Coder Resume Samples

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EE
E Ebert
Ena
Ebert
290 Gleichner Skyway
Dallas
TX
+1 (555) 431 0729
290 Gleichner Skyway
Dallas
TX
Phone
p +1 (555) 431 0729
Experience Experience
Dallas, TX
Coder
Dallas, TX
Leuschke, Harber and Turner
Dallas, TX
Coder
  • Participate in departmental and physician network performance improvement initiatives
  • Perform work duties remotely, working on site as necessary for additional training and on-going education
  • Patient management, patient accounting, billing and managed care system processes competency
  • Assists in staff training, educational sessions, and participates in team meetings as requested by management
  • Meet and maintain charge lag and coding productivity standards within the time frame established by management staff
  • Work collaboratively with cross-divisional teams on diverse processes in the achievement of shared goals within established timelines
  • Provide feedback to providers in instances of coding-related problems
Phoenix, AZ
Certified Coder
Phoenix, AZ
Ferry, Lind and Terry
Phoenix, AZ
Certified Coder
  • Provide feedback query (sendbacks) to providers in instances of coding-related problems
  • Assist providers and clinician staff with billing problems and concerns
  • Follow coding guidelines as established within the Health Information Management department.
  • Assist Coding Manager to ensure charge tickets are up to date and with the correct CPT/ICD-10 codes
  • Effectively and efficiently work with ICD-10, CPT, and HCPCS reference books for proper billing
  • Back-up and assist other department personnel as directed
  • Assist with insurance and patient collections, along with other duties of the Business Office
present
Phoenix, AZ
Certified Professional Coder
Phoenix, AZ
Bradtke-Swaniawski
present
Phoenix, AZ
Certified Professional Coder
present
  • Confers regularly with physicians/care providers, clinical or ancillary managers, coders, or other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication to respond to and educate providers on specific departmental and clinic wide coding issues and updates including but not limited to the coding hotline and/or the coding website
  • Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD?s), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines
  • Provides feedback, recommendations, and participates as the coding representative for the Professional Coding Department on the Revenue Cycle Teams as requested by manager
  • Extensive local travel outside of office up to 50% in the North Florida area, but based in Daytona. North Florida covers the HMO markets of Panhandle (Pensacola), Jacksonville, and Daytona and all of the PPO/PFFS counties in between
  • Works on assignments that are routine in nature, requiring limited judgment. Has little or no role in decision-making. Errors can be made easily and quickly detected and result in only minor disruption to correct
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process
  • Adhere to internal and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics
Education Education
Bachelor’s Degree in Competency
Bachelor’s Degree in Competency
New York University
Bachelor’s Degree in Competency
Skills Skills
  • Proficiency in ICD-10, CPT, HCPCS and modifiers for coding professional fee services
  • Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines
  • Accuracy and attention to detail
  • Proficient with computer applications (MS office, Excel, etc)
  • Demonstrate ability to work with minimal supervision
  • Ability to use critical thinking skills to identify operational, system, or policy issues and communicate those issues to the coding manager
  • Ability to communicate through formal presentations to providers and or practice managers/directors
  • Demonstrated analytical skills, and the ability to translate documentation in different parts of a medical record into specific codes
  • The ability to work at a fast pace and maintain a high concentration level with accuracy is essential
  • Ability to effectively interact with staff, customers and management at all levels
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15 Coder resume templates

1

Certified Coder Resume Examples & Samples

  • 2+ years of experience managing a high volume workflow
  • Advanced knowledge of Medical Coding (ICD-9 and CPT-4), Billing Systems and Regulatory Requirements
  • CPC or CCS certification, but will consider CPC-A or CCA certification
  • Prior Emergency Medicine Coding experience
  • Associate's and/or Bachelor's Degree in related field
2

Certified Professional Coder Resume Examples & Samples

  • 3+ years of Clinical experience; 3+ years of Medical Coding experience 2 years’ experience in Health Insurance/Claims Processing and/or Utilization Review
  • Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist P from the American Health Information Management (AHIMA)
  • Proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding
  • Knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms
  • Knowledge of the health care delivery system
  • Clinical medical background
  • Microsoft Office/Suite proficient (Word, Excel, Access, etc.)
  • Knowledge/experience with computer processing systems
3

Email Marketing Developer / Coder Resume Examples & Samples

  • Writing programming code, either from scratch or by adapting existing HTML code and graphics packages
  • Troubleshoot HTML and revise code where necessary to integrate with internal tools and render properly across multiple email clients, browsers, and mobile devices
  • Building and testing email templates
  • Testing emails across multi-browser configurations and identifying any issues
  • Using initiative to research and develop code to solve challenges
  • Coding HTML and CSS from Photoshop mock-ups, for email templates
4

Certified Coder Resume Examples & Samples

  • 3+ years of experience Coding in a Hospital, Physician, or Insurance environment
  • Certified Coding Profession (CPC) certification or CCS-P
  • Microsoft Office/Suite proficient
  • 5+ years of' experience Coding in a Hospital, Physician, or Insurance environment
  • Experience in multi-specialty Physician Coding
5

Senior Coder Health Information Management Hour Days Resume Examples & Samples

  • Five years experience in current ICD and CPT coding of inpatient and outpatient records in an acute care facility and experience in using a computerized abstracting, encoding and database systems is required
  • 2 years experience in oncology coding, preferred but not required
  • Credentialed as a Registered Health Information Technician or Health Information Administrator or Certified Coding Specialist
6

Professional Coder Resume Examples & Samples

  • Associates degree or equivalent work experience is preferred
  • Minimum of one year recent and relevant Medicaid, Medicare or large health insurance experience
  • Operational business unit familiarity is preferred (e.g. Claims, Member & Provider Relations, Other)
  • Strong presentation skills (training and education skills)
  • Strong PC skills (MS Office Tools)
  • Demonstrates experience in quality improvement, personal empowerment, diversity and teamwork
  • Demonstrates experience in coordinating interaction with client and business and technical teams to assist in defining, understanding and achieving the client's goals
  • Demonstrates experience in interpreting business processes to technical team members on projects
7

Auditing Coder Specialist Resume Examples & Samples

  • Strong organizational and time management skills
  • Working knowledge of Microsoft Word & Excel
  • High school diploma or equivalent required to be employed at Humana
  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy (see details below under Additional Information) and upon offer will be subjected to nicotine testing as part of a 10 panel drug test
8

Certified Coder Consultant Resume Examples & Samples

  • Coding certification (Industry-recognized coding certification from PHIA, AAPC and/or AHIMA. Apprentice status will not be considered.)
  • Extensive knowledge of medical claims processing and are familiar with ICD, CPT, HCPCS, revenue and DRG assignment
  • Ability to track and trend data and use those findings to make recommendations
  • Basic proficiency with MS Office (Excel, Word, and Access)
  • Possess self-drive and strong initiative
  • Facility coding credentials (CPC-H, COC, CIC, and/or equivalent)
  • Customer Care Portal (CCP) knowledge
  • Metavance and CAS claims processing experience
  • Medical billing experience
  • Provider Service Relations (PSR) and/or Provider Concierge Unit (PCU) experience
  • Previous supervisor or team lead experience
9

Mra Certified Coder Lee County Resume Examples & Samples

  • Training and presentation experience
  • Associate or Bachelor’s degree
  • Knowledge of Humana’s internal policies, procedures and systems
10

Mra Certified Coder Resume Examples & Samples

  • CPC or CCS-P Coding Certification
  • 2 years prior medical coding experience
  • Strong organization and process management skills
  • Proficient with Microsoft Word, PowerPoint and Excel
11

Medical Records Coder Speclst Resume Examples & Samples

  • Client interaction
  • Ability to analyze reasons behind incomplete transactions
  • Understand process interdependencies
  • Perform quality audit in the process
  • Ability to define SOPs for new deals
  • Possess expert domain knowledge in Healthcare and Insurance domain
12

Icd-certifed Coder Consultant Resume Examples & Samples

  • Experienced Certified Coder
  • Extensive knowledge of multiple types of medical, procedural and diagnosis coding
  • Facility and/or Physician coding knowledge
  • ICD10 experience/knowledge
  • Comprehensive knowledge of Microsoft Word, Excel
  • AHIMA ICD 10 Approved Trainer
  • MTV/CAS experience
  • Project lead or consulting experience
13

Medicare Risk Adjustment Coder Resume Examples & Samples

  • Certified Medical Coder with either CPC or CCS with minimum of 3 years coding experience
  • Comfortable with face to face discussions with providers. Comfortable with working onsite in a provider’s office and offering feedback directly to the physician
  • Knowledge of medical office billing procedures and electronic medical records
  • Year round travel & up to 100% within an assigned territory of Johnson City, Bristol and Kingsport area. Possible occasional overnight travel outside of territory
  • Prefer knowledge of NCQA HEDIS measures. (National Committee for Quality Assurance and Healthcare Effectiveness Data and Information Set)
14

Coder / Analysts Resume Examples & Samples

  • BS or BA degree in Biological, Social or Physical Sciences or Humanities such as English, Philosophy, or History
  • Experience with environmental policies/regulations
  • Specialized experience in the National Environmental Policy Act, California Environmental Quality Act
  • Performance Based Service Contracts training or experience
  • 3 + years of experience with environmental policies/regulations including specialized experience in the National Environmental Policy Act, California Environmental Quality Act
  • Excellent interpersonal skills with the ability to work on a large multi-disciplinary team
  • Proficiency with Microsoft Office Suite Applications (Word, Excel, PowerPoint, Project)
  • Excellent organization and high attention to detail
  • Strong work ethic with a positive attitude and commitment to producing quality work
15

Medicare Risk Adjustment Coder Resume Examples & Samples

  • CPC and/or CCS with high degree of competency in this area
  • Proficient in ICD-10
  • Prior coding experience in a medical office environment; 1+ yrs. of experience required
  • Strong knowledge of Microsoft Office XP products (Word & Excel)
  • Strong communication skills; both written & verbal
  • Ability to handle multiple tasks and deadlines with attention to detail
  • Associates and/or Bachelor’s Degree
  • Working knowledge of risk adjustment
16

Certified Professional Coder Bilingual English Resume Examples & Samples

  • Certified Professional Coder (CPC) and ICD-10 certification
  • Prior coding experience, preferably in a medical office environment
  • Must have reliable transportation
  • Associates or Bachelor’s Degree
  • Strong written and verbal communication skills; strong analytical, organizational and time management skills required
17

Certified Coder Resume Examples & Samples

  • Certified Medical Coder, CCS or CPC through AHIMA or AAPC with high degree of competency in this area
  • Strong knowledge of Microsoft Office XP products (Word, Excel)
  • Requires 75% travel in Tampa and Central Florida
  • Must have reliable transportation and valid driver's license
  • Medical Risk Adjustment experience
18

Coder Analyst Resume Examples & Samples

  • Extensive local travel outside of office up to 75% (Citrus to Collier to Highlands counties)
  • Must have reliable transportation and valid driver’s license
  • Strong written and verbal communication skills; strong analytical, organizational and time management skills
19

Onsite Learning Facilitator / Coder Resume Examples & Samples

  • Strong attention to detail and exceptional follow up skills
  • Strong technical knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • Must have CPC certification
  • 3+ years of coding experience required
  • Associates and/or Bachelor's degree
  • CPCI
  • MRA background
  • Working knowledge of WebEx
20

Certified Professional Coder Resume Examples & Samples

  • 2+ years of Coding experience
  • Associate's Degree in Health Information Technology or related business degree
  • Current certification as a CPC or CCS-P
  • Computer literacy of medical information system, records management software, encoders, and email
  • Understanding of third party reimbursement rules and regulations
  • Experience with encoder software
21

Clinical Coder Resume Examples & Samples

  • 1-2 Years experiencing in coding
  • 3 or more years’ experience in the health industry
  • Excellent organizational skills desired
  • Excellent written and oral communication skills required
  • Legal Consulting or law enforcement background
  • Experience in managed care or health care administration desired
  • Excellent PC skills (including MS Word, Excel and Access required)
22

Bilingual Certified Professional Coder Resume Examples & Samples

  • High-school diploma
  • Proficient in the use of Computer, including MS-Outlook, Word, and Excel (Windows PC Applications)
  • Must be able to follow policies and procedures and work flexible schedule and location
  • Detail oriented and able to work efficiently in a stressful environment
  • Experience with eMR (electronic medical records)
  • Associate Degree (AA/AS) in Medical Related Field
  • 5 years of experience in Medical Coding (ICD-9, CPT, HCPC) and Billing
  • Medical records Auditing Certification (CPMA) a plus
23

Coder Resume Examples & Samples

  • Medical records experience
  • 2+ years of prior coding experience
  • Associate's and/or Bachelor’s Degree
24

Coder Resume Examples & Samples

  • AAPC Certification required
  • Analytical, organizational and time management skills
  • Must be willing to work overtime
  • One to three years of coding experience and ICD-9 knowledge
25

Certified Coder Resume Examples & Samples

  • Certified Medical Coder with either CPC or CCS through AHIMA or AAPC
  • Certified in ICD-9 coding
  • This position can at times require extensive travel, 50% in the Dade county area
26

Certified Professional Coder Resume Examples & Samples

  • 3 years of Certified Medical Coder experience in an acute care and/or outpoint setting
  • AHIMA, RHIA or RHIT and/or CCP, CCS
  • Knowledge of coding guidelines, payment guidelines, federal billing guidelines
  • Outpatient and MLTC experience
  • Ability to research coding-related issues
  • Competent in coder training
27

Certified Coder Resume Examples & Samples

  • Coder certification
  • ICD-9 experience
  • ICD-10 training experience
  • Professional attitude $
28

Treasury Super Coder Resume Examples & Samples

  • Architectural improvements to the existing platform
  • Minor Works enhancements and Day 2 functionality
  • External Migrations work arising to due upstream data and technology changes
  • Provide 3rd Line Production support
  • Enable\Assist Business on key regulatory reporting requirements
  • Strong verbal and written communication skills with a good command over English and ability to explain complex technical and functional topics in simple terms over the phone
29

MRA / Certified Coder Resume Examples & Samples

  • Bachelor’s Degree in Communications, Education or similar field
  • Coding certification with either CPC or CCS designation
  • Exceptional interpersonal, public speaking and presentation skills
  • Strong technical knowledge of all Microsoft Office applications, including Word, Excel, Access and PowerPoint
30

Risk Adjustment Coder Resume Examples & Samples

  • Active New York State Registered Nurse license
  • AAS in Nursing
  • Sound knowledge of ICD-10 coding guidelines and regulations
  • MLTC Risk Adjustment Methodology knowledge
  • 2+ years of recent and related experience in clinical record documentation review, diagnosis coding, and/or auditing
  • Experience with Microsoft Office products (Word, Excel, and Power Point)
  • Exceptional coding skills
  • Bachelor’s Degree in Nursing
  • Current AAPC or similar certification
  • MLTC experience
31

Mra Certified Coder Resume Examples & Samples

  • CPC, CCS-P, or CPC-A (with significant experience) Coding Certification
  • 2+ years prior medical coding experience
  • Demonstrated time management skills
  • HCC coding experience
32

PPS Clinical Coder Resume Examples & Samples

  • Support and collaboration with PPI and SIU
  • Review medical record information to identify fraud, waste, or abuse
  • Make clinical determinations based on medical record reviews and document those findings in the PPI Audit Tool
  • Active Certified Professional Coder (CPC) – AAPC
  • ICD-10Certified
  • At least 2+ years of prior CPT coding experience and outpatient auditing experience
  • Experience in the healthcare/managed care industry
  • Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information
  • Ability to work independently and manage workload
  • Excellent writing, editing, interpersonal, planning, teamwork, organizational and communications skills
  • Strong knowledge of Microsoft Office products (Word, Excel)
  • Strong knowledge of ICD-9 & ICD-10 coding
  • Experience in prospective payment methodologies
  • Strong knowledge of Microsoft Access
  • Proven proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology and medicine
  • Strong analytical, investigative and time management skills
33

Medical Biller / Coder Resume Examples & Samples

  • 1+ year of previous Coding experience
  • Previous experience in a Medical Office setting
  • Familiar and proficient with ICD-10 coding
34

Cadet Liaison Coder Resume Examples & Samples

  • Must have 2-3 years of coding experience
  • Problem Solving & Team building skills
  • Proficient in the use of Microsoft Office
  • ICD-10 knowledge
35

Certified Professional Coder Resume Examples & Samples

  • 1+ year of Coding experience
  • Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) certification
  • Solid Coding and Auditing background
  • Nursing Home experience
36

MRA Coder Resume Examples & Samples

  • CPC or CCS-P coding certification
  • 18 months prior medical coding experience
  • Valid drivers licence
  • This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be tested for TB
37

Email Marketing Designer / Coder Resume Examples & Samples

  • Brand champion - Adhere to brand guidelines and direct others in using the Pearson brand
  • Shoot, edit and produce video
  • Print design and production backup
  • Manage and direct outsourced creative; photography, printers, coders, designers, etc. when required
  • Bachelor’s degree in Visual Communications, Graphic Design, Web Design, Web Development
  • 3+ years of relevant experience working in a design, coding or marketing environment
  • A strong online portfolio showcasing examples of your work (graphic design, typographic skills and HTML/CSS proficiency)
  • Knowledge of SEO and web analytics
  • Knowledge of video shooting, editing and production process
38

Medical Certified Coder Resume Examples & Samples

  • Coding experience in a medical office environment
  • Knowledge and experience in health care environment/managed care
  • Strong knowledge/experience of ICD-9 coding
  • ICD-10 proficient preferred
39

PPI Reconsideration Coder Resume Examples & Samples

  • Certified Medical Coder
  • Minimum 6 months experience as a coder
  • Excellent PC skills (including MS Word, Excel and Access (basic knowledge) required
  • Strong knowledge of CAS
  • Claims processing experience
  • Research skills
  • Self-driven and the ability to multi-task
  • Associate’s or Bachelor’s degree desired
  • Experience working with diverse cultures desired
  • Experience in business writing or creative writing desired
  • Experience working in the Insurance Industry
  • Experience working in Humana Systems (CCP2, MTV)
  • Plan load or Provider experience
40

Spine Coder / Surgery Appeals Specialist Resume Examples & Samples

  • Bachelor's Degree in a related filed
  • Previous Spine Coding experience
  • Experience with Appeals, Claims, Clinical Documentation, and Reimbursement
41

Professional Coder Resume Examples & Samples

  • 3+ years of Coding experience (Certification is required within one year of hire)
  • Associate's Degree or equivalent training
  • Certification within 1 year of hire, including: American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; and/or, American Academy of Professional Coders (AAPC): CPC-H
  • Great interpersonal skills
  • Successful completion of a Coding Certificate program with AHIMA approval status
42

Certified Professional Coder Resume Examples & Samples

  • 2+ years of experience in Medical Coding
  • Medical Coding Certificate (CPC) through AAPC or AHIMA
  • Proficient knowledge in medical terminology and anatomy & physiology
  • Must be able to perform daily procedures, meeting high quality standards and using his/her independent judgment following standards and regulations
  • 5 years of experience in Medical Coding
43

Certified Coder / Mra-jacksonville Resume Examples & Samples

  • Intermediate knowledge of Microsoft Office XP products Word and Excel
  • Knowledge of ICD-9 Coding
  • Extensive local travel outside of office up to 75% (Duval, Nassau, Clay, St. Johns, Putnam, Baker, Union, Columbia, Bradford counties)
  • Intermediate Access skills
44

Coder / Mra-miami Dade / Broward Resume Examples & Samples

  • Certified Medical Coder with either CPC or CCS with 1 year of prior coding experience in a medical/healthcare environment
  • Must have valid Driver’s License and reliable vehicle
  • Intermediate knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)
  • High school diploma or equivalent required
45

Onsite Coder / Coding Educator Resume Examples & Samples

  • Will provide direction and give guidance on coding best practices
  • The position can be located in Irvine or Torrance, CA
  • Coding experience
  • Working knowledge of Medicare Risk adjustment, ICD-10 and HCC requirements
  • Experience in a provider setting
46

Coder Editing Escalated Consultant Resume Examples & Samples

  • Coding certification (Industry-recognized coding certification from PHIA, AAPC and/or AHIMA)
  • Familiar with ICD, CPT, HCPCS assignment
  • Basic proficiency with MS Office (Excel and Word)
  • Strong problem solving & organizational skills
  • BS in healthcare or business related field
  • Billing and/or AR background
47

Professional Fee Coder Resume Examples & Samples

  • Required High school diploma or equivalent with additional training beyond high school preferred
  • Required: Three years of related experience
  • Certification as a Certified Procedural Coder (CPC) required
48

Senior Professional Fee Coder Resume Examples & Samples

  • Required: High school diploma or equivalent with additional training beyond high school preferred
  • Required: Five years of coding experience
  • Certification as a Certified Procedural Coder (CPC) or Certified Coding Specialist – Physician-based (CCS-P) required
  • Demonstrated proficiency in resolving claims/charge edits identified by electronic billing system as coding exceptions
  • Skill in problem solving
  • Ability to read, analyze, and interpret medical records and charge documents
  • Advance knowledge of medical terminology
  • General knowledge of CCI edits, MUE edits, LCD/NCD, and other payer coding policies
  • General computer knowledge, preferably with Epic, and MS Office knowledge
49

