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specialist coder resume example with 4+ years of experience

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

To work for an organization, where I can do my best service towards the organizational needs and benefits, and to render professional services for the organization and personal growth. Ability to develop and maintain excellent rapport with clients, colleagues, and management Team player with effective motivational, interpersonal, and communication abilities with PC skills. To secure a challenging career that emphasizes increasing responsibility, personal growth, and professional achievement. KEY ADMINISTRATIVE SKILLS In depth knowledge of coding concepts and principles Thorough understanding of medical coding and business systems Demonstrated ability to analyze and solve problems Proven ability to use independent judgment and work with minimum supervision Able to adopt, modify and prioritize coding functions Profound ability to work with computers and popular medical coding software Excellent typing skills and speed Outstanding visual and auditory skills Track record of analyzing and translating medical and clinical diagnosis, procedures and designated numerical codes Superb understanding of medical terminology Good knowledge of popular insurance companies. Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse

Skills
  • ICD-9 CM, ICD-10
  • CPT
  • HCPCS
  • Insurance Documentation
  • Claims Verification
  • Online Claims submission
  • Radiology Concepts
  • Usage of Encoder-pro
  • Medical Terminology
  • Anatomy and Physiology
  • Medical Software
  • MS Word
  • MS Excel and MS PowerPoint
  • Certified Professional Coder
Certifications
CPC-A from USA in 2008 (01091193),
Accomplishments

Best Coder- Employee of the Month in Sept-2012

Education
BHMS (Bachelor of Homeopathic Medicine & Surgery): Homeopathic Medicine, Expected in 04/2002 to JSPS Homeo Medical College - Hyderabad, AP
GPA:
Work History
Specialist Coder, 08/2015 to 04/2016
Change HealthcareNew Freedom, PA,
  • Experienced in Diagnostic Radiology Coding using ICD-10, CPT and HCPCS codes.
  • Trained in ICD 10 coding.
  • Reviewed the charts and assigned proper ICD-10 and CPT codes
  • Reviewed, analyzed and managed coding of diagnostic radiology and treatment procedures contained in medical records in database
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
Medical Coder, 02/2015 to 05/2016
Giftech TechnologiesCity, STATE,
  • Experienced in Diagnostic Radiology Coding using ICD-9, CPT and HCPCS codes.
  • Reviewed, analyzed and managed coding of diagnostic radiology and treatment procedures contained in medical records in database
  • Reviewed patient charts to better understand health histories, diagnoses and treatments

Medical Executive, 04/2012 to 04/2013
AEGIS LimitedCity, STATE,
  • Evaluates and ensures that all claims denied or underpaid inappropriately by payers are identified, appealed and reversed
  • Compiles, analyzes and reports on data related to underpayments, denials
  • Categorizes denials based on root cause findings and distributes reports and metrics to applicable management and teams
  • Determines whether to reject or pay claims following coding guidelines and organizational policies and procedures
  • Reviewing medical records with ICD-9, CPT, HCPCS Level II coding, processing claims daily while maintaining 99% accuracy and achieving productivity goals
  • Worked on multi specialty denials for Humana Process
DMO (Duty Medical Officer), 08/2002 to 01/2005
Geetha Maternity HospitalCity, STATE,
  • Taking care of In-Patients in 100 bedded hospital
  • Maintaining Surgical Records and Case-Sheets
  • Prescribing for Out-Patients
  • Writing discharge summaries
  • Assisted Gyn-obs Surgeries and General Surgeries, MOT experience
  • Worked in Acute Medical Care
  • Measured patient vital signs such as blood pressure, pulse rate and temperature to record information on patients' charts.
  • Experienced in handling emergencies like RTA, Chest-pain cases, Burns etc.,
  • Having experience in Suturing the wounds & dressings
  • Administered medications and performed basic and advanced patient assessments.
  • Performed patient service duties by communicating directly with patients, answering questions and assisting with concerns.
  • Interacted with patients and families while demonstrating high standards of performance, teamwork and compassion.
  • Communicated with patients and families to obtain patient medical histories and vital information.
  • Maintained patient confidence and protected hospital by keeping information confidential.
  • Followed appropriate disinfecting procedures to sterilize medical equipment.
  • Implemented treatment for emergent medical conditions by thoroughly assessing current patient status.

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Resume Overview

School Attended

  • JSPS Homeo Medical College

Job Titles Held:

  • Specialist Coder
  • Medical Coder
  • Medical Executive
  • DMO (Duty Medical Officer)

Degrees

  • BHMS (Bachelor of Homeopathic Medicine & Surgery)

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