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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Medical Coder with 10 years experience in hospital inpatient/outpatient surgery coding. Certified in ICD-9 and ICD-10. Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeks a position of increased responsibility and authority.

Licenses
RHI/RHIT Certification. CPC Certification. Medical Transcriptionist Certification.
Skill Highlights
  • Strong work ethic
  • Team player with positive attitude
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medicaid
  • ICD-9 coding
  • ICD-10 coding
  • CPT coding
  • HCPCS coding
Professional Experience
Clinical Coding Specialist, 02/2011 - 06/2015
Trinity Health Corporation New Plymouth, ID, Specialty coding for OB/GYN. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered. Consistently ensured proper coding, sequencing of diagnoses and procedures. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Analyzed and interpreted patient medical and surgical records to determine billable services. Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Reimbursement Educator Specialist, 09/2008 - 02/2011
Ahmc Healthcare Inc. Alhambra, CA, Consistently ensured proper coding, sequencing of diagnoses and procedures. Audited physicians on their documentation and proper code selection for both CPT codes and ICD-9 codes. Trained incoming coders on documentation guidelines, proper CPT code selection and ICD-9 code selection as well as maintained audits on incoming coders for accuracy. Worked with IM Residents and educated them on the billing guidelines within a Residency Program. Reviewed denied claims for accuracy of denial and resubmitted based on documentation. 
CDI Specialist, 05/2006 - 09/2008
Adventist Health System Greenville, SC, Carefully reviewed medical records for accuracy and completion as required by insurance companies. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Queried physicians for more specific diagnoses when documentation was nonspecific.
Inpatient coder, 2005 - 05/2006
United Health Services City, STATE,

Carefully coded disease and injury diagnoses, acuity of care and procedures in an inpatient setting. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Experience with 3M.

Education and Training
Associate of Applied Science: Health Information Technology, Expected in 2005
-
Broome Community College - Binghamton, NY
GPA:

 

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Resume Overview

School Attended

  • Broome Community College

Job Titles Held:

  • Clinical Coding Specialist
  • Reimbursement Educator Specialist
  • CDI Specialist
  • Inpatient coder

Degrees

  • Associate of Applied Science

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