Medical Coding Specialist Resume Samples

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HO
H O'Kon
Hector
O'Kon
12807 Ullrich Island
New York
NY
+1 (555) 939 1083
12807 Ullrich Island
New York
NY
Phone
p +1 (555) 939 1083
Experience Experience
Boston, MA
Medical Coding Specialist
Boston, MA
Heathcote-Hackett
Boston, MA
Medical Coding Specialist
  • Assist with other audits as requested
  • Code within timeframes established by Allina hosptial coding standards
  • Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the team’s projects/goals are completed
  • Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties
  • 2 year Registered Health Information Technician graduate, or 4-year Registered Health Information Administrator graduate, or completion of a Coding Specialist Certificate program and/or CCA certificate
  • Reports for coder use are created and maintained in both business software applications and are used for tracking productivity, denials, and level of service changes made by coders
  • Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCSs, Modifiers, and CPT codes, based on National Coding Guidelines
Dallas, TX
Certified Inpatient Medical Coding Specialist
Dallas, TX
Quitzon-Heller
Dallas, TX
Certified Inpatient Medical Coding Specialist
  • Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed
  • Assist with, create or enhance internal claim and review recommendations
  • Audit codes and professional fee services performed by providers from medical records according to ICD-10, CPT, ASA, and CMS guidelines
  • Assists in evaluation of reports, decisions, and results of department in relation to established goals
  • Performs duties and job functions in accordance with the policies and procedures established for the department
  • Assist in the development, review, and assessment of departmental goals and objectives
  • Researches and answers co-worker and/or patient questions and provide follow-up communication in a timely manner
present
Houston, TX
Senior Medical Coding Specialist
Houston, TX
Feest-Runte
present
Houston, TX
Senior Medical Coding Specialist
present
  • Mentor new hires and evaluate performance of co-workers; develop and deliver training material; serve as the coding SME for operations
  • Communicate with co-workers and management regarding clinical and reimbursement findings
  • Collaborate with physician and analytics teams to create or enhance company specific coding and edit recommendations
  • Monitor, research, and summarize trends, coding practices, and regulatory changes
  • Assist with clinical education of staff as it relates to claims, suggest additional negotiation talking points or tools, and communicate overall industry or regulatory changes which affect the department
  • Apply recommendation of national coding and regulation standards to claims billed
  • Demonstrate commitment to the Company’s core values
Education Education
Associate’s Degree in Health Information Technology
Associate’s Degree in Health Information Technology
Pepperdine University
Associate’s Degree in Health Information Technology
Skills Skills
  • Good customer service skills and the ability to demonstrate professionalism and compassion
  • Knowledge of Health Information Portability and Accountability Act (HIPAA)
  • Good communication skills and the ability to communicate effectively verbally and in writing accurate information
  • Strong attention to detail
  • Analytical skills and the ability to be detail oriented
  • Ability to work individually or as part of a team
  • Microsoft Office/Suite proficient (Outlook, Excel, Word, etc.)
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Knowledge of Medical terminology and/or experience with CPT and ICD-9 coding
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7 Medical Coding Specialist resume templates

1

Medical Coding Specialist Resume Examples & Samples

  • Understand ICD coding
  • Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD 10 codes, based on National Coding Guidelines
  • Abstract data elements
  • Assists in the identification and recommendation of system edits
  • Code within time frames established by Allina hospital coding standards
  • Knowledge of APC classification
  • Communicate effectively with providers
  • Reports for coder use are created and maintained in both business software applications and are used for tracking productivity, denials, and level of service changes made by coders
  • Update education through online information as well as courses available to them in order to maintain strong coding skills and knowledge of legal compliance standards
  • Knowledge of Medicare/CMS requirement and Allina Policy; will perform the job in accordance with Allina’s Standards of Business Conduct, which include principles of legal compliance, ethics and integrity, confidentiality, protection of assets and avoidance of conflict of interest and inappropriate business relationships
2

