remote medical coding specialist resume example with 7 years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

Dependable, detail oriented and quality focused individual with over 7 years of experience looking for a position as a Medical Coder, which will provide challenges and opportunities for growth.

  • CPT, ICD-9, ICD-10, HCPCS Coding
  • Keyboarding 82 wpm
  • 290 Kspm
  • Medical Terminology
  • Medical Anatomy and Physiology
  • Medical Billing and Charge Entry
  • Documentation Guidelines
  • EDI Claims Submission
  • Insurance Verification
  • Microsoft Word, Excel, Powerpoint, Outlook
Remote Medical Coding Specialist , 05/2019 to Current
Cognizant Technology SolutionsIrvine, CA,
  • Working as a contractor remotely from home through The CSI Companies an agency for Optum owned by UnitedHealth Group.
  • Perform code abstraction of medical records to ensure ICD-10-CM HCC Risk Adjustment codes are accurately assigned and supported by clinical documentation.
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Meet minimum productivity requirements as outlined by the project terms.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
  • Assist in working various projects as needed.
  • Monitor Coding changes to ensure that most current information is available.
  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
Medical Coding Analyst, 05/2016 to 09/2018
University Of Pennsylvania Health SystemKing Of Prussia, PA,
  • Determine appropriate Evaluation and Management levels and CPT codes for Urgent Care, Pulmonary, Cardiology, Family Practice, Adult Medicine, Pediatrics, Ophthalmology, Orthopedics, ENT, Neurology, Rheumatology, Injections and Infusions, Pain and Spine and Diagnostic Radiology.
  • Review medical records to ensure documentation accurately reflects and supports code selection based on the ICD-10 coding guidelines.
  • HCC Risk Adjustment Coding to ensure compliance with all government and contractual obligations.
  • Determine proper usage of modifiers when necessary.
  • Submitted clean claims to insurance. companies electronically to secure payments.
  • Assist in training and monitoring of new hires and auditing new provider documentation.
  • Participate in internal and external audits.
  • Ensure strict confidentiality of financial and medical records.
  • Resolve daily coding scrubber edits to ensure accurate coding for correct billing.
  • Investigate and resolve claim denials related to coding errors; perform coding charge corrections and re-billing as required for the resolution of coding denials.
  • Advise providers regarding billing and documentation policies, procedures, and regulations; interact with provider staff regarding conflicting or non-specific medical documentation and obtain clarification when necessary.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Assigned procedure and diagnosis codes for insurance billing using Allscripts electronic health record software.
  • Optum360 Encoder.
Revenue Integrity Specialist, 10/2013 to 03/2016
Atrinea Health / Santa Fe Medical GroupCity, STATE,
  • Determine and assign diagnosis codes and ensure that the Evaluation and Management level, procedure codes and documentation accurately reflect and support the visit encounter.
  • Code for Family Practice clinics with multiple providers.
  • Remote coding three days a week with two days in the office.
  • Keep current on ICD-10 and CPT guidelines and maintain CPC certification.
  • Prepared and submit claims to Commercial and third-party insurance companies to include Medicare, Medicaid and Tricare.
  • Ensure charges, point of service payments are updated timely and accurately.
  • Resolve coding denials, claim scrubber edits, perform corrections and resubmit claims.
  • HCC diagnosis coding and medical billing and collection practices.
  • Resolve billing inquiries from patients and insurance companies.
  • Comply with regulations and requirements for coding and HIPAA guidelines and CMS policies.
  • Posting patient and insurance payments.
  • Assist with provider staff training.
  • Worked with CareCloud, Lytec and Soapware practice management and electronic medical records software.
Medical Billing And Coding Externship, 09/2013 to 10/2013
New Mexico Cancer CenterCity, STATE,
  • Worked independently and with the Lead Coder auditing Evaluation and Management levels for multiple physicians according to their documentation to ensure it met coding requirements for CPT codes chosen by the physician.
  • Perform appropriate coding changes and add attach modifiers when necessary. Approved and billed out charges. Exposure to coding infusion and injection coding and billing.
Education and Training
Certificate: Medical Billing and Coding, Expected in 2013
Carrington College - Albuquerque, NM

Presidents List with Academic Honors

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Resume Overview

School Attended

  • Carrington College

Job Titles Held:

  • Remote Medical Coding Specialist
  • Medical Coding Analyst
  • Revenue Integrity Specialist
  • Medical Billing And Coding Externship


  • Certificate

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