellent communication ability.

Description :

    1. Reviewed daily charge forms for completeness and accuracy.
    2. Made necessary system corrections.
    3. Followed up with appropriate personnel to obtain complete information.
    4. Helped fulfill the reimbursement needs of the institution through the correct assignment of diagnosis and procedure codes which are critical to third-party reimbursement.
    5. Abstracted clinical data (diagnoses and procedures) from patient medical records and online patient data.
    6. Reviewed patient encounters for accurate code assignment of all relevant diagnoses and procedures.
    7. Assigned ICD10, ICD-9-CM, or HCPCS codes.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Certificate In Medical Coding


Certified Coding Specialist Resume

Summary : To obtain a position as a Medical Coder in a company that will provide me with an opportunity to apply my training and skills. Knowledgeable in various medical insurance and billing areas.

Skills : Good customer service, Computer knowledge, Accounting and bookkeeping.

Description :

    1. Communicated with physicians and other practice staff regarding coding and billing questions (in-person, phone, and e-mail)
    2. Reviewed documentation requirements and coding guidelines with physicians, advanced practice nurses and other staff as necessary.
    3. Communicated to Coding management any Claims Manager updates as needed.
    4. Reviewed claim denials from Patient Accounts through the EEC process.
    5. Researched, reviewed, and provided clarification of third party payer queries
    6. Participated in audit, education, and coding team meetings to discuss solutions to coding guidance
    7. Meet or exceed required departmental productivity standards on a consistent basis.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
AAS In Health Information Technology


Certified Coding Specialist Resume

Summary : Under the direct supervision of the Medical Coding Supervisor, responsible for coordinating and participating in the coding process of pediatric surgery and Evaluation and Management services from a variety of complex records and coding edits to include diagnosis, 

Skills : Coding Skills, Analytical Skills, Organized.

Description :

    1. Managed outpatient accounts on a daily basis utilizing data from HIMD specific edit report as well as the Hospital-wide.
    2. Analyzed the health information management component of the revenue cycle, and communicated with coworkers.
    3. Met departmental productivity standards of accounts.
    4. Worked closely with Patient Access Director, HIMD Director, and Lab Director to clarify and streamline procedures for compliant physician orders and image archiving for coder access.
    5. Identified abstractable information from a compliant physician order.
    6. Entered required data elements into Meditech for billing and statistical purposes.
    7. Decreased unbilled outpatient ancillary account amounts from 6 million dollars to 74 thousand by month-end, to meet facility goals.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
AAS In Health Information Technology

Certified Coding Specialist Resume

Headline : Desire a career with a progressive organization offering unlimited advancement opportunities based on personal merit and professionalism. Advanced knowledge of private insurance, Medicaid, and Medicare processes.

Skills : Data Entry, Risk Adjustment, Ensure Compliance.

Description :

    1. Audited and verified physician completed charge tickets by ensuring the accuracy of code assignment and completeness or required billing data elements prior to tickets being processed for payment.
    2. Applied appropriate diagnosis code according to documentation while following guidelines.
    3. Provided coding guidance to physicians and clinic personnel to ensure proper CPT, ICD-9, and HCPCS codes are billed correctly.
    4. Served as the primary point of contact for all inquiries related to billing code selection.
    5. Participated in ongoing continuing education opportunities to maintain active Coding Certification status.
    6. Imported daily charges via Patient Management (PM)/ Electronic Health Record (EHR) Charge Passing system.
    7. Selected billing codes to ensure all billing guidelines are followed correctly.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
CPC In Medical Coding

Certified Coding Specialist Resume

Objective : To achieve a Certified Coding Specialist position that would enable me to employ my various acquired skills; where my academic training may complement my position, stimulating my personal and professional development.

Skills : Microsoft Word, Pain Management, Patient Care.

Description :

    1. Maintained a 50 chart productivity rate.
    2. Reviewed health risk assessments/evaluations to determine completion and compliance with CMS guidelines.
    3. Reviewed and assessed the accuracy, completeness, specificity, and appropriateness of diagnosis codes.
    4. Identified in the health risk assessments/evaluations.
    5. Maintained adequate knowledge of coding, compliance, and reimbursement procedures related to Medicare Risk Adjustment.
    6. Made recommendations for coding policy.
    7. Followed all legal and policy requirements for HIPAA protected data.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
AAS In Health Information Management

Certified Coding Specialist Resume

Headline : Seeking an employment opportunity within the medical Coding Billing capacity, where may apply and expand my education and experience coupled with my hard work ethic.

Skills : Clinical Documentation, Scheduling Appointments, Processing Charts.

