A detail-oriented and professional Certified Medical Coder is involved in reviewing and analyzing medical coding and billing for processing. The job description entails reviewing accurately the code office procedures for reimbursements. Other tasks shouldered by these Coders and mentioned on the Certified Medical Coder Resume are – receiving and reviewing patient document and chart to check accuracy, ensuring that the codes are active and working, reporting on incomplete coding, meeting daily coding targets, handling co-pays, balances and charge positioning, and performing additional duties as assigned.
To become eligible for fulfilling the above-mentioned duties, the Certified Medical Coder is supposed to mention these qualifications in the Resume – strong knowledge of medical terminology, physiology and anatomy; knowledge of medical record software, and the ability to multitask. A high school diploma or a Bachelor’s degree in the related field is mandatory, a medical coding certificate and valid state licensure are as well required.
Objective : Looking forward to bringing knowledge and experience in the Administrative, Billing, and Customer Service fields to a successful company that offers room for advancement and growth. Able to learn tasks quickly and proficiently.
Skills : Pediatric Cardiology Office, Critical Care, Urology, Gynecology Office, Medical Insurance Billing And Collections.
Description :
Accurately and efficiently accessed hospital billing and information systems to secure and assemble all necessary physician records to accurately code and bill.
Reviewed medical records and coded physician services utilizing current ICD-9 & CPT systems.
Verified billable physician services by reviewing physician documentation.
Assembled and input coding results into the EMR system and Practice Management billing system.
Utilized resource material in the department to support accurate coding practices.
Utilized strong work ethic, work experience, my personal skills, education, and training.
Analyzed medical records and assigned codes to diagnoses and procedures.
Organized and filed medical records to be used for patient billing and account management.
Experience
2-5 Years
Level
Junior
Education
Certified Diploma
Sr. Certified Medical Coder Resume
Summary : Certified Professional Medical Coder with ten years of experience in the field, looking for new opportunities to advance career. Well-organized and efficient at encouraging others, developing rapport with co-workers and creating a positive work environment.
Skills : Microsoft Office, Medisoft Software, Meditech Software, Filing, Data Archiving, Current Procedural Terminology, HCFA Common Procedure Coding Systems, International Classification Of Diseases, Medical Terminology, Insurance & Billing.
Description :
Coded medical charts for the Emergency Department of the hospital.
Protect the security of medical records to ensure that confidentiality is maintained.
Review records for completeness, accuracy, and compliance with regulations.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
Experience
10+ Years
Level
Senior
Education
AAS
Jr. Certified Medical Coder Resume
Objective : A certified medical coder with nine years experience in a 12 physician Obstetrics and Gynecology practice. Eager to join a growing company in a certified coder role. Dependable, detail oriented, and organized with comprehensive medical coding knowledge, extensive knowledge of medical terminology, and chart auditing experience.
Skills : Microsoft Office, Excel.
Description :
Code wide variety of medical claims including E & M, inpatient, outpatient, surgical, and professional services.
Audit charts for accuracy and completeness to ensure maximum reimbursement and guard against fraud and abuse.
Reconcile claim denial by creating reports and researching coding inaccuracies and resubmitting corrected claims.
Advise and train physicians on proper documentation and code assignments to ensure accuracy and completeness.
Perform office management support by handling all facets of physician and ultrasound scheduling.
Skilled in dealing with physician and ultrasound scheduling conflicts with a strong focus on problem solving initiatives and quick resolution.
Resolve account discrepancies by investigating documentation, payments or adjustments.
Experience
2-5 Years
Level
Junior
Education
Education
Registered/Certified Medical Coder Resume
Headline : Strong professional experience including ICD10. ICD9, CPT coding, filing insurance claims, and administering benefits for medical, vision, and dental group policies. Ability to manage and train. Motivated and organized. Typing and computer skills include quick and accurate data entry, 10 key, billing, scheduling, transcription, and confidence in learning new technology.
Skills : Computer experience in multiple software programs, proficient in social media, transcription and data entry, critical thinking, effective time management.
Description :
Review charge tickets for missing or inaccurate information.
Reviewed include service and diagnosis codes, units of service, modifiers, facility code, place of service, provider billing numbers, etc.
Communicates with providers and clinic staff to ensure charge capture of all professional services.
Monitors reconciliation procedures to ensure all charges are captured and billed in a timely manner.
Efficiently performs data entry of professional charges upon receipt.
Keys all applicable data valued on each charge ticket into the IDX system in a timely manner and with a high degree of accuracy.
Charge entry for Institute of Psychiatry's inpatient special contracts and consults Responsible for correcting applicable IDX system CE (Charge Entry) edits.
Experience
5-7 Years
Level
Executive
Education
Diploma
Certified Medical Coder III Resume
Headline : To pursue a challenging and rewarding medical billing position that will utilize skills and knowledge. Very detail-oriented with outstanding work ethics.
Skills : OP surgery, Family medicine, EKG, Cardiology, Pre-Surgery, and HCC coding experience.
Description :
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Verified patients eligibility and claims status with insurance agencies.