Medical Coding Specialist Resume Examples & Samples

  • Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity
  • Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines
  • Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines
  • Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model
  • Ability to defend coding decisions to both internal and external audits
  • Other projects as necessary
  • LI-MW1
  • 2-4 years professional coding experience either in a hospital or physician setting
  • Expert knowledge of medical terminology and abbreviations and disease, illness and injury processes
  • Managed Care experience preferred
  • Working knowledge of CMS risk adjustment model preferred
3

Medical Coding Specialist Resume Examples & Samples

  • 2+ years of experience in Professional Coding experience either in a Hospital or Physician setting
  • Certified Professional Coder (CPC) CPC or CCS required
  • Knowledge of Medical terminology and/or experience with CPT and ICD-9 coding
  • Working knowledge of CMS risk adjustment model Intermediate
  • Working knowledge of Healthcare Management Systems
  • Microsoft Office/Suite proficient (Outlook, Excel, Word, etc.)
  • Previous experience in the Healthcare industry
4

Medical Coding Specialist Resume Examples & Samples

  • Reviews and analyzes inpatient hospital medical records using International Classification of Diseases, Tenth Revision (ICD-10 - PCS). Always coding to the highest level of specificity
  • Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines
  • Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model
  • Must be able to effectively communicate verbally and in writing complex coding issues
  • Must be able to understand and follow verbal instructions and written polices and procedures to ensure adherence to standards and to instructions from management
  • Must be able to read, write, speak, and understand English in order to communicate with customers, staff, vendors, and management
  • Ability to work individually or as part of a team
5

Medical Coding Specialist Resume Examples & Samples

  • Understand CPT and ICD coding
  • Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCSs, Modifiers, and CPT codes, based on National Coding Guidelines
  • Code within timeframes established by Allina hosptial coding standards
  • Will be reviewing provider dictation and charge entry done by business ops personnel to make certain that correctCPT codes are billed and appropriate diagnoses assigned in accordance with Provider dictation
6

Medical Coding Specialist Resume Examples & Samples

  • Code medical records - Analyze medical record for Health Care Provider documentation to determine accurate MS-DRG, APC, ICD -10 diagnostic and procedure codes, HCPCS, CPT and modifiers.. Coding is based on qualified health care provider’s documentation Appropriate querying of the healthcare provider as needed for accurate severity/DRG assignment and/or ICD-10/CPT assignment. Coding is accurate and timely
  • Abstract data element - Require date elements collection to be abstracted accurately and timely to support the various regulatory, Allina wide and other designated parties
  • Improve the accuracy, integrity and quality of the patient data and ensure minimal variation in coding practices. Identify high complexity and high compliance risk coding areas, and improve the quality of the healthcare provider documentation to support code assignments. Consistent quality review process with timely feedback and communication
  • Comply with mandated and/or standard guidelines
  • Comply with HIPPA guidelines
  • Comply with Department specific competencies
  • Maintain confidentiality of patient
7

Medical Coding Specialist Resume Examples & Samples

  • Review charts for accurate and timely coding that is supported by medical record documentation
  • Communicates coding and DRG findings to management, including applicable references, as appropriate
  • Identify trends and educational opportunities
  • Assist with other audits as requested
  • Evaluate and provide appropriate documentation for the third-party payer CPT denials to maintain the original CPT assignment, and when necessary, implement corrective action plan and/or educational programs to prevent similar denials and rejections from recurring
  • Present a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties
  • Comply with departmental and company-wide policies and procedures
  • CANPC, RHIT or 2+ certifications by a nationally recognized coding and accreditation program that requires CEU submission for renewal
  • Coding Experience Required: 2+ plus years of experience
  • Ability to clearly communicate medical coding information and work with other team members
  • Knowledge and understanding of medical coding and billing systems and regulatory requirements
  • Ability to perform basic math calculations
  • Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing
  • Ability to set priorities and meet deadlines
  • Knowledge of Medicare and Medicaid regulations
8

Medical Coding Specialist Resume Examples & Samples

  • One (1) year of medical billing experience
  • Two (2) years of community college/business school training
  • Additional course work in business or health care related subjects
  • Accreditation as a Registered Health Information Technician (RHIT), or Certified Coding Specialist
  • Two (2) years previous cardiology billing experience
  • General accounts receivable skills with a background in the medical field
  • Knowledge of CPT, HCPC and ICD-9 coding in a busy physician group practice
9