Billing Specialist, / Spine Surgical Coder Resume Examples & Samples

  • Performs abstracting on E&M services, complex diagnostic studies, and/or endoscopic, interventional or surgical procedures. Requires the ability to read the progress note and or procedure/surgical results and confirm or change the CPT code(s), diagnosis code(s) and modifiers (if applicable). Requires strong knowledge of the carrier coverage policies and documentation requirements for specialty specific service lines. Must know the Medicare and Medicaid teaching physician documentation billing rules
  • Serves as a resource to the FERC Team Leads, Compliance Auditors, Medical Collectors and Billing Specialists I & II. Requires a billing and coding knowledge level that provides guidance on and resolution to resolve claim denials, rejections and backend coding edits
  • Performs manual charge entry for all non-EpicCare and non-automated sites of services. This includes E&M visits and procedures across several centralized service lines. Depending on the clinical department they may be required to review and release charges from a computer assisted coding environment
  • Investigates and resolves coding and registration Epic Resolute Claim edits. Requires strong knowledge of Epic's carrier registration filing order rules and billing rules
  • Periodically assists in obtaining insurance authorizations and accurately maintaining the authorization records, communicate patient balance and patient-responsibility amounts to clinics and/or patient/families, responding to requests for information. Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned
  • Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records
50

Production Coder Resume Examples & Samples

  • Applies Good Manufacturing Principles in all areas of responsibility
  • Demonstrates and drives the Thermo Fisher values – Integrity, Intensity, Involvement and Innovation (The Four I’s)
  • Monitors label production runs for accuracy and completeness in accordance with SOP’s and completing the daily production goals
  • Ensure that all equipment for coding is maintained as per procedure. This includes keeping up with all current preventative maintenance practices on a daily basis
  • Communicate any problems with the Project Management Department as well as the area leader
  • Set-up all PDR/PRG’s in CLPS as per Department SOP’s
  • Process all replacement labels
  • Maintain work area in a neat and safe manner. This includes taking out all the necessary garbage, shredding all scrap labels, breaking up all excess cardboard boxes and disposing of them and cleaning all equipment as necessary on a daily basis at the end of your shift
  • Responsible for processing returns of remaining unprinted stock after computerization has been passed and shipped. This will be a Production Coding function but the sole responsibility of a designated employee
  • Works hand-in-hand with cross-functional department managers and supervisors to meet company goals and objectives
  • Conducts all activities in a safe and efficient manner
  • Other duties may be assigned to meet business needs
  • 2+ years knowledge of how to use a ruler for measuring and have basic math skills
  • 2 + years of computer knowledge with Outlook, Word and Excel
  • Previous experience in clinical packaging environment
  • 2+ years Knowledge of how to operate and manipulate basic printer technologies
  • Previous design software knowledge a plus
  • Ability to work with confidential information
  • Ability to communicate effectively with all levels of personnel
  • Strong basic math skills
  • Strong ability to work as a team, collaborate with colleagues and share workload as needed to provide quality customer support
  • Knowledge and experience with cGMP compliance
51

Coder Resume Examples & Samples

  • Responsible for applying diagnostic and procedural codes to patient health information for data retrieval, analysis, and claims processing
  • Works as a liaison to physicians in order to obtain medical information required for diagnosis and procedure coding
  • Assists in staff training, educational sessions, and participates in team meetings as requested by management
  • Effectively abstracts pertinent information from outpatient records and assigns codes utilizing 3M
  • Knowledge of ICD-9 CM, CPT, HCPCS Codes
  • Collaborates with Patient Accounting to solve denials, billing, and coding issues
  • Conducts effective audits as requested by management
  • Bachelors degree or equivalent coding experience required
  • 0-2 years of experience preferred
  • CCS/CPC or be eligible for certification within one year of hire
  • Should have the ability to be a dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines
  • Strong interpersonal, oral, and written communication and organizational skills
  • Able to work well independently on a team and as a trainer/facilitator
52

Coder Educator Resume Examples & Samples

  • Experience in delivering physician and/or coder education
  • Evaluation and management chart auditing experience
  • Highly knowledgeable in Medicare Evaluation and Management guidelines
  • Demonstrate clear understating of the Official ICD-9-CM Guidelines for Coding and Reporting
  • Experience in development and implementation of PowerPoint presentations education
53

Coder Educator Resume Examples & Samples

  • Assesses and identifies skills, competencies and areas of learning and instruction needed for new hires, staff and department management. Assists with the development of education and training within specified area, which may include preparation of related educational materials
  • Plans and coordinates the orientation programs for new hires to provide an introduction to the department and facility, to define employment expectations and standards, to provide prerequisite knowledge required, and to train in the basic job skills
  • Provides for onsite support of trainees, and acts as a knowledge resource for all staff. Problem-solves and troubleshoots issues involving HIMS electronic applications. This may include monitoring and reviewing clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete
54

Professional Fee Coder Resume Examples & Samples

  • Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry. Investigates and resolves charge errors
  • Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care
  • Works held claims and claim edits in the CCF claims processing system
  • Maintains proficiency in related CCF billing systems, productivity standards, and records to be used for reconciliation and charge follow up. Utilize ICD10 and CPT-4 coding systems and materials
  • Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems
  • Minimum of two years of coding experience in a health care environment and or medical office setting required
  • Candidate must currently be employed as a Professional Fee Coder I at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of Professional Fee Coder I for six months to apply for a Professional Fee Coder II position
55

Professional Fee Coder Resume Examples & Samples

  • Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry
  • Maintains records for reconciliation and charge follow up
  • Investigates and resolves charge errors
  • Maintains proficiency in related CCF billing systems and productivity standards
  • Utilizes ICD10 and CPT-4 coding systems and materials
  • This position is for an entry level non-certified professional with a minimum of one year related experience in health care environment or medical setting or a new graduate from an accredited program (CPC,CCS-P, Candidate must complete the Cleveland Clinic Coding competency exam to be considered for the position
  • In order to move forward, trainee must have successfully obtained their coding certification ( CPC,CCS-P, RHIT, CCA) RHIT, CCA)
56

Professional Fee Coder Resume Examples & Samples

  • Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry
  • Maintains records to be used for reconciliation and charge follow up
  • Responsible for working professional held claims in CCF claims processing system
  • Reviews, abstracts and processes services from surgical operative report
  • Reviews, communicates and processes physician attestation forms
  • Communicates with physician and other CCF departments (co-surgery) to resolve documentation discrepancies
  • Assists with Evaluation and Management (E&M) audits and other reimbursement reviews
  • Responsible for working E&M denials on the denial database
  • Minimum of 3 years coding to include 1 year of complex coding experience in a health care environment and or medical office setting required
  • Must demonstrate and maintain accuracy and proficiency in coding and claims editing to be considered for a Professional Coder III position
  • Candidate must currently be employed as a Professional Coder II at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of a Professional Coder II
57

Radiation Coder & Educator Resume Examples & Samples

  • Conduct regular and on-going review of medical record documentation, for coding and documentation compliance. This also entails report generation and preparation
  • Appeal coordination with Patient Assistance Support
  • Collaboration with Managed Care regarding payer contracts
  • Collaboration/partnering with Revenue Cycle Management regarding payer related issues
  • Researches, prepares, and develops coding material that will be presented to network practice physicians, clinical team and business staff via on-site, web based, and other methods of training
  • Development of coding tools/aids
58

Lead Clinical Quality Coder Resume Examples & Samples

  • Trains and orients new team members according to CHS specific guidelines while utilizing the facility encoder, HBOC and EMR
  • Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting
  • Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance
  • Assists Coding leadership with continuing education for all coding personnel
  • Facilitates peer review and training for Coding personnel
  • Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, RAC, DA2, Clinical Care Management and other coding reviews as requested
  • Reviews inpatient and/or outpatient medical records to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes and POA indicator for all diagnosis codes
59

Lead Clinical Quality Coder Arrowpoint Resume Examples & Samples

  • Prepares and performs coding audits to ensure consistent, high quality coding, MS-DRG, APC, Present on Admission, Patient Safety Indicators, Hospital Acquired Conditions and Core Measures
  • Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors
  • Assists with rebilling accounts when necessary
60

Clinical Coder, / Acute Care Resume Examples & Samples

  • Reviews moderate to high complexity medical records to identify the appropriate principal diagnosis and procedure codes and all other appropriate secondary diagnoses and procedure codes and assign Present on Admission indicators, Hospital Acquired Conditions and Core Measures for all diagnosis codes
  • Facilitates appropriate MSDRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines
  • Reviews charges and Evaluation and Management levels
  • Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input
  • Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding
61

Clinical Coder, / Acute Care Resume Examples & Samples

  • Reviews low complexity medical records to identify the appropriate principal diagnosis and procedure and all other appropriate secondary diagnoses and procedures
  • Reviews charges including Evaluation and Management levels
  • Abstracts coded data and other pertinent data in the hospital electronic health record
  • Ensures the accuracy of data input
  • Stays abreast of coding principles and regulatory guidelines related to outpatient coding
62

Coder Resume Examples & Samples

  • Perform coding and related duties using established Steward Coding Service's policies in an accurate and timely manner. Review medical documentation and encounter forms and assign CPT, ICD-10, HCPCS II and modifiers based on documentation and payor requirements
  • Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems
  • Maintain adequate knowledge of coding, compliance and reimbursement procedures. Review current literature, newsletters, payor policy updates and coding manuals
  • Resolve coding edits and denials in a timely manner. Identify opportunities to reduce denials and enhance revenue
  • Function as a resource to Steward internal units and external customers. Research and resolve coding inquiries. Make recommendations for coding policy changes
  • Develop and maintain division specific coding procedures (SOPs)
  • Complete special projects as assigned by management which require defining problems, determining work sequences, summarizing findings, and implementing required changes
  • Participate in coding education for providers and co-workers
  • Maintain coding certification
  • Proficiency in ICD-10, CPT, HCPCS and modifiers for coding professional fee services
  • Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines
  • Proficient with computer applications (MS office, Excel, etc)
  • Demonstrate ability to work with minimal supervision
  • Ability to use critical thinking skills to identify operational, system, or policy issues and communicate those issues to the coding manager
  • Ability to communicate through formal presentations to providers and or practice managers/directors
  • Education: Completion of a Coding Certificate program or Health Information Technology program CPC, CCS-P preferred or work experience equivalent
  • Course work in anatomy and physiology, medical terminology strongly preferred
  • A minimum of 2 years of experience in coding
63

Coder Resume Examples & Samples

  • Provide daily direction and communication to Coding staff to ensure proper coding is efficient and effective for the data entry department. Provide continual evaluation of processes and procedures
  • Interface with Physicians, Nurse Practitioners, and other Managers to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices. Reviews and implements coding policies and procedures, obtain clarification of conflicting ambiguous or non-specific documentation
  • Establishes and implements short- and long-range goals that support company and site standards, objectives, policies, strategic directives and operating procedures. Plans, organizes, and conducts individual and group provider in-service programs related to payor regulations, documentation and billing guidelines
  • Conducts quality control studies of coding and other aspects of billing, identifies and corrects problems; implements quality control audits. Oversees all facets of the daily operations of the organizational unit, ensuring compliance, state, and federal laws, policies, and regulations
  • Provide performance feedback and coaching on a regular basis to each employee. Write and administer performance reviews for skill improvement
  • Be available for employees that experience work problems providing appropriate coaching, counseling, direction and resolution
  • Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations
  • Researches, analyzes, and responds to inquires regarding compliance, inappropriate coding, denials, and billable services. Develops and implements systems to maintain records of compliance materials
  • Coordinates prospective and retrospective coding audits and reviews; identifies key risk areas and processing inadequacies; and takes appropriate preventive and/or remedial actions. Abstracts and modifies standard medical coding guidelines, procedures and issues training materials, as required
  • Insure employees have appropriate training and other resources to perform their jobs develop additional skills. Respond to and resolve employee relations issues expressed by staff. Create and maintain favorable working relationship with all other company employees to foster and promote a cooperative and harmonious working climate which will be conducive to maximize employee morale, productivity, and efficiency/ effectiveness
  • Address disciplinary and/or performance problems according to company policy. In conjunction with Human Resources, prepare disciplinary actions and communicate effectively with employees on such actions and make effective/appropriate decisions relative to corrective actions as required
  • Keep immediate supervisor promptly and fully informed of all problems or unusual matters of significance and take prompt corrective action where necessary or suggest alternative courses of action that may be taken
  • Project a favorable image of the company to promote its aim and objectives
  • Perform all duties and responsibilities in a timely and effective manner in accordance with established company policies to achieve all the overall objectives of this position
  • Perform other duties and responsibilities as required or requested
  • High School diploma plus 3 years experience directly related to the duties and responsibilities specified
  • Certified Coding Specialist (CCS); CCS-P (Certified Coding Specialist – Physician Based); or CPC (Certified Professional Coder)
  • Advanced interpersonal and communication skills required
  • High level administrative and organizational skills,
  • Must be self motivated / directed
  • Advanced analytical and problem solving skills necessary
  • Ability to exercise independent judgment based upon established policies, protocol or practices
  • Solid, working knowledge of medical billing operations in order to effectively plan and manage day-to-day operations of moderately large scope
  • Ability to provide and support a vision and direction. Advanced knowledge of medical coding, billing systems, regulatory requirements and auditing concepts and principles
  • Ability to organize data to illustrate results of billing compliance studies against claim denials
  • Ability to assess provider compliance with billing regulations and define areas in which additional training is required to meet standards
64

Coder Resume Examples & Samples

  • Responsible for assigning diagnostic and procedural codes to patient records in adherence to ICD-10-CM and CPT/HCPCS codes or other designated coding classification system based on source documentation within the patient record
  • Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures
  • Reviews medical records for data abstracting of specified data elements
  • Assigns and sequence codes accurately based on patient record documentation
  • Assign the appropriate discharge disposition based on patient records documentation
  • Assign the appropriate Present On Admission (POA) indicator and Hospital Acquired conditions (HAC) based on medical record documentation
  • Abstract and enter coded data hospital statistical and reporting requirements
  • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution
  • Use coding resources as tools to ensure coding compliance
  • Meets coding and abstracting quality and productivity standards
  • Track and maintain continuing education credits to maintain professional credentials
  • Communicate with co-workers, management and hospital staff regarding clinical and reimbursement issues
  • Performs all job functions in compliance with federal, state and local laws, and hospital policies and procedures
  • Conduct chart reviews based on third-party audits or based patient complaints received from the system financial services
  • In keeping with the AHIMA "Guidelines for Achieving A Compliant Query", and hospital policies and procedures query the medical staff when additional documentation clarification is required to achieve optimal coding
  • Performs other duties as required by the position
65

Coder Resume Examples & Samples

  • Demonstrated knowledge of hospital outpatient ICD-10 CM and CPT-4 coding rules
  • Knowledge of APC and DRG assignment logic, National Correct Coding Initiative edits, Coding Clinic and CPT Assignment coding guidelines and the contents of a medical record required
  • Knowledge of compliance guidelines essential. Background knowledge of analysis, assembly, terminal digit filing, and physician’s incomplete process preferred
  • Familiarity with billing functions and the components of a charge description master preferred
  • Demonstrated analytical skills, and the ability to translate documentation in different parts of a medical record into specific codes
  • The ability to work at a fast pace and maintain a high concentration level with accuracy is essential
  • The ability to effectively and tactfully communicate the relationship between coding and documentation with physicians required. Computer keyboarding skills, and experience with computerized coding/abstracting systems and encoders also required
66

Medical Records Coder Resume Examples & Samples

  • Reads and interprets health record documentation to identify all diagnoses and procedures that affect the inpatient/outpatient stay/visit
  • Assesses the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned
  • Applies knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures
  • Applies knowledge of current approved coding guidelines (as published in Coding Clinic for ICD10-CM) to assign and sequence the correct diagnosis and procedure codes for hospital inpatient services with a 95% accuracy rate
  • Applies knowledge of current coding guidelines and regulatory agency guidelines to assign the correct diagnosis and procedure codes for hospital outpatient services with a 95% accuracy rate
  • Applies knowledge of CPT format, guidelines and notes to locate the correct codes for all services and procedures performed during the encounter/visit and sequence them correctly
  • Applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and cormorbid conditions, and other diagnoses and significant procedures which require coding
  • Applies knowledge of the Prospective Payment System to confirm DRG assignment which ensures optimal reimbursement
  • Refuses to fraudulently maximize reimbursement by assigning codes that do not conform to approved coding principles/guidelines
  • Applies knowledge of the Outpatient Prospective Payment System to confirm APC/APG assignment which ensures optimal reimbursement
  • Applies knowledge of ICD10-CM instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly
  • Attaches modifiers to procedure or service codes when applicable
  • Accurately codes for the professional vs. technical component when needed
  • Clarifies conflicting, ambiguous, or nonspecific information appearing in the record by consulting the appropriate physician
  • Participates in quality assessment to ensure continuous improvement in ICD10-CM and CPT coding and collection of quality health data
  • Demonstrates the ability to recognize potential coding quality issues from an array of data
  • Accurately enters data into Meditech, verifying any existing information
  • Is cooperative in interactions, treating customers with courtesy, respect and compassion
  • Is patient when responding to questions and answers questions appropriately
  • Responds to requests in a timely manner
  • Handles interruptions in a skillful way
  • Maintains a professional appearance and demeanor
  • Strives to prevent/resolve customer concerns to the customer's satisfaction
  • Attends and participates in staff meetings and inservices and/or reviews documentation as required
  • Assists in the orientation of others and actively participates in mentoring
  • Two to four years coding experience in a health care setting
  • Working knowledge of ICD10-CM and CPT-4 coding systems
  • Certified Coding Specialist or Accredited Health Information Technician credentials preferred
67

Senior Coder Resume Examples & Samples

  • The senior coder shall, in conjunction with the Coding Director, be responsible for the day-to-day management and operations of the Coding department
  • Review physician documentation for the purposes of risk adjustment utilizing the current ICD-9 Coding guidelines
  • Have a working knowledge of ICD-10 implementation, conventions, and guidelines
  • Assist the Coding Director in hiring, educating, and evaluating coding staff
  • Be able to travel monthly to Providers offices to provide coding education/support
  • Participate as a team member by involving other departments in project planning and implementation
  • Supports others in the department and provides help and assistance when possible
  • Regularly attends and participates in team and/or departmental meetings and activities
  • Keeps others in the department informed of relevant information
  • Regularly offers and requests constructive feedback and coaching
  • Establishes and maintains effective working relations
  • Performs with internal and external service excellence by welcoming patients/customers/employees in a warm, friendly manner. Actively listen and constructively respond to questions and concerns in a timely manner
  • Ensures that the dignity of the patient/customer/employee is maintained at all times
  • Respects the diversity of the patient/customer/employee population
  • Demonstrates safe and effective use of equipment
68

Html Coder Resume Examples & Samples

  • Intermediate English language skills – must be able to understand written and spoken instructions in English and be able to write clear emails in English
  • Excellent HTML coding skills for Mailings
  • Intermediate knowledge of Photoshop and Dreamweaver
  • Ability to work quickly and efficiently
  • Meticulous attention to details and aesthetics
69

Facility Outpatient Coder Resume Examples & Samples

  • Function as an Outpatient Prospective Payment System (OPPS) coding, billing, reimbursement, and regulatory policy subject matter expert (SME) for Optum360 Coding Solutions
  • Apply expertise in current coding systems (ICD - 9 - CM / ICD - 10 - CM / CPT / HCPCS), OPPS and Ambulatory Surgery Center (ASC) reimbursement methodologies, and operational expertise to provide up - to - date, clear and concise content for all products
  • Apply basic knowledge of other payment systems for example, Inpatient Prospective Payment System (IPPS) End Stage Renal Disease (ESRD), Home Health and Skilled Nursing
  • Apply working knowledge of the 837i and UB-04 claim forms
  • Maintain official sources that are a defensible source of information to support product content
  • Respond to ICD - 9 - CM / ICD - 10 - CM / CPT / HCPCS and Medicare questions / queries for internal and external customers
  • Suggest new product ideation and product enhancements in a timely manner that reflects customer needs and industry standards
  • Provide New Product SME, Clinical Technical Editor (CTE) team members, Product Managers, Sales and Marketing with information on healthcare industry changes that impact our business
  • Deliver high quality content, on time and within budget. Responsible for working within project guidelines also known as scope of work (SOW), leading projects or working collaboratively as a Tech 1 or 2, and meeting schedule deadlines (standard 100%) while maintaining the accuracy and integrity of the content (accuracy standard 97%)
  • Demonstrate ability to perform work in a team environment, both as a peer in a Tech 1 & Tech 2 partnership and as a lead CTE as necessary
  • Demonstrate the ability to multitask and toggle between multiple projects
  • Keep pace with market standards by keeping abreast of regulatory changes, official coding guidelines, and by developing and maintaining relationships with customers and industry experts within and outside of Optum360
  • Responsible for conducting research to support the creation of new products or product updates by using various avenues such as hard copy reference material (internal & external publications), internet searches inclusive of CMS website, other official websites, list serves, databases, seminar / conference material, interviews, and interactions with customers
  • Update both the scope of work and product spec document for each update throughout the year prior to the kickoff meeting i.e., specifically list all components of the product under component checklist inclusive of each individual attachment, describe in detail update requirements under scope of work, list the official resources to be used, review and update the product spec section of the document. If product specs are not included in the SOW template they must be added prior to the product going to Print Services
  • Communicate schedule changes and content concerns to the Director and Product Manager
  • Responsible to contribute new product ideas
  • Enhance the visibility of Optum360 by conducting presentations or functioning as an expert in panel discussions at professional conferences / seminars at a national, state or local level, by functioning as a contributing editor for professional journals, or by functioning as an advisory board member
  • Responsible for assisting in the development of Coding Solutions CTE goals and measurable business objectives
  • Meet or exceed all MBOs, accuracy and TAT standards
  • Relationships
70

