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HIM Coder/Remote Resume Example

Resume Score: 80%

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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
  • Planning and coordination
  • Organization
  • Team management
  • Problem resolution
Experience
KPC Promise Healthcare | Wichita Falls, TXHIM 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.
Dr. Desire | Wichita Falls, TXMedical 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.
BCBS of Texas | Wichita Falls, TXCustomer 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 | Vernon, TXAssociate of Applied Science in Health Information Technology05/2016
Certifications
  • Registered Health Information Technology (RHIT)
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • KPC Promise Healthcare
  • Dr. Desire
  • BCBS of Texas

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

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