risk adjustment coder resume example with 13+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Certified Coder Specialist with over 10 years experience in hospital and medical office facilities. Accurate and detail-oriented with knowledge of multiple record types and specialties
Skills
ICD-10 (International Classification of Disease Systems)
Excel, Word, PowerPoint, Access, Publisher, Qudramed, CAO, 3M, Epic, and EMR systems
Hospital inpatient and outpatient records
Outpatient surgery coding specialist
Patient chart auditing ability
Excellent problem solver
Resourceful and reliable worker
Close attention to detail
Adept multi-tasker
Work History
05/2016 to CurrentRisk Adjustment Coder Cano Health | Hollywood, ,
Remote position.
Coding and abstracting of medical records for risk adjustment purposes that mapped at a unique date of service level.
Coding and abstracting of medical records for risk adjustment purposes utilizing full code capture at a date of service level.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Assigned appropriate medical codes with a 96 percent accuracy rate.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
05/2011 to 11/2015Banquet Captain Marcus Corporation | Pittsburgh, PA,
Plan and execute all internal and tribal events (i.e.
Wellness Fair).
Book all external group rooms and act as a liaison between front desk and group leaders.
Work with event planners to make catered events successful.
Supervise servers, cashiers and bartenders.
Do monthly inventory of alcohol for department.
01/2006 to 10/2008Medical CoderLandmark Health | Blue Ash, OH,
Assigned appropriate medical codes with a 98 percent accuracy rate.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
Initiated, performed and documented quarterly coding audits for ER physicians.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Performed billing and coding procedures for emergency room, inpatient, observation and outpatient services.
Accurately selected the proper descriptive code when more than one anatomical location was indicated.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
10/2000 to 07/2002Medical CoderProgressive | Augusta, GA,
Coding and abstracting of all medical records including inpatient, emergency room, outpatient surgery, and diagnostics.
Helped set-up the new electronic health record.
Prepping, scanning, and indexing of records into the electronic health record.
Analyzed medical charts for doctor signature and missing information.
Customer service, release of information, answering the phone, taking payment for medical records.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Accurately selected the proper descriptive code when more than one anatomical location was indicated.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Initiated, performed and documented quarterly coding audits for ER physicians.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
2007 to 04/2007Medical Coding TeacherProgressive | Battle Creek, MI,
Teach ICD-9 and CPT coding to college students.
Prepare and grade lessons, homework, mid-term and final exam.
Teach E/M coding for those wishing to work in a medical office.
Current to CurrentMedical Coder Progressive | Beaumont, TX,
Prepared patient charts accurately and neatly for the clinic.
Verified patients\' eligibility and claims status with insurance agencies.
Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Correctly coded and billed medical claims for the office.
Precisely completed appropriate claims paperwork, documentation and system entry.
Scheduled appointments, registered patients and processed insurance co-payments.
Current to CurrentMedical CoderUniversal Health Services | Murfreesboro, TN,
Verified patients\' eligibility and claims status with insurance agencies.
Prepared patient charts accurately and neatly for the clinic.
Prepared patient charts, pre-admissions and consent forms as necessary.
Prepared patient charts, pre-admissions and consent forms as necessary.
Correctly coded and billed medical claims for the center
Precisely completed appropriate claims paperwork, documentation and system entry.
Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
Entered charges into the system efficiently and without errors.
Current to CurrentCoderLabcorp | City, STATE,
Correctly coded and billed medical laboratory services for the main lab in the Tampa area
Education
Expected in June 1998 to to Certified Coder Specialist | Medical CodingPasco-Hernando Community College, Dade City, FloridaGPA:
Expected in June 1995 to to High School Diploma | Central Christian Academy, Casselberry, FloridaGPA:
Certifications
American Health Information Management Association Certification (AHIMA)
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