Bilingual Market Research Coder Resume Examples & Samples

  • Ability to effectively read and comprehend English verbatim responses
  • Ability to read and then categorize survey responses from surveys completed in Spanish to English
  • Able to work across multiple projects at the same time in order to meet deadlines
  • Ability to maintain well organized project information and materials
  • Skilled and effective in the use of the Internet when researching various project requirements
  • Ability to monitor, adjust and revise their work to ensure high quality prior to delivery
  • Effectively create a summary of important points within a file of comments for client review
  • Support and assist Team Leaders and fellow Coders in a positive proactive manner
  • Self-motivated, positive attitude
  • Proficiency in Microsoft office (word and excel programs)
  • Client service approach
  • High level of organization
  • Professional appearance and attitude
  • Commitment to the team environment
  • Technical knowledge
  • Fluent (reading and writing) in English and Spanish
  • Strong knowledge of social media platforms including Facebook, LinkedIn, Twitter and Instagram
71

Remote HIM Coder Resume Examples & Samples

  • Analyzes and interprets documentation from medical records and completes accurate coding of hospital-based diagnoses and procedures
  • Analyzes and interprets documentation from medical records and completes accurate professional fee coding of diagnosis and procedures, charge review, E/M assignment and charge router
  • Abstracts and/or validates required data elements into the coding and abstracting screens/system
  • Communicates with providers for missing documentation or questions regarding documentation and offers guidance and education when needed
  • Associate Degree
  • 2 years of health industry experience
72

Coder Resume Examples & Samples

  • Analyzes and interprets documentation from medical records and completes accurate coding of diagnoses, procedures, and professional fees
  • Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. Reviews and edits charges
  • Status: Full-time
73

Coder Associate Resume Examples & Samples

  • Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing
  • Communicates with providers for missing documentation elements and offers guidance and education when needed
  • Reconciles billing issues by determining the rationale for rejecting and correcting inaccurate charges
74

Principal Clinical Coder Resume Examples & Samples

  • Functions as the Lead Coder on multiple projects
  • Responsible for coding of clinical and/or safety data and ensures coding consistency, uniformity, and clarity across all pertinent data. Verifies with relevant authorities that sponsors’ license requirements are met
  • Researches and resolves coding-related questions. Creates queries and/or notifies relevant parties as to coding discrepancies. Functions as the Project Lead on coding only studies including legacy recoding projects
  • Participates in audits and bid defense meetings
  • Serves on project teams to coordinate and lead development activities for clinical coding projects. Attends meetings, participates in discussions, focuses on deliverables, and provides constructive criticism. Keeps those responsible for project management informed of any issues that might impact project target dates, scope, or budget and escalates potential problems effectively and in a timely manner. Balances multiple task assignments and communicates needs to supervisor to obtain needed resources
  • Develops project-specific coding guidelines incorporating best coding practices and sponsor-specific guidelines
  • Participates in ongoing review of auto-coded and interactively coded clinical/safety trial data for accuracy and overall consistency
  • Collaborates with Lead Data Manager/Drug Safety Manager to track and resolve outstanding coding queries/considerations
  • Generates study-specific clinical coding reports (data and/or safety) on a regular basis to maintain high quality coding
  • Provides leadership, mentorship, training, guidance, and support to other department members based upon expertise in clinical coding. Collaborates with clients, peers, lead clinical coders and project teams to serve as a subject matter expert representing clinical coding in internal and external meetings
75

Emergency Department Facility Coder Resume Examples & Samples

  • Review and maintain a record of charts coded, held, and / or missing
  • Coding credential required from AHIMA/AAPC (ROCC, CPC, COC, CCS, CPC-P)
  • 3+ years of Emergency Department facility coding experience
  • Intermediate level of Microsoft Excel
76

Facility Outpatient Coder Resume Examples & Samples

  • Adhere to and maintains required levels of performance in both Coding accuracy and productivity
  • Coding credential required from AHIMA/AAPC (ROCC, CCS, CPC, COC, CPC-P)
  • A minimum of 3 years outpatient facility coding experience
  • Must have ICD-10 experience
77

Data Collection Associate Coder Resume Examples & Samples

  • Collects and transmits consumer product data gathered from assigned/selected UPC’s on a weekly basis by
  • Researching and locating UPC’s/products assigned
  • Scanning UPC’s via hand-held device
  • Transmitting collected data daily
  • Plans and organizes assigned work within CROSSMARK Retail Data/Coding Collection by reviewing
  • Store assignments/mapping work
  • Utilizes resources for Coding UPC’s
  • Newsletters
  • Submitting time card and expense information in accordance with CROSSMARK’s established procedures and schedules
  • Communicates effectively with district management and coworkers by
  • Attend all Market, Team, and District Meetings, as necessary
  • Determine what is/is not a display; data that should/should not be collected
  • Manage a positive, professional relationship in various interpersonal retail store encounters with store managers, employees, and retail customers
  • Work independently and without daily supervision after initial training and qualification period is complete
  • Complete Audit Skills Assessment Qualification Exercise within eight (8) weeks of hire
  • Ability to work independently while following directions
  • Basic PC skills or willingness to learn PC skills
  • Must keep driver’s license and insurance information current
78

Ohi-oakwood / Beaumont Medical Records Coder Resume Examples & Samples

  • Serve as the main point of contact and subject matter expert regarding Cardiology coding
  • Responsible for attending meetings and in-services to enhance coding knowledge, compliance skills, and maintenance of credentials
  • Treat patient confidentiality with the utmost respect
  • Meet or exceed productivity standards while maintaining a minimum 97% accuracy rate
  • Build productive relationships with all parties involved in the processing of patient medical records
  • Must have a minimum of 4-6 years relevant work experience
  • Must be certified with the AAPC or have the CCS-P certification; those with an apprentice status will not be considered
  • Must be proficient in medical terminology
  • Prior experience coding Cardiology
79

HIM Coder Resume Examples & Samples

  • Clarifies discrepancies in moderately complex documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
  • Performs follow-up coding of moderately complex medical records as a result of internal or external reviews which have identified Coding or APC discrepancies
  • Maintains knowledge and skills; reads current coding resources, clinical information, videos, etc
  • Meets or exceeds productivity and quality standards and established department benchmarks
  • Assigns facility E and M (CPT) levels based on CCHS guidelines
  • A minimum of one year of prior experience abstracting, identifying, reviewing, and assigning moderately complex ICD-9-CM and ICD-10-CM, and CPT codes for the emergency department and outpatient types is required
  • Successful completion of the Cleveland Clinic Coder Trainee Program may offset the experience requirement
80

Coder Resume Examples & Samples

  • Reviews documentation and data. Identifies diagnostic and procedural information
  • Identifies reportable elements, complications and other procedures. Ensures complete disease and procedure reporting. Verifies documentation supports diagnoses, procedures, and treatment results
  • Identifies discrepancies, potential quality of care, and billing issues
  • Serves as coding consultant to care providers
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions
  • Abstracts data elements for administrative/planning reports, reimbursement and research
  • Keeps abreast of advances in technology, diagnosis, and treatment of diseases that affect coding and reimbursement changes
  • Handles special projects as requested
  • Serves as resource by answering questions and providing leadership to health data analysts. Provides ongoing training to staff as needed
  • Stays abreast of current regulations to maintain certification
  • Minimum two (2) years of coding and records/data analyzing experience in a health care (acute and/or ambulatory care) setting
  • Associate's degree in related field
  • Demonstrated knowledge of and skill in PC navigation, mainframe, internet and intranet
  • HIM Coder/Abstract, Inpatient coding experience in all specialties
  • Outpatient facility experience
  • Knowledge in ICD-9, ICD-10 CM and PCS, CPT4/HCPCS coding experience
  • CCS certification, RHIT or RHIA certification
81

Professional Services Coder Resume Examples & Samples

  • Review Medical Records to identify diagnoses/procedures
  • Under supervision, codes all diagnostic and operative information from the medical record using ICD-9-CM, CPT and HCPCS coding classification systems
  • Verifies and abstracts all medical data from the record to assign appropriate codes for the following settings: Inpatient Hospital (IP), Hospital Emergency (ED), Hospital Observation (HOPS), Hospital Ambulatory (HAS), Hospital Outpatient (HOV) and Medical Office
  • Corrects data as appropriate
  • Review Medical Records to resolve Ingenix and HealthConnect Coding Edits
  • Under supervision, identify and resolve coding related edits by reviewing the medical record and ensuring that all data and codes are consistent with ICD-9-CM Official Guidelines, CPT, CPT Assistant, CMS, OMFS, MediCal, USDOL, as well as KP Regional and Local policies
  • Correct data as appropriate
  • Work Organization and Prioritization:Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved, in a timeframe that will assure compliance with regulatory, billing and SOX requirements
  • Completeness of Medical Record Data
  • Under general supervision, interacts with clinical contacts to clarify and promote accurate documentation of patient diagnostic and procedural information
  • Enters patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted or encounter data corrected, prior to submitting the data
  • Ensures timely data completion by meeting coding/abstracting productivity/quality standards established for the Professional Service Coder II
  • Provides feedback to monitor service provider and line of business compliance with regulatory requirements
  • Confidentiality/Security of Systems: Maintains and complies with policies and procedures for confidentiality of all patient records
  • Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained
  • Consistently supports the precepts of Corporate Compliance and the Principles of Responsibility by maintaining confidentiality, protecting the assets of the organization, acting with integrity, reporting observed fraud and abuse and complying with applicable state, federal and local laws and program policies and procedures
  • Answers the telephone promptly and identifies themselves and the department
  • Acts as a resource person to other departments regarding coding questions and issues
  • Minimum of two (2) years, within the last three (3) years, certified professional coding experience
82

Certified Professional Coder Resume Examples & Samples

  • Responsible for reviewing primarily medical and ancillary type workque charge sessions within KP HealthConnect and applying coding principles for correct coding
  • Research, code, and/or data enter encounters that are not supported by KPHC with the External Service capture tool
  • Review all other charges sessions submitted non traditionally via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied
  • Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor in basket messages for timely responses
  • Evaluates and identifies front end and back end error trends for training needs and brings them to the attention of the supervisor
  • Communicates and participates in departmental meetings and intitiatives involving Coding and the Revenue Cycle Enhancement process
  • One (1) year of experience in a healthcare setting with proficiency in medical terminology is required
  • One (1) year of customer service experience is required
  • Knowledge of coding practices is preferred
  • Knowledge of compliance and regulatory requirements is preferred
  • Strong data management skills including proficiency in MS Office applications is preferred
83

Certified Professional Coder Resume Examples & Samples

  • Review and code workques, charge review session including all internal services within the workques as assigned by applying coding principles for correct coding, including sequencing
  • Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor inbasket messages for timely responses
  • Communicate and participates in departmental meetings and initiatives involving Coding and the Revenue Cycle Enhancement process
  • Minimum two (2) years of experience in a healthcare setting with proficiency in medical terminology is required
  • Minimum two (2) year of coding experience is required
  • Minimum two (2) years of customer service experience is required
  • Minimum two (2) years of knowledge in coding practices is required
  • Minimum two (2) years of knowledge of compliance and regulatory requirements is required
84

Certified Professional Coder Resume Examples & Samples

  • Review and code services that are potentially reimbursable, including Medicare, Medicaid, Workers Comp, and other third party payers by applying correct coding principles
  • Review and code ambulatory non-surgical services, and apply coding principles for correct coding
  • Respond to questions from providers through inbasket messages, coding hotline or in person as needed
  • Identifies workflow issues and works with supervisor to address changes in process
  • Serves as a regional resource to other coders and healthcare professionals for documentation guidelines and proper ICD9, CPT and HCPCS level II Coding guidelines
  • Works in collaboration with Coding Supervisor, Revenue Integrity and Patient Financial Services to provide input on front and back end errors trends that impact Revenue Cycle Enhancement
  • Communicates and participates in local, regional, and operational strategic meetings and initiatives involving coding and the revenue cycle enhancement process
  • Participates in data quality and revenue cycle validation processes on a rotating basis
  • Four (4) years of experience in a healthcare setting with proficiency in medical terminology is required
  • Three (3) years of coding experience is required
  • Three (3) years of customer service experience is required
  • Three (3) years of knowledge in coding practices is required
  • Three (3) years of knowledge of compliance and regulatory requirements is required (not sure if you want to specify or not)
  • Ability to work independently with minimal supervision is preferred
85

Health Information Coder Resume Examples & Samples

  • Review medical records to identify diagnoses/procedures. Independently organizes & prioritizes all work to ensure that records are coded in timeframes that will assure compliance w/regulatory requirements. Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment
  • Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines & other appropriate classification systems. Demonstrates knowledge of anatomy & physiology to interpret general medical classifications for coding discharge data Including the most complicated encounters/cases
  • Assigns Codes. Codes all diagnostic & operative info from the medical record using ICD-9-CM, CPT & HCPCS coding classification systems & independently quality checks own work. Selects the DRG for each inpatient case. Optimizes hospital payment legitimately & ethically by utilizing approved coding guidelines & conventions
  • Verifies & abstracts, all medical data from the record to complete a data abstract on each hospital encounter. Corrects data as appropriate. Ensures that all data abstracted is consistent w/guidelines outlined by TJC, OSHPD & CMS, regional & local policy. Completion of Medical Records Interacts w/physicians to clarify & accurately document patient diagnostic & procedural info
  • Enters patient info into the computerized inpatient & outpatient medical record databases, ensuring the accuracy & integrity of the medical record abstract data prior to transmitting case to Government Reimbursement for billing. Ensures timely record availability by meeting established coding & abstracting productivity standards
  • Independently conducts medical record documentation auditing to monitor physician compliance w/regulatory requirements i.e., Physician Review Project. Confidentiality/Security of Systems. Maintains & complies w/policies & procedures for confidentiality of all patient records. Demonstrates knowledge of security of systems by not sharing computer logons
  • Other Duties Answers the telephone promptly & identifies themselves & the Dept. Acts as an expert resource person to other coders & personnel in other hospital Depts regarding coding questions & issues. Other duties as assigned by supervisors. Supervisory Responsibilities: This job has no supervisory responsibilities, but may provide guidance & assistance to other coders
  • Must have at least three (3) years of hospital inpatient experience coding within the last five (5) years
  • Background knowledge analysis, assembly, terminal digit filing, and physician's incomplete processing preferred
86

PRN Coder Resume Examples & Samples

  • Clarifies highly complex discrepancies in documentation and coding
  • Assures accuracy and timeliness of highly complex/high acuity coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
  • Identifies, reviews, and interprets highly complex/high acuity codes
  • Abstracts highly complex clinical information from high acuity inpatients, surgical outpatients and observations at for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols
  • Accurately codes high complexity/high acuity cases
  • Extracts pertinent highly complex information from clinical notes, operative notes, radiology reports, laboratory reports, specialty forms, etc. using ICD-9-CM/ ICD-10-CM/PCS codes, POA indicators and PSI indicators
  • Determines code assignments pertinent to diagnostic workups for accurate MS-DRG/APR-DRG assignment
  • Follows up on highly complex/high acuity coding of medical records as a result of internal or external reviews which identified Coding, APC or DRG discrepancies
  • Supports special studies in relation to coding and abstracting information according to policies and procedures
  • Maintains knowledge and skills via written coding resources, clinical information, videos, etc
  • A minimum of three years of experience abstracting, identifying, reviewing, and assigning highly complex/high acuity ICD-9-CM, ICD-10-CM, CPT, PCS, POA and PSI indicators for inpatient, surgical outpatient and observations is required
  • Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on highly complex/high acuity cases may offset one year of the required experience
87

Coder, Westchester Resume Examples & Samples

  • Reviews physician documentation and performs audits to determine accuracy
  • Knowledge of ICD–9 and ICD–10 coding guidelines
  • Skill in multi-tasking
  • Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public
  • Skill in exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures
88

Coder Outpatient Remote Resume Examples & Samples

  • 1 Code diagnoses and procedures within quality standards (95% accuracy)
  • 3 Pre-bill accounts receivables (A.R.)
  • 4 Ensure confidentiality statement is signed
  • 5 Demonstrate knowledge and utilize computer systems: Meditech, Cerner, ImageNow, Dictaphone, JATA, Outlook Email, Internet, and 3M Online Coding References
  • 6 Perform Emergency Department coding
  • 8 Perform Clinical Referral Coding (CLI): physician order with diagnosis, medical necessity for test, and no CPT coding. 1. Perform inpatient coding and DRG assignment
  • 1 Assist in ensuring coding quality is commensurate with corporate compliance
  • 3 Demonstrate ability to prioritize tasks according to urgency. Develop a routine that allows for maximum use of time. Exhibit ability to effectively multitask. Level 3 Subject Matter Expert (in addition to above duties)
89

Remote Coder, Op Senior Resume Examples & Samples

  • Ability to assign corresponding PCS codes (after dates of service 10/1/2014)
  • Functional knowledge of facility EMR, encoder and other support software
  • Completion of basic coding course (academic, seminar, workshop or facility-based), including medical terminology and basic anatomy and physiology, or an equivalent combination of education and experience also required
90

Aapc Certified Coder for DMC Group Southfield Resume Examples & Samples

  • Knowledge of billing applications
  • Skill in verbal and written communication
  • Skill in organizing work, making assignments, and achieving goals and objectives
91

Coder Resume Examples & Samples

  • Reconciles billing reports against practice reports to identify missed billing opportunities and subsequently works with leadership, providers, and other applicable team members to capture lost revenue. Ensures all end of day reports are run timely and accurately. Audits daily checklist and reconciliation reports
  • Upon completion of coding, ensures that practice staff is following organizational standards of performance within the charge entry process. Office charges are to be preferably entered same day or within the benchmark of 48 hours; Facility based charges are entered <5 days. Any deviations are reported to practice manager or director. Acts as a backup for entering charge when needed
  • Works closely with physicians to ensure timely, accurate submission of billing
  • Reviews denials (tasks) and provides necessary action to correct any billing errors. Reviews and corrects coding errors. Review fee schedules and reimbursement guidelines to ensure accurate coding and billing. Tasks claims for appeals as necessary
  • Educates physicians as to what documentation is required to support their coding and ensures all opportunities are captured and maximized
  • Stays abreast of changes in CPT and ICD coding and transfers knowledge to all applicable stakeholders and institutes changes as necessary
  • Assists with developing and updating coding resources as required to ensure compliance and to reflect the latest CPT/ICD changes
  • Reviews payer QA reports to ensure parameters are met and incentive charges are posted and payments are received
  • Runs and reviews AR and aging reports for action. Review account of balance reports for action to assist in ensuring staff is aware to collect account balances at TOS
  • Works with various members of the leadership team and RCM staff to provide assistance with claim rejection and other potential issues
  • Provides coding A/R support to satellite offices. Some travel in between offices and to main hospital is required
  • Assist with special project related to revenue capture, reporting and auditing
  • Other duties as assigned by practice management
92

Coder / Charge Entry Spec Resume Examples & Samples

  • Registers patients timely, professionally and accurately
  • Makes required telephone calls to obtain valid insurance information
  • Review edits for any coding errors and follow up with appropriate vendor, director supervisor or department manager
  • Correct any errors using the specific audit report within the same day of receipt of report
  • Communicate information clearly both verbally and written
  • Adheres to all departmental policies and procedures
93

Coder Resume Examples & Samples

  • Upon completion of coding, work closely with charge entry staff to ensure accuracy in charge posting
  • Maintain strong knowledge of NextGen EPM
  • Work closely with physicians to ensure timely coding of encounter forms and submission for charge posting
  • Prepare written bulletins to the physicians as changes in CPT and ICD-9/10 coding is published as it pertains to their specialty
  • Work with Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
  • Work with Director and RCM staff to provide assistance with claim rejection
  • 6 months coding experience with working knowledge of NextGen Charge entry process preferred
94

Medical Office Coder Resume Examples & Samples

  • Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements
  • Initiative– Independently takes prompt proactive steps towards problem resolution
  • Contributing to Team Success–Actively participates as a member of the Center’s team to move the team toward the completion of goals
  • Policies & Procedures – Articulates knowledge and understanding of organizational policies, procedures, and systems
  • Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
95

Cbo-certified Coder / Billing Specialist Resume Examples & Samples

  • Required: Coding certification by accredited physician billing organization
  • Customer service experience in a medical office setting required
  • Prior experience in medical office billing and collections preferred
  • Demonstrates effective organizational and time-management skills
  • Demonstrates excellent oral and written communication skills
  • Demonstrates basic computer skills
  • Demonstrates current knowledge of payor procedures and requirements
  • Ability to accurately interpret EOB for practice and patients
  • Ability to problem-solve and multi-task in the work environment
96

Coder IP / OP Resume Examples & Samples

  • Requires an associate's degree and at least 2 years experience in coding or medical records using ICD and CPT coding systems
  • Wound Care experience a plus
  • Must pass both the CHS IP/OP test with a 95% or higher
  • RHIT, RHIA, CPC or CCS registration required
97

Coder Resume Examples & Samples

  • Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting systems as part of a corporate coding organization
  • Codes Emergency Department and Ancillary care records
  • Consults Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems
  • Attends coding education as scheduled
  • Mandatory overtime may be required based on business needs
  • Minimum 1 (one) year acute care hospital outpatient coding experience preferred
  • Knowledge of ancillary testing (laboratory, X-ray, EKG)
  • Understanding of coding practices and official guidelines
  • Experience with PC, mainframe applications, and encoding systems
  • Strong time management skills to balance coding responsibilities
98

