medical coding specialist resume example with 16 years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Competent CPC out patient coder with 5 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Enablecomp, Llc - Medical Coding Specialist Tullahoma, TN, 11/2017 - Current
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Worked with individual patients to code medical professional services.
Reviewed 107 medical records per 8 hours to select appropriate coding sequences.
Tutored 5 new coders for compliance with CPT-10 and ICD-10 classification systems and coding guidelines.
Verified signatures and checked medical charts for accuracy and completion.
Performed coding procedures for outpatient services.
Used Cerner and 3M to input information into computerized patient record system.
Scanned and filed medical records into organized and up-to-date filing system.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Applied charges and updated patient records by using Cerner and Rev Cycle.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Used 3M to assign procedure and diagnostic codes to patient records for billing purposes.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Gila Regional Medical Center - Health Information Float Silver City, NM, 06/2009 - 10/2017
(XXX) 250 -1500 Cover SSM Health/Dean Clinic mail/file rooms, Clerk Pool, Maintain electronic and paper medical records, Scan documents, Laboratory Data Entry.
Perform variety of moderately complex tasks and extremely confidential.
Work within Epic flow sheets, charts and document tables.
Complete orders and encounters.
Release Of Information.
Member of Security and Emergency Response Teams.
Sorted and delivered documentation and supplies to departments and medical staff.
Maintained relationships with medical providers, suppliers and reporters.
Participated in committees to discuss electronic health records and methods to improve overall workflows.
Retrieved medical data for physicians and patients.
Collected, organized and entered patient data into medical systems.
N. Parker Drive - Werner Electrical Supply Project Coordinator Assistant City, STATE, 05/2007 - 03/2009
752-9496 Create orders, create logistic reports, run expedite reports, balance product expense reports, and research lighting products, contact vendors and contractors.
Create product manuals.
Conducted research and gathered key information for use in upcoming project planning.
Tracked hours and expenses to keep project on task and within budgetary parameters.
Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
Reviewed documentation to verify conformance with established project criteria.
Oversaw workflow and conducted month-end reconciliation of jobs.
Kept projects on schedule by managing deadlines and adjusting workflows.
Gathered requirements for ongoing projects and organized details for management use.
Liaised between departments to facilitate communication and keep appropriate parties updated on project developments.
Meriter Home Health, 2180 W. Beltline Hwy - Prior Authorization Specialist City, STATE, 08/2005 - 05/2007
6000 Communicate with physicians and patients, submit documents to Medicaid, Medicare, commercial insurance companies to obtain prior authorization for payment of goods and services.
Confirm eligibility, complete forms for durable medical equipment, and disposable medical supplies.
Create policy and procedure manuals.
Assist with placing orders and patient registration.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Reviewed insurance coverage for patients to determine which party was liable for payment.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Tracked referral submission during facilitation of prior authorization issuance.
Maintained compliance with patient privacy and security regulations such as HIPPA , EMR.
Documented all communication with applicants and inputted information into system using Epic.
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Resume Overview
School Attended
Blackhawk Technical College
Blackhawk Technical College
Job Titles Held:
Medical Coding Specialist
Health Information Float
Werner Electrical Supply Project Coordinator Assistant