Medical Coder Specialist Resume Example
Love this resume?Build Your Own Now
MEDICAL CODER SPECIALIST
Summary
Meticulous Coding Specialist with sound knowledge of billing systems for collecting, posting and managing account payments. In-depth expertise of analytical reviews submitting claims and following up with insurance companies. Partners and communicates with internal and external teams to align billing objectives.
Skills
|
|
Experience
Claim Specialists LLCCity , STATEMedical Coder Specialist10/2020 to Current
- Translated patient information into alphanumeric and numeric medical codes
- Investigated rejected and denied claims, correcting applicable coding.
- Submitted clean claims to insurance companies electronically to secure payments.
- Utilized Level 1 HCPCS and Level 2 HCPCS systems to complete coding tasks.
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Developed new, efficient and well-tested code for 3 different projects.
- Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
- Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
- Verified final claim submissions by comparing account charges with documentation.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Coded medical observations and professional services delivered for each patient.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Categorized health services and assigned a specific CPT/ICD10/PCF code to each one.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Coded outpatient encounters at rate of 40 per day and 20 complex specialty coding, maintaining 100% accuracy.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Reviewed medical record information to identify all appropriate coding based on diagous and procedures categories.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Assigned procedure and diagnosis codes for insurance billing using MediTech and ECW.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Submitted and processed over 40 insurance claims per 8 hours to conduct medical code verifications and assessments.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
- Coded outpatient encounters at rate of [Number] per day and [Number] complex specialty coding, maintaining [Number]% accuracy.
- Used [Software] and [Software] to record weekly statements, including expenditures and balances.
Ft Lauderdale Behavioral Health HospitalCity , STATEMedical Coding Intern10/2019 to 01/2020
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
- Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
- Used [Software] and [Software] to record weekly statements, including expenditures and balances.
- Reviewed medical record information to identify all appropriate coding based on [Type] and [Type] categories.
- Categorized health services and assigned a specific [Type] code to each one.
- Assigned procedure and diagnosis codes for insurance billing using [Software].
- Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Elase Medical SpasCity , STATEMedical Facial Specialist03/2005 to 11/2008
- Created and maintained accurate and confidential patient files according to regulatory mandates.
- Conducted patient intake interviews to collect medical information and insurance details.
- Employed online tracking systems to manage medical supply inventory, insurance records, patient charts and company files.
- Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
- Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
- Addressed, documented and responded to incoming correspondences to address client queries.
- Updated patient financial information to promote accurate record keeping.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Compiled physical and digital documents, charts and reports to meet business and patient need.
Education and Training
Certificate in Coding:Information Health Management10/2019Sheridan Technical College, City
Associate of Science:Paramedical Skin Care06/2004Florida College Of Natural Health, City, State
CCA Certificate01/2020AHIMA
Languages
Bilingual - English/Spanish
Certifications
- CCS, AHIMA - anticiapated date March 2021
DISCLAIMER
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.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
Resume Strength
- Completeness
- Formatting
- Word choice
- Length
- Typos
Resume Overview
School Attended
- Sheridan Technical College
- Florida College Of Natural Health
- AHIMA
Job Titles Held:
- Medical Coder Specialist
- Medical Coding Intern
- Medical Facial Specialist
Degrees
- Certificate in Coding : Information Health Management 10/2019
Associate of Science : Paramedical Skin Care 06/2004
CCA Certificate 01/2020
Similar Resumes
Medical Records Specialist/Certified Medical Coder
General Dynamics Information Technology Inc
City , STATE
