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health information management coder resume example with 11+ years of experience

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

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

Skills
  • Emotional intelligence
  • Teamwork
  • Empathy
  • Communication
  • Supervision & Leadership
  • Good Work Ethic
  • Detail Oriented
  • Conflict Resolution
Education and Training
ATA College Louisville, KY Expected in 10/2010 Associates Degree : Professional Coding - GPA :
Jeffersonville High School Jeffersonville, IN Expected in 06/2003 High School Diploma : - GPA :
Experience
American Advanced Management, Inc - Health Information Management Coder
Chico, CA, 02/2021 - 09/2022
  • Submitted claims to insurance companies and clearinghouses.
  • Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes.
  • Coded invoices properly based upon patient services and medical records.
  • Assigned patients to diagnosis-related groups using 3M 360.
  • Motivated and encouraged team members to communicate more openly and constructively with each other.
  • Maintained updated knowledge through continuing education and advanced training.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Assisted with customer requests and answered questions to improve satisfaction.
  • Worked and educated physicians on diagnostic discrepancies
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Categorized health services and assigned specific ICD-10/CPT/HCPCS/PCS code to each one.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Quickly responded to CFO, Billing Manager, and staff with patient inquiries regarding diverse coding.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Providence Health & Services - Surgery Scheduling Coordinator
Santa Rosa, CA, 01/2019 - 07/2020
  • Worked with operating facilities to schedule procedures on behalf of eight obstetric/gynecology surgeons.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Scheduled and confirmed patient appointments and consultations.
  • Collaborated and established strong working relationships with physicians, supervisors and colleagues.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Answered telephones and directed calls to appropriate medical or administrative staff.
  • Located scheduling barriers and implemented appropriate solutions.
  • Distributed treatment and procedural information to patients.
  • Gathered current medical information and reviewed histories to gather details for surgeons.
  • Arranged hospital admissions for patients as required.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Various Employers - Coding Consultant
City, STATE, 07/2016 - 01/2019
  • Safeguarded medical records to maintain patient confidentiality.
  • Assigned patients to diagnosis-related groups using appropriate computer software.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Categorized health services and assigned specific ICD-9 HCC code to each one.
Humana - Certified Coding and Auditing Specialist
City, STATE, 11/2010 - 06/2016
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
  • Verified proper coding, sequencing of diagnoses and accuracy of ICD-9/CPT procedures.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Audited in-house coding specialists before record submission

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Resume Overview

School Attended

  • ATA College
  • Jeffersonville High School

Job Titles Held:

  • Health Information Management Coder
  • Surgery Scheduling Coordinator
  • Coding Consultant
  • Certified Coding and Auditing Specialist

Degrees

  • Associates Degree
  • High School Diploma

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