Coder Resume Examples & Samples

  • Codes Observation, Outpatient Surgery, Interventional Radiology, Cardiac Catheterization, and Wound Care records
  • Minimum 2 (two) years of acute care hospital outpatient coding experience preferred
  • ICD-10-CM & PCS trained, required
99

Coder Resume Examples & Samples

  • Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting system as part of a corporate coding organization
  • Primarily codes inpatient records and may have experience in outpatient coding
  • Consults the Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems
  • Minimum of 2 (two) years acute care hospital inpatient coding experience strongly preferred
100

Coder IP Resume Examples & Samples

  • Basic computer skills (i.e. MS Office, including Word, Excel, Outlook, etc.)
  • Demonstrates competency in the use of computer applications and coding and abstracting software currently in use
  • Demonstrates excellent organizational skills
  • Comprehensive understanding of the DRG structure and regulatory requirements
  • Demonstrates appropriate interpersonal skills when working with both internal and external customers
  • Knowledge of Medicaid and Medicare rules and regulations
  • Service Excellence skills
101

Clinical Coder Resume Examples & Samples

  • Feedback any coding queries or issues with source documentation to the onsite hospital lead or other nominated person
  • Liaise with CHKS clinical coding professional lead for any coding queries
  • To ensure completion of coding; continually striving to maintain timeliness, accuracy, completeness and consistency of clinical coding when on a client site
  • To adhere to the clinical coding conventions and procedures, as defined by the World Health Organisation (WHO) and National Classifications Service
  • To follow locally defined variations to coding rules where defined in each of the organisations clinical coding policy
  • To organise and prioritise workload as appropriate to meet the agreed weekly/monthly clinical coding deadlines as set by the client, ensuring the number of episodes are completed as outlined in individual contracts, without comprising data quality
  • To act as an ambassador for CHKS Coding and Financial Assurance by providing a professional coding service
  • To promote CHKS Coding and Financial Assurance as an expert and professional coding, audit and consultancy services provider and recognise potential opportunities to obtain further work with clients
  • ACC – Accredited Clinical Coding
  • Knowledge of coding all specialties
  • Knowledge of coding complex specialties
  • Knowledge of the Data Protection Act, confidentiality and information security requirements
102

HIM Coder Resume Examples & Samples

  • CCS, CPC and RHIT, or RHIA required
  • Two (2) years experience in ICD-9-CM, CPT-4 Coding and DRG assignment preferred
  • Ability to accurately and completely code diseases, operations and special procedures according to ICD-9-CM and CPT Coding Guidelines
  • Thorough knowledge of medical terminology, anatomy, and physiology. - - Ability to perform on a computerized encoder. Ability to perform accurately on a CRT. Ability to file records accurately both alphabetically and numberically
  • Codes all diagnoses, operations and special procedures contained in a medical record by: (a) researching entire record to compile and accurately code all required components (b) utilizing all volumes of ICD-9-CM and CPT Code books or encoder software to locate correct codes (c) following all guidelines established for coding diseases, operations, and special procedures (d) performing DRG and ASC assignment via computerized grouper (e) maintaining updated code books
  • Keys codes in correct sequence and verifies when encoder is used
  • Enters abstract data in correct fields on the abstract screen after data has been manually abstracted from the record
  • Searches for clinical data necessary for entry into DX/DR charge assignments, enters and verifies for processional fee process
  • Monitors and works the unbilled report to assure completion of coding and billing according to departmental standards
  • Communicates with other departments as necessary concerning coding assignment
103

HIM Lead Coder Resume Examples & Samples

  • Five years inpatient coding experience required
  • Advanced training in medical coding (ICD9-CM, CPT and APC)
  • Medical terminology, anatomy and physiology required
  • Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by telephone or letter in replying to inquiries
  • Two years of supervisory experience preferred
  • Ability to work remotely
104

HIM Analyst, Coder Resume Examples & Samples

  • Assigns complete and accurate ICD-10 codes to all medical records in a timely fashion
  • Follows all UHDDS and corporate guidelines for code selection
  • Abstracts all data regarding ICD-10 codes physician, procedures and disposition
  • Completes physician queries as needed for complete and accurate coding of medical records
  • Assists in training staff and physicians regarding clinical documentation improvement
  • Will assist department director as requested
105

HIM Senior Coder Resume Examples & Samples

  • Computer skills
  • Ability to read medical reports, interpret lab values as pertinent to coding diagnoses, abstract pertinent information from records and to provide a meaningful information by telephone or letter replying to inquiries
  • Successfully completed coding classes in accredited school
  • Lt /span>Ability to work remotely
  • Education and training in medical coding (ICD-9CM. ICD-10CM, CPT, and APC), medical terminology, anatomy, and physiology or HIM college course work, and /or Associate's degree highly preferred
  • Coding Certificate or CCS Required
106

Coder Resume Examples & Samples

  • Typing, 10 key and computer skills required
  • Proficiency in Microsoft Office applications required
  • Must have effective interpersonal skills in addition to excellent written, oral communication skills
  • Understanding of functions and work flow of clinical/hospital departments' relation to charge integrity and billing responsibilities
  • Patient management, patient accounting, billing and managed care system processes competency
  • Extensive knowledge of hospital/healthcare operations
  • Demonstrates strong analytical skills and problem solving abilities
  • Strong teamwork skills and the ability to effectively communicate with all management levels
  • A mpn bsp Ability to speak and hear, to allow discussions with customers, employees, and peers
  • A mpn bsp Ability to cope with and remain calm under stress
  • A mpn bsp Ability to respond to telephone calls
  • A mpn bsp Ability to make sound and independent decisions
  • A mpn bsp Bending and lifting (5-30 lbs), grasping, fine hand coordination, pushing and pulling
  • A mpn bsp Ability to repeatedly twist, squat, and stoop
  • A mpn bsp Sitting/standing for long periods of time
  • A mpn bsp Reaching for and handling charts, reports, and supplies
  • Certified Coding Certificate required
  • Minimum five years of experience in a healthcare or clinical setting, with three or more years of demonstrated leadership skills
107

HIM Senior Coder Resume Examples & Samples

  • Advanced training in medical coding (ICD-9-CM, CPT and APC), medical terminology, anatomy, and physiology required
  • Minimum of 2-3 years coding experience in OP/IP
  • Successfully completes an in-house coding test scoring a 70 or higher
108

Senior Coder, Physician Office Resume Examples & Samples

  • Select and sequence ICD-9, ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic) / Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee; Evaluation and Management
  • May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries
  • Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital laws and guidelines for release of information
  • Policies and procedures as evidenced by in-service attendance and daily practice; notifying
  • Promoting confidentiality and using discretion when handling patient and/or client information
  • Three (3) years of recent and relevant hands-on coding experience with all record types: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and
  • Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology,
  • External customers
109

ICD Remote Coder Resume Examples & Samples

  • RHIA, RHIT, CCS, etc credential with a minimum of four (4) years of Medicare inpatient and outpatient (recent hands-on production) coding experience in an acute care hospital setting
  • Thorough knowledge of ICD-10-CM and CPT coding principles and rules, Coding Clinic guidelines, coding compliance, etc
  • Effective written and verbal communication skills; ability to meaningfully engage other coding professionals, provide feedback, teach or lead by example, etc
  • Experience with encoder technology and computerized abstracting systems, along with electronic health record (EHR) familiarity (Cerner and McKesson HPF are preferred)
  • Inpatient and outpatient coding proficiency demonstrated initially by successful completion of the Tenet coding exercise and/or AHIMA competency skills assessment tool
110

Coder Resume Examples & Samples

  • Accurately codes outpatient conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding
  • Coding will include but is not limited to Emergency Room, Recurring Outpatient, Outpatient Diagnostic, Day Surgery, and Observation patient types
  • Resolves billing error reports, identifies and reports error patterns, and, when necessary, assists in implementation of workflow changes to reduce billing errors
  • Adheres to the Tenet Coding Compliance Program
111

Coder Resume Examples & Samples

  • 1) Must have knowledge of medical terminology, and be skilled in the use of DSM5 and ICD-10 medical terminology
  • 2) Must be able to type accurately and have basic clerical training, which includes computer skills, basic filing skills, and fundamental knowledge of office procedures
  • 3) Must be able to perform assignments with minimal supervision
  • 4) Must be able to perform concentrated and/or complex mental activity with frequent involvement in complex and/or highly technical situations
  • 5) Must be able to work successfully under highly stressful conditions
  • 6) Must be able to make sound, independent judgments based on scientific and/or ethical principles
  • 7) Must be able to make independent and responsible decisions within current policies and procedures of the medical record dept
  • 8) Must be able to comprehend and perform oral and written instructions and procedures
  • 9) Must be able to collaborate with other multidisciplinary team members in an appropriate fashion
  • 10) Must be capable of adapting to varying workloads an work assignments on a constant basis
  • 11) Must have effective comprehensive reading skills, strong communication skills, written and verbal
  • 12) Must possess a valid California Drivers License in order to drive hospital vehicles or on hospital business
112

Coder Associate Resume Examples & Samples

  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
  • Minimum one (1) year of coding, medical records, claims or billing area experience
  • Completion of an accredited Health Information Management program
  • Knowledge of diagnosis reporting standards
113

Coder / Charge Entry Spec Opthalmology FTE Resume Examples & Samples

  • Work closely with physicians to ensure timely submission of billing forms to allow for coding and charge entry timely to meet the 0-3 lag initiative
  • Educate physicians as to what documentation is required to support their coding and ensure that they are capturing all coding possibilities
  • Work with Manager/Sr. Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
  • Work with Manager/Sr/ Director and RCM staff to provide assistance with claim rejection
  • Work with vision plans to obtain authorizations to ensure appropriate information for charge entry to maintain clean claims
  • Work tasking to meet KPI initiatives
114

Coder Resume Examples & Samples

  • Consults with physicians, managers, and support staff to clarify documentation and interpret clinical information necessary to correct claims in review status for Claims Manager
  • Interacts with Reimbursement Specialist to ensure most productive and current charge tickets. Identifies omissions and /or errors
  • Ensures charge reconciliation procedures exist for all charges and resolve individual issues when identified
  • Assists charge entry personnel with CPT/ICD-9 coding
  • Provides communication between Reimbursement Department, physicians and necessary personnel
  • Uses the Claims Manager, ICD-9-CM and CPT coding systems to accurately code all professional services
  • Follows policies and procedures as it pertains to Claims Manager corrections and processes
  • Identifies compliance risks and issues in accordance with policies described in the Cleveland Clinic Corporate Compliance Manual
  • Maintains patient and employee confidentiality at all times as it pertains to review of medical records
  • Adheres to CMS/Medicare Part B coding guidelines and principles
  • Tracks and trends physician/departmental coding patterns and reports same to the Reimbursement Manger/Supervisor. Implements Claims Manager Edit requests when necessary through appropriate request processes
  • Advises Reimbursement Manager of modification needed to the Claims Manager process
  • Maintains complete and up-to-date documentation and files at all times
  • Minimum of two years of multi-specialty CPT and ICD-0-CM coding experience for Part B professional service
  • Extensive CPT and ICD-9-CM training or experience
  • Analytical skills developed through formal or experience with medical practice or other health care organizations
  • Claims Manager-Ingenix, DOS, Group Wise, and /or Internet experience helpful
115

Coder Specialist / Auditing Resume Examples & Samples

  • Certified Medical Coder with either CPC, CCS or CCA
  • Knowledge of ICD-9 and ICD-10 coding
  • Strong knowledge of Microsoft Office (Word, Excel, PP)
  • This role is part of Humana’s Driver safety program and therefore requires an individual to have a valid state driver’s license and proof of personal vehicle liability insurance with at least 100/300/100 limits
116

Professional Fee Coder Resume Examples & Samples

  • Billing/Charge Reconciliation Specialist activities to ensure accountability for all services performed and compliance with billing and internal standards is maintained
  • Identifies opportunities and efficiencies in business office functions and operations
  • Manages patient accounts receivable and conducts denial analysis
  • Monitors departmental accounts receivable to achieve appropriate reimbursement percentages and maintain financial stability within the department
  • Analyzes accounts receivable to identify inequities in payment
  • Collaborates with CCF contract management for resolution of payment issues
  • Conducts revenue-reporting analysis of costs associated with performing examinations and surgical/medical procedures and recommends fee modifications
  • Maintains departmental charge master files and performs ongoing reviews of professional and technical charges per compliance guidelines
  • Administers responsibilities associated with departmental expansion
  • Assists in practice startup, new service lines, and affiliate programs to ensure corporate compliance adherence to capture appropriate revenue
  • Completes finance accounting and maps revenue of billable services
  • Other duties include research analysis, IDE compliance, and billing follow up
  • Minimum four years extensive CPT and ICD 9 CM coding and medical billing and reimbursement experience
  • Understanding and applying third party and government payer regulations
  • Experience providing education and trend analysis related to revenue and reimbursement
117

Coder / Transcriber Resume Examples & Samples

  • English fluency (Must read, write, and speak the language fluently)
  • Excellent analytical, communication, and typing skills
  • Must be comfortable working both independently and with a team
118

Coder Resume Examples & Samples

  • Must have a high school diploma or equivalent required
  • Associate’s degree in related field preferred
  • 0-2 years of Coding experience required
  • Completion of ICD-9 or CPT coding course required
  • Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology preferred
119

Associate Manager, Email Coder / Developer Resume Examples & Samples

  • Work with creative team to translate designs into flawless HTML email code
  • Test email rendering across multiple email clients (Litmus knowledge a plus)
  • Troubleshooting creative and deployment issues
  • Develop/implement email best practices
  • Stay up to date with latest email best practices, including responsive development
120

.NET Coder Resume Examples & Samples

  • Experience of Visual Basic .NET and Visual Basic 6
  • A “customer service” orientation and must be able to work in line with deadlines
  • Pensions/Employee Benefits experience is desirable
121

HIM Coder Trainee Resume Examples & Samples

  • Accurately assigns ICD-9-CM, CPT, E/M level codes using accepted coding guidelines
  • Abstracts medical record according to policies and procedures
  • Must apply critical and analytical thinking skills to perform duties
  • Must meet coding deadlines to expedite the billing process, facilitate quality review process and retrieval of data for research purposes
  • Continues to increase knowledge and skill
  • Attends and participates in coding education sessions
  • A minimum of one year of healthcare experience preferred
122

Coder Resume Examples & Samples

  • Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient records in order to assign appropriate ICD-10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices
  • Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and to support calculation for severity of illness and risk of mortality reporting
  • Follows UHDDS definitions, CMS regulations and Official and Internal coding guidelines
  • Utilizes information on diagnostic reports (i.e. radiology, pathology, EKG reports, laboratory values, doctors’ orders and administrative medication forms) to accurate code patient charts in accordance with the Official Coding Guidelines
  • Completes daily work assignment as directed by Coding Support
  • Works within service line structure where applicable based on patient type
  • Abstracts pertinent data, determines and sequences codes for diagnoses and procedures, and enters all information into the computerized coding and abstracting system
  • Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures, including but not limited to placing accounts on hold, to ask questions to management, and initiate queries
  • Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment
  • Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations by work type in order to support department and organization goals for DNFB dollar amounts and bill hold days
  • Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes in coding system as required for accurate posting to CCHS billing system
  • Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support the accurate reporting of coded data for severity of illness and risk of mortality
  • Utilizes coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the proper CPT code hierarchy
  • Submits timely, accurate and concise daily productivity reports in accordance with department policy and practice
  • Attends and participates in coding section and department meetings, in service training sessions, seminars and workshops
  • Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies as they are noted during daily work performance
  • College Diploma in Medical Coding or one year coding experience in a healthcare environment required
  • Associate or Bachelor Science degree in Health Information Technology preferred
  • Knowledge of ICD and CPT Coding Guidelines and Principles
  • Strong knowledge base of anatomy and physiology and medical terminology
  • Working knowledge of pathophysiology and basic pharmacology
  • Knowledge of Official Inpatient and Outpatient Coding Guidelines
  • Ability to review medical records and make accurate decisions
123

Senior Professional Fee Coder Resume Examples & Samples

  • Required: Five years of related experience
  • Required: Certification as a Certified Procedural Coder (CPC)
  • Demonstrated proficiency in resolving claims identified by Medicode as coding exceptions
  • Completion of basic medical terminology, ICD.9, and CPT coding course work
124

HIM Senior Coder Resume Examples & Samples

  • Co mputer skills
  • Ab ility to read medical reports, interpret lab values as pertinent to coding diagnoses, abstract pertinent information from records and to provide a meaningful information by telephone or letter replying to inquiries
  • Su ccessfully completed coding classes in accredited school
  • Ab ility to work remotely
  • Mu st demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer
125

Professional Fee Coder Resume Examples & Samples

  • Required: High School diploma or equivalent with additional training beyond high school preferred
  • Required: Certification as a Certified Procedural Coder (CPC) required
  • Knowledge of CPT and ICD-9 coding. Knowledge of medical terminology
  • Must be able to communicate effectively, both orally and in writing
  • General computer knowledge, preferably with IDX, and MS Office knowledge
126

Coder Resume Examples & Samples

  • High School Diploma/GED required, coding credentials-CPC, CPMA, CCS-P required
  • One year medical record experience required and one year coding experience or technical training
  • Strong communication skills with English language in order to understand and be understood by physicians
127

Certified Coder Resume Examples & Samples

  • Must have CPC (Certified Professional Coder)
  • Minimum of 2 years HCC coding experience
  • Strong knowledge of anatomy and physiology, pharmacology and pathophysiology of diseases
  • Strong computer skills, intermediate skills in Excel
  • Prior experience working in a cross-functional team
  • Demonstrated ability to manage competing priorities
  • Demonstrated ability to adapt quickly to change
  • CRC preferred
  • Experience in documentation improvement preferred
128

Coder / Charge Entry Spec Per Diem Resume Examples & Samples

  • Maintain logs for charge capture process for all billings; sedation, daily care, etc
  • Upon completion of coding, ensure correct charge entry process
  • Maintain strong knowledge of NextGen EPM to ensure correct charge entry. Meet the standards set for charge entry
  • Work closely with physicians to ensure timely submission of billing forms to allow for coding and charge entry timely to meet the lag initiatives
  • Educate physicians as to what documentation is required to support their coding and ensure that they are capturing all coding responsibilities
  • Prepare written bulletins to the physicians as changes in CPT and ICD-10 coding is published as it pertains to their specialty
  • Assist in developing and updating fee slips as required to ensure compliance and latest CPT/ICD changes
  • Work with Manager/Director and other Coders to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
  • Work with Practice Managers and RCM staff to provide assistance with claim rejection
  • 6 months coding experience with working knowledge of NextGen charge entry process preferred
129

Senior Clinical Data Coder Resume Examples & Samples

  • Manage all phases of coding data management activities from study start up to database close, which may include
  • Excellent technical skills including but not limited to the knowledge of Clinical Trial/Data Management/ Coding Systems, PMED, MS-Office products
  • Sound awareness of all relevant regulations, including ICH-GCP, 21 CFR 11
  • Advanced knowledge of medical terminology and coding dictionaries (e.g.MedDRA & WHODrug)
  • Possess a thorough understanding of the various tasks related to clinical trial initiation, ongoing monitoring / processing and lock
  • Ability to carefully weigh the priority of project tasks and to direct the team accordingly
  • Ability to understand the strengths and development areas of team members
  • Ability to lead a virtual global team as required
  • Ability to reach win-win solutions to solve problems
  • Ability to make appropriate decisions in ambiguous situations
  • Communicate and work effectively with clients
  • Contribute to process improvements
  • Effective time management in order to meet team objectives
  • Commitment and performs consistently high quality work
  • Excellent in written and oral English. Excellence in regional languages as needed
  • Must be able to demonstrate proficiency with all tasks from data start-up through data-base lock. Previous relevant coding, data management work experience required; clinical and/ or research experience with solid understanding of clinical trials methodology and terminology required
130

Medical Biller / Coder Resume Examples & Samples

  • 1+ year of experience in Medical Coding
  • Knowledge of ICD 10
  • CPC
131

Certified Professional Coder for Houston Market Resume Examples & Samples

  • Skill in analyzing situations accurately and taking effective action
  • Ability to set priorities among multiple requests
  • Ability to use EMR, other relevant computer hardware and software, telephone, copier, fax machine and other standard medical office equipment
132

Coder, Days Resume Examples & Samples

  • At least one year of experience working in an acute hospital setting coding outpatient Emergency Room records, outpatient Surgery Records and ancillary coding
  • Must be competent in working with a computerized en-coder
  • High School Diploma successful completion of college courses in medical terminology ad anatomy/physiology - preferred
  • Certified Coding Specialist Credential - preferred
133

Cadet Liason / Coder Liason Resume Examples & Samples

  • This position can be located in Kansas city, Springfield MO, or Rogers, AK
  • Responsible for identify the impact diagnosis coding has on risk adjustment models
  • At least 1 year experience with in a provider setting
134

Coder Resume Examples & Samples

  • Communicate with providers and practices to ensure all encounter forms are current
  • Disseminate information regarding new codes and/or coding policies either by payer or through regulations
  • Create and maintain department processes and controls according to Professional Coding Standards, CMS Standards, HIPAA, OIG, and the State of Massachusetts as well as national payor coding guidelines as they pertain to professional coding and reimbursement
  • Educate providers and clinical staff through review and education of documentation
  • Champion coding compliance, through Revenue Cycle team utilization of recognized professional references, and adherence to established coding convention and regulation
  • Specialty coding and auditing
  • Computer literacy of medical information system, records management software, encoders
  • Demonstrated coding (ICD-9-CM and CPT) expertise
  • Professional interpersonal and organizational skills
  • Attentive to detail and organization
135

