The sample resume is in chronological format and tracks her career progression from a medical records clerk, medical biller, remote coder and now a Certified Professional Coder CPC medical coder. Diploma - Medical Billing and Coding, Virginia College, Birmingham, AL, 1999 Associate of Healthcare Reimbursement – Virginia Co llege, Birmingham, AL 2003 Certified Coding Associate – American Health Inform ation Association (AHIMA), 2004 ... Medical Billing Resume … ResumesBot provides classy resume writing services that are working for you right now! Breanne R. Smith 1502 E Standish Ave. Indianapolis, IN 46227 (317) 608-7992 Breannesmith1993@gmail.com Objective Student at IUPUI, studying CPT HCPCS and ICD 10 coding. 3+ years of Certified Medical Coder experience in an Acute Care and/or Outpatient setting ... 5+ years of Medical Coding experience or related work experience Speaks in a positive, professional manner about co-workers, physicians, and the facility, Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. You need to discover one of the best medical billing and coding resume pattern. save. Copyright © 2020 Resumes Bot – Resume Writing Service. Reviews and verifies documentation supports … Bachelor in Medical Billing and Coding, 2006, Your email address will not be published. • Worked full-time while completing academic work in medical coding & billing, consistently Easily Editable & Printable. Must have strong analytical and problem solving skills, Customer service: Skilled to communicate with all levels of management, internal and external customers, Ability to work well as a member of a team or independently, Business Communication: Must be able to effectively communicate across technical and business constituencies in writing effective business specifications and requirements, Managed Care Coding experience required; knowledge of industry and regulatory requirements regarding coding required; risk adjustment experience preferred, Two to five years related experience required, Coding Certification required; CPC or equivalent certification by AAPC, Strong understanding of all coding guidelines including NCCI edits, Experience reviewing medical documentation according to both Medicare and Medicaid regulations, Risk Adjustment Coding experience preferred, AA/AS - Associates Degree or equivalent required, BA/BS - Bachelors Degree or equivalent preferred, This is not a remote or work from home position. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. Medical billing and coding graduates, rejoice! My tenure is proof that I am passionate about my work and have the right attributes to excel in the profession. Ideal Companies: Sharp Hospital, Kaiser Hospital, Scripps. Get these jobs in your inbox. Examples of Medical Billing And Coding Specialist duties are using medical classification software, making sure assigned codes meet legal requirements, and solving issues related to claims denied due to incorrect coding. Pharmacy Front office Phlebotomy Vital signs Bilingual. ICD-9 Coding and HCPCS coding. Be sure to include alternative contact channels as well, such as your Linkedin profile or Facebook URL details. Description : Provide coding and auditing services for a variety of medical specialties. Medical Coder Resume Examples. AAS, Medical Billing and Coding, 2007. Deep knowledge in ICD-9 and CPT coding, medical terminology, data management, data entry, conducting billing practices, and other administrative tasks. Medical Coder and Biller Resume. You may also see Always think about the objective of the resume, and list the most relevant jobs you’ve had. ICD 10 Medical coder resume 1. Computer science ; Health insurance; remediation; Service level; Excel; Medical billing; Coding; healthcare management; 5 Days Ago. Please note that any … Qualification Summary: … AAS, Medical Billing and Coding, 2007. Skills. (Intergy, Clinical R&V, G4 Studio, OWAN), Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI, Detail oriented and possesses excellent analytical skills, Work under limited supervision with ability to understand and meet deadlines as workload necessitates, Ensure applicable laws and regulations of working with confidential information are adhered to, Consistently reports to work on time and prepared to perform duties of position, Demonstrate flexible and efficient time management and ability to prioritize workload, Communicate regularly with Management about Department issues or process improvement initiatives, Medical Billing/Coding Diploma or Certificate Required, 2 or more years of coding experience in hospital or medical office setting required, Excellent computer skills including Microsoft Office especially Word and Excel, Ability to communicate clearly and effectively verbally and in writing, Confirm patient demographic, insurance and referring physician information is accurately entered into practice management system, Confirm insurance verifications and authorizations, as required, Communicate with Financial Counselors regarding insurance authorizations and referrals, Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines, Enter all CPT and ICD-9 coding into practice management system timely and accurately for code capture, Enter all word codes into practice management system per company policy and procedures, Follow established check and balance systems to ensure complete and accurate code capture, Respond to audit findings and make applicable coding additions or corrections, Update practice management system patient’s account notes with any changes made to patient information or as otherwise dictated by company policy and procedure, Confirm all documentation required for coding is complete and meets required regulations, Must be able to plan and prioritize workflow, Experience in hospital or medical office setting, Certified Professional Coder Certification (AAPC), Extensive travel outside the office is required and a valid driver’s license is required. May produce complex documents, perform analysis and maintain databases, Bachelor's degree in health sciences, health management, or nursing, 5 years of ICD-9 coding or medical record audit experience in a consultative role, CPC or CPMA from an accredited source or equivalent certification, Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner, Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Hardworking and motivated medical coder with 5+ years of experience seeking a full-time position. Free resume example for an experienced Medical Coder with 10+ years in the medical coding profession. