hospital outpatient coding auditor resume example with 6+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Professional Outpatient Coder/Auditor with a career spent assessing provider documentation to ensure that appropriate codes have been assigned. Well-versed in ER, Same Day, Observation, Wound Care, and clinic coding with ICD-10 and CPT coding experience.
Skills
Knowledgeable in Cerner, 3M Application, Microsoft Word and Excel
Data entry
Patient data identification
Education and Training
Prince Geroges Community CollegeLargo, Maryland, Expected in 06/1998 ā āAssociate of Science:Health Information Technology - GPA:
Certifications
Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS)
ICD-10-CM and ICD-10-PCS Train the Trainer - 2013- Expired
Experience
Maximus, Inc. - Hospital Outpatient Coding Auditor Ruskin, FL, 01/2020 - Current
Applies coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintains updated knowledge of coding requirements, which included continuing education and certification renewal.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Assigns additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses and medical necessity.
Verifies proper coding, sequencing of diagnoses and accuracy of outpatient procedures.
Actively maintained current working knowledge of CPT and ICD-10-cm coding principles.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Reviews medical record information to identify all appropriate coding based on physician documentation, and coding guidelines.
Interpreted medical reports documentation to apply appropriate ICD-10-cm, CPT-4 and HCPCS codes.
Quickly responds to coding staff and billing inquiries regarding CPT codes, ICD-10-cm codes.
Reviews and abstracted relevant clinical data from electronic medical records to determine whether coder has select appropriate code for procedures and diagnosis based on documentation and coding guidelines.
Verifies and abstracts all medical data to ensure coder has assigned appropriate codes based on documentation and coding guidelines.
Adds modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Carefully audits disease and injury diagnoses, acuity of care and procedures in outpatient setting.
Audits medical observations, Same day Surgeries, ER, Wound Care and clinics services provides in the outpatient setting.
Audits Outpatient Admit source data, discharge disposition, Registration Admit and Discharge dates for accuracy.
Verified proper coding, sequencing of diagnoses and accuracy of procedures performed and date of service.
Dimensions Health Services - Outpatient Medical Coder- Laurel Regional City, STATE, 09/2013 - 05/2014
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Calvert Memorial Hospital - Outpatient Medical Coder City, STATE, 11/2007 - 01/2012
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.p
Reviewed medical record information to identify all appropriate coding based on [Type] and [Type] categories.
Quickly responded to staff and client inquiries regarding CPT codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Assigned procedure and diagnosis codes for insurance billing using 3M system.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
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.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Coded outpatient ER encounters at rate of eight per hour, Same day surgeries 32 per day and maintaining 92% accuracy.
Reviewed account information to confirm patient admit and discharge information was accurate and complete.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Received, reviewed and maintained all coding and reimbursement periodicals and updates.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Maintained current working knowledge of CPT and ICD-10 coding principles, and guidelines.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Accomplishments
Promoted to Auditor and giving the task of auditing and training four newly graduate coding students for one year to ensure their success in acquiring a coding credential from AHIMA or AAPC, and to establish and maintain monthly Internal Outpatient audits on four full time outpatient coders
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.