HIM Coder/Remote Resume Example
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HIM CODER/REMOTE
Summary
Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
Skills
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Experience
Company Name | City, StateHIM Coder/Remote05/2016 - Current
- Consistently ensured proper coding, sequencing of diagnoses and procedures.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Interpreted medical reports to apply appropriate ICD-10 codes.
- Maintained 95-97% accuracy rate on daily production.
- Coded inpatient encounters at rate of 10-12 per day and 5 complex specialty coding, maintaining 94-96% accuracy.
- Verified final claim submissions by comparing account charges with documentation.
- Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- 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.
- Assigned procedure and diagnosis codes for insurance billing using Wellsky
- Coded medical observations and professional services delivered for each patient.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Company Name | City, StateMedical Biller, Accounts Receivable08/2015 - 05/2016
- Reconciled accounts receivable and prepared income summary reports and cash reports.
- Prepared appropriate documentation for income summaries, cash reports and accounts receivable reconciliation.
- Entered, posted and scanned accounts receivable documents into software program.
- Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
- Resolved collections by examining customer payments, payment history and coordinating contact with collections.
- Answered inbound calls to provide information, answer questions or discuss payment options.
- Coordinated with clients and internal departments resolve account discrepancies.
- Calculated estimated weekly invoicing, prepared and posted payments and followed up on all aged receivables.
- Assisted with time-sensitive functions, including recording credit memos, processing invoices and completing month-end reports.
- Applied HIPAA Privacy and Security Regulations while handling patient information.
- Reviewed bank account statements to reconcile accounts by documenting correct financial information in general ledger.
- Applied mathematical skills to calculate totals, check figures and correct problems with physical and digital files.
- Reconciled bank accounts, documented payments and produced invoices.
- Assessed data and information to check entries, calculations and billing codes for accuracy.
- Documented and filed patient data and medical records.
- Filed and submitted insurance claims.
- Recorded cash, checks and credit card transactions to complete customer payments.
- Completed outbound collection calls and sent emails to encourage customer payment of overdue invoices.
- Verified final claim submissions by comparing account charges with documentation.
Company Name | City, StateCustomer Advocate02/2009 - 05/2013
- Consulted with customers to discuss concerns and offer detailed information.
- Used different knowledge banks to research customer problems and develop accurate responses.
- Conducted surveys to measure customer satisfaction and identify top issues.
- Performed extensive research on all inquiries and concerns to achieve complete client satisfaction.
- Leveraged key resources to develop strategies to reduce claims.
- Engaged with customers and worked to resolve product and service issues.
- Reached out to providers to help develop comprehensive solutions.
- Researched problems with benefits, accounts and services with speed and accuracy.
- Consulted with customers to determine best methods to resolve service and billing issues.
- Reviewed customers medical claims for proper filing and called medical providers to correct billing issue for customer.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
Education and Training
Vernon College | City, StateAssociate of Applied Science in Health Information Technology05/2016
Certifications
- Registered Health Information Technology (RHIT)
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Resume Overview
School Attended
- Vernon College
Job Titles Held:
- HIM Coder/Remote
- Medical Biller, Accounts Receivable
- Customer Advocate
Degrees
- Associate of Applied Science in Health Information Technology