Certified Inpatient Medical Coding Specialist Resume Examples & Samples

  • Education: High School Diploma or GED required. Associates degree in Health Information Management orany Healthcare Related Field preferred
  • Experience: Two (2) years of hospital inpatient experience. Successful completion of an accredited coding training program may be substituted in lieu of experience
  • Licenses/Certifications: Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required
  • Proficient knowledge of human anatomy, physiology, medical terminology and surgical terminology
  • Critical thinking, good judgment and decision making skills
  • Proficient in navigating a Windows-based application environment
  • Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges
  • Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes
  • Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution
  • Effectively assigns DRG and ICD-10 codes to inpatient records
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines
10

Medical Coding Specialist Resume Examples & Samples

  • High School diploma or equivalent work experience
  • Associate's or Bachelor's degree in a health care related field
  • Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Professional Coder (COC) certification
  • At least 3 years of documented medical coding work experience
11

DRG Medical Coding Specialist Resume Examples & Samples

  • Reviews and analyzes inpatient hospital medical records using International Classification of Diseases, Tenth Revision (ICD-10-CM) and Procedural Coding System (ICD-10-PCS). Always coding to the highest level of specificity
  • Follows the Official ICD-10-CM Guidelines for Coding and Reporting and the ICD-10-PCS Official Guidelines for Coding and Reporting and has a complete understanding of these guidelines
  • Ability to meet productivity and accuracy standards
  • Ability to calculate payment based on provider contracts
  • Identifies coding error (e.g., incorrect primary diagnosis, MCC’s, CC’s, and procedure codes) and recommends correct coding of medical claims
  • Receives, researches, and determines appropriate coding for provider denial appeals from Correspondence, PRT, Claims, and the Markets
  • Support claims, configuration, PRT, and/or appeal & grievances teams as necessary
12

Medical Coding Specialist Resume Examples & Samples

  • Performs medical coding for current outpatient clinic and related ancillary department services, including medical, behavioral health, intensive care, surgical and other specialty services
  • Assigns appropriate CPT-4 (or its successor) and ICD-10 (or its successor) procedure and diagnosis codes to all outpatient and related ancillary services
  • Assigns appropriate concurrent CPT or ICD codes for ancillary services provided in outpatient or clinic visits as well as any specialized services provided in outpatient or inpatient settings
  • Researches, analyzes, and re-codes national medical necessity (NCD) denials and local medical review (LMRP) denials for Medicare patients as appropriate for resubmission
  • Abstracts and enters all codes and required demographic information into the appropriate computer systems and forms
  • Reviews the CPT code assignment for “Other” procedures noted on Outpatient Encounter Forms
  • Participates in professional training as necessary including ICD-10 training
  • Maintains productivity/performance levels consistent with industry standards
  • Fosters compliance with state and federal rules and regulations
  • Works independently and as a team member and leader
  • Preserves confidential, protected health and personally identifiable information and files
  • Associates Degree in Medical Terminology or a related field; or equivalent relevant experience
  • Completion of credentials of Certified Professional Coder (CPC)
  • 1-2 years of medical coding experience
  • Knowledge of healthcare and medical terminology, including ICD-10 and CPT-4 codes
  • High degree of organization and strong attention to detail
  • Ability to communicate and problem solve effectively
  • Proficient in computer skills and Microsoft Office
  • Must maintain current knowledge of coding and billing practices through reading of newsletters, publications and attendance at seminars
  • Knowledge of state and federal rules and regulations related to health care finance
  • Ability to plan, prioritize and schedule multiple work tasks
  • Experience with MEDITECH Health Information System
13