Description :

    1. Responsible for reviewing and posting physician charges for multiple specialties including Neurology, Dermatology.
    2. Processed accurate Cardiology physician and hospital E/M charges using ICD-9 and CPT codes from physician documentation. 
    3. Identified and resolved medical claim denials based on the NCCI frequency value/unit for Pathology CPT Codes by discovering the proper billing methods.
    4. Reviewed patient medical records in EPIC and other systems to ensure that services are documented and coded accurately.
    5. Collaborated with practice management personnel to review and reconcile front end coding edits.
    6. Applied appropriate diagnostic and procedure codes for compliant claims processing.
    7. Created reports of changes in coding rules, guidelines, and regulatory requirements to present to physicians, practice managers, and billing office staff.
                Years of Experience
                Experience
                5-7 Years
                Experience Level
                Level
                Executive
                Education
                Education
                AAS In Health Information Technology

                Certified Coding Specialist Resume

                Summary : Dedicated HIM professional with extensive experience in inpatient/outpatient settings with an excellent understanding of disease process and clinical judgment. Seeking the position of Certified Coding Specialist.

                Skills : Microsoft Office, Patient Care, Data Entry.

                Description :

                  1. Abstracted pertinent information from patient records.
                  2. Assigned ICD-9-CM/ICD 10 or HCPCS codes, creating APC or DRG group assignments.
                  3. Queried physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
                  4. Kept abreast of coding guidelines and reimbursement reporting requirements.
                  5. Brought identified concerns to the supervisor or department manager for resolution.
                  6. Maintained an accuracy rate of 98% or higher along with maintaining productivity standards.
                  7. Knowledgable of 3M and EPIC software programs along with Microsoft programs.
                          Years of Experience
                          Experience
                          7-10 Years
                          Experience Level
                          Level
                          Management
                          Education
                          Education
                          AA In General Studies

                          Certified Coding Specialist Resume

                          Objective : Certified Coding Specialist with four years' experience in inpatient and outpatient coding. Certified in ICD-9 and ICD-10. Highly efficient, excellent multi-tasker, and demonstrated team player with a positive attitude. Seeking a position for inpatient or outpatient coding.

                          Skills : Scheduling Appointments, Organized, Time Management Skills.

                          Description :

                            1. Consistently ensured proper coding, sequencing of diagnoses, correct selection of DRG, and procedures.
                            2. Quickly responded to staff and client inquiries regarding CPT codes and other coding issues.
                            3. Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
                            4. Appropriately and correctly identified errors and resubmitted denied/rejected claims.
                            5. Interpreted medical reports to apply appropriate ICD or CPT codes.
                            6. Queried physicians when a query was necessary.
                            7. Provided education to physicians and other clinicians on documentation and coding guidelines.
                          Years of Experience
                          Experience
                          2-5 Years
                          Experience Level
                          Level
                          Junior
                          Education
                          Education
                          High School Diploma

                          Certified Coding Specialist Resume

                          Summary : Medical billing, coding, and collection experience for 15+ years providing administrative and patient support. Organized, detailed-oriented, and conscientious self-starter that is able to plan and execute effectively in order to accomplish multiple tasks at the same time.

                          Skills : Superb Time Management Skills, Coding Experience, Scheduling Experience.

                          Description :

                            1. Review operative notes, medical charts, and assign ICD 10 codes in the organization's EMR according to AMA guidelines.
                            2. Responsible for abstracting, and coding all inpatient and inpatient concurrent medical records according to coding and compliance ICD-10 guidelines.
                            3. Responsible for querying physicians concerning ambiguous documentation.
                            4. Maintained required productivity standard s.
                            5. Worked closely with the CDI department performing concurrent coding.
                            6. Responsible for charges and payments posting.
                            7. Worked with CPT and ICD9-ICD 10 coding and diagnosis.
                          Years of Experience
                          Experience
                          7-10 Years
                          Experience Level
                          Level
                          Management
                          Education
                          Education
                          BS In Health Information Management

                          Certified Coding Specialist Resume

                          Summary : A motivated, hard-working individual with 15 years of experience in medical coding searching for a Part-time Remote Medical Coding Specialist position with a growing organization.

                          Skills : Organizational And Writing Skills, Able To Solve Problems, Critical Thinking.

                          Description :

                            1. Used CPT, ICD 9, ICD 10, hcpcs, audit Dr charts to ensure correct coding before sending out to insurance.
                            2. Reached out to physicians if additional information is needed.
                            3. Passed the ICD-10 requirement test.
                            4. Knowledge of EMR, Microsoft Office, Epic, close relationship with the manager, and education manager. 
                            5. Performed assignment of ICD 10 CM and CPT procedure codes of emergency room encounters.
                            6. Reviewed and analyzed emergency room encounters for completeness and supportive medical record documentation.
                            7. Queired providers when necessary for clarification.
                          Years of Experience
                          Experience
                          7-10 Years
                          Experience Level
                          Level
                          Management
                          Education
                          Education
                          AAS In Health Information Technology