A Medical Coder will play a key role in analyzing and reviewing medical billing and coding for processing purpose. Key responsibilities listed on the Medical Coder Resume include the following – receiving and reviewing patient charts and documents, ensuring accuracy of all codes, meeting daily coding production, ensuring proper coding on provider documentation, handling co-pays, charge posting and balances; storing electronic records of every patient, keeping track of medical records, processing the admission and discharge of patients; and undertaking all other work as assigned.
The most sought-after qualifications for the post include – a thorough understanding of medical terminologies, physiology, and anatomy; strong computer skills, familiarity with electronic medical record software, and proficiency in the calculation of health care statistics. A career into this line requires specific education credentials such as a degree in related field with a Medical Coding Certificate.
Objective : Certified Medical Coder with expertise in ICD-10, CPT, and HCPCS coding. Successfully streamlined coding processes, resulting in a 20% increase in coding efficiency and a significant reduction in billing discrepancies.
Skills : ICD-10 Coding, CPT Coding, Data Entry Skills, Attention to Detail
Description :
Coding and charging for all professional and facility services for outpatient services for two Urgent Cares.
Coding and charging facility services for family practice, gynecology, podiatry, neurology, urology, and orthopedics services.
Audit patient charts for verification of documentation including electronic medical records to continue to build increase revenue.
Trained new staff on coding guidelines and software, increasing team productivity by 15% within the first quarter.
Conducted regular audits of coded records, identifying discrepancies and implementing corrective actions to improve accuracy.
Utilized ICD-10 and CPT coding systems to ensure precise billing, contributing to a 30% increase in revenue cycle efficiency.
Maintained up-to-date knowledge of coding regulations, leading to successful audits with zero findings for two consecutive years.
Experience
2-5 Years
Level
Junior
Education
AAS-HIT
Medical Coder and Biller Resume
Objective : I have 19 years experience working as a certified medical assistant. vitals, injections, drawing labs, assisting Dr. with exams, starting notes in EMR system, e-prescribing meds, referrals, prior authorizations, medical coding, receptionist duties, billing, posting of charges and payments. I have worked for family practice Dr.s and OB/GYN.
Skills : Medical Billing, HCPCS Coding, Claims Processing, Data Entry, Insurance Verification
Description :
Audits records to ensure proper submission of services prior to billing.
Supplies correct ICD 10 diagnosis codes on all diagnosis provided.
Supplies correct HCPCS and CPT codes for all procedures and services performed.
Educates and updates providers on correct coding information.
Creates power point presentations for provider meetings to educate and inform providers on various medical coding information.
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
Trains new coders on current database system and health center requirements.
Experience
2-5 Years
Level
Junior
Education
AAS
Certified Medical coder Resume
Headline : Certified Medical Coder with expertise in ICD-10, CPT, and HCPCS coding. Successfully reduced coding errors by 30% through meticulous audits and training, contributing to improved compliance and increased reimbursement rates.
Receive patients, schedule appointments, and maintain patient records.
Answer inquiries concerning the progress of medical cases, within the limits of confidentiality laws.
Perform a variety of clerical and office tasks, such as handling incoming and outgoing mail, completing and submitting insurance claims, typing, filing, and operating office machines.
Set up and maintain medical files and databases, including records such as x-ray, lab, and procedure reports, medical histories, diagnostic workups, admission and discharge summaries, and clinical resumes.
Identify mistakes in reports and check with doctors to obtain the correct information.
Produce medical reports, correspondence, records, patient-care information, statistics, medical research, and administrative material.
Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology.
Experience
5-7 Years
Level
Consultant
Education
AAS-HIT
Medical Coder & Billing Resume
Summary : Dedicated and seasoned healthcare professional with broad knowledge on healthcare revenue cycle from Billing, Coding, Collection and Claims processing. Below are the highlights of my proficiencies: Cradle to grave claims processing. Adherence to Medicare, Medicare Advantage, Medi-Cal/Medicaid and Health Plan specific regulatory standards and compliance. Development of Policies & Procedures and workflows for use on daily operations, training, quality assurance and compliance.
Skills : ICD-9, CPT, Claim Submission, Medical Terminology, HCPCS Coding
Description :
Assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures.
Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
Abstracts all necessary information and assigns codes (ICD-9, CPT & HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Performs a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Evaluates the record for documentation consistency and adequacy.
Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.
Experience
7-10 Years
Level
Management
Education
AAS HIT
Medical Coder Customer Service Rep Resume
Summary : Medical Coder with 10 years experience in hospital inpatient/outpatient surgery coding. Certified in ICD-9 and ICD-10. Familiar with commercial and private insurance carriers. Desire a position in inpatient records coding.
Skills : Billing Procedures, Insurance Verification, Problem-Solving Skills, Data Entry Accuracy, Medical Coding Knowledge
Description :
Houma recorded and filed patient data and medical records.
Coded outpatient encounters at a rate of 160 per day and 120 complex specialty coding.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Collaborated with healthcare providers to clarify coding discrepancies, reducing rejections by 25%.