Medical Coding Specialist Resume Examples & Samples

  • Assist in ensuring the accurate reimbursement for facility claims by conducting medical record research and utilizing specialized medical classification software to assign procedure and diagnosis codes for DRG determinations and other coding assignments
  • This position will also conduct trainings for nursing staff and be responsible for writing technical references related to accurate coding assignments and claim processing
  • Ability to write technical documentation related to accurate determination of diagnosis and DRG code assignments
  • Demonstrated experience conducting training/educational sessions for professional staff, including preparations of instructional materials preferred
  • Demonstrated experience in insurance reimbursement methodology
  • Capable of gathering data and making sound, mature decisions
  • Thorough knowledge of CMS and other applicable guidelines and regulations
  • Knowledge of Medicare Risk Adjusted coding and reimbursement methodologies preferred
  • Knowledge of Microsoft Office products and ability to quickly learn proprietary vendor software tools as needed
  • Certification from AHIMA such as RHIT, RHIA or CCS credentials or the ability to obtain certification within 6 months is required
  • Registered Nursing license preferred
14

Medical Coding Specialist Resume Examples & Samples

  • 3+ years of experience with developing and maintaining a coding program, including auditing coding accuracy, documentation improvement program for physicians, and development and implementation of policies and procedures
  • Experience in ICD10 transition and CPT coding and modifiers
  • Ability to interview directly with government client
  • Medical Coding Certification
15

Senior Medical Coding Specialist Resume Examples & Samples

  • Review and analyze complex inpatient, outpatient, and practitioner billing for medical appropriateness of treatment; analyze charges of various revenue centers with consideration to patient diagnosis, procedures, age and facility type including any additional information perceived as potentially helpful in the payment integrity and/or negotiation process
  • Research and review individual claims, claim trends or detailed itemized bills, operative notes and other documentation as needed
  • Collaborate with physician and analytics teams to create or enhance company specific coding and edit recommendations
  • Prepare clear, concise and legible findings
  • Mentor new hires and evaluate performance of co-workers; develop and deliver training material; serve as the coding SME for operations
  • Assist with clinical education of staff as it relates to claims, suggest additional negotiation talking points or tools, and communicate overall industry or regulatory changes which affect the department
  • Ensure compliance with HIPAA regulations and requirements
  • Demonstrate commitment to the Company’s core values
  • Completion of educational curriculum required of medical license or coding certification held with Bachelor’s Degree preferred; and at least 5 years of coding experience
  • Current nursing certification and/or current certified coder (CCS, CCS-P or CPC), or Registered Health Information Technician (RHIA/RHIT)
  • Minimum 5 years experience in direct patient care, medical procedure billing, medical insurance auditing, line item review, audits, coding, and/or reimbursement
  • Extensive knowledge of inpatient/outpatient hospital billing including UB-04s, revenue codes, itemization of charges, CPT codes, HCPCS codes, ICD-9/10 diagnoses and procedure codes, DRG, APCs
  • Knowledge of payer reimbursement policies, state and federal regulations, medical necessity criteria and applicable industry standards
  • Auditing and health information management experience in a healthcare setting preferred
  • Required licensures, professional certifications, and/or Board certifications as applicable
  • Experience with professional and facility contract interpretation
  • Experience and proficiency using MS Office Suites: Excel, Outlook and PowerPoint. Visio helpful
  • Excellent communication (written, verbal and listening), interpersonal, organizational, time-management, analytical, problem-solving, trouble-shooting, customer service skills
  • Ability to develop educational materials and job aids pertaining to coding and claims
  • Ability to handle multiple tasks in a fast paced environment
  • Ability to meet individual and team goals, deadlines and work standards
  • Ability to apply independent judgment and determine appropriate course of action
  • Knowledge of medical terminology, anatomy, and physiology
  • Ability to interact and discuss results with providers
  • Ability to lead, teach, mentor others, and facilitate a learning environment
16

