Outpatient Surgical Coder resume example

Reviews, analyzes, and codes medical record documentation to include procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Reviews documentation for medical necessity. Assesses records and prepares reports. Primary coding responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services done in an ED setting. Trained in E-request edit corrections. Injection/infusion guidelines and procedure category assignment. Worked on special coding projects driven by my manager.
Ensured edit requests are handled within 72-hour window through the system/process. Ensures accounts are reviewed timely to ensure cash flow, sustain accuracy, and meet filing deadlines and claim submission deadlines utilizing various tools, daily edit review and completion of edit accounts or route to appropriate department for error correction. (e.g., e-Request, Bill 49 tool(s).

injection/infusion guidelines and procedure category assignment. Worked on special coding projects driven by my manager. Ensured edit requests are handled within 72-hour window through the system/process Ensures accounts are reviewed timely to ensure cash flow, sustain accuracy, and meet filing deadlines and claim submission deadlines utilizing various tools, daily edit review and completion of edit accounts or route to appropriate department for error correction. (e.g., e-Request, Bill 49 tool(s). Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current. Utilizes ICD-10-CM and/or HCPCS/CPT, as applicable, codes on all patient types. Assigns ED E/M levels, and enters charges for ED, OB ED and/or observation (OV) infusions and or injections.
Review Trauma accounts to ensure level or critical care charges, procedure category charges and/or injections/infusions are captured per ACEP guidelines. Maintains or exceeds established productivity standards and coding accuracy. Utilizes the complete medical record documentation in code assignment