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Sometimes it can be daunting or frustrating. Small daily improvements over time lead to stunning results. Create the Perfect Medical Coding Job Description for a Resume Writing a successful medical coder job description is the keystone part of your application process. Ability to provide instruction to the patients and their families regarding insurance coverage procedures, Ability to perform standard office procedures according to established protocols, Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing, PC skills, with emphasis on Windows applications, and ability to use a mouse, Thorough knowledge of medical terminology, anatomy, physiology and disease process, Ability to work independently yet in conjunction with a team, Ability to adapt to a changing and growing atmosphere, Good time management and organizational skills, Knowledge of medical reimbursement methodologies, Willingness to work as a team player to meet common goals of the department, Demonstrates excellent verbal and written communication skills, Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations, Promote positive department morale through effective teamwork, The employee must have the ability to work overtime hours when necessary, Willingness to learn new skills and help in different areas, Monitor and plan for incoming coding volume, Schedule and monitor weekly and daily workflows for coders to insure compliance with month end schedule, Maintain employee PTO schedules and request overtime as needed, Monitor completion and submission of daily production reports by each coder and prepare weekly production status report, Coordinate with trainer to ensure updates to Contract Information Sheets, Coding Contract Information Sheets, Revenue Center Listings, Coding Sheets, and Policy & Procedure manuals are distributed and reviewed by staff, Assist manager with maintenance of manuals, newsletters, reference materials, etc, Assist with interviewing applicants for potential employment, process all new employee paperwork, Assist with annual review evaluations for all Coding department employees, Assist with coding and/or correcting charts sent for review from other departments, Act as technical resource to coders on issues regarding coding or MRTS, Review & monitor employee hours in Kronos, Works with manager to develop and implement corrective action and/or disciplinary action, Establish and monitor QA production schedule for seniors, Review patient complaints from the Patient Services Department, Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT procedural coding, Extensive knowledge of medical terminology, regulatory requirements, and physician billing and reimbursement, Effective organizational, analytical, and communication skills, Working knowledge of Microsoft Word and Excel, Minimum high school diploma or equivalent, B.S. ), Ability to work 8:00 am to 4:30 pm CST Monday through Friday and overtime as business needs require, Investigational and/or Auditing experience, Understanding of ICD-10 Coding in relation to DRGs, Travel up to three days per week to providers offices, Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook and navigate in a Windows environment, Travel up to 3 days per week to providers offices, Managed Care / IPA / Health plan experience, Support the Risk Adjustment Department in the processing of attestations as well as coding and documentation education to our provider network, Travel up to 25% - Orange County and Long Beach,CA, CCS or CPC credentials through AHIM or AAPC, Travel up to 25% in Orange County and Long Beach, CA, Adjudication of claims with zero critical errors, Completion of claims in queue within specified time frame, Ability to work accurately and efficiently at all times, including those of high processing volume, Ability to multi-task and manage time efficiently under the pressure of deadlines, Sensitivity to the confidential nature of the data and proprietary company information, Good Leadership skills (Leader without Title), Review and assign accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (eg, inpatient hospital), Develop policy and work with Managed Care and Medical Affairs on trends that require payor interaction, Update education through online information as well as courses available in order to maintain strong coding skills and knowledge of legal compliance standards, Create and maintain reports for coder use in tracking productivity, denials, level of service changes made by coders, and to comply with internal audit standards, Reviews all physician documentation to ensure compliance with third party and regulatory guidelines, Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine, Understanding of how to integrate medical coding and payment policy changes into a practice's reimbursement processes, Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services, ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, Services covered under Medicare Parts A, B, C and D, Ability to apply the above skills and knowledge in audit settings and educate on findings, Minimum of 2+ years knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture, Maintain thorough knowledge of coding policies and procedures, and medical terminology/technology, Is able to determine benefit and coverage based on TRICARE policy and UHCMV guidelines, Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance, Attend and participate in Prior Authorization List (PAL) Committee and Episode of Care (EOC) Committee and collaborate with PGBA on ensuring coding in CRT is consistent with PGBA processing of referrals/authorizations, Work closely