- Montgomery Street, San Francisco, CA 94105
- Home: (555) 432-1000
- Cell:
- resumesample@example.com
Medical Coder with a career spent both assigning and assessing provider documentation to ensure that appropriate codes have been assigned. Motivated individual with a strong work ethic and a can-do demeanor. Well-versed in all outpatient ancillary coding. Ready to tackle new challenges in a telecommute environment.
- Skills Used
- Problem solving, time management, coding knowledge, and critical thinking skills.
- Microsoft Office (10+ years)
- 3M encoder (4 years)
- Medical Coding
- CPT Coding
- ICD-10
- Medical Billing
- ICD-9
- EMR Systems
- Medical Records
- Process Improvement
- ICD Coding
- HIPAA
- Hospital Experience
- Auditing
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- Anatomy Knowledge
- Medical Terminology
- Auditing
- Billing
- CPT Coding
- Critical thinking
- ICD-9
- Medical Billing
- Medical Terminology
- Problem solving
- Process Improvement
- Coding
- Time management
- Knowledgeable in Epic
- Medical record security
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SIU Team Lead, 03/2020 to Current
Sedgwick Claims Management Services, Inc. – Irving, TX,
- Reviewed claims for potential fraud, waste, abuse, and error.
- Checked for coding accuracy by billing providers to ensure proper payment is being made.
- Promoted coding accuracy and quality by closely inspecting claims and working closely with team members to correct deficiencies.
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Coding Consultant/SME Team Leader, 03/2015 to 03/2020
Maximus, Inc. – Pittsburgh, PA,
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Maintained 100% accuracy rate on daily production of 4 claims per hour.
- Verified proper coding and accuracy of outpatient and inpatient procedures.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Coached team on company policies, procedures, and best practices to enhance operational efficiency and employee productivity.
- Trained all new hires and acted as a mentor during their ramp period.
Outpatient Medical Coder, 10/2012 to 11/2016
Rice Memorial Hospital – City, STATE,
- Assigned procedure and diagnosis codes for insurance billing using 3M Encoder.
- Coded outpatient encounters at rate of 15 per day and 7 complex specialty coding, maintaining 98% accuracy.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Assisted coding supervisor and HIM Manager with employee development.
- Trained newly hired top talent to fill key positions and maximize productivity.
AAS: Health Information Management, Expected in 2012
- Saint Cloud, MN
GPA:
AA: Liberal Arts, Expected in 2007
MSCTC - Moorhead, MN
GPA:
- Successfully promoted to the only fulltime outpatient coder for our department within my first year
- Trained new coders and helped implement improved work flow processes
- Helped develop remote coding productivity standards since I was the first coder to work from home
- I now have 7 years of successful remote coding experience
- Assisted with an automation project to help automate as much as the coding process as possible
- Acted as a mentor and subject matter expert for newly hired coding analysts
- Registered Health Information (RHIT) License - 2013 to Present
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