Remote Medical Coder Resume Samples

Description :

1. Reviewed documentation for completion and accuracy to ensure appropriate assignment of CPT, ICD9 Code and applicable modifiers.
2. Ensured proper procedures are followed and meet requirements of all Federal, State and Third-party payers.
3. Abstracted all inpatient charges and diagnoses from documentation upon discharge or every seven days.
4. Provided feedback (both verbal and written) to providers to ensure optimal coding accuracy, compliance and charge capture.
5. Researched and corrected claims manager edits in a timely manner by applying coding and carrier-specific guidelines.
6. Communicated missed billing and other opportunities for revenue enhancement to providers and department administrators.
7. Performed bi-annual presentations to colleagues for coaching and training opportunities.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Abstracted and accurately assign the respective ICD-9-CM codes that risk adjusts according to the Medicare Risk Adjustment Model.
2. Designed to compensate health insurance plans based on their member's health status, as well as, protecting the health plans.
3. Accurately assigned the appropriate diagnosis code(s) for each face-to-face visit contingent upon the supporting documentation.
4. Meticulously reviewed all legible continuity encounter(s) to ensure the patient's name has been identified and a valid signature.
5. Approved the provider is present prior to assigning the appropriate diagnosis code(s) in a reporting period.
6. Carefully reviewed the client's specifications and adhere to the company's rules and regulations.
7. Identified and report knowledge gaps to departmental lead to enhance training curriculum and materials are updated consistently.

Experience

5-7 Years

Level

Executive

Education

BS

Description :

1. Able to demonstrate the ability to identify principal diagnosis and makes code assignments to secondary diagnoses and reportable procedures.
2. Assigned appropriate ICD-9 codes, CPT codes, and modifiers to professional charges for physician billing in compliance with Medicare.
3. Maintained reports and records contain all of the necessary information for compliant documentation.
4. Able to maintain data entry of required patient information directly from the medical record into the computerized abstract
5. Coded and sequenced diagnosis and procedure codes for outpatient or inpatient medical records post-discharge.
6. Verified coded data with 3M Encoder and Grouper to ensure accurate grouping of diagnoses/procedures.
7. Worked independently in a secure home environment with a dual monitor setup.

Experience

5-7 Years

Level

Executive

Education

Technology

Description :

1. Performed Physician outpatient coding as well, and special therapy or procedure according to established guidelines.
2. Demonstrated knowledge and understanding of CMS HCC Risk Adjustment coding and data validation requirements.
3. Assured the final diagnoses and operative procedures as stated by the physician were valid and complete.
4. Assigned codes (ICD-9, CPT & HCPCS), which most accurately described each documented diagnosis, surgical procedures.
5. Performed a comprehensive review for the record to assure the presence of all component parts.
6. Evaluated and interpreted medical documentation and captured all relevant codes based on CMS Hierarchical Condition Categories.
7. Completed projects in a timely fashion as well become knowledgeable in various practices in-house billing and coding systems.

Experience

2-5 Years

Level

Junior

Education

Accounting

Description :

1. Proficient across a wide range of services including anesthesia, surgical services, pathology, and medicine.
2. Coded rules and regulations along with compliance and reimbursement under outpatient grouping systems.
3. Charged assigning the appropriate level of care for each emergency department record.
4. Accurate charged capture using Lynx Medical System. Knowledge of anatomy, physiology, medical terminology, pharmacology, pathophysiology.
5. Responsible for emergency department coding/charging functions for patient records for E&M levels, determining all charges for procedures.
6. Workedknowledge in the assignment of ICD-10 Codes Level 1Trauma Coding experience.
7. Adhered to the various individual state, insurance, and medical facility guidelines for processing records.

Experience

10+ Years

Level

Senior

Education

Associate

Description :

1. Processed Medical Records using the OnBase database system, following TeamHealth Rules as mandated by Corporate.
2. Diagnostic and CPT procedural codes to assign E/M, CPT, and Provider IDX codes and numbers to medical records for process and billing purposes.
3. Remotely assigned ICD-9 and CPT codes to Emergency Department physician and facility charts for billing purposes.
4. Accepted other tasks and duties as assigned. Remote coding for various practices.
5. Strong knowledge of Anatomy & Physiology and Advanced Medical Terminology.
6. Selected to participate in the HR recruitment of Medical Coders for Accretive Health, Inc.
7. Serviced with the most accurate and descriptive codes for all patient encounters.
   

Experience

7-10 Years

Level

Management

Education

Management

Description :

1. Clinic coded specialist CPC certified and ICD-10-CM Proficiency through AAPC E&M leveling & Coding in OBGYN, Orthopedic and Family Medicine.
2. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
3. Assigned diagnosis codes based on specific clinical findings in support of existing diagnoses.
4. Strictly followed all federal and state guidelines for the release of information.
5. Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered.
6. Accurately entered procedure codes and diagnosis codes into billing software.
7. Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Experience

5-7 Years

Level

Executive

Education

Nursing

Description :

1. Responsible for abstracting diagnosis and procedures data from Outpatient Provider files for disease management.
2. Assigned to travel within and visit doctor's offices and medical facilities to abstract the necessary data.
3. Audited and converted diagnosis data into ICD-9, CPT, and HCPS codes for reporting purposes.
4. Reviewed all information for completeness and accuracy.
5. Requested and verifies documentation and information pertaining to medical diagnosis as required.
6. Prepared and submitted weekly reports for the company's final review.
7. Researched verification information via the Internet and other electronic or hardcopy databases.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Performed billing and coding procedures for emergency room services.
2. Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols.
3. Resourcefully used various coding books, procedure manuals, and on-line encoders.
4. Maintained strict patient and physician confidentiality. Coded emergency room charts.
5. Accurately selected the proper descriptive code when more than one anatomical location was indicated.
6. Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
7. Identified and alerted seniors, supervisor, or manager of changes in documentation, poor provider documentation.
   

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Coded patient charts and Operative reports including Anesthesia, pathology and lab Radiology x-rays, internal medicine.
2. Responsible for processed claims daily while maintaining accuracy in all quality assurance audits.
3. Accuracy and achieving productivity goals. outlining production requirements completed.
4. Performed Patient Chart Reviews Abstracted medical records with ICD-9-CM and ICD 10, CPT, and DRG codes.
5. Coded the requirement of ninety percent per day. Independently sent the end of day reports to management staff.
6. Maintained productivity standards and complete daily and quarterly productivity reports.
7. Attended meetings and training classes as scheduled, including ICD-10CM/PCS.

Experience

2-5 Years

Level

Junior

Education

Medical

Description :

1. Reviewed inpatient electronic medical records and assign diagnoses and procedure codes for proper hospital reimbursement.
2. Provided inpatient coding backup during employee absences and when backlog exists.
3. Performed ICD-9 CM coding on a routine basis. Used 3M Encoder and 3M HDM abstracting system daily.
4. Maintained a productivity ratio of higher on a weekly basis. Maintained a quality ratio of higher on a quarterly basis.
5.  Able to converse intelligently with all parties involved in medical coding and billing.
6. Specialized with all surgeries done in an Ambulatory Surgical Care setting.
7. Performed a comprehensive review for the record to assure the presence of all component parts.

Experience

2-5 Years

Level

Junior

Education

Diploma