Coder Diagnostics Home Care Resume Examples & Samples

  • Demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders. Six months providing coding services within a broad range of health care facilities
  • Specialized formal training equivalent to the two year certification course in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations, or an Associates degree in a related health care field
  • Analyzes medical information from medical records. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, APCs, POAs and reconciliation of charges
  • Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, attending physician, consulting physicians, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment
136

Coder Specialist Resume Examples & Samples

  • Provide training to physicians and staff to improve coding outcomes
  • Skill in customer service
  • Skill in computer hardware and software use
  • Skill in exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives
  • Skill in analyzing situations accurately and taking effective
137

Coder, Days Resume Examples & Samples

  • Answers phone and respond to verbal requests in a timely manner. Phones with in three rings and response to verbal requests within 30 minutes
  • Codes and abstracts all medical records for the purpose of reimbursement and research. Coding complies with federal regulations according to diagnoses, operations and procedures using ICD-9-CM and CPT codes
  • Accurately codes ED and OP encounters maintaining a 95% accuracy rate
  • Daily assures that all codes are entered into the AS400 System and runs SMART on a daily basis
  • Reviews monitoring reports to assure that there are no outstanding accounts awaiting final diagnosis
  • Serves as a liaison between medical records and the business offices of the hospital and the physician offices regarding any coding questions or discrepancies
  • Assists in training in coding
  • Responsible for continuing education and completion of lessons in EDUCODE
  • Is always responsible for the maintenance of timely coding
  • Responsible for clerical functions in the absence of clerical support
  • Understands HIPAA, privacy and confidentiality and demonstrates minimum necessary standard according to position
  • Performs other related duties as assigned or requestederiatric and pediatric patients as needed
  • Orients, instructs and trains assigned personnel and volunteers
  • Cooperates with other personnel to achieve department objectives and maintain good employee relations, interdepartmental objectives, and infection control policies
  • Consistently demonstrates a professional and proactive attitude and actions in all interfaces with employees, hospital staff and physicians as well as patients
  • Provides for privacy and patient/employee dignity by maintaining employee/patient and departmental confidentiality with no infractions
  • Promotes personalized care and attention by complying with appropriate hospital/departmental dress
138

Certified Medical Billing Coder, Days Resume Examples & Samples

  • Maintains accuracy when abstracting
  • Maintains accuracy when assigning procedure codes
  • Contacts physicians or appropriate personnel of diagnosis when needed
  • Stays current with ICD-9-CM and CPT-4 through coding clinics and seminars, as well as changes in the Medicare/Insurance industry
  • Accounts daily for all patient records to be coded and notifies AR Manager immediately of records missing
  • Associates Degree required
  • Must be a Certified Coding Specialist
  • 1-3 years of hands on coding experience required
  • 2 years of healthcare billing experience strongly preferred
139

Coder, Ip Senior Resume Examples & Samples

  • Coding Labor Productivity:Meets and/or exceeds Conifer’s coding productivity guidelines
  • Experience using EPIC electronic Health Record (EHR)
  • Ability to travel
  • Office Work Environment
140

Certified Professional Coder Resume Examples & Samples

  • Prepares reports as requested by operations team
  • Ability to multi-task, manage details and organize efficiently and effectively
  • Ability to interact with patients, medical and administrative staff, and the public effectively
141

Health Information Coder Resume Examples & Samples

  • Evaluation and Management coding as well as outpatient surgical coding
  • Charge entry and charge reconciliation
  • Review of and working the unbilled reports
142

Weekend Emergency Department Facility Coder Resume Examples & Samples

  • Identify appropriate assignment of CPT and ICD - 10 Codes for Physician and facility services provided in an Emergency Department setting
  • Provide documentation feedback to Providers, as needed, and queries physicians when appropriate
  • Maintain up-to-date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
  • Participate in Coding department meetings and educational events
  • Experience with various Encoder systems (i.e., 3M, EPIC)
143

Outpatient / Provider Coder Level Resume Examples & Samples

  • Sets up appointments to visit pathology laboratories for quality control. Professionally interacts with hospital and laboratory personnel keeping the strictest adherence to HIPPA rules and regulations
  • Maintain sufficient knowledge to review, abstract and code all types of difficult pathology reports. Users the latest coding manuals to be current and accurate in assigning the correct codes
  • Work with other Utah Cancer Registry staff to understand the internal process and how physician providers, hospital staff and other personnel relate to the acquisition of data
  • Serve as a resource for hospital cancer registrars when data is requested
  • Exercise excellent communication skills to contact laboratory, hospital and physician’s offices to acquire pathology information which includes demographic information and missing reports
  • Conduct quality control activities for pathology coming into the office so the information meets the highest standards for case finding
  • Train and inform other members of the staff of changes in procedure. Evaluates workflow for improvements and more efficiency
  • Active participation in professional organizations including the Utah Cancer Registrar’s Association and the National Cancer Registrar’s Association (as allowed)
  • Attend training and in-service meetings as requested for instruction on the most current standard requirements
144

Certified Coder Resume Examples & Samples

  • Minimum 3 to 5 years direct experience in medical coding of cardiology services including invasive, interventional, electrophysiology, and peripheral procedures
  • Physician billing office experience a must
  • Knowledge of medical terminology, anatomy and physiology
  • Working and thorough knowledge of medical coding, CPT, HCPCS II, and ICD10
  • Ability to enter and bill charges in a timely manner in a high volume practice setting
  • High degree of detailed focus, decision making abilities and independent judgment
  • Computer skills required
  • Working knowledge of Practice Management applications necessary
  • Proficient with MS Word, Excel and Outlook applications
  • Basic knowledge of Cardiac, Thoracic or Vascular Surgery a plus
  • Should be able to review and audit documentation for process improvement
  • Minimum of 3 years experience in hospital or clinical billing or coding
  • Current Coding certification required
  • Understanding of billing and/or collections in a healthcare setting
  • Detailed knowledge and understanding of government pay methodologies (Ambulatory Payment Classification, NCCI/OCE edits)
145

Coder Resume Examples & Samples

  • Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines
  • Communicates professionally with providers, practice management, and other stake holders either verbally or in writing
  • Responsible for working encounters in the coding work queue or task lists in a timely manner
  • Meets or exceeds organizational coding production and quality standards
  • Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits
  • Reviews and resolves coding denials
  • Participates in special projects and completes other duties as assigned
146

Professional Fee Coder Resume Examples & Samples

  • Ability to research and find answers to complex coding questions
  • Ability to read, analyze, and interpret medical records and charge documents independently
  • Batches charge documents
  • Considers all information received as confidential
  • Corrects transactions and maintain TES and Medicode workfiles at acceptable levels
  • Deals with physicians and other employees in a respectful and professional manner as described in Baylor College of Medicine’s Code of Conduct
  • Meets established coder performance standards
  • Responsible for applying basic ICD.9 and/or CPT codes in compliance with national standards and other medical agency guidelines to charge documents received in the billing office
  • Responsible for identifying, reporting, and researching coding errors
  • Understands physician office operations including insurance and managed care
  • Understands government and insurance regulations as they apply to physician billings, particularly to the academic practice
  • Understands the patient accounting system and how correct coding affects billing and collections. ? Performs other duties as assigned
  • Required: One year of related experience. No experience necessary if the candidate/employee is currently certified as a Certified Procedural Coder (CPC)
  • Preferred: General computer knowledge, preferably with EPIC and MS Office
  • Certification as a Certified Procedural Coder (CPC) preferred. The CPC will be required after nine months of employment
147

Coder Resume Examples & Samples

  • Prior work experience in the healthcare field specifically related to coding and/or medical billing and compliance is required
  • Demonstrated proficiency in medical coding, with active E/M coding experience required
  • Minimum of 1-3 years coding and or advanced billing/collections experience with emphasis on Medicare and Medi-Cal requirements required
  • Demonstrated knowledge of coding and compliance standards is required. Good working knowledge of ICD/CPT4/HCPCS coding, medical claims billing and procedures is required. Familiarity of state and federal laws, professional standards, and accreditation standards is necessary. Prior usage/knowledge of Epic is desired
  • Excellent organizational, interpersonal and oral communication skills are required. Tact and diplomacy with patients, providers and staff for sensitive matters, strong ability to multi-task, and ability to maintain organized records so that the documentation trail is transparent to others as required. Knowledge of computers: Excel and Word proficiency, and skill in the operation of other office equipment. Employee must be able to work independently as well as a part of a team and the ability to access State and Federal websites for coding, billing and reimbursement information
148

Clinical Coder Resume Examples & Samples

  • Responsible for coding clinical and/or safety data and ensures coding consistency, uniformity, and clarity across all pertinent data. Verifies with relevant authorities that sponsors’ license requirements are met
  • Researches and resolves coding-related questions. Creates queries and/or notifies relevant parties as to coding discrepancies
  • Participates in the preparation for audit meetings and bid defense meetings
  • Attends QuickStart Camp and identifies coding requirements for sponsors
  • Identifies and refers reported terms that are not able to be coded per coding guidelines to Lead Data Manager/Drug Safety Manager for further disposition
  • Participates in ongoing review of auto-coded and interactively coded clinical and/or safety data for accuracy and overall consistency
  • Generates study-specific clinical coding reports (data and/or safety) on a regular basis to facilitate an ongoing review of the coding
  • Obtains sign-off and approval of the clinical coding report from the sponsor according to study timelines
  • Shares coding expertise in meetings with all relevant parties including the sponsor, and as required
  • Attends team and sponsor meetings as the Clinical Coding representative
  • Reviews and understands study protocols and other related materials. Maintains an overall knowledge of regulatory guidelines, industry standards, and new technologies as they relate to coding requirements
149

Medical Records Coder Speclst Resume Examples & Samples

  • · SME for all coding specialties like E/M, radiology, anesthesia and should possess good communication skills. Should possess active certification from AAPC with minimum 5 years of coding experience
  • · Role Responsibilities
  • · Act as a highly skilled specialist in one or more specialties in coding should train people on new automation process when there is business requirement
  • Responsible for coordinating and executing coding staff development through training on automation tool
  • · Should do an audit for any test files received in automation process
  • · Competency and training programs should be established and maintained to ensure the coder’s quality accurately reflects good improvement in tool development
  • · Develop and manages process document shared in relate to tool development
  • · Should assists and collaborates with the Coding Managers for all aspects of automation process assists with projects, testing and new implementation
  • · Develops and applies specialized knowledge within own discipline
  • Deepens knowledge through exposure to new assignments and continuous learning
  • · Applies research, information gathering and analytical and interpretation skills to problems of diverse scope
  • Develops solutions to a variety of problems of moderate complexity in coding
  • · Understands and applies principles, concepts, theories, technologies and standards of professional field
  • · Good working knowledge and demonstrated ability utilizing systems, tools and procedures to accomplish job
  • · Builds deeper understanding of processes, procedures, customers and organization
  • · Assists program or process development and implementation - Coordinates activities and processes
  • · Regularly exercises discretion and independent judgment on business matters
  • · Involved with local or business specific engagement initiatives in support of broader programs
  • · Assumes responsibility to improve service, efficiency and quality of work
  • · When assigned to a customer team, actively participates on small to medium sized project teams in support of customer deliverables
  • · Contributes to area by ensuring quality of output. Contributes to the completion of milestones associated with specific projects or activities within own area
  • · Applies knowledge and understanding of customer needs and other internal/external contacts
  • · Mentors the coders and train them towards tool development
  • · Understands gaps in employee skill and organization requirements
  • · Any life science graduates (BPT, nursing, medical transcription preferred)
  • · Minimum 5 years of coding experience required
  • · Strong knowledge in human anatomy and Physiology
  • · Willing to learn concepts quickly and develop in the area of specialization of new specialties
  • · Certification like CPC or CPC-H is mandatory
  • · Should have very good attitude
  • · Flexible to work in shifts
  • · Understand process interdependencies
  • · Excellent interpersonal and communicational skills due to the nature of the work performed as a trainer
  • · Should possess knowledge on ICD-10 –CM
  • · Should have comprehensive knowledge varied coding software
  • · Ability to deliver effective training
  • · Should able to work in automation software related to coding specialties
150

Coder Resume Examples & Samples

  • Provide feedback (sendbacks) to providers in instances of coding-related problems
  • Back-up and assist other department personnel as may be directed
  • Assist physicians and nursing staff with billing problems and concerns
  • Required: at least 2 years of previous medical coding experience with extensive knowledge of medical terminology
  • Preferred: 3 to 5 years of coding experience
  • CPC, RHIT or equivalent certification is required
  • Auditing Evaluation and Management experience is preferred
  • Task-oriented
151

Coder Resume Examples & Samples

  • Run and review Risk Assessment Reports
  • Provide timely feedback to physicians regarding their patient’s Risk Assessment Factor (RAF) score
  • Assist Manager in educational sessions focused on Hierarchical Condition Categories (HCCs) and RAF scoring
  • Keep the Manager abreast of any changes to RAF scoring process
  • Along with Manager meet regularly with Medicare Advantage payers’ personnel
  • Effectively and efficiently work with ICD-9, CPT, and HCPCS reference books and electronic tools for proper billing of assigned specialties
  • Provide feedback to providers in instances of coding-related problems
  • Assist physicians and clinical staff with billing problems and concerns
  • Along with Lead Coder, conduct annual RAF audits on all providers, physicians and NPPs
  • Extensive knowledge of medical terminology required. Understanding of HCCs and RAF scoring preferred
  • Certified Professional Coder (CPC) or Registered Health Information Technologist (RHIT) required
  • Working knowledge of 10-key calculator
  • Good verbal and written communication skills. Ability to use correct English grammar and spelling
152

Certified Coder PRN CBO Resume Examples & Samples

  • Communication – Communicates clearly, concisely and professionally
  • Customer Orientation – Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Decision Making– Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
153

Senior Coder Resume Examples & Samples

  • Conducts physician chart audits (includes research and presentation)
  • Assists with formal training programs for physicians and clinical staff by determining training needs
  • Assists with researching, analyzing, and responding to inquiries regarding compliance, coding, and inappropriate coding
  • Trains, instructs, and/or provides technical support to physicians and staff as needed regarding coding compliance and third party payer requirements
  • Provides oversight of other coder/auditor team members as delegated
  • Assists with developing practitioner and staff education opportunities, provides coding and audit result reporting
  • Be able to conduct training sessions for physicians and staff on relevant topics such as; documentation guidelines, Medicare/Medicaid regulations, and the Correct Coding Initiative
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials
  • Enhances professional growth and development through in-service meetings, educational programs, conferences, etc
  • Maintains strictest confidentiality
  • Assists in the preparation of training materials
  • Available to assist and direct other coders or other appropriate staff in coding, HCC opportunities and reimbursement issues
  • Minimum: 3-5 yrs coding experience in a Primary Care environment
  • Preferred: Supervisory experience
  • Excellent understanding for Medicare Risk Adjustment and Hierarchical Condition Categories (HCC)
  • Excellent understanding of ICD-10 coding classification and guidelines
  • Excellent understanding of CPT coding and guidelines in an outpatient setting
  • Excellent computer skills Microsoft Office, Word and Excel
  • Good Organizational skills
  • Good Communication skills with all level of Teammates
  • Must be able to meet designated deadlines and productivity standards
  • Must have strong Interpersonal skills and excellent Customer Service skills
  • Punctual, with reliable attendance and present a professional image
  • Ability to travel locally to clinics (75%)
  • Valid Driver’s license
154

Coder / Auditor Resume Examples & Samples

  • Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues
  • Interacts with physicians and center administrators regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Provides second-level review of billing performances to ensure compliance with legal and procedural policies to ensure adherence to regulations prohibiting unbundling and other questionable practices. Report coding patterns identified within the audit process to the Supervisor, and identify corrective measures to compliance problems
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9 materials, the Federal Register, and other pertinent materials
  • Enhances professional growth and development through in-service meetings, educational programs, conferences, etc. Maintains strictest confidentiality
  • Performs related work and projects as required
  • Must have 2-3 years of coding experience in a Primary Care environment
  • Excellent understanding of medical terminology, disease process and anatomy and physiology
  • Strong understanding of ICD-9-CM coding classification
  • Excellent understanding of CPT coding within a Primary Care environment
  • Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) and Medicare Advantage reimbursement a plus
  • Strong Computer skills (i.e. MS Office)
  • Good organizational skills and ability to meet designated deadlines and productivity standards
  • Ability to work well with all levels of staff in a courteous, professional manner
  • Ability to travel to various clinics within Florida
  • Bilingual a plus (English/Spanish)
155

Anesthesia Coder Resume Examples & Samples

  • Assign ICD-9, CPT-4 and HCPC codes from documentation
  • Vocational or technical education beyond high school
  • Minimum of 1 to 2 years recent anesthesia professional services coding experience in a high volume coding environment
  • CPC or CCS-P or equivalent certification
  • Must possess knowledge of third party reimbursement regulations and billing practices
  • Possess moderate knowledge of level 1 and 2 modifiers
  • Ability to examine documents for accuracy and completeness
  • Ability to understand and follow compliance issues of moderate complexity
  • Detail oriented with the ability to identify and resolve problems
  • Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
  • Radiology coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CTs, MRIs, nuclear medicine, and basic IR procedures
  • Multi-specialty coders must possess correct coding EM and at least 2 other specialties
  • Able to work TES (Transaction Editing System) edits of moderate complexity
  • Ability to communicate clearly and work effectively with co-workers
  • Ability to work as a team member in all activities
156

Medical Records Coder Resume Examples & Samples

  • Responsible for review of Medical Records. Identify coding and documentation deficiencies
  • Ensure Charge coding accuracy
  • Monitor accuracy of physician documentation and coding for compliance
  • Assist with the continuous quality improvement process to identify coding training needs and assure timeliness of charge completion
  • Perform as a team member with other coders and providers to improve and maintain coding processes
  • High school diploma required with college preferred
  • Strong knowledge in medical terminology, anatomy and physiology, ICD-9/ICD-10 and CPT-4 coding with 2 or more years of working knowledge required
  • Medical records auditing experience preferred
  • CPC or CCS – P certification required
  • Microsoft skills required in both Word and Excel
157

Lead Coder HIM Resume Examples & Samples

  • Minimum of 5 years work experience of acute hospital inpatient ICD-9-CM/ICD-10 coding/abstracting and DRG assignmenMinimum of 3 years work experience of acute hospital or Ambulatory Surgery Center (ASC) outpatient ICD-9-CM/ICD-10 and CPT/HCPCS coding/abstracting, and APC assignment
  • Strong knowledge of regulatory data reporting requirements
  • Strong leadership, organizational, and communication skills
  • Successful completion of academic courses in medical terminology, anatomy, physiology, ICD-10-CM and CPT
  • CCS credential (Certified Coding Specialist)
158

Certified Coder Resume Examples & Samples

  • SDS a plus
  • Flex M-F/Weekend shift
  • Associates degree or higher in Health Information Management
  • RHIT/RHIA or CCA/CCS/CPC required
  • A minimum of 3 years coding experience preferred, will consider two years
159

Spec, Phys Svc Coder Resume Examples & Samples

  • Locate and understand Medicare CCI, LCD edits
  • Uphold productivity standards set by management
  • Present coding issues to internal or external clients, when necessary
  • Meet deadlines and complete assignments before monthly closing date
  • CPC, CPC-A or CCS-P or equivalent certification
  • Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
  • Conduct self in an ethical, honest, and professional manner
  • Demonstrate continued willingness to learn and grow
  • Proficient in Microsoft Word, Excel
160

Coder, Inpatient Senior Resume Examples & Samples

  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
  • Proficient in ICD 10 PCS and ICD 10 CM
  • Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
161

Coder, Op Resume Examples & Samples

  • Goal: Average coding quality standard of =>95% accuracy per monitoring period
  • Does not meet =<95% accuracy
  • Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
162

Clinic Coder / Receivables Clerk Resume Examples & Samples

  • Utilize knowledge of ICD-9 and/or ICD-10 and CPT coding principles to code daily batches of tickets from the Allen County Regional Clinic and the Outpatient Surgical Clinics in a timely manner as evidenced by staff and Medical Office Manager
  • Communicates with Physician/ARNP/PA as needed to complete the coding process in an accurate manner
  • Communicates with patients regarding charges on their account in a professional manner as evidenced by staff/patient and Medical Office Manager
  • Performs other billing/accounting duties as assigned
  • Economical utilization
  • Maintains a clean work area
163

Professional Coder Opthalmology FTE Resume Examples & Samples

  • Obtain authorizations for vision plans and ensure that the appropriate plan (medical vs vision) is billed for each encounter
  • Work with Manager to review coding for new services and/or procedures prior to institution of such to ensure the ability to bill and collect
  • Correct Real Med and Tasking Coding issues for out-patient encounters daily
  • Work with Manager to Practice CBO to provide assistance with claim rejection and accounts receivable collection
  • 1 – 3 years ICD-9/10, CPT, HCPCS coding experience preferred. Basic A/R understanding to be able to work with Real Med rejections and Tasking
164

