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Medical Inpatient/Outpatient Coder Resume Example

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MEDICAL INPATIENT/OUTPATIENT CODER
Professional Summary

Certified Professional Coder achieved from Academy of Professional Coders Association, Salt Lake City, UT in 2002. Very experienced coder of many years in Inpatient,Outpatient settings. Also attained Associate Applied Science Degree in Health Management field.

Skills
  • HIPPA Compliance
  • Medical Terminology expert
  • Very Familiar with I-10(International Classification of Disease Systems)
  • Hospital and Clinical Coder
  • OutPatient(ASC)coder
  • Understands Anesthesia coding
  • DRG and PC Grouping
  • Resourceful and Reliable worker


  • Ability to meet deadlines
  • Can Coach others on coding
  • Ability to calculate DRG report
  • Team Player
  • Maintain updates on constant changes with 1-10 codes,CPT and HCPCS
  • Can perform informal coding audits
Education
Sherman Indian High SchoolCity, State1969High School Diploma: Regular
Phoenix CollegeCity, State2002Associate of Science: Health Information Management
Work History
Fairview Health Services- Medical Inpatient/Outpatient Coder
River Falls , WI11/2018 - Current
  • Reviewed documentation for compliance with requirements and accuracy of information.
  • Provided patient diagnoses under strict time constraints.
  • Used 3-M Software to apply 1-10/PCS Codes with HCPCS
  • Recieved charts daily from analysts for review and apply accurate codes for billing to process daily
  • Managed to code 10-30 charts perday with 0-3 errors
  • Worked with very minimal supervision
  • Abstracted daily reports for Supervisor to view
  • Participated with Team on updates and on constant changes
  • Self motivation when it came to trainings for updates
  • Team Player
  • Coach others on basic coding.
Adventist Health System- Outpatient Coder
Jersey City , NJ10/2018 - 05/2018
  • Review incoming clincial visits, by dissecting purpose of visits, and search for medical necessity
  • Code the maximum of 126 or more each day with less than 2-3 errors
  • Carefully identify any errors and rectify for inconsistencies and deficiencies
  • Compile necessary reports for presentation to Supervisors
  • Apply appropriate 1-10 codes with 100% accuracy rate
  • Inpatient coding resumed 03/2018, review all incoming,discharged stays by deciphering notations, operative reports and discharge reports as well
  • Code complex stays by researching patient history, and review of system as noted to substaniate correct codes
  • Apply accurate I-10 codes, PSC codes for procedures with modifiers due to anatomical sites
  • Key in all codes into RPMS for completion
  • Abstract reports daily and submit reports to Supervisor
  • Resource used 3M, RPMS and dictionary and Text books daily
  • Work with Utilization person as a Liason to complete Medicare stays
  • Actively maintain current working knowledge on CPT codes for outpatient and PSC for Inpatient
  • Follow rules and regulations set by facility and other protocols


  • Search for manifestation that could optomize I-10 codes includes procedures and modifiers
  • Assure all visits are noted as is in the visit, if there are missing notes return for clearance for modification by initial Clinician
  • Correctly code in RPMS daily and preparation for Billing process
  • Maintain updated information on coding requirements through continuation education
  • Maintain Certification
  • Can code 8-12 Inpatient charts per day
San Carlos Apache Tribe- Inpatient and Outpatient Coder
City , STATE12/2017 - 10/2017
  • Reviewed all incoming discharged patient stays and clinical coding
  • Dissected each clinical visits for Purpose of visits, procedures and apply accurate I-10 codes and procedural apply CPT codes for Outpatient with modifiers and assure anatomical sites is identified and if wounds are complex or simple with measurements
  • if unclear documents were detected the visits were returned for modification from the Clinicians
  • All messages were forward to Providers via Email, notifications or RPMS mailing system
  • Produced daily and weekly reports
  • Worked closely with UR person
  • Conducted brief inservice with new Providers on dictations and reports
  • Coached new coders
  • Achievement one coder passed her CCA examine
  •   All clinical visits were reviewed from EHRD report daily as well as Inpatient records and in Electronic Health Record
  • Assured all documentation were justifiable and attested  by clincians
  • Coded and produce 126-300 visits on a good day- Outpatient
  • Ccoded 8-15 charts per day for Inpatient
  • ​
Tsehootsooi Medical Center- Inpatient Coder
City , STATE08/2013 - 02/2015
  • Organized and coded all documents related to due diligence for acquisitions.
    Recieved discharged patient medical information daily and reviewed each for accurate information and apply most appropriate ICD-9 Codes with CPT and modifiers for anatomical sites
  • Reviewed each DRG assigned according the lenght of stay and payor for billing
  • Successfully keyed in all codes into RPMS from 3M attestations
  • Consulted or queried Providers on documentations
  • Kept all Relative weights for Medicare above 1.0 level with no creeping practice and attested with name and closed each stay
  • Submitted attestations to Business Office for claim process each day
  • Reviewed all questionable attestations by retrieving the recored and made correction(if there any)
  • Monitored each chart for completion
  • Abstract reports for Supervisors, daily or monthly
  • Kept Certification up to date
  • Attended local and off site trainings to keep abreast of all changes with ICD Coding, CPT
  • ​
Affiliations
Certified Professional Coders Certificate
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Resume Overview

School Attended

  • Sherman Indian High School
  • Phoenix College

Job Titles Held:

  • Medical Inpatient/Outpatient Coder
  • Outpatient Coder
  • Inpatient and Outpatient Coder
  • Inpatient Coder

Degrees

  • High School Diploma : Regular
    Associate of Science : Health Information Management

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