Researched questions and concerns from providers and provided detailed responses.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Experience
5-7 Years
Level
Executive
Education
Medical Assistant
Certified Medical Coder II Resume
Headline : An established professional history of producing exceptional work in both quality and productivity driven roles, and have years of experience working on site, travelling and working remotely for employers. Very strong customer service, verbal and written communication and organizational skills and enjoy working with people to accomplish shared goals.
Skills : Medical Coding, Medical Billing, Medical Terminology, Medical Records.
Description :
Utilizing coding manuals and additional resources to append correct diagnostic and procedural codes and modifiers to ensure proper billing for services rendered.
Prepared quarterly coding audits for third party Medicare auditor; conducted internal audits to document discrepancies to be addressed with supervising management team.
Communicated all documentation errors directly with the responsible pathologist to ensure timely correction and/or addition of amendment of the medical record.
Composed letters establishing/reiterating medical necessity for the redetermination/reconsideration of claims denied by Medicare.
Created and conducted internal training for the coding department to ensure correct coding practices were applied.
Serves as a resource to providers and customer service areas on coding questions and guidelines and documentation.
Analyze provider documentation and billing for the arc ties of up-coding, unbundling, over-utilization and the use of modifiers were not appropriate.
Experience
5-7 Years
Level
Executive
Education
Associates In Business
Certified Medical Coder I Resume
Headline : Certified professional coder with more than thirteen years of experience in the health care setting. Excellent verbal and written communication skills. Areas of expertise include anesthesia coding, training and development, and leadership, with remote coding experience.
Skills : Experience in 3M coder, stand alone, crosswalk, IDX billing software, IDX Web ,Softmed, Cerner, Clintrac ,3M 360 training, ICD 10 training, Dual coding, Clintrac, Citrix, Apollo, Chartview, Cisco.
Description :
Correctly coded medical claims for anesthesia and various surgical specialties.
Thoroughly researched newly identified diagnoses and/or medical procedures.
Maintained updated knowledge of coding requirements, through continuing education.
Reviewed medical documentation for completeness and accuracy.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Utilized GE IDX Anesthesia Module for billing, and 3M CodeRyte for ancillary auditing.
Entered and/or modified charges in EPIC coding work queues, query when needed.
Interacted with providers and APCs regarding documentation procedures and regulations.
Experience
5-7 Years
Level
Executive
Education
Associate Of Science
Associate Certified Medical Coder Resume
Summary : Certified Medical Coder with 15 years experience in a multi-physician facility. Knowledgeable in multiple specialties with extensive experience in Orthopedic, OT/PT and Oncology services.
Skills : Microsoft Office, EMR.
Description :
Associates Drive Audit all provider services.
Carefully reviewed patient medical histories, physical findings and diagnoses.
Correctly coded and billed medical claims for various hospital and office services.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Compiled necessary documents for surgical billing packages.
Assigned appropriate medical codes with 98 percent accuracy rate.
Experience
10+ Years
Level
Senior
Education
Associate Of Arts
Asst. Certified Medical Coder Resume
Summary : To obtain a challenging position as a certified medical coder with a company .where can put present skills to use while gaining experience.
Skills : Microsoft Office.
Description :
Code following type of medical records: inpatient, emergency department, outpatient and ambulatory surgery.
Assist manager with the training and supporting new medical record specialist.
Worked with HIM operations, business office and vary departments with emails and to receive non coded charts in a timely manner.
Work in conjunction with A/R team on follow up and resolution of coding denials and rejection.
Inform provider education department about documentation requirement.
Worked on code review as per Medicare, BCBS, Aetna, and other payer policies.
Exceeded weekly metrics for tickets entered while working as a team to meet monthly goals.
Experience
7-10 Years
Level
Consultant
Education
Medical Billing And Coding
Lead Certified Medical Coder Resume
Summary : To obtain a promising career with the opportunity to learn as well as grow within the company. A position that will utilize and enhance my professional skills.
Skills : Medical Terminology, ICD-9CM, CPT & HCPCS, Anatomy and Physiology, Pediatric and Adult Gastroenterology, Internal Medicine Inpatient, Family Practice/Urgent Care Services.
Description :
Medical Coding for Outpatient services.
Emergency Room, Lab, Radiology, and other Ancillary Services.
Submit Codes electronically, abstract patient's chart for medical billing so that claims were sent in a timely manner to insurance companies.
Skills Used Electronic Health Information programs used.
Telephone various Physician offices for orders and diagnosis clarifications when needed.
Faxed information to various departments to ensure proper coding of medical diagnoses.
Participate in training of ICD-10 accurate filing of medical records.
Experience
7-10 Years
Level
Management
Education
Associate In Office
Certified Medical Coder Resume
Headline : Aspire to obtain gainful employment in the healthcare industry that will allow for personal and professional growth to commensurate with achievements.
Skills : Microsoft Office, Data Entry, Customer Service, Computer Skills, Communication, CPR, Detail Oriented, Documentation.
Description :
Sequenced codes bases on medical record documentation.
Effectively communicated with clinical and staff to resolve documentation concerns for resolutions.
Maintained confidentiality and protected sensitive data to comply with HIPPA.
Research and resolution of coding projects as assigned.
Document requested information from the medical record.
Research and resolution of coding projects as assigned.
Answered patient billing questions in person and via telephone.
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