Medical Coding Specialist Resume Examples & Samples

  • Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analysis of charges of various revenue centers with consideration to patient diagnosis, procedures, age and facility type; and any additional information relevant to the negotiation process
  • Apply recommendation of national coding and regulation standards to claims billed
  • Research, review and provide internal response based on receipt of itemized bills, claims, operative notes and other documentation as needed
  • Assist with, create or enhance internal claim and review recommendations
  • Communicate with co-workers and management regarding clinical and reimbursement findings
  • Assist with clinical education of staff as it relates to clinical aspects of claims, suggesting additional negotiation talking points or tools, and communicating overall industry or regulatory changes which affect the department
  • Monitor, research, and summarize trends, coding practices, and regulatory changes
  • Research and review individual claims, claim trends or detailed itemized bills, operative notes and
  • Minimum completion of educational curriculum required of medical license or coding certification held with Bachelor’s Degree preferred; or minimum Bachelor’s Degree in healthcare related field and at least 2 years of coding experience
  • Current nursing certification and/or current certified coder (CCS, CCS-P or CPC), Registered Health Information Technician (RHIA/RHIT)
  • Minimum 2 years experience in direct patient care, medical procedure billing, medical insurance auditing, line item review, audits, coding, and/or reimbursement
  • Knowledge of inpatient/outpatient hospital billing requirement including UB-04s, revenue codes, itemization of charges, CPT codes, HCPCS codes, ICD-9/10 diagnoses and procedure codes, DRG, APCs
  • Knowledge of professional claim billing requirements including HCFA¬1500s, CPT codes and ICD-9/ICD-10 diagnoses codes
  • Knowledge of commonly used medical data resources such as MDR, Medical Fees in the US, etc
  • Excellent communication (verbal and written), teamwork, training, presentation, negotiation and organizational skills
  • Ability to use hardware, software and peripherals related to job responsibilities, including MS Office Suite and database software
  • Ability to read and abstract medical records
  • Ability to interact and discuss audit results with providers
  • Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
17

Medical Coding Specialist Resume Examples & Samples

  • Review outpatient records and interpret documentation to identify all diagnoses and procedures; applying knowledge of medical terminology, disease processes, and pharmacology. Assigns proper ICD-9-CM/ICD-10-CM and CPT diagnosis and procedure codes in accordance with Official Coding Guidelines
  • Code outpatient surgery/invasive procedure charts consistently according to the national gold standard utilizing the 3M CRS grouper for proper APC assignments, correct modifier usage, etc
  • Notify the appropriate manager if a medical chart is not available within forty-eight hours of discharge
  • Knowledge of patient charging codes and standards
  • Knowledge and understanding of CPT and ICD-9/ICD-10 coding
  • Multitasking skills and the ability to manage more than one patient simultaneously
  • Problem solving skills and the ability to apply analytical skills
  • Good customer service skills and the ability to demonstrate professionalism and compassion
18

Medical Coding Specialist Program Resume Examples & Samples

  • Responsible for instruction in the Medical Coding Specialist program including but not limited to the following courses or curriculum area: Foundations of Health Information Management, Health Care Reimbursement and Management of Coding Services
  • Develop and plan appropriate instructional strategies and alternative delivery strategies when appropriate including but not limited to hybrid, face-to-face and on-line course delivery
  • Participate in in-service meetings, convocation training, staff development training or other activities or programs requested by the Department
  • Assist and advise students who have problems with assignments, tests, grades, course content, career concerns, and other academic matters
  • Comply with college policies and directions regarding student testing, record keeping, advanced standing, providing grades on a timely basis, evaluating student performance and maintaining office hours for student assistance and counseling, etc
  • Maintain competencies as an instructor as aligned with the Faculty Quality Assurance System
  • Assist students in developing work experience assignments such as internships, work study assignments, team projects, etc
  • Maintain Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification
  • Demonstrate a commitment to the college’s mission, vision and values
  • Knowledge of current educational methods and strategies, including learner-centered instruction, assessment, evaluation and collaborative techniques and strategies that address closing the gap in student access and achievement across race, gender and disability
  • Skill in the use of educational technology and alternative delivery methods
  • Knowledge and ability to infuse multicultural perspectives into course content and delivery
  • Skill in communications and human relations with populations having diverse socio-economic and racial backgrounds, as well as individuals with disabilities
  • Ability to interact with business and industry to establish partnerships
  • Associate’s Degree from an accredited public or private institution
  • Certified Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
  • Two (2) years (4000 hours) of related work experience
  • One (1) year (2,000 hours) of related work experience must be within the past five (5) years
  • Two (2) years of full-time equivalent teaching experience in a related area at an accredited college within the past five (5) years may be substituted for the one (1) year of related work experience within the past five (5) years
  • What days of the week, including Weekends, are you available during the day or evening? Please specify times. (Example: Tuesdays, Thursday 5-9 pm)
  • Please indicate all Madison College Campus site (s) you are interested in teaching at (Madison Truax Campus, Madison Downtown Education Center, Madison South Campus, Madison West Campus, Watertown, Fort Atkinson, Portage, Reedsburg)
19