Trained new staff on coding guidelines and customer service protocols, improving team efficiency.
Experience
7-10 Years
Level
Management
Education
AAS
Outpatient Medical Coder Resume
Objective : Hospital and outpatient records coding specialist with HCPCS, ICD-10, CPT and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.
Skills : Microsoft Office, Coding Guidelines, Electronic Health Records, Medical Billing Software
Description :
Coded records by following prescribed coding standards such as ICD-9 and CPT.
Assign the patient to diagnosis-related groups (DRG's).
Identify, compile, abstract, and code patient data, using standard classifications system.
Resolve or clarify codes or diagnosis with conflicting, missing or unclear information by consulting with doctors or others.
Responsible for requestor payments(collections).
Receive and screen telephone calls and visitors.
Maintain customer/patient confidentiality.
Maintained patient data such as treatment records and related insurance information.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Senior Medical Coder Resume
Headline : Results-driven Senior Medical Coder with expertise in outpatient and inpatient coding. Recognized for implementing training programs that improved team performance and reduced coding errors by 25%, contributing to overall operational excellence.
Skills : Quality Assurance, Coding Software Proficiency, Healthcare Industry Knowledge, Patient Care Understanding, Workflow Optimization
Description :
Analyze and interpret Medical records for Ground and Air Ambulance transports.
Code Medical records using the correct ICD 9 CM and/or ICD 10 CM codes according to the EMT impressions for scene calls, Physician documentation and payer guidelines.
Abstract records to determine the correct Level of Service depending on the drug and medical supply used to assist patient at the time of service.
Help the collection department in reviewing accounts that need corrections or providing additional detail to get denied claims processed.
Verify accuracy of documentation such as Medical Records, Procedures, Medical Coverage and Date of Service to insure a correct claim is sent and prompt payment from payers.
Coordinate with the billing representative daily work load and timelines to expedite the process of the accounts.
Maintain accuracy, exceed department productivity and quality goals.
Experience
5-7 Years
Level
Senior
Education
AAS
Medical Coder/Receptionist Resume
Headline : Medical Coder is responsible for the accuracy of the medical record and must be able to read and interpret medical terminology in order to accurately code the records.
Thoroughly 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.
Researched questions and concerns from providers and provided detailed responses.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Initiated, performed and documented quarterly coding audits for physicians.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Experience
5-7 Years
Level
Executive
Education
AAS
Remote Medical Coder Resume
Summary : Inpatient Audit Consultant. Prior Clinical Internal Auditor/Documentation Specialist and Medical Coder with 20 years of experience in hospital inpatient/outpatient coding. Certified Coding Specialist with AHIMA. Familiar with Medicare, commercial and private insurance carriers. Desire a position in medical claims auditing, inpatient coding or outpatient coding.
Skills : 3M, Cerner, Attention to Detail, Medical Terminology, HCPCS Coding
Description :
Interpreted medical reports to apply appropriate ICD-9, CPT-9 9 and HCPCS codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology, and pathology reports as well as clinical studies) in support of existing diagnoses.
Carefully coded disease and injury diagnoses, acuity of care, and procedures in an inpatient and outpatient setting.
Accurately entered procedure codes, diagnosis codes, and patient information into billing software.
Consistently ensured proper coding, sequencing of diagnoses, and procedures.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient and outpatient records.
Completed over 1,500 coding assignments monthly, ensuring timely submission and revenue cycle management.
Experience
10+ Years
Level
Senior
Education
AAS HIT
Medical Coder I Resume
Objective : Obtain a Medical Coding position in a clinic/hospital where I can use my extensive computer and medical coding knowledge, strong organizational abilities, demonstrating quality communication's skills and patient service.
Skills : Billing Procedures, Data Entry Skills, Compliance Knowledge, Attention to Detail
Description :
Coordinated and monitors reimbursement activities of an MFA Department.
Trains physicians and staff in coding and billing in order to maximize revenue generation for the Department of Surgery.
Abstracts professional and technical charges from clinical information on Emergency Department medical records for the purpose of patient billing.
Analyzed and interpret medical records to identify and assign CPT and ICD-9 codes on all billable services.
Assigned and sequence appropriate diagnostic/procedure billing codes in compliance with Medicare and third party payors.
Reviewed documentation to establish compliance with teaching physician billing guidelines.
Responded to billing and coding questions from providers, staff and administrators.
Experience
2-5 Years
Level
Executive
Education
AAS-HIT
Medical Coder/Practice Supervisor Resume
Objective : Results-driven Medical Coder and Practice Supervisor skilled in ICD-10, CPT, and HCPCS coding. Successfully led a team to achieve a 98% coding accuracy rate, significantly reducing claim denials and improving overall practice efficiency.
Skills : Team Player, Process, Medical Terminology, HCPCS Coding, Workflow Optimization
Description :
Verified eligibility as well as obtained all authorizations for treatment in Chiropractic, Physical Therapy and Psychology.
Posted all the charges on a daily basis.
Had constant communication with the doctors on a daily basis.
