Coding Coordinator resume example

As a Coding and Charge Edits Specialist III, I am responsible for reviewing and resolving all coding related prebilling edits and/or rejections to ensure prompt and accurate reimbursement. I also review and analyze all charge correction requests and then process any needed adjustments/edits. I follow organizational policies and procedures to ensure consistency of charge capture processes and reimbursements.

• Reduces accounts receivable by reviewing claims with outstanding balances.
• Research and respond to insurance coding requests.
• Proactively elevate coding problems to leadership.
• Performs other job duties as required and assigned.
• Execute charge corrections in order to ensure to achieve account resolution.
• Assist in developing policies and procedures related to Charge Corrections.
• Generate reports to monitor the types of errors and their frequency.
• Responsible for performing edits on high dollar accounts.

As an Account Receivable Specialist, I am responsible for all facets of medical billing and accounts receivable charge entry, payment posting, customer service and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability. Investigate assigned accounts to determine what additional steps must be taken for claims to be paid.

• Maintain a thorough working knowledge of all aspects of billing and collections rules and regulations, electronic billing processes, CMS 1500 requirements, diagnosis and procedure coding, and applicable county, state, and federal requirements.
• Assist in eligibility and work with insurance company, patients and/or families in resolving charges and billing problems.
• Review account history for third party sponsorship.
• Proactively elevates billing and collection problems to CRO Revenue Cycle Supervisor as needed.
• Check status of claims using on-line functionality and automated systems, as necessary.
• Establishes payment arrangements according to pre-set guidelines; documents terms in ETM.

As a Certified Medical Assistant, I had administrative responsibilities for three physicians and clinical aspects of patient care.

• Take and monitor vital signs for upwards of 50 patients a day.
• Record, manage, and update patient information and medical histories in accordance with HIPAA regulations.
• Perform venipunctures and injections more than 15 times a day.
• Prep patients for exams and medical procedures.
• Clean and sanitize tools and equipment daily.
• Handling and providing of monetary receipts.
• Billing and coding for vaccine administrations.