Clinical Coder Resume Examples & Samples

  • To support the QuintilesIMS Real-World Evidence Solutions team in creating clinical code sets from study protocols (and other sources) to support clients’ needs, medical/epidemiological research and data analyses, using ICD10, OPCS, READ and SNOMED-CT classifications
  • To organise and prioritise workload as appropriate to meet the agreed clinical coding deadlines
  • Promote continuous improvement in data quality by keeping abreast of development and innovations in the medical, surgical and coding disciplines
  • Keep up-to-date with the Coding Classifications
  • Ensure that patient confidentiality is maintained in accordance with the laws of confidentiality
  • Maintain an active dialogue with colleagues in the Real World Evidence team to facilitate and grow their understanding of clinical coding concepts and issues
  • Hold the National Clinical Coding Qualification (ACC)
  • Moderate clinical coding experience in the UK gained working in the NHS, health care, managed care, health insurance, disease management, pharmaceutical or consulting industries
  • Have a solid understanding of drug/disease claims information and coding systems used in the UK (READ, ICD, etc)
  • In-depth knowledge and expertise in the application of the rules and conventions of clinical coding
  • Knowledge of the Data Protection Act and Caldicott principles
  • Knowledge of the health care and pharmaceutical industry
  • Ability to provide solutions to meet client needs and maximize value of deliverables
  • Competency with Microsoft Office, particularly Excel and Access
165

Certified Coder Resume Examples & Samples

  • Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or non-specific documentation, or codes that do not conform to approve coding guidelines, while utilizing professional communication skills
  • Demonstrate the ability to self-report daily tasks and assignments as well as identifying any billing trends that affected daily billing productivity
  • Assists A/R collectors with resolving coding conflicts with third party carriers. Investigates and resolves EDI rejections. Daily batches and reports
166

Coder Quality Analyst Hims-acute Care Resume Examples & Samples

  • Excellent communication and responsiveness skills
  • Prior auditing experience
  • Ability to code both Inpatient and Outpatient (to include outpatient surgeries of all types, as well as ED)
  • Provides coding and guidance for non-standard billing. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification (APC) or utilized operational systems Provides explanatory and reference information to internal and external customers regarding clinical documentation which may require researching authoritative reference information from a variety of sources
  • Reviews medical records. Performs a Second Look at clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Monitors coding work and trends, then provides education where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines
  • Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on attending physician queries to ensure that the clinical documentation supports the patients treatment and outcomes. Identifies training needs for medical and coding staff. Provides written updates and spreadsheets as to data findings. Serves as a team member for internal coding accuracy audits
  • Acts as a knowledge resource to ancillary clinical departments and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams initiatives to improve clinical documentation. Assists with education and training of Coding Apprentice or other staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees in order to properly educate physicians, nursing, coders, CDMs, etc with proper and accurate documentation for positive outcomes
  • Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Provides findings for use as a basis for development of HIMS compliance plans, education of clinical coding staff and functional assessments
  • Maintains a current knowledge in all coding regulatory updates, and in all software used for coding and health information management for the operational group. Monitors and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and the effect on Case Mix Index by use of specialized software
  • As assigned, tracks and creates monthly reports for the Charge Description Master Planning committee to identify coding and Health Risk Adjusted Factors accuracies, potential revenue enhancement areas, and identifies opportunities for education of staff
  • May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill
167

Coder / Manager Health Information Management Resume Examples & Samples

  • 7 years experience in medical records, including at least 2 years in a supervisory role
  • Experience with supervision, hiring, and evaluations. Previous experience in electronic medical record environment
  • At least 2-5 years experience as a Record Room Administrator required
  • Must have 2-5 years of Coding experience
168

Outpatient / Provider Coder Level Resume Examples & Samples

  • Reconciles clinic or provider visits and reports on missing, incomplete, or inconsistent documentation by contacting appropriate personnel
  • Reviews and abstracts information from patient records and assigns appropriate coding classification
  • Examines and reviews basic coding rejections, which includes educating internal staff with writing appeal letters, and reviewing payer guidelines
  • Evaluates data on charge sheets
  • Interacts with appropriate contacts on billing related issues and charge sheets
  • Uses and applies basic regulatory guidelines as instructed by supervisors, or other coding personnel
  • Assures adherence to department quality and productivity standards
  • Communicates and coordinates with external departments as needed
  • May resolve suspended charges in the editing system
169

OP Coder Resume Examples & Samples

  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
  • Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
170

Coder Resume Examples & Samples

  • CCS, CCP, CCP-H, RHIA or RHIT, or eligible
  • 1 or more years of previous hospital experience as a Coder, preferred
  • Knowledge of diagnoses/procedures in accordance with ICD/CPT4 coding principles
  • Ability to work with physicians in a collaborative manner
171

Order Entry Coder Resume Examples & Samples

  • Reviews, enters and manages customer orders into SAP, PICPOS and Evantage, per the customers’ order request. Provides a graphic visual representation for both the customer’s approval and for the manufacturing process using various tools and computer aid software. This position is focused on doing this with the highest level of quality and appropriate productivity
  • Provides feedback on customer issues such as ordering errors, missing information and invalid requests
  • Supports continuous improvement efforts to drive quality and productivity improvements
172

Coder Resume Examples & Samples

  • Keep abreast of all government, commercial payer, and corporate coding policy additions, deletions and changes
  • Review for accuracy in coding for services performed at ASCs, including, but not limited to, Gastroenterology, Ophthalmology, Orthopedics, General Surgery, Pain Management, Evaluation & Management, and Anesthesia services
  • Review for coding compliance with the ICD-9-CM and HCPCS/CPT coding guidelines
  • Review for coding compliance with CMS rules and regulations
  • Review for operational compliance to include verification of
173

Coder Resume Examples & Samples

  • Code ICD-10 diagnoses, links appropriate diagnoses with CPT procedure codes, and corrects any incorrect coding by provider
  • Provide feedback query (sendbacks) to providers in instances of coding-related problems
  • Assist Coding Manager to ensure charge tickets are up to date and with the correct CPT/ICD-10 codes
  • Maintain strict confidentiality
  • Demonstrate and exemplify behavior consistent with DaVita’s core values – service excellence, integrity, team, continuous improvement, accountability, fulfillment, fun
  • Attend and complete all required training and development to include annual compliance training
  • At least 2 years of previous medical coding experience with extensive knowledge of medical terminology
  • Ability to work with providers and nursing staff in a courteous and pleasant manner
174

Medical Records Coder Resume Examples & Samples

  • Utilize best practice processes gained through experience with regard to work assignments, project management, and quality of output while maximizing overall team performance
  • Codes and abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines
  • Follow strict coding guidelines within established productivity standards for all accounts assigned
  • Address billing/coding related inquires for providers as needed
  • Interact with other healthcare professionals and physicians regarding coding issues
  • Nurture a positive relationship with more junior team members to provide mentorship to them
  • Contribute to the team to ensure quality and accuracy of team output
  • Work to ensure the team is meeting or exceeding contractual and service level agreements
  • Keep abreast of external industry trends and latest information
175

Radiology Coder Resume Examples & Samples

  • Location/Facility – Baylor Scott and White Health at Temple
  • Associate’s Degree or equivalent experience required
  • RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-P, COC, CIC or CIRCC certification required
  • Minimum of one year of experience required
176

Medical Records Coder, Htpn Resume Examples & Samples

  • Solid experience
  • Certified Coder
  • This position is NOT remote
177

Coder Resume Examples & Samples

  • 2 years outpatient and/or inpatient coding experience in an acute care setting
  • Must demonstrate competency of inpatient and/or outpatient (i.e infusions, interventional radiology, observation) coding guidelines
  • Basic knowledge of Microsoft Windows applications and emails and troubleshooting computer problems
  • Prefer charge capture experience
178

Coder, Health Information Management DV Resume Examples & Samples

  • Two years of experience in acute care health information and data entry in medical record procedures or equivalent education/ experience, ICD-10-CM coding and CPT coding
  • Working knowledge of Diagnosis Related Group (DRG) reimbursement
  • 1 to 2 years of ICD-9-CM/ICD-10-CM and CPT coding in an acute care setting
  • 1 year of acute care observation, same day surgery and wound care
  • 10 Key accuracy test; 90% accuracy
  • Satisfactorily completes coding screening test
  • Medical terminology test; 90% accuracy
  • Certified Coding Specialist (C.C.S.), Certified Professional Coder-Hospital (CPC-H), Certified Coding Associate (CCA), Registered Health Information Technician (RHIT) –OR- Registered Health Information Administrator (RHIA)
  • Basic keyboard skills and the ability to access and input data into computer programs
  • Ability to operate office equipment such as computer terminal and printer, telephone, copier, fax machine
  • Ability to sequence both simple and complex tasks in the correct order
  • Ability to communicate clearly with co-workers, medical staff and the general public regarding health information needs and concerns
  • Ability to work well under pressure with limited supervision and meet deadlines
  • Detail orientated, effective organizational skills
179

Coder Certified Resume Examples & Samples

  • 2 years acute care coding experience
  • Graduate of accredited program in Health Information Management or have current CCS coding certification
  • Must have good analytical skills, and the ability to work at a fast pace and maintain a high concentration level and accural
  • Computer keyboarding skills
  • Works under pressure for accuracy and deadlines
  • Ability to utilize a computerized encoder/grouper
  • Type 45 words per minute
  • Ability to code accurately using ICD-10-CM and CPT coding systems following recognized coding guidelines and ethical standards
  • CCS Certification
180

Risk Adjustment Coder Resume Examples & Samples

  • Location/Facility – [Enter Facility Name] (i.e. Baylor Regional Medical Center at Plano)
  • Knowledge of ICD-9-CM and CPT coding conventions, and clinical documentation
  • HCC experience preferred
  • Experience providing physician feedback
  • Group training experience preferred
  • Ability to pass in-house coding exam with 90% or above
  • Knowledge of Microsoft Word, Excel, and Powerpoint
181

Hospital Coder Resume Examples & Samples

  • Ability to speak, read, write, and communicate effectively in English
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner
  • Ability to work independently without supervision
182

Senior Coder Trainer Resume Examples & Samples

  • Serve as a key resource on complex and / or critical issues
  • Review work performed by others and provide recommendations for improvement
  • Forecast and plan resource requirements
  • Authorize deviations from standards
  • Provide ICD9 and ICD10 Hierarchical Condition Category (HCC) coding trainings to practitioners
  • Assist in managing provider relationships as related to CMS-HCC Risk Adjustment payment methodology, proper chart documentation, and diagnosis coding
  • Review groups of charts to identify trends and patterns in documentation practices and convert findings into executive level summaries as well as a physician specific education plans
  • Present documentation and coding information to practitioners in both group and 1:1 settings
  • Develop diagnosis coding tools for providers as needed
  • Develop customized action plans based on provider’s needs related to their opportunities in documentation
  • Attend provider meetings when a coding expert is required
  • Attend and participate in internal coding discussions
  • Work collaboratively with the clinical team in development of disease specific training, education and tools
  • Serve as internal subject matter expert for both procedure and diagnosis coding questions and analysis for medical group
  • Consult on clinical coding questions as it relates to diagnostic and CPT coding
  • Review and analyze coding trends related to diagnosis coding
  • Audit physician charts for documentation accuracy compared to diagnosis codes submitted on encounter
  • Provide education to clinical and administrative staff around changes to diagnosis and CPT coding
  • Maintain Coder certification. Examples include CPC, AHIMA, CPMA, CPC-RA
  • Work special projects
  • 5+ years’ experience in claims processing, provider data maintenance, contracting, or contract loading
  • 5+ years coding experience
  • Must be a certified professional coder
  • Intermediate level of proficiency with all facility / ancillary contract reimbursement methodologies
  • Excellent communication skills required including ability to communicate effectively with various levels of leadership
  • Intermediate proficiency in MS Office (Excel and PowerPoint)
183

Pro Fee Coder Resume Examples & Samples

  • Ensures integrity of data prior to transmission
  • As necessary, provides Physicians and other staff with information relative to coding
  • Prepares reports as requested and related clerical tasks
184

Coder Resume Examples & Samples

  • Coding Technical Skills – Regulatory coding (ICD-10-CM and HCPCS/CPT) and associated reimbursement knowledge
  • Organization – Able to work independently; proactively prioritizes needs and effectively manages resources and time
  • Initiative – Independently takes prompt proactive steps towards problem resolution
  • Decision Making – Identifies and understands issues, problems, and opportunities; compares data from different sources to draw conclusions; uses effective approaches for choosing a course of action or develops appropriate solutions; takes action that is consistent with available facts, constraints, and probable consequences
  • Contributing to Team Success – Actively participates as a member of the Center’s team to move the team toward the completion of goals
  • Minimum (2) years experience in outpatient coding and/or Health Information Management required
185

Coder Resume Examples & Samples

  • Education: At least Associate Degree or Equivalent
  • Minimum of two years experience required
  • Must have one of the following certifications: RHIA,RHIT, CCA, CCS, CCS-P, CPC-P, COC, CIC, or CIRCC
186

Senior Software Engineer / Coder Resume Examples & Samples

  • Contribute to the software design and development of a Java/Grails-based based application with an Adobe Flex UX
  • Participate at every stage of the full agile (Kanban) SDLC: requirements, architecture, design, implementation, review, etc
  • Develop unit, integration and performance tests to build the quality into the product
  • Participate in technical and functional review of user stories and features
  • 6+ years of object-oriented or functional software design and development experience
  • Experience with full-stack java ecosystem web application development: Java, Groovy, Grails, O/R Mappers, IoC, JavaScript
  • Excellent grasp of SQL / RDBMS
  • Focus on quality: strong automated testing habits, including knowledge of the xUnit tools, Gherkin-like frameworks, etc
  • Experience with SaaS/Cloud/Microservices, High-Availability design, DevOps ecosystem is a plus
  • Experience with RESTful architectures
  • Good knowledge of object oriented or functional design, design patterns, and programming techniques
  • Good working knowledge of web and application servers (like Jetty, WebSphere, Tomcat, Apache)
  • Experience working in an Agile environment such as Lean-Kanban/Scrum/XP; Agile practices such as pairing, TDD, daily scrum, retrospectives, planning poker, etc
  • Excellent written and oral communication skills, strong teamwork ethic
  • Knowledge of database design & domain modeling
  • Knowledge of development with Adobe Flex
  • Knowledge of Ruby on Rails
  • Healthcare industry experience is a plus
  • Knowledge of security testing and analysis is a plus
  • Knowledge of O/R mappers – Hibernate, etc
187

Hospice Non-clinical Coder Resume Examples & Samples

  • Certified Coder with credentials in ICD-9 and ICD-10
  • Current ICD-9 (10) coding certification preferred; required within 6 months of hire
  • 1 year experience in medical coding preferred experience in Home Care or Hospice
188

Clinical Coder Resume Examples & Samples

  • Registered Nurse or Registered Physical Therapist, Bachelor's Degree preferred
  • Current OASIS C Certification and ICD-9 (10) coding certification preferred; required within 6 months of hire
  • Current state license as a Registered Nurse or Registered Physical Therapist
  • Current CPR certification preferred
  • Current driver’s license. Must have reliable transportation and insurance
  • Five years of professional experience preferred in Home Care or Hospice, excellent understanding of OASIS and Medical Coding practice. Strong knowledge of home health and hospice regulations
189

Risk Adjustment Coder Resume Examples & Samples

  • Creation and implementation of a coding accuracy and improvement program for the Utah market
  • Create and execute the plan for improvement across the Utah market
  • Work with network managers, medical director, market leader, stakeholders and other employees to ensure improvement in coding accuracy
  • Focus on improvement via internal and external education, innovative programs and provider engagement
  • Work closely with local teams as well as corporate teams
  • Coding review and education with providers and team
  • Clinical Quality Documentation assessment
  • Work Plans for CDQI
  • Cross - functional collaboration with multiple teams and functions
  • High School Diploma / GED or higher education
  • 2+ years of experience in a coding or billing role
  • Current Coding Certification is required for this position. UHG will recognize any of the following Coding Certifications: Certified Professional Coder (CPC) from AAPC or Registered Health Information Technician (RHIT) or Certified Coding Specialist - Physician - based (CCS - P) from AHIMA
  • Experience educating others to improve results in clinical coding
  • Certified Risk Adjustment Coder (CRC)
190

Database Administrator & SQL Coder Resume Examples & Samples

  • Maintain SQL Server, its parts and dependencies
  • Operation Management
  • Log Management
  • Security Management
  • 5-10 years of relevant work experience
  • Bachelor’s degree in a related area
  • Knowledge of Database Administrator role is preferable
  • Expert knowledge of SQL Server, its parts and dependencies including hardware and software requirements (SSRS)
  • In depth knowledge of SQL Server Management Studio (SSMS), T-SQL, and SQL troubleshooting
  • SQL Server via Excel and Access
  • Migration of processes from MS Office to SQL Server
  • Knowledge of Oracle database is preferable
  • Market Risk knowledge including basic product knowledge of CDS, IR Derivatives, Fixed Income Securities a plus; Knowledge of VaR and Stress VaR methodologies a plus
  • Knowledge of Yield/Credit Curve engineering techniques a plus
  • SSIS knowledge and MIS skills a plus
  • Eligible to work in the US
191

Creative Coder Resume Examples & Samples

  • Code real-time interactive experiences in GLSL and Javascript through multiple iterations through to polished release
  • Prototype interactive augmented reality experiences in our proprietary systems and using standard frameworks and tools (Cinder, openFrameworks, Processing, After Effects, Max/MSP, Origami)
  • Communicate interactive concepts effectively in writing, images, storyboards, and videos
  • Creatively solve problems in translating effects ideas into code execution
  • Generate new ideas for effects
  • Collaborate closely with art, design, engineering, product, QA, research, and partnership teams from conception to launch
  • Learn from data on released effects to refine existing effects and develop new ones
  • 2+ years of experience writing OpenGL / GLSL shaders
  • A link to an online portfolio showcasing your work is required (Include link on your resume)
  • Portfolio including interactive and creative coding work
  • Experience designing and developing interactive augmented reality, computer vision, and/or face-tracking interactive experiences
  • Experience with Javascript, openFrameworks, Processing, Cinder, Max/MSP, Unity3D, After Effects
192

IR Coder Resume Examples & Samples

  • Accurately assigns ICD-9-CM, HCPCS and/or CPT-4 codes, Evaluation and Management levels, as appropriate, and abstracts pertinent information from patient’s records
  • Ensure codes are assigned in compliance with all Federal, State, and client requirements as well as meets AHA Official Coding Guidelines
  • Demonstrates thorough knowledge of medical terminology, standard medical abbreviations, anatomy and physiology and pathophysiology
  • Engage in prescribed query process and provider education as the primary liaison for clarification of documentation that is inadequate, ambiguous or unclear for coding purposes
  • Adheres to Official Outpatient Coding Guidelines, CMS policies and regulations and all client internal policies and procedures. Must keep abreast of coding guidelines changes, reimbursement policies and reporting requirements
  • Reports any coding or documentation concerns to direct supervisor real-time for necessary follow-up and client communication
  • Communicates professionally and effectively with other coding staff, physicians and client staff. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and Certified Professional Coders Association (AAPC)
  • Demonstrates effective time management skills by completing all assignments within time constrains and calendar schedule
  • Actively participates in all Adreima training, client training on facility computer systems, encoders and processes necessary to complete assignments
  • Reviews all client coding reference material and applicable policies and procedures to insure compliant and consistent coding
  • The coder must act independently in highly diverse and complex situations
  • May include mentoring and assisting in training of other coders within the department
  • Interact with and provide high-level analysis of trends to appropriate Management & Revenue Managers
  • Participates in coding/auditing discussions to ensure best practice efforts and process are implemented ensuring maximum reimbursement through appropriate coding
  • Serve as a resource person to answer ongoing charge/revenue and coding related to Medical Coder Apprentice and other coding staff
  • Performs medical chart validations/audits, meeting minimum productivity standards. Interact with medical staff members when discrepancies arise in the charts in order to resolve the issue
  • Must be able to work independently and remotely with little supervision while maintaining the company policy on coding productivity
  • Works with key departments to summarize and report out on chart audit results, trends and opportunities
  • Must be CIRCC certified
  • A minimum of 2-3 years’ experience in Interventional Cardiology /Interventional Coding
  • Additional RHIT,CCS or CPC-H credential a plus
  • 1+ years of coding experience
  • Encoder Pro
  • EMR
  • Proficiency with Microsoft Office Systems
  • ICD-10 Training
  • Knowledge of accounting principles and procedures
193

Coder Resume Examples & Samples

  • · Associates degree preferred; High School Diploma or equivalent
  • · 2+ Years Experience
  • · CPC required
194

Retail Data Collection Associate Coder Resume Examples & Samples

  • Inputting product identification information into laptop Coding system
  • Attends and Participates in Group Training Conference Calls
  • Reports assignments in a timely fashion
  • Tracks work and performance
  • Meets CROSSMARK Retail Data Collection defined standards of work volume, quality, accuracy, cost containment, completeness, and timeliness by
  • Complying with travel and mileage standards established by Coder Data Collection
  • Following district management and CROSSMARK expectations on cost containment
  • Completing assignments and transmitting data according to CROSSMARK’s established procedures and schedules
  • Communicating no less than weekly with district management regarding schedules/issues
  • Advising district management of promotional activity changes within retail outlets
  • Suggest ways of improving work methods and procedures to increase efficiencies in assignments and/or collection processes
  • Make edits at Point of Purchase
  • Complete all assigned work in a timely, accurate, and cost effective manner
  • Complete Causal/NSIC and PCT Skills Assessment Qualification Exercise within four (4) weeks of hire
  • Must be able to read, write and have basic math skills
195