Took part in training all externs that were brought in.
Review the Worker's Comp and Personal Injury Cases with attorneys.
Collaborated with healthcare providers to clarify documentation, leading to a 25% increase in appropriate coding.
Trained staff on ICD-10 updates, enhancing coding accuracy and reducing rework by 40% within the first quarter.
Experience
2-5 Years
Level
Junior
Education
AAS
Medical Coder Resume
Headline : Experienced Medical Coder skilled in electronic health record (EHR) systems and coding software. Enhanced coding accuracy by implementing best practices, which led to a 15% decrease in claim rejections and improved cash flow.
Skills : 3M and Encoder Pro, Billing Procedures, Compliance Knowledge, Medical Billing, Electronic Health Records, Error Resolution
Description :
Answer telephones and give information to callers, take messages, or transfer calls to appropriate individuals.
Create, maintain, and enter information into databases.
Operate office equipment, such as fax machines, copiers, or phone systems and arrange for repairs when equipment malfunctions.
Developed coding training materials that improved staff understanding of complex coding scenarios, resulting in fewer errors.
Implemented a new coding software system, reducing coding time by 25% and enhancing overall workflow efficiency.
Achieved 98% accuracy in coding diagnoses and procedures, enhancing billing efficiency and reducing claim denials.
Participated in interdisciplinary meetings to discuss coding challenges, fostering collaboration and improving patient care documentation.
Experience
5-7 Years
Level
Executive
Education
AAS HIT
Certified Professional Coder II Resume
Summary : Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines.
Skills : Revenue Cycle Management, Problem Solving, Time Management, Electronic Health Records, Critical Thinking, Coding Guidelines
Description :
Included coding operative reports for general surgeons, pain management, cardiology procedures such as echocardiography, infusions, ophthalmology.
Responsible for entering and submitting charges for billing, performing billing functions for all charges each day, correcting edits/denials.
Employed and billing for various medical facilities/physicians around the State of Michigan to include: Brighton Sleep Diagnostics.
Certified Professional Coder with expertise in medical record review to assign accurate medical codes for diagnoses, procedures and services .
Assisted the Coding Manager to resolve coding edits received from Revenue Integrity as needed.
Obtained clarification of conflicting, ambiguous, or non-specific documentation.
Ensured compliance with HIPAA Privacy and Security Policies and Procedures.
Experience
10+ Years
Level
Senior
Education
AAS
Assistant Certified Professional Coder Resume
Summary : Results-driven Assistant Certified Professional Coder with a strong background in coding compliance and documentation review. Enhanced coding quality through meticulous audits, contributing to a 20% reduction in coding errors and improved patient care.
Skills : Worked With E Clinical Works, Meditech, EncoderPro And Microsoft Word, Denial Management, Reimbursement Processes
Description :
Able to give ideas to upper management to help make the process of ensuring proper insurance and patient demographics were obtained in a timely manner to make the billing process easier.
Reviewed medical documentation Accurately assign diagnosis codes and procedure codes Determine the proper Evaluation and Management code Submit charges.
Performed all phases of CPT and ICD-9 coding through chart abstraction involving surgeries and office procedures for 9 Urology surgeons Applied.
Responsible for verifying complete documentation in medical records, assigning appropriate ICD-10-CM, HCPCS, and CPT-4 codes for office visits.
Used Multitasking Typing Organization Time Management Communication Maintaining a friendly environment.
Reviewed and corrected any rejected or denied claims and re-submitting to insurance.
Responsible for accurate coding of professional services.
Experience
7-10 Years
Level
Management
Education
AAS HIT
Assistant Certified Professional Coder Resume
Headline : Dedicated Assistant Certified Professional Coder skilled in ICD-10, CPT, and HCPCS coding. Successfully streamlined coding processes, resulting in a 15% increase in billing accuracy and timely reimbursements for healthcare providers.
Skills : Risk Management, Claims Processing, Medical Terminology, Insurance Verification
Description :
Worked with peers and management on a regular basis to make changes and or recommendations on coding issues that required giving feedback directly to the client.
Connections-Voice and Data Communications, Issaquah WA, Owner/Office Manager.
Able to research, Medicare guidelines, Local Coverage Determinations (LCD), NCCI edits, Coding Clinics, and professional medical society websites.
Certified Professional Coder o Review provider's documentation to match the correct level of service to appropriate coding guidelines and review of.
Identified, assigned and submitted HPSC and CPT billing codes in relation to patient encounters, medical treatment and procedures, and diagnoses.
Reviewed documentation and assign appropriate CPT and ICD-9 codes to reflect the services performed by the healthcare providers in Critical Access.
Responsible for the daily abstraction and coding of substance abuse medical records to include a review of clinical documentation for proper code.
Experience
5-7 Years
Level
Executive
Education
AAS
Certified Professional Coder Resume
Summary : Results-driven Certified Professional Coder with a strong background in outpatient and inpatient coding. Recognized for exceptional attention to detail and ability to maintain compliance with regulatory standards, enhancing overall operational efficiency.
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