Mobile: +971558253592 CAREER OBJECTIVE: Seeking assignments as a Medical coder / medical claim processor with reputed organisations in Medical and Insurance field. E.g: “Certified Outpatient Coder with 3+ years of experience in CPT®, ICD-10, and HCPCS Level II coding.”. A recruiter skims through your resume to see if you are a candidate worth spending more than a few seconds on. End of Sample Medical Billing Resume. Excellent oral and written communication skills, Ability to plan, organize and prioritize job duties under general supervision, Excellent customer service and customer relations skills, Time management skills to meet client productivity goals, Highly motivated, independent and innovative, Provide support for onsite audit reviews regarding clinical documentation, Provide support of new and established group coding for Care Management, Create and maintain project plans and documentation related to clinical editing, High school education or equivalent experience, Certified coder via AHIMA or AAPC or an RN, Knowledge of physician coding methodologies including CPT, HCPCS, facility coding methodologies, Experience with Windows applications - MS Office, PowerPoint-Creating/Managing Presentations, Excel- Creating/Updating spreadsheets, formulas, and Word- Creating/Updating documents, Experience leading and facilitating virtual meetings, Excellent verbal and written communication/presentation skills, Ability to review medical record documents to derive at accurate and appropriate ICD10 codes for claims, Ability to contact physician’s office to ask additional questions or seek additional information/ records to derive at valid ICD10 code (Strong communication skills and phone etiquette), Ability to collaborate with AR team on denials related to diagnosis codes, Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Writing a great Medical Billing Specialist resume is an important step in your job search journey. 444 Orlando Street – Orlando, FL 32809 You can get ahead of them by showing your worth at the beginning itself. Strong team player, Identify errors, problems, or issues and present to Coding management for resolution, Attend departmental and training meetings a scheduled, Extensive knowledge of ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding, Select and sequence ICD-9, ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic)/ Recurring; Interventional Radiology; Injection and Infusion, Hospital Clinic; Wound Care, Physician Pro Fee; Technical Fee; Evaluation and Management and any associated charge capturing with any patient type, Performs coding to maintain work volume to include claim edit resolution and data quality reviews on outpatient encounters to: validate the ICD-10—CM, CPT and HCPCS level II code assignments, modifiers, APC groupings, missed secondary diagnosis and procedures, Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services, Monitors daily workload for coders and assures distribution of work is appropriate to ensure timely coding to meet Service Level Agreement, Reports issues to management as appropriate which impact operational flow of work, Assists with training and orientation of new coding colleagues, development of coding job aides to improve understanding of coders as appropriate and requests from Patient Financial Services or Care Management, Completes reports and distributes as requested, Complete assigned work functions utilizing appropriate resources, Laws and guidelines for release of information, Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or. Look to the Resume Checklist below to investigate how Medical Coding, CPT, and ICD-10 match up to employer job descriptions. Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, Knowledge/experience with ICD-10 and CPT coding. Emilia is a career expert sharing all kinds of job hunting advice. Think of the skills you gained in non-medical jobs. Are you writing entry level medical coder resumes or maybe targeting a senior position? It wraps up your key achievements and relevant moments of your work history. Try our resume builder. Medical Coder Resume (Entry Level) – No Experience. We are seeking a detail-oriented and organized medical coder to join our growing team. At Zety, she writes dedicated guides that help readers create job-winning resumes and cover letters. Supporting billing operations and maintaining exemplary accuracy rates by skillfully coding for over 30 radiology clients including hospitals, groups, and individual physicians. Companies know what skills they need. Together with averting the errors that are aforementioned, in addition, it is sensible… Read More » Pro Tip: Medical coding is not only about remembering the strings of numbers and letters. Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, Knowledge/experience with ICD-10 and CPT coding, This role requires travel within the general/local area, Support the Risk Adjustment Department in the review of provider medical records for compliant documentation and coding, Identify appropriate assignment of ICD - 10 Codes for Professional services, Coding and Documentation Education to our PCP Network, HCC education to our Provider and Specialist Network, Support the Coding Processors in the review of PCP completed attestation forms, 3+ years coding experience; outpatient or inpatient, CCS or CPC credentials through AHIMA or AAPC, Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook, Excel and navigate in a Windows environment, Access to reliable transportation that will enable you to travel to Physician offices and company meetings, Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines, Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided, Compare charges on accounts with the procedures coded and identifies any discrepancies. Why is it ranked higher on our list? Accurately … A successful resume sample for this job mentions duties such as using specialized software, reviewing claims, investigating denied claims, updating records, and corresponding with insurance companies. Even with the high demand for medial coding specialists, your resume still needs to wow your future employer. Include the Skills section after experience. Medical Coding Academy was the best decision I made in reaching my goal of becoming a Certified Medical Coder. Maintained 97% accuracy per 150 daily claims when assigning ICD and CPT codes to patient records. But focus on the