Coder, Cert Resume Examples & Samples

  • To accurately assign ICD-9-CM and CPT codes to patient accounts for billing and statistical purposes
  • Follow-up with the HIM staff and/or Physician as necessary to obtain required documentation to code all accounts in a timely manner
  • Must be able to code and research all types of accounts (i.e. inpatient/outpatient)
196

HIM Coder Resume Examples & Samples

  • Clarifies complex discrepancies in documentation and coding and assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care
  • Follows up on complex coding of medical records as a result of internal or external reviews which have identified Coding or DRG discrepancies
  • Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc
  • Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services
  • Identifies medical and surgical complications and untoward events for accurate MS-DRG / APR-DRG or APC assignment
  • A minimum of two years of experience abstracting, identifying, reviewing, and assigning complex ICD-9-CM, ICD-10-CM, PCS codes, POA and PSI indicators, surgical complications, CPT codes for inpatient/outpatient types is required
  • Successful completion of the Cleveland Clinic Coder Trainee Program with a focus on moderately complex cases may offset the experience requirement
197

Coder Resume Examples & Samples

  • Locates and interprets information on procedure reports to accurately code the patient lab encounter
  • Reviews questionable and problematic procedural documentation and notifies appropriate parties for follow up action
  • Facilitates timely and appropriate charge entry and billing for HVIS services
  • Tracks HVIS patient and charges daily for auditing purposes and to ensure all charges are entered in a timely and appropriate fashion
  • Assists with compiling of data and other information needed for charge audits
  • Assists with compiling data regarding procedures performed for administration as needed
  • Provides education and assistance to physicians and staff for coding and billing purposes
  • Attends and participates in inservice training, section, and department meetings, seminars, and workshops
  • Assists in the development and implementation of policies and procedures regarding HVIS billing processes
  • Monitors, implements & educates on changes in CPT code guidelines in conjunction with HVIS administration
  • Utilizes general office equipment and computer systems/software applications necessary to perform functions
  • College Diploma in Medical Coding or one year coding experience in a perioperative or procedural environment
  • Knowledge of medical terminology and anatomy
  • Must be a Certified Professional Coder, Certified Interventional Radiology Cardiovascular Coder preferred
198

Coder Resume Examples & Samples

  • Reviews open-ended data from online, telephone, or mail-in surveys
  • Develops code lists using Ascribe by grouping similar responses into specific categories
  • Performs a variety of administrative tasks
  • Sample look-ups using internet resources
  • Perform timing of survey questionnaires for survey bids
  • Assigns numeric code values to open-ended responses
  • Performs data-entry from mail-in surveys
  • Prepares verbatim files of open-ended responses as needed
  • Cleaning open-ended responses for spelling and grammar
  • Some college education (preferably in Applied Social Science/Mathematics-Statistics/Business)
  • Previous market research experience is an asset
  • Previous data coding is a strong asset
  • Proficient in MS Word, Excel, and Outlook (or similar programs)
  • Knowledge of Ascribe and SPSS is considered an asset
  • Attention to detail-oriented
  • Strong analytical skills with the ability to comprehend data
  • Excellent written and verbal communication skills, and interpersonal skills
  • Typing proficiency of 45+ wpm
  • Good understanding of research principles
  • Ability to work in a fast-paced, team environment under tight deadlines
  • Bilingualism (French and English) is a requirement
  • Must be available during business hours Monday to Friday, for a minimum of 30 hours per week
199

Physician Coder / Auditor Resume Examples & Samples

  • Responsible for conducting internal monitoring and auditing of provider documentation
  • Responsible for communication audit findings to the provider(s), and/or appropriate management staff by way of written or verbal reports
  • Responsible for monitoring provider's compliance with auditing program and reporting noncompliance to appropriate individual
  • Responsible for reviewing all insurance guidelines to ensure coding/documentation compliance; and
  • Responsible for acting as a resource for Physician's Billing and Clinic staff with issues related to documentation and/or compliance
200

Hospitalist Coder Resume Examples & Samples

  • Access various electronic health record (EHR) applications to obtain medical records
  • High School or equivalent required: College preferred
  • Advanced knowledge of medical coding (ICD-10 and CPT-4), billing systems and regulatory requirements
  • Required to code 75 encounters per day
  • Detailed orientated and able to meet targeted deadlines
201

Email Designer / Coder Resume Examples & Samples

  • Participate in conversations with the publishers about upcoming email campaigns and creative
  • Propose and design email creative that is in line with the publisher’s overall campaign objectives and best practices
  • Code mobile responsive emails by hand once creative has been signed off on
  • Create mobile responsive templates that the publishers, even those with limited HTML skills, can easily update themselves
  • Perform initial quality assurance on emails to ensure that they render on various client/browser combinations
  • Assist in the routing of initial email draft(s) and subsequent revisions
  • Create or seek out images to be used in emails
  • 2+ years of professional experience designing and coding emails in a B2C environment (publishing/retail, specifically, a plus)
  • Ability to code mobile responsive emails by hand (not merely utilizing a WYSIWYG editor)
  • Ability to build relationships across multiple groups and communicate effectively with both peers and upper management, both written and verbally
  • Knowledge of varying levels of rendering support for the major email clients (Gmail, Yahoo, Outlook, Outlook.com, iOS, and Android) and devices
  • Experience with and knowledge of table-based HTML and CSS/media queries as it applies to email
  • Self-starter with the ability to multi-task effectively
  • Follows current trends in design and coding
  • Is able to be flexible in terms of design aesthetic based on clients’ requests
  • Attention to detail and strong project management skills
  • Has agency experience
  • Experience creating mobile responsive HTML emails
  • Familiar with Salesforce Marketing Cloud/ExactTarget or similar large-scale Email Service Provider
  • Ability to also design/build web pages/forms
202

Hospital Coder Resume Examples & Samples

  • Code from hospital records, physician notes and ancillary records. Assign modifiers and sequence codes appropriately to accurate reflect services provided
  • Gather and verify current demographic information including insurance information, insurance benefits and eligibility and obtains valid authorizations and referrals; contacting insurance companies (as necessary)
  • Process daily billing; completing and submitting daily and monthly statistics and assisting the Practice Manager and physicians with coding and billing duties as needed
  • Obtains medical information from physicians and hospitals when required to validate correct coding
  • Performs data entry of registrations and charges in the On-Line Billing and Registrations (OBR) system. Reviews billing and coding reports and takes action when indicated
  • Responds to accounting or billing inquiries from physicians and management
  • Ensures medical records are complete and forwards to appropriate departments for filing and/or audit
  • Notifies physicians when documentation is unavailable for coding and billing and works with physicians on correct documentation of services
  • Follow all government and payer coding guidelines and HIPAA guidelines
  • Certification in Professional Coding (CPC) is preferred and in some sites may be required
  • Surgical coding and coding modifiers experience preferred
203

Certified Coder Resume Examples & Samples

  • Primary resource for medical coding updates and information
  • Provides advice on coding issues and researches procedures
  • Reviews coding procedure coverage with the state and implements accordingly
  • Maintains and updates HIPAA Code Workgroup
  • Maintains a library of code books and relevant resources for the department
204

Certified Coder Resume Examples & Samples

  • Knowledge of JCAHO, Medicare/RAC, Medicaid and Third Party regulations and mechanisms for payments or recoupments
  • Collect quality measures data for incentive programs such as PQRS, Meaningful Use, and other specified programs upon request
  • Ensure accurately coded charges for all clinics and capture missed charges with periodic trending reports
  • Knowledge of financial, operational, and medical record components of physician office practices
  • Provide financial information on accounts to patients, staff, physicians and administration as needed
  • Must be a professional with excellent communication skills; provide support to the clinicals and any other duties as deemed necessary
205

Coder Resume Examples & Samples

  • Ability to assign ICD-9 and CPT-4 codes to medical records
  • Coding certificate program or coding classes which includes medical terminology, anatomy and physiology or equivalent
  • Three year coding experience in an acute care setting for inpatient and outpatient coding preferred
206

HIM Lead Coder Resume Examples & Samples

  • Three to Five years acute care inpatient and outpatient coding experience required
  • Auditing experience of acute care IP/OP coding preferred
  • Advanced training in medical coding (ICD10-CM/PCS, CPT and APC)
  • Computer skills and excellent customer service are required
  • Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent
  • Able to travel amongst the facilities
207

Coder Resume Examples & Samples

  • Preferred Bachelor's Degree or Associate Degree in Health Information Management and/or closely related field- Required minimum two (2) years acute hospital outpatient based coding experience. An equivalent combination of education and experience may be considered. Experience working in a remote environment preferred; required for PRN Coders.- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), or Certified Interventional Radiology Cardiovascular Coder (CIRCC)
  • A) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Validates chargemaster driven CPT code assignment and routes appropriately. d) Completes review and final coding when query and/or documentation is available
  • Maintain the Quality Standards set by UTSW/HIM Coding
  • Maintain the Productivity Standards set by UTSW/HIM Coding
  • Mentor/train on designated coding service lines as requested to ensure quality
  • Maintains an expert level of knowledge of coding related guidelines and practices
208

Medical Record Technician Coder Clinical Documentation Improvement Specialist Resume Examples & Samples

  • Develops and conducts training concerned with medical record documentation educational and functional training requirements to ensure program objectives are met
  • Determines and meets training needs of extra-departmental professional, para-professional and non-professional personnel by originating training material, providing orientation to newly assigned interns and residents, participating in in-service programs conducted throughout the hospital
  • Assists in the development of guidelines for data compatibility, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to insure that all information is fully documented and supported
  • Provides advice and guidance on a medical records program in relateion to such issues as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc
  • Analyzes situations or processes and recommends improvements or changes in documentation as deemed necessary
  • Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities
  • Reviews the medical record and discusses the case with the clinical staff and performs admission reviews for specific patient population to facilitate appropriate clinical documentation and ensures the level of services and acuity of care are accurately reflected in the medical record; and
  • Reviews all clinical documentation, lab results, diagnostic information and treatment to ensure documentation reflects severity of illness, acuity and resource consumption
  • One year of experience that indicates knowledge of medical terminology and general understanding of the health records. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work. ~OR~
  • Two years of education above the high school with a minimum of 12 semester hours directly related to MRT work (e.g. courses in medical terminology, anatomy and physiology, and introduction to health records). ~OR~
  • Equivalent combinations of experience and education as follows: (a) six months of experience that indicated knowledge of medical terminology and general understanding of the health records AND one year of above high school with a minimum of 6 semester hours of health information technology courses; OR (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month bases for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures
209

Medical Record Technician Coder Resume Examples & Samples

  • Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues
  • Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and ability to use judgment in completing assignments with incomplete or inadequate guidelines
  • Comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and skill in applying said classifications based on health record documentation
  • Skill in applying current coding classifications to a variety of specialty care areas to accurately reflect service and care provided based on documentation in the health record
  • Ability to communicate with clinical staff for specific coding and documentation issues such as recording inpatient and/or outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health care documentation and code assignment
  • Ability to research and solve coding and documentation related issues; and
  • Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete. Assignment. Employees at this grade level serve as developmental MRT coders and receive minimal monitoring. Coders may perform either inpatient or outpatient coding duties or may perform a combination of inpatient and outpatient coding
  • To begin, click to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire
210

Coder Resume Examples & Samples

  • Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers
  • Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications and other procedures
  • Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested
  • Minimum two (2) years of coding, medical records, claims or billing area experience
  • Experience in outpatient or inpatient coding in Medicare, Medicaid, and third party liability billing area
211

Coder Resume Examples & Samples

  • Ability to effectively communicate (verbally and in writing) in English
  • Ability to write legibly (Clinical Areas)
  • Additional languages desirable
212

Coder Certified Resume Examples & Samples

  • 1year experience working in an acute care facility performing chart assembly and analysis
  • Working knowledge of medical terminology, anatomy and physiology
  • Familiarity with chart assembly and analysis, basic disease process and pharmacology
  • A Registered Health Technician (RHIT) or Registered Health Information Administrator (RHIA)
  • 2/24/2017
213

HCC Coder Resume Examples & Samples

  • Audit Medicare and Secure Horizon's patient problem lists 1-2 days prior to each visit. This includes
  • Ability to work with providers and teammates in a courteous and pleasant manner
  • Ability to work with a high level of speed and accuracy over long periods of time and stress
  • Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
  • Strong skills in medical record audit and review
  • Knowledge of insurance rules and regulations preferred
  • Record of dependability in previous employment
214

Edit Coder Resume Examples & Samples

  • Reviews claim denials in comparison with medical records for the determination of accurate assignment of all documented diagnoses and procedures adhering to the standards of ethical coding. 15%
  • Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM/PCS, ICD-10 initiatives, and CPT/HCPCS coding. Stays current with CMS annually updated National Correct Coding Initiative Coding Policy Manual, CMS coding and billing regulations, MUE and OCE. 10%
  • Monitors inpatient and outpatient unbilled accounts report for outstanding and/or uncoded outpatient encounters to reduce accounts receivable days for outpatients. Brings identified issues to department managers for resolution. 10%
  • Ability to think/work independently, yet interact positively with team
  • Outstanding interpersonal communication skills as well as excellent oral and written communication skills
  • Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures
  • Ability to sit and work at a computer for a prolonged period of time completing assessments and analysis
  • Work environment is at a moderate noise level
215

Coder Associate Resume Examples & Samples

  • Reconcile billing issues by determining the rationale for rejecting and correcting inaccurate charges
  • Medical coding rules, regulations, and compliance utilizing ICD 9 or ICD 10
  • Anatomy, physiology, and medical terminology
  • Location/Facility – Killeen, TX
  • High School diploma/GED equivalent required
216

Coder IP, HIM Resume Examples & Samples

  • Must posses in-depth knowledge of anatomy and physiology, medical terminology, reimbursement principles, health record content, sequencing of diagnoses and the use of coding software
  • A trainee is not acceptable for this job due to the complex nature and specialty knowledge-base associated with coding requirements/guidelines
  • A CHS pre-employment coding test must be taken with preferred pass ratio of 80%
217

Senior Safety Coder Resume Examples & Samples

  • Primary coding resource for assigned products and studies . Accurately codes and has oversight of junior staff coding of assigned data fields including, but not limited to, adverse events using MedDRA and concomitant medications using WHO Drug in accordance with company coding conventions
  • Effectively performs coding-related functions for assigned studies. Prepare and manage coding assignments for new studies and collaborate with clinical team representatives on approach to coding strategy for assigned products and oversight of assigned studies including sign off of document as it impacts medical coding review, product approval, analysis of coded data for safety review and signal detection and patient safety
  • Identifies when terms or drug names are inadequate, ambiguous or unclear for coding purposes and direct query generation in such aspects. Also, identify and resolve coding discrepancies; and review coding listings for accuracy and consistency
  • Participate in identification of clinical trial prohibited meds, exclusionary medical history and appropriately issue escalation
  • Participate in the development of coding conventions, Standard Operating Procedures and Work Practices as a member of coding team. Delete
  • Assist in the maintenance of coding dictionaries and in the development/updating of MedDRA GPT training course content and contribute to the updating and maintenance of GVTA, and ATC reports
  • Keep abreast of coding guidelines internally and externally. Provide consultation to junior coding staff, safety reviewers, study physicians, and clinical team members regarding study specific coding questions. Does not initiate strategic decisions, but is responsible for supporting the department, division and company's strategic direction
  • Provide Coding training/overview to Clinical team members, Clinical Research Organizations, Investigators and investigator sites as needed, in support of clinical trials
  • Orient and oversee training of new coding team members and quality assessment of coding for assigned studies. Serve as a mentor and a coach to new and/or less experienced coders
  • Impacts medical coding quality and consistency and resultant ability to complete analysis of coded data for safety review, signal detections, issue identification, product approval and patient safety
218

Medical Records Coder Resume Examples & Samples

  • Assist with special projects as required
  • Prior experience in homecare and hospice coding strongly preferred
  • CPC or HCS-D certification- two years of coding experience required
  • Advanced ICD-10-CM & CPT-4 coding conventions
  • Extensive DRG/APC reimbursement knowledge
219

Radiology Coder Resume Examples & Samples

  • Prepare billing and registration worksheet
  • Contact insurance companies to verify insurance data on accounts
  • Utilize Payer Search program to obtain correct insurance code information
  • Complete the registration and billing of all accounts in the OBR system
  • Release all billing and registrations according to established department guidelines
  • Submit billing worksheets to the Corporate office, in a timely manner, in accordance to the shipment schedule
  • Perform appropriate coding of Consults, Delivery Attendance, and Newborn Nursery as required by productivity needs
  • RDS notes will be reviewed, as scheduled, on each baby currently in the unit. Based on certain criteria extracted from RDS and documented on the coding flowsheet, assign a CPT and ICD-10 code. These codes are then compared to what RDS has chosen
  • Upon identification of a discrepancy in the codes, initiate discussion with the physician(s) at which time physician makes decision as to final code(s)
  • Any coding changes made are tracked on a spreadsheet and maintained as supporting documentation to the change
  • Compare census to the database report, as scheduled, and submit all corrections as instructed
  • Reconcile the month-end statistical reports and submit to the Corporate Office as established by the department guidelines
  • Provide support services to the Corporate Office
  • Inform the Regional Corporate Office of any changes in the hospital or unit policies and procedures
  • Under general direction of the Coding Manager, this position codes diagnosis and procedures for assigned Radiology cases
  • In performing the coding requirements this position is required to follow internally established policies and procedures in addition to various industry standard and authoritative coding resources provided
  • Identify and report any potential compliance risks and reimbursement opportunities to the Coding Manager and/or the Director of Revenue Cycle Management
  • Education/Training/Experience
  • Certified as a Professional Coder from a nationally accredited association (CPC, CCS-P, RCC)
  • At least one year medical coding experience – radiology preferred
  • Interventional radiology coding experience a plus
220

Coder Resume Examples & Samples

  • Abstract pertinent information from patient records within various inpatient and outpatient types. Assign International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) / International Classification of Diseases, Tenth Revision, Clinical Modification Procedural Coding System (ICD-10 PCS) codes or Healthcare Current Procedural Coding System (HCPCS) codes, creating ambulatory payment classification (APC) or diagnosis related group (DRG)
  • Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations
  • Meet coding productivity standards and accuracy rate determined by company policy. (See Coding Productivity and Quality Standards.)
  • Closely communicates with the clinical documentation specialist and advises on coding rules and guidelines and supports the clinical documentation improvement program
  • Educate, train and communicate with medical staff regarding accurate documentation for the purposes of coding
  • Keep abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
  • Abstracts data and reports to the Virginia Trauma Registry
  • Participate in the appeals process for coding denials. Initiate and respond to requests for billing to support medical necessity, appropriateness of code assignment, combining accounts based on payer requirements and other activities to support the billing function
  • Answer telephone and respond to requests in a professional, timely manner
  • Maintain professional credentials through ongoing coding education as well as company requirements for annual continuing education
  • Contributes to quality improvement activities of the department and the organization, including participating in internal department and corporate audits
  • Participate in other department or organizational activities as requested
  • Effective Oral and written communication skills
  • Demonstrated competence with personal computers, networks, and Microsoft Office
  • Experience with various coding abstracting and coding systems
  • Ability to work independently or as a team member to accomplish tasks or projects
  • Ability to prioritize work assignments during periods of stress
  • Ability to sit for long periods of time
  • Corrected visual acuity for long periods of reviewing/reading medical records and viewing a computer monitor
  • Knowledge and skills to correctly assign principal diagnosis for inpatients and reason for visit/first listed diagnosis for outpatient encounters. Correctly assign additional diagnoses based on coding rules and guidelines
  • Experience and/or education in ICD-10 CM/ ICD-10 Procedural Coding System (PCS) coding required
  • Certification or licensure as a
  • Certified Coding Specialist (CCS) or must obtain CCS credential within 2 years (required)
221

Senior IP Coder Resume Examples & Samples

  • Exceeds =>95.01% accuracy
  • Proficient at writing AHIMA complaint physician queries
  • Ability to mentor less experienced staff in all areas of coding. Assists in the training of new and transitioning coding staff
  • Experience in an academic/teaching hospital
222

Coder Analyst Resume Examples & Samples

  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness
  • Required: High school graduate or equivalent is required
  • Preferred: Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed
223

Accounts Receivable Coder Resume Examples & Samples

  • Codes and abstracts and average of 32 patient charts daily
  • Maintains daily productivity log and provides copy to AR Manager at the end of each week
  • Contacts AR Manager with any issues that will affect productivity or unbilled report
  • Adheres to confidentiality policies and procedures at all times
  • Monitors and corrects and discrepancies on the Unbilled and Alert Financial Report daily, contacting AR Manager for resolution
  • Ability to work effectively in a fast paced environment
  • Must be proficient using computers and multiple programs
224

Senior Professional Fee Coder Resume Examples & Samples

  • Completion of basic medical terminology, ICD-10, and CPT coding course work
  • General computer knowledge, preferably with EPIC, and MS Office knowledge
  • Five years of related experience
  • Certification as a Certified Procedural Coder (CPC)
225

Mrt Coder Clinical Documentation Improvement Specialist Cdis Resume Examples & Samples

