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certified medical coder resume example with 5+ years of experience

JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Highly-motivated Certified Medical Coder with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Skills
  • Time Management
  • Attention to Detail
  • Certified Medical Coder
  • Verbal and Written Communication
  • Insurance Billing
  • Certified Professional Coder
  • Patient Data Coding
  • Information Sourcing
  • Patient Medical Records Maintenance
  • Problem-Solving
  • Data Entry
Experience
11/2017 to Current Certified Medical Coder Plymouth Rock | Amherst, MA,
  • Assigned value codes and modifiers to provide specific information for services provided.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Reviewed clinical data from medical records to assign ICD, CPT codes.
  • Collected documentation and clarify dates and unclear statements by contacting providers.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Accurately assigned codes using software.
  • Responded to coding questions from callers and other internal departments.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Maintained high accuracy rate on daily production of completed reviews.
04/2018 to Current Certified Medical Coder Plymouth Rock | Uniondale, NY,
  • Assigned value codes and modifiers to provide specific information for services provided.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Accurately assigned codes using software and official print copy of code book.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
05/2017 to 11/2017 Certified Medical Biller and Coder Medcom Soft | City, STATE,
  • Communicated with insurance companies to provide patient information.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Specified service dates by assigning occurrence codes, span codes and date information.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Accurately assigned codes using software and official print copy of code book.
  • Collected documentation and clarified ambiguous patient care statements by contacting providers.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Responded to coding questions from callers and other internal departments.
  • Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
  • Assigned value codes and modifiers to provide specific information for services provided.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
11/2016 to 02/2017 Medical Manager David J. Carney, MD PC | City, STATE,
  • Communicated with patients with compassion while keeping medical information private.
  • Explained policies, procedures and services to patients.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Updated procedures necessary for compounding, mixing, packaging and labeling medications.
  • Maintained records management system to process personnel information and produce reports.
  • Maintained awareness of government regulations, health insurance changes and financing options.
  • Directed, supervised and evaluated medical, clerical or maintenance personnel.
  • Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
  • Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
  • Filed and submitted insurance claims.
  • Expertly assigned charges and payments for medical procedures.
  • Assessed medical codes on patient records for accuracy.
  • Performed routine quality assurance audits to promote data integrity.
  • Reviewed medical records to meet insurance company requirements.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Verified proper coding, sequencing of diagnoses and accuracy of procedures.
Education and Training
Expected in 08/1995 Associate in Specialized Business | Medical Secretarial Cambria-Rowe Business College, Johnstown, PA GPA:
  • Dean's List
  • Also Attended Penn Highlands in Johnstown PA Medical BIller and Coding Course
  • Certified Profession Coder

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Resume Overview

School Attended

  • Cambria-Rowe Business College

Job Titles Held:

  • Certified Medical Coder
  • Certified Medical Coder
  • Certified Medical Biller and Coder
  • Medical Manager

Degrees

  • Associate in Specialized Business

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