Medical Coding Specialist Resume Examples & Samples

  • Responsible for coding superbills
  • Audit charge postings of coded superbills
  • Assist your team members as needed
  • Coordinates and participates in coding of pertinent medical information from a variety of complex records and billing edits to include diagnosis, treatment of illness and procedure performed while ensuring accuracy of work adherence to established coding procedure of ICD-10 (International Classification of Diseases) and CPT-4 (Current Procedural Terminology)
  • Researches and corrects denial claims needing further attention to resubmit as acceptable by the insurance carriers
  • Ensures each patient is given the highest level of customer service and every staff member is treated with the upmost respect
  • Communicates effectively, courteous and demonstrates a caring attitude with patients, families, team members and insurance carrier representatives at all times
  • Provides courteous, knowledgeable and timely service to co-workers
  • Researches and answers co-worker and/or patient questions and provide follow-up communication in a timely manner
  • Maintains strict confidentiality in accordance with HIPPA regulations and company policy
  • Any patient private health information must not be divulged on any account except to the Patient/Guarantor’s insurance carrier that needs the information in order to process the claim for payment
  • At least 2 years of experience in a medical office
  • CPC, CPC-H, CPC-A or CPC-H-A certified preferred; if not certified, must obtain certification within 12 months of employment
  • Ability to abstract ICD-10-CM and CPTs from medical records required
  • Knowledge in anatomy and medical terminology required
  • Ability to meet and maintain 2.5 minutes per chart with an accuracy of 90% or greater
  • Must incorporate excellent customer service skills in dealing with personnel, physician, peers and clients
  • Must express information in a clear, concise and organized manner
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
  • Must use problem solving process in making business and personnel decisions
  • Must have excellent interpersonal skills
20

Medical Coding Specialist Resume Examples & Samples

  • Performs initial charge review to determine appropriate ICD-9 and CPT codes to be used to report physician services to third party payers
  • Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-9 coding to these services
  • Enters appropriate data into the Billing System by selecting the appropriate codes, diagnosis, modifiers, and times of start and stop of the case, Anesthesiologist, CRNA, and Surgeon information to complete the charge process
  • Monitors and follows up to ensure all services that can be billed are captured and coded for billing
  • Responsible for ensuring the batch processes for all coded charges
  • Utilizes batch-logging systems to comply with internal audit standards
  • Reviews all physician documentation to ensure compliance with third party and regulatory guidelines
  • Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians’ services
  • Serves as a member of the Clinical Operations Department. Performs duties necessary to ensure the team’s projects/goals are completed
  • Adheres to MEDNAX, Department and HR policies and procedures
21

HIM, Medical Coding Specialist Resume Examples & Samples

  • Contact the physician and/or staff when necessary to gain additional information or clarify documentation discrepancies
  • Maintain the Outpatient Discharged Not Final Billed (DNFB) report on a regular basis; ensure accounts do not remain un-finalized past payer specific billing guidelines
  • Assess the adequacy of medical record documentation to ensure it supports all reportable diagnoses and procedures
  • Two (2) years of medical coding experience
22

Certified Inpatient Medical Coding Specialist Resume Examples & Samples

  • Four (4) years of hospital inpatient experience
  • Strong knowledge of human anatomy, physiology, medical terminology and surgical terminology
  • Effectively assigns ICD-10 codes and DRGs to inpatient records
  • Responsible in maintaining 92% to 95% in ICD-10 and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum
23

Senior Certified Inpatient Medical Coding Specialist Resume Examples & Samples

  • Strong knowledge of ICD-10-CM and PCS coding
  • Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes
  • Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process
  • Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations