Desire a position in medical claims auditing, inpatient coding or outpatient coding. Bachelor of Science (BS) in Healthcare Administration. Abstract records to determine the correct Level of Service depending on the drug and medical supply used to assist patient at the time of service. Maintained strict patient and physician confidentiality. Handles all requests in a timely fashion, Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record, Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary, Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Resume Format PDF vs Word. Summary : Dedicated and seasoned healthcare professional with broad knowledge on healthcare revenue cycle from Billing, Coding, Collection and Claims processing. You should think about the position you are applying for and focus on the positions and roles that are most closely related to it. I have a stable work history. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. Familiar with Medicare, commercial and private insurance carriers. Resume For Medical Coding Specialist. Prepares and disseminates monthly newsletter, Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance, Clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through file review. Skip to content. Objective : To obtain a job in which I can be personable and a team player giving quality time and treatment to job duties and other staff members. How to Write a Student Resume. Skills : Excel, As400, Visio, ICD-9, CPT, HCPCS, ICD-10. and/or as requested by medical leadership or CBO management, Monitor Coding changes to ensure that most current information is available, Provide coding support to Central Billing Office as requested, ICD-10 Proficiency Certification required, Certified Medical Coder with either CPC, CCS-P, Knowledge and experience in health care/managed care environment, Direct Cardiology coding experience ideal, Certified Cardiology Coder (CCC) preferred, Experience with HEDIS performance measures and Medicare STAR ratings, Prior work experience with curriculum design combined with stand up and delivery of complex content - specific to medical coding, Medical coding certification (AHIMA or AAPC), Computer literate (MS Word, Power Point, Excel), Ability to travel within the assigned region as necessary, Prior coding experience in managed care at least 5 years preferred, Understand the importance of accuracy related to charge entry, Knowledge of standard governmental billing requirements, Payer requirements, and HIPPA regulations, Knowledge of insurance guidelines especially Medicare and state Medicaid, Hematology and Oncology coding certification, 2+ years of Coding experience and knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, RHIT/RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding, Payor, and Federal Billing guidelines, Knowledge of Anatomy, Physiology & Disease processes, CCS and knowledgeable with 3M/HDS coding application, 2+ years of work experience in a Healthcare-setting or equivalent education, American Academy of Professional Coders (AAPC) Certified Professional Coder –Apprentice (CPC-A) or American Health Information Management Association (AHIMA) Certified Coding Associate (CCA), Knowledge Medical Terminology and Human Anatomy, (AHIMA) RHIA, RHIT, CCS, CCS-P, approved ICD-10-CM trainer, or approved ICD-10-CM/PCS trainer, Certified Medical Coder with either CPC, CCS, COC or CSSP with high degree of competency in this area, Strong knowledge or certification in ICD-10 coding, Ability to visit and educate Clinic Staff, 3 years of Medical Coding experience in an acute care setting, Knowledge of coding guidelines, payer guidelines, and federal billing guidelines, CCS experience and knowledgeable with 3M/HDS coding application, Knowledge of anatomy, physiology and disease processes, CPC or CCS-P Coding Certification or CPC-A with coding experience, Ability to drive to provider offices throughout Polk, Osceola, Orange, and Sumter Counties and be on site at provider offices approximately 75% of the time, Prior experience in a fast paced insurance or health care setting, 1+ year of related Coding experience (CPT, ICD-9, and ICD-10), Experience following-up with insurance companies, Prior experience with Managed Care Companies, Working knowledge of Next Gen or Electronic Health record system, CPC, CRC, or CCS-P Coding Certification or CPC-A with coding experience, Minimum of 18 months of prior medical coding experience, Ability to drive to provider offices in the Memphis and surrounding areas approximately 3-4 days weekly, Bachelor’s Degree in business administration or related field preferred/or a combination of advanced training and experience, 2 years of experience with coding and reimbursement activities, Demonstrated knowledge of ICD-9 & CPT4 Coding, Demonstrated knowledge of computerized billing systems, Knowledge of third party insurance billing policies, procedures, regulations and billing requirements and government reimbursement programs, CPC-A certification with coding experience, Ability to drive to provider offices and be in the field approximately 50%, CPC - A coding certificaiton with coding experience, Responsible for MRA aspects of market management, including managing the MRA coder team, Executes MRA initiatives within the local market, Coordinates and deploys MRA training policies/objectives to the local team, Plans and directs MRA training techniques and suggests enhancements to existing training programs within existing markets, Use detailed analysis/consideration of financial and operational implications to make recommendations to the MSO and physician groups, Medicare Risk Adjustment, Documentation and Medicare Advantage experience, Professional coding certification such as CPC, CCS-P, CRC, or RHIT, Demonstrated experience partnering with senior leadership on strategic initiatives, Proven planning, preparation and presentation skills, Demonstrated ability to manage multiple projects and meet deadlines, Comprehensive knowledge of all Microsoft Office applications, Ability to travel throughout the local market approximately 2-3 days weekly with occasional overnight travel, Strong collaboration and relationship building skills, Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance, Comprehensive knowledge of Medicare policies, processes and procedures, Evaluate the element of the medical record for diagnosis code selection, Effective Communication and Professionalism, Certification in American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; American Academy of Professional Coders (AAPC): CPC-H, Solid assessment and documentation skills, Successful completion of a Coding certificate program with AHIMA approval status, 18+ months of prior medical coding experience, Prior experience in a fast paced insurance, health care, or physician office setting, HCC coding experience not required, but is a plus, Associate's and/or Bachelor's Degree in Health Information Management, AHIMA certification; Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P), Knowledge of ICD-CM (current edition) and ICD-PCS coding systems, Microsoft Office/Suite proficient (Excel and Word, 5+ years of Medical Coding experience or related work experience, Knowledge of 3rd party payer requirements and Federal / State guidelines and regulations pertaining to Coding and Billing practices, Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments, Be an active participant in client and Precyse staff meetings, training and conference calls, often using online technology, Learning is a daily part of your role with Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. March 16, 2020 by admin. Speaks in a positive, professional manner about co-workers, physicians, and the facility, Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Travel could be up to 50%, Must have reliable transportation with valid driver’s license and insurance, Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required, Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude, Comprehensive knowledge of Microsoft Word and Excel and Access, Bachelor’s Degree in Business or a related field, Prior Coding experience, preferably in a medical office, Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems, Knowledge and experience in a health care environment/managed care, Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether a) the diagnosis codes are supported by the documentation and agree with ICD 10 Guidelines for Coding and Reporting, Review all medical record documentation for HEDIS and STARs capture and closure. or B.A. ), Possess an unrestricted nursing license (RN/LVN/LPN) or a current certified coder (CPC/CCS/RHIT etc. Participate in and support internal and external prospective and retrospective reviews and audits, Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires, Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients, Serve as project and process SMEs when needed, AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC, Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision, Basic Microsoft office skills: Word, Excel, PowerPoint, Ability to travel locally to various IPA sites, Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes, Ability to code from a variety of electronic medical records systems, This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics, Review insurance payments and denials and recommends coding corrections, National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), Experience working with the Affordable Care Act and Medicare Advantage (preferred), Interpret medical record data in order to process physician and/or facility charges, Three years of medical chart abstraction and coding experience or relevant work experience required, Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. Objective : Highly motivated individual with 10 years experience in the medical billing field that is very knowledgeable and organized. A career into this line requires specific education credentials such as a degree in related field with a Medical Coding Certificate. Assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures. 1. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity, Assists in the orientation and development of new coding personnel, Assumes professional responsibility for development of skills and ongoing education to maintain certification, Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature, Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues).

medical coding experience resume pdf

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