  • 465794200
  • Job Announcement Number
  • Incumbent develops and conducts seminars, in-services, informational briefings, and conferences concerned with health record documentation, educational and functional training requirements
  • Advises and assists HIMS managers/leads in the identification of needed training, in-services or educational opportunities for clinical and administrative staff
  • Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups
  • Graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups
  • Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis
  • Facilitates improved overall quality, completeness and accuracy of health record documentation
  • Collaboratively works with the professional clinical staff and coding staff to provide support and education on documentation issues
  • Ability to establish and maintain strong verbal and written communication with providers; 5. Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines; II-G35-8
  • Knowledge of severity of illness and risk of mortality indicators; and
226

Coder Resume Examples & Samples

  • Able to analyze office progress notes, procedural and operative records to identify and independently assign accurate ICD and CPT/HCPCS codes following policies/procedures established by MPAS
  • Abstracts pertinent information into the billing system accurately and timely
  • Effectively utilize ICD, CPT/HCPCS and related materials to investigate coding issues and produce accurate results
  • Understands and applies Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) and communicates this information to staff, management and physicians
  • Serves as a resource to providers and clinical staff on coding questions and documentation requirements/guidelines and provides feedback as needed
  • Monitors services performed to assure all encounters are captured (charge capture reports), coded and billed within timeframes established byMPAS
  • Assists with payor denials, patient questions related to billing issues, and makes decisions on whether to appeal claims for payment
  • Keeps abreast of current changes in coding and reimbursement requirements for government programs and other third party payers
  • Actively participates in meetings and/or seminars and disseminates the information to peers to enhance the knowledge and skills of the department
  • Demonstrates the ability to educate/train others as needed
  • Conducts billing audits to ensure the accuracy of the codes assigned
  • Evaluates and implements processes to ensure accurate reimbursement
  • Strong working knowledge of physician coding rules and guidelines
  • Knowledge of physician payment system
  • Ability to interpret, analyze and abstract data/documentation
  • Takes initiative
  • Ability to work in a continuously changing environment, flexible
  • Experience in multi-specialty physician coding is highly preferred
  • At least two years of previous coding experience is preferred
227

Research Data Coder Resume Examples & Samples

  • Sorts, counts, opens mail received for the study, which includes completed questionnaires from the study subjects, personal notes and queries from subjects, documents pertaining to morbidity follow-up, notifications of name and address changes from post offices. Files these documents after appropriate work has been completed
  • Check questionnaires for completeness, evaluates subjects' write-in responses and enters corresponding numeric codes onto forms. Re-copy damaged or unusable forms. Bursts, trims, inter-files and boxes forms and otherwise prepares them for optical scanning or for key entry
  • May perform other functions as needed for preparation of mailings to specific sub-sets of the study cohort, entry of specific data sets drawn from the cohort, operating optical scanning equipment, transporting boxes of questionnaires to storage or computer processing facility, light typing, and photocopying
  • Active and enrolled in high school or a College or University Program required
228

Hospice Non Clinical Coder Resume Examples & Samples

  • Certified Coder with current credentials in ICD-10
  • Current ICD-10 coding certification required
  • Minimum of one (1) year experience in Home Health or Hospice Coding required
  • Employee must have access to current Home Health code book and/or online Home Health Coding Center
  • Current, up-to-date computer system
  • Dual computer monitors preferred but not required
229

Edit Coder Resume Examples & Samples

  • Responsible for modifying and completing moderate to high complexity coding and charging edits/errors using ICD-9-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations
  • Abides by the Standards of Ethical Coding as set forth by AHIMA
  • Abstracting required clinical information from the medical record
  • Working in Bill Scrubber systems a requirement
  • RHIA, RHIT or CCS preferred
  • Zero to one year hospital outpatient coding experience
  • Comprehensive knowledge of ICD-9 and CPT coding systems
  • Strong knowledge base of changes in LCDs and NCDs
  • Previous auditing experience or strong training background in coding and reimbursement
  • Comprehensive knowledge of the APC structure and regulatory requirements
230

Med Rec Coder, Days Resume Examples & Samples

  • Performs review functions associated with accurate code assignment on referral and recurring patient accounts
  • Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital referral accounts according to the supporting physician documentation in the record
  • Validates that all clinical tests performed meet medical necessity according to local and national policies
  • Demonstrates knowledge of sequencing diagnoses and procedures as outlined in the Official Coding Guidelines, Uniform Hospital Discharge Data Set, CPT, and CMS guidelines
  • Abstracts data in compliance with national, state, regional, and local policies which includes all of the following. Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out. Communicates to various departments when charges need to be added, deleted, or changed and when discharge dispositions and patient type/status needs clarified. Assigns proper modifiers when needed. Reviews the encounter for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart-coding screen
  • Meets and exceeds established coding and abstracting quality and productivity standards
  • Maintains the confidentiality of employees, patients, administrative staff and medical staff information at all times without any infraction
  • Remote coding
  • Comprehensive knowledge of coding functions, rules, and guidelines
  • Critical thinking and problem solving skills are essential along with the ability to work independently, remotely and with minimal supervision. Must be self-motivated and able to use electronic resources
  • Remain informed and educated about changes in the reimbursement system and coding conventions and current updates
  • KNOWLEDGE AND SKILLS REQUIRED
  • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
  • A minimum of one year outpatient coding experience preferred for a referral and recurring coder. Credentials as a RHIA, RHIT, CCS, or CPC are preferred or within six months of taking the national certification examination
  • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
231

Coder, Days Resume Examples & Samples

  • Performs review functions associated with accurate code assignment on emergency room and wound care patient accounts
  • Assigns diagnosis and procedure codes following ICD-9 and 10 Official Coding Guidelines for diagnoses and procedures, CMS, CPT, Coding Clinic guidelines, various other governing bodies and Department coding policies and procedures
  • Interprets and reviews medical record documentation to assign accurate diagnoses and procedure codes for hospital emergency room accounts according to the supporting physician documentation in the record
  • Assigns correct ASC/APC modifiers to ensure appropriate reimbursement and assigns the correct revenue code for all CPT codes when applicable
  • Interacts with HIM employees and other departments to resolve issues and escalates problems to the appropriate level for resolution. Report any excessive or unusual write-offs to the appropriate level for further investigation
  • Is proficient in navigating the electronic medical record and all supporting information management and billing systems. Must be proficient in the use of the encoder and computer assisted coding software application
  • Demonstrate expert job knowledge and applies current coding and billing regulations, policies, processes, and procedures with effective decision-making and problem solving skills
  • Participates in department performance improvement reviews and coding reviews. May provide training and support and or quality support as directed. Is flexible and willing to adapt to changes in the work environment
  • Computer proficiency required
  • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS). Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
  • Registered as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or high school graduate with certification as a Certified Coding Specialist (CCS)
  • Above knowledge requires two to four years in an HIM accredited program and or with successful completion of national certification exam
  • A minimum of one year outpatient coding experience preferred for an emergency room and other outpatient coding
232

Physician Coder Resume Examples & Samples

  • Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling
  • Performs data entry of abstracted physician information into specialty- specific databases
  • Maintains a 95% coding accuracy rate as measured through quality reviews
  • Maintains daily productivity as outlined: E/M - 7-10 codes per hour, Surgery - 5-7 codes per hour average, depending on specialty
  • Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services
  • Conducts educational sessions to the medical staff for coding and documentation compliance
  • Responsible for assisting Manager/Director with auditing coded accounts and in developing quality controls to ensure consistent coder education and feedback
  • Assist Manager/Director in coordinating the onboarding of new coders by providing training and support with various systems
233

Emergency Department Facility Coder Resume Examples & Samples

  • Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others
  • Coding credential required from AHIMA/AAPC (ROCC, RHIA, RHIT, CCS, CPC, COC, CPC-P)
  • 2+ years Emergency Department facility coding experience
234

Coder, Remote Resume Examples & Samples

  • Coding Technical Skills ‐ regulatory coding (ICD‐9‐CM, ICD‐10‐CM, ICD‐10‐PCS, MS‐DRGs, and POA Assignment)
  • Communication ‐ communicates clearly and concisely
  • Customer orientation ‐ establishes and maintains long‐term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Analytical Skills - effective evaluation, synthesis and use of information gathered
  • Initiative - independently takes prompt proactive steps toward problem resolution
  • Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi‐task
  • Policies & Procedures ‐ articulates knowledge and understanding of organizational policies, procedures and systems
  • PC Skills ‐ demonstrates proficiency in Microsoft Office applications and others as required
  • Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
  • Work Independently - is self‐supporting; not needing to rely on others to complete a job
  • Minimum one year of acute care hospital inpatient coding strongly preferred
235

Medical Records Coder Resume Examples & Samples

  • Utilize ICD-10 CM and CPT-4 coding rules and regulations, as well as pertinent reference materials required for the accurate and specific assignment of codes for diagnosis and procedure statements for outpatient medical records utilizing the 3M encoder/grouper
  • Assigns appropriate CPT codes for infusions and injections
  • Appropriately adds stop bills to accounts
  • Review and solve OCE and LCD edits fired during EPIC coding session
  • Routes accounts with missing documentation, op reports, and diagnosis for medical necessity to appropriate EPIC WQ
  • Completes accounts returned for final coding
  • Abstracts all required information into EPIC
  • Abstracts required data elements into Care Discovery tool at 95% accuracy
  • Appropriately applies modifiers to CPT codes as required
  • Adds procedure codes to inpatient claims being billed as outpatient claims as needed
  • Interacts with physicians, ancillary departments, CDM Manager, Registration, Business Office and others as needed regarding documentation and other issues
  • Utilizes all NorthShore University HealthSystem data systems (EPIC, 3M, EPF, etc) to ensure complete and accurate coding and edit resolution
  • High school graduate
  • RHIT, RHIA, CCS, CPC, or CCA
  • Minimum two years facility coding outpatient types preferred
  • Full understanding of ICD-10-CM and CPT-4 coding classification, APC payment groups and applicable outpatient rules and regulations
  • Working knowledge of computers, automated encoder (3M) and Microsoft Windows
  • Ability to follow detailed instructions with a high degree of accuracy
  • Thorough understanding of billing revenue codes and charges
236

Outpatient Complex Coder Resume Examples & Samples

  • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record, including histories, physicals, operative reports, diagnostic testing reports, pathology reports, therapy notes and discharge summary, etc
  • May analyze provider documentation to assign or verify the appropriate Evaluation & Management (E&M) CPT code
  • Verifies and/or requests documentation to support compliance
  • Assigns diagnostic and procedural codes in accordance with coding principles and established guidelines
  • May review and correct coding errors, edits, rejections and/or disputes
  • Charge entry when appropriate
  • Performs a comprehensive review of the documentation to ensure the presence of all necessary elements, such as: patient identification, provider signatures and dates
  • Verifies completeness of medical record within electronic medical record, reporting any discrepancies to supervisor
  • High School Diploma or G.E.D. equivalent required
  • Additional specialty coding certification required or Bachelor’s Degree required
  • 1-2 years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred
  • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems
  • Minimum of three years coding experience, specialty coding experience preferred
  • Certification as a Registered Health Information Technician (RHIT), CPC, CPC-A, CCS, CCP or CCA certification required
237

Creative Coder, User Interfaces, Building Resume Examples & Samples

  • Collaborate with Product Designers and Product Managers to define compelling consumer-facing products
  • Collaborate with designers in discussions about product and interaction design, contributing with the technical perspective to the exploration of solutions and alternatives to problems
  • Contribute with best-in-class programming and prototyping skills to develop low and high fidelity design deliverables
  • Code/implement front-end experiences - mobile, web, and beyond
  • Create beautiful, detailed animations via CSS keyframes and/or other JS libraries
  • B.S. or M.S. Computer Science and 5+ years in relevant work experience
  • Experienced in front-end web markup and scripting, including HTML5/CSS3 and Javascript
  • Familiarity with mobile design principles and accessibility best practices
  • Experience with design/development tools (whether it’s Framer.js or Invision or Origami or analogous)
  • Ability to prototype in hardware (Arduino, Particle, etc)
238

Certified Nurse Coder Resume Examples & Samples

  • CPC accreditation/certification through AHIMA or AAPC or equivalent organization
  • Details of accreditation/certification/core proficiencies must be submitted with resume
  • Must be familiar with Medicare /NCCI coding
239

Coder Resume Examples & Samples

  • Review documentation on patient records and assign CPT-4 codes and physician identification numbers for each patient record
  • Complete daily productivity reports
  • Other duties as assigned by the supervisor
  • Extensive knowledge of medical terminology
  • CPC, CCS-p, or RHIT certification or eligibility within two years
  • 1-3 years previous physician coding experience required or graduation from a coding technical school
240

Coder Resume Examples & Samples

  • Interaction with other departments, such as operations, may be required to resolve questions or gather relevant data needed to process invoices
  • Indexing, entering data from a non-electronic vendor, into the invoicing system before the invoice can be assigned coding. May involve communication with the Accounts Payable department to determine vendor’s invoicing status
  • Process invoices that may require some calculation, or different charges to multiple properties or general ledger codes in one single invoice
  • Review invoice data in invoice system, and if incorrect dispute invoice back to vendor for correction
  • Able to adjust priority of process by vendor, date, or another factor
  • Occasional collaboration with other departments to review coding process for specific issues
  • An ability to work with a deadline or quota is needed
  • Knowledge of Microsoft Word, Excel, and Outlook
  • Experience in the oil and gas industry accounting
  • Proficient in data entry
  • Good organizational and prioritization skills
  • Microsoft Excel skills important, previous experience with Oildex a plus
  • Ability to multi-task, work under pressure and meet deadlines
  • 1-2 years of experience in the Oil and Gas Industry
241

IP Coder Resume Examples & Samples

  • Must posses in-depth knowledge of anatomy and physiology, medical terminology, reimbursement principles, health record content, sequencing of diagnoses, and the use of coding software
  • A trainee is not acceptable for this job due to the complex nature and specialty knowledge base associated with coding requirements/guidelines
  • A CHS pre-employment coding test must be taken with preferred pass rate of 80%
242

Coder Resume Examples & Samples

  • Works on assignments that are routine in nature, requiring limited judgment. Has little or no role in decision-making. Errors can be made easily and quickly detected and result in only minor disruption to correct. Contacts are primarily within the immediate work unit. Contacts involve obtaining or providing information requiring little explanation or interpretation
  • Normally receives detailed instructions on all work
  • Escalates issues to supervisor for resolution, as deemed necessary
  • Administer physician quality reporting initiative (PQRI) data to report quality measures; maximizing incentive payments at the time of billing
  • 0 – 1 year’s related experience
  • Great computer skills with demonstrated proficiency in word processing, spreadsheet and email applications
  • General knowledge of governmental rules and regulations as they affect billing and coding processes
  • Detail oriented with strong analytical and organizational skills
  • Strong time management skills with the ability to multitask concurrent priorities in an organized manner
  • Strong interpersonal skills with the ability to work cohesively within a team environment
  • Possess a positive, enthusiastic and energetic attitude
  • Excellent oral and written communication skills to effectively communicate with all levels of management
243

Coder Resume Examples & Samples

  • Ensure the appropriate assignment of the applicable diagnostic and/or procedural code(s) to patient health information documents
  • Assist with the assignment and coordination of daily coding activities for the team(s) in alignment with company goals and objectives within the assigned function(s)
  • Ensure standard reports are generated and distributed for management review on a routine basis
  • Monitor new clinical sites and perform due diligence by providing high level support and guidance of coding operations as necessary
  • Perform coding audits on a routine basis; ensuring data accuracy and integrity
  • Establish and maintain strong working relationships with cross-divisional teams; coordinating activities in achievement of shared goals within established timelines
  • Serve as an SME by serving as a resource to immediate team(s), internal and external customers; investigating, resolving and communicating complex issues as necessary
  • Mentor other staff as applicable
244

Coder Resume Examples & Samples

  • Select and sequence ICD-9, ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Acute Inpatient or two or more of the following patient types: Observation, Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic) and Recurring; Wound Care, Hospital Clinic; Physician Pro Fee; Technical Fee or Evaluation & Management
  • Review and analyze clinical records to ensure that MSDRG/APC assignments accurately reflect the diagnoses/procedures documented in the clinical record
  • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected
  • Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or required
  • Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information
  • Active RHIA or RHIT or  CCS, CCA, COC (formerly CPC-H), CCS-P, CPC
  • Two (2) years of recent and relevant hands-on coding experience with
  • Acute Inpatient or two or more of the following patient types: Observation, Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic) / Recurring; Wound Care, Hospital Clinic; Physician Pro Fee; Technical Fee and Evaluation & Management
  • Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective October 1, 2015)
  • Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Precyse production and/or quality standards
  • Roficient computer knowledge including MS Office (Outlook, Word, Excel)
  • Must display excellent
  • Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
  • Other credentials such as: Certified Gastroenterology Coding Specialist (CGCS) or CIC a plus
245

Coder / Analyst Resume Examples & Samples

  • Monitor’s analysis queues daily to keep workflow moving for coding and billing compliance
  • Analyzes quantitatively the medical record for deficiencies, assigning the record to the appropriate physician(s) for completion
  • Performs accurate analysis in accordance with H.I.M. Analysis Policy & procedure
  • Meets work standards for analyzing of medical records as follows
  • High School Diploma or equivalent with continued education and/or certificate programs in medical records and terminology, required
  • Minimum of two (2) years progressive experience in medical records of an acute care setting, required
  • Excellent interpersonal skills with all customers
246

Coder Resume Examples & Samples

  • American Health Information Management Association (AHIMA)-or- American Academy of Professional Coders (AAPC) certified coding credential
  • 2 years of working in a medical office or physician billing office, or equivalent office experience
  • Any AHIMA or AAPC coding-related credential; credential-eligible applicants may apply
  • Experience working with physicians, with an emphasis on coaching and communication
  • Electronic Medical Records (EMR) experience
247

Coder Abstractor Resume Examples & Samples

  • Current AHIMA or AAPC coding credential that is hospital/acute care related
  • Knowledge of medical terminology, ICD-10, CPT and DRG coding
  • Ability to communicate effectively; strong verbal and written communications skills
  • Accreditation as Registered Health Information Technician (RHIT) or Certified Coding Specialist
  • CCS
  • CPC-H
  • One year hospital based HIM Department background/experience or experience through practicum or an AHIMA accredit Health Information Technology or Health Information Management program
  • One year of hospital-based coding experience
248

Coder Abstractor FTE Resume Examples & Samples

  • Must attend meetings and trainings onsite at the Everett, WA facility
  • AHIMA or AAPC coding credential that is hospital/acute care related
  • Basic computer skills including how to operate a PC
  • Knowledge of medical terminology, ICD-9, CPT and DRG coding
  • Graduate of an AHIMA accredited Health Information Technology or Health Information Management program or self-study course
  • One year hospital based HIM Department background/experience or experience through practicum or an AHIMA accredited Health information Technology or Health Information Management program
249

Coder Abstractor Resume Examples & Samples

  • Associate and/or higher degree in a healthcare related program
  • AHIMA or AAPC coding credential
  • Accreditation as Registered Health Information Technician (RHIT) or Register Health Information Administrator (RHIA)
  • One year of acute hospital based coding experience - inpatient, ED or ASU
  • Associate degree in Health Information Technology
  • CCS certification
  • One year of hospital-based HIM department background experience of experience through practicum of an AHIMA accredited Health Information Technology or Health Information Management program
250

HIM Coder / Certified Resume Examples & Samples

  • Assigns codes accurately to each record for diagnoses and procedures performed according to ICD-9-CM and CPT-4 coding and classification systems. (This includes assignment of “modifiers” on required cases)
  • Utilizes resources needed to adhere to coding guidelines (e.g. Coding Clinic, Coding Handbook, etc.). Also uses reference materials (medical dictionary, Physicians Desk Reference, approved abbreviations) to ensure accuracy to align with Coding Compliance Regulations (Department of Justice/OIG)
  • Abstracts data from the medical record and enters data directly into the 3M Application software. (Utilizes data sheet only when needed during downtime). Responds correctly to prompts for refining of codes as well as tracking case managed patients, readmission status, discharge disposition, birth weight, O.R. minutes, lesion size, type of anesthesia and ASA classification
  • Obtains corresponding pathology reports to ensure accurate coding to support documentation within the record
  • Works in concert with DRG Validator on “DRG Assurance”. Verifies proposed DRG to ensure accurate assignment for direct relationship to finance and reimbursement
  • Meets the required productivity and competency levels established for a full time Inpatient Coder. (Inpatient:20 )
  • Meets productivity and competency standards for coding of Ambulatory Surgical records for a full time employee.(Outpatient:36) Codes pre-admission surgical testing forms on assigned day
  • Codes and enters discharges/re-admits at time of receipt from transferring unit
  • Completes DOH forms for appropriate records, i.e. Spontaneous Termination of Pregnancy, Alzheimer’s, Congenital Malformation, Induced Termination of Pregnancy, and Sterilization
  • Responsible for submitting DOH forms to the responsible person in a timely manner to ensure DOH Regulations are met. Keeps a log of all forms sent
  • Assists in data audits as requested. Responds to suggestions for change in timely manner
  • Assigns charts to appropriate review area for coding validation check
  • Responds to physician’s coding questions when necessary
  • Physical Demands: Requires the ability to sit for long periods of time, high visual activity to review documents, high level of concentration without allowing distraction to impact workflow
  • High School Graduate or equivalent, required
  • Completion of one-year Coding Certification program or equivalent experience in coding, required
  • Credentialed CCS/RHIT, Required
  • One year of coding experience in an acute care setting with a complex case Mix and a skill level required to perform the job with accuracy
  • Requires excellent knowledge ICD-9 and CPT-4 coding principles
  • Requires good interpersonal skills in order to interact effectively with physicians and reviewers
  • Requires knowledge of medical terminology, anatomy and physiology