Coder Resume Example Company Name

CODER

Professional Summary

Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Medical Billing and Coding Specialist with 30+ years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Skills

Coding error resolution
Certified Professional Coder- Hospital
Certified Professional Coder
Insurance claims analysis

Records review
Medical billing code accuracy
3M Encoder
Verbal and written communication

Work History

Coder, 01/2014 to Current
Company Name – City, State

Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.

Profession Billing Supervisor, 03/2013 to 01/2014
Company Name – City, State

Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Assessed personnel performance and implemented incentives and team-building events to boost morale.
Developed highly-efficient administrative team through ongoing coaching and professional development opportunities.
Supervised and guided new employees on follow-up on Epic software and responded quickly to questions, which improved understanding of job responsibilities.
Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
Enhanced collaboration between team members by preparing meeting materials and taking clear notes to distribute to stakeholders.
Coordinated individual duties after careful evaluation of each professional biller's skill level and knowledge.

PFS Manager, 05/2006 to 03/2013
Company Name – City, State

Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
Cross-trained existing employees to maximize team agility and performance.
Reviewed performance data to monitor and measure productivity, goal progress and activity levels.
Evaluated report data to proactively adjust and enhance Patient Financial Services operations.
Maximized performance by monitoring daily activities and mentoring team of 26 associates.
Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
Delivered feedback to decision-makers regarding employee performance and training needs.

Professional Billing Lead/Supervisor, 05/1999 to 05/2006
Company Name – City, State

Identified, researched and resolved billing variances to maintain system accuracy and currency.
Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Performed targeted collections on past due accounts aged over 90 days.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.

Education

Hospital CodingAmerican Academy Of Professional Coders

High School Diploma: 06/1975
Wilmington High School - City, State

Affiliations

American Academy of Professional Coders

Resume Overview

School Attended

American Academy Of Professional Coders
Wilmington High School

Job Titles Held:

Coder
Profession Billing Supervisor
PFS Manager
Professional Billing Lead/Supervisor

Degrees

Hospital Coding
High School Diploma : 06/1975

Coder Resume Example

Resume Score: 80%

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