with Utilization Management team to ensure timely updates of CRT for change orders and contract modifications, Work closely with IT developers on enhancements and releases, Able to recode authorization/referral requests to ensure TRICARE coverage and consistency in claims payment (unlisted codes, etc), Assist with annual review of Prior Authorization List and support coding changes as required, 1+ years of experience in a medical office or similar setting, in a medically related role such as customer service, administrative support, medical care or clerical related role, or an Associate's Degree (or higher), Certified Medical Coder ( CPC, etc) with current certification, Graduate of an Accredited Medical Coding School, Ability to navigate a PC to open applications, send emails, and conduct data entry, Ability to create, copy, edit, send and save using Microsoft Word, Excel, and Outlook, Ability to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86, Associate's Degree (or higher) or some college, Certified Medical Coder with either CPC or CCS with high degree of competency in this are, 1-2 years prior coding experience in a medical office or hospital environment, 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, Assists in the identification and recommendation of system edits, 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, 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, Certified as a professional coder (CPC or CCS-P), 1+ year of medical record coding and record review experience, Knowledge of ICD-10 and experience working in a managed care health plan organization, Enjoy the benefits and learning experience of being exposed to different HIM environments, Be an active participant in client and MedAssets-Precyse staff meetings, training and conference calls, often using online technology, Learning is a daily part of your role with MedAssets-Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. Looking for a job to help me gain more experience in that field before … ), Experience working in a 200 bedside acute care hospital, Undergraduate degree in healthcare management, healthcare informatics, human biology, economics, or other related fields, We will also consider candidates with an associate’s degree and significant experience working as a medical coder, Certified as Coding Associate Certification (CAA), or equivalent, 5+ years of experience working as a medical coder, Passion for collaborating with others to identify disease concepts through medical codes and using the medical coding data in novel ways, Experience in preparing for transition to ICD-10, Experience maintaining code lists and using data management tools such as Excel, Tableau, and other is highly preferred, Strong problem solver with ability to research and frame answers to ambiguous coding questions, Self-starter able to work independently and deliver quality end-products in an entrepreneurial environment, Of mature disposition and personable; history of working as a team player in a dynamic and changing environment, Able to work well within teams across continents/time zones, Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies, 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, Minimum (2) years experience in outpatient coding and/or Health Information Management REQUIRED, Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA), Position will require some weekly travel to offices within assigned area, Assign primary and secondary diagnosis and E/M level of service for both professional and facility components, Assigning appropriate physician number to each chart, Assigning appropriate ICD-9 and CPT codes (s) per client and payer specifications, Coding assigned facilities in a timely manner while adhering to quality standards, Entering down coded records into the coding system, Building strong knowledgebase of proprietary coding system, Reporting coding issues to the Coding Production Manager as appropriate, Assigns CPT procedure codes for clinician services to assure appropriate billing and reimbursement, Assigns diagnostic (ICD-9-CM and/or procedural codes (ICD-9-CM & CPT) on all medical record types at an advanced level to ensure proper reimbursement and accurate data base information, Input charges for all urgent care and clinic centers on a daily basis, Obtain insurance referrals and verify insurance coverage on a daily basis, File claims to the appropriate insurance company on a daily basis, Post all copayments and self-pay payments and reconcile on a daily basis, Send refunds to both patientand insurance carrier if there is an overpayment, Reviews charts and provides one-to-one and group educational feedback to the clinicians, Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate billing practices, Gather data and prepare information/reports as requested by Division Director of Medical Billing, Maintains confidentiality in all aspects of the job, Minimum 3 years specialty billing/coding in the area of internal medicine, family medicine and/or emergency medicine, Ability/knowledge to code multiple specialties, Knowledge of patient insurances. Landing a job in the fast-paced and growing field of medical billing and coding specialist is challenging, which makes your resume even more important. Medical Coding Specialist, 2017 to Present Health First Medical Center, Carson City, NV. Word, Excel, Outlook, Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes, Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies, Evaluates medical records for consistency and adequacy of documentation, Maintains compliance standards as per the policies and reports compliance issues as required, Bachelor’s degree in any stream (preferably Life Science), Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred, Minimum one year of experience in medical coding, Analytical thinking and problem solving skills, Ability to work independently and accomplish targets in a timely manner, Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information, Active AAPC coding certification CPC or CCS, 2+ years of related work in billing or laboratory