profile for true benefit. Writing a successful medical coder job description is the keystone part of your application process. Staff will meet with physicians in the clinical setting as needed for documentation instruction, Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines, Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives, Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives, Prior experience as a Medical Coder I or equivalent work experience, Medical, dental, vision and life insurance benefits, Ongoing training and opportunities for career advancement, Award winning, inclusive environment with Employee Resource Groups, Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes), Ensure billing codes correspond accurately with the claim notes, Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable, Provide fee schedule reimbursement date for subrogation claims, Ensure AOB (Assignment of Benefits) has been submitted to provider, Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries, Sort incoming bills by coder and distribute accordingly, Review unmatched bills and correctly identifying the claim, Mail EOB (Explanation of Benefits) statements to providers, Strong data entry skills, communication & customer service skills, Prior CPT-4 and ICD-9 coding experience preferred, Prior experience as a Medical Coder I or equivalent work, 2+ years of Coding experience in a Hospital setting, RHIT / RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines, Microsoft Office/Suite proficient (Excel, Word, etc. These codes then define how much to charge a patient for what they … Certified Medical Coder Example Resume: Free resume example for an experienced Medical Coder with 10+ years in the medical coding profession. This is a real resume for a Medical Coder in Garden City, Michigan with experience working for such companies as Infinity Primary Care, Continuum Managment Services. Diploma - Medical Billing and Coding, Virginia College, Birmingham, AL, 1999 Associate of Healthcare Reimbursement – Virginia College, Birmingham, AL 2003 Certified Coding Associate – American Health Information Association (AHIMA), 2004. or B.A. Include the Skills section after experience. That doesn’t mean, however, that you can get lazy with your applications. Certified Medical Coder Resume Medical coders handle various clerical duties, and play a vital role in maintaining the confidentiality of data in a hospital, clinic or medical center. Then think of any soft skills you’re proud of (consult the job ad to see what the recruiter requires, too). MEDICAL CODER / INSURANCE CLAIM PROCESSOR DIANA RINO E-mail:firstname.lastname@example.org. Remote Medical coder career allows the candidate to work remotely for healthcare facilities and use computing skills to maintain accurate medical records.The roles and responsibilities that are included on the Remote Medical Coder Resume are – receiving medical … Looking for some more inspiration on how to write a resume for a healthcare professional? May produce complex documents, perform analysis and maintain databases, Bachelor's degree in health sciences, health management, or nursing, 5 years of ICD-9 coding or medical record audit experience in a consultative role, CPC or CPMA from an accredited source or equivalent certification, Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner, Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. To write the job history section of the resume, the sample job description shown above provides useful information in writing the section. Whether you want to be a trainee coder or nosologist, you need to make your education resume section shine. Codes inpatient and outpatient conditions and procedures as documented in ICD-CM Official Guidelines for Coding and Reporting, Resolve errors associated with billing and claims processing; identify and report error patterns; and design workflow changes to reduce errors, Coordinate and facilitate annual code updates with program staff, Assist in reviewing and validating MMIS ICD-10 modifications, Coordinate with program and operations staff, and MMIS IT to update, and maintain ICD logic; and help resolve mapping discrepancies, Reviews provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. A key qualification is a tenure. If you have the space to include it, you should. 20+ medical coder resume samples to customize for your own use. Here’s how to keep your medical coding resume format well-structured and universal: Pro Tip: If you wonder which one is better—saving your resume in PDF or Word, stick to the PDF. You’ve just broken the resume writing code. Keep your Medical Coding Specialist resume objective short but concise. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. If you have the space to include it, you should. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. Protect the security of medical records to ensure that confidentiality is maintained, Participate in inter-rater reliability testing/peer review exercises, as requested, Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information, Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes, Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding, Knowledge of anatomy, physiology and medical terminology, Excellent verbal, math and written communication skills, ------------------------------------------------------------------------------------, Responsible for conducting non-routine audits, documenting & communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits, Conduct risk assessments and preparation of work plans, Develop an understanding of the operations, system processes and procedures used in areas being audited, Review and test for compliance with institutional policies and procedures, applicable laws and regulations through the inspection of physical operations, processes, retrieval and review of documents and investigation of irregularities and errors, Compile information and/or prepare reports and analyses setting forth results of compliance audits with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action, Develop recommended corrective actions to address issues detected, Actively participates in exit conferences, providing clarification and supporting information necessary, Bachelors degree and coding certifications REQUIRED**, Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. 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