Medical Coder Specialist Resume Example Company Name

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

ICD-10, HCPCS and PCS Coding Systems
CPT efficient
Anatomy and Physiology of Disease, Pharmacology
3-M Grouper,
Medical Terminology, ICD-10 Programs and Knowledge of Medical Insurance Programs
Health Information Management Technology
Internships; AHIMA VLab Coding Cases, 3M Coding and Reimbursement, Cengage Medical Coder Trainer
Strong work ethic and management skills, team sport
Billing
C
Charts
CPT
Bilingual - English

Front office
Insurance
Laser
Management skills
Marketing
Medical Terminology
Meditech
Personnel
Coding
Quality
Sales
Spanish
Trainer

Experience

Company NameCity, 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, maintaining100% 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.

Company NameCity, 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.

Company NameCity, 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

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

Medical Coder Specialist Resume Example

Resume Score: 80%

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