testing, Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials, 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, Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic), Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee, As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Ability to consistently code at 95% threshold for both accuracy and quality while maintaining, Client-specific and/or Precyse production and/or quality standards, Proficient computer knowledge including MS Office (Outlook, Word, Excel), Must display excellent interpersonal and problem solving skills with all levels of internal and, 2+ years of Hospital Inpatient Coding experience, Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, 2+ years of specialty Practice Coding experience, Knowledge of Anatomy and Medical Terminology, Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations, Associate's and/or Bachelor's Degree in a related field, Experience with ENT, Neurology, Plastic Surgery, etc, Prior work experience utilizing ICD10 codes, Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures, Ability to analyze, problem-solve, and work independently, Ability to provide guidance and training to professional and coding staff, Knowledge of University policies and procedures is necessary, Prior Evaluation and Management or Emergency Medicine coding experince preferred, Preferably 3 years of data management experience and the majority of this with medical coding, Preferably 2 years of experience in Information Technology, Preferably knowledge of Clinical Development, Preferably experience in project management, Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Writing a medical coder resume no experience or entry level medical coder resume? Medical Coding Specialist Resume Samples and examples of curated bullet points for your resume to help you get an interview. 2. Postsecondary certificates in health care related field are common experience in Medical Coder resumes. in the objectives section? A medical biller processes claims with health insurance companies in order to receive payments for services from a healthcare provider. Knowledgeable in medical billing and coding guidelines. I am being told due to my 2 years of not coding that I don't have recent experience? October 27, 2020. Advanced search. Valence Health. We know that the future belongs to ATS-friendly resume. Objective : A well-presented, highly personable individual with a 21-year track record of providing Medical Record, Executive Administrative Support and First Level IT Support for various office environments.Talent for quickly mastering technology. The medical coder resume objective statement is your best friend. It works well for his resume, because he has years of experience to feature. This handout contains resume examples that will help you get started. I am a Medical Records Manager who has 10 years experience. These tools … Analyzes medical records and identifies documentation deficiencies. Staff will meet with physicians in the clinical setting as needed for documentation instruction, Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines, Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives, Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives, Prior experience as a Medical Coder I or equivalent work experience, Medical, dental, vision and life insurance benefits, Ongoing training and opportunities for career advancement, Award winning, inclusive environment with Employee Resource Groups, Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes), Ensure billing codes correspond accurately with the claim notes, Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable, Provide fee schedule reimbursement date for subrogation claims, Ensure AOB (Assignment of Benefits) has been submitted to provider, Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries, Sort incoming bills by coder and distribute accordingly, Review unmatched bills and correctly identifying the claim, Mail EOB (Explanation of Benefits) statements to providers, Strong data entry skills, communication & customer service skills, Prior CPT-4 and ICD-9 coding experience preferred, Prior experience as a Medical Coder I or equivalent work, 2+ years of Coding experience in a Hospital setting, RHIT / RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines, Microsoft Office/Suite proficient (Excel, Word, etc. Deep knowledge in ICD-9 and CPT coding, medical … Medical Coding; CRA; 8 Days Ago. 21 Posts Related to Cover Letter For Medical Billing And Coding With No Experience MEDICAL CODER RESUME TEMPLATE (TEXT FORMAT) SUMMARY. Being a certified or sufficiently skilled medical coder but lacking the working experience may dishearten you by bringing you down to the entry-level category. Medical Records, Hospital, and AAPC are still quite common, and a respectable share of skills found on resumes for Medical … 3. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue … Additional Medical Resumes are available in our database of 2,000 sample resumes. ), Possess an unrestricted nursing license (RN/LVN/LPN) or a current certified coder (CPC/CCS/RHIT etc. Resumesbot (here and after referred to as “the Company”) is not responsible for aggravated, special, indirect, incidental or consequential damages arising in the process of referral link usage. Diploma - Medical Billing and Coding, Virginia College, Birmingham, AL, 1999 Associate of Healthcare Reimbursement – Virginia Co llege, Birmingham, AL 2003 Certified Coding Associate – American Health Inform ation Association (AHIMA), 2004 www.all-things-medical-billing.com www.all-things-medical-billing.com www.all-things-medical-billing.com www.all-things-medical-billing.com. A medical biller processes claims with health insurance companies in order to receive payments for services from a healthcare provider. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students, Proficiency in Microsoft Office: Excel, Word, Access; Outlook; Internet, Business analysis knowledge: Skilled to work in a fast paced environment.
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