Analyzed DRG assignments using ICD-9-CM codes. Ability to provide instruction to the patients and their families regarding insurance coverage procedures, Ability to perform standard office procedures according to established protocols, Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing, PC skills, with emphasis on Windows applications, and ability to use a mouse, Thorough knowledge of medical terminology, anatomy, physiology and disease process, Ability to work independently yet in conjunction with a team, Ability to adapt to a changing and growing atmosphere, Good time management and organizational skills, Knowledge of medical reimbursement methodologies, Willingness to work as a team player to meet common goals of the department, Demonstrates excellent verbal and written communication skills, Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations, Promote positive department morale through effective teamwork, The employee must have the ability to work overtime hours when necessary, Willingness to learn new skills and help in different areas, Monitor and plan for incoming coding volume, Schedule and monitor weekly and daily workflows for coders to insure compliance with month end schedule, Maintain employee PTO schedules and request overtime as needed, Monitor completion and submission of daily production reports by each coder and prepare weekly production status report, Coordinate with trainer to ensure updates to Contract Information Sheets, Coding Contract Information Sheets, Revenue Center Listings, Coding Sheets, and Policy & Procedure manuals are distributed and reviewed by staff, Assist manager with maintenance of manuals, newsletters, reference materials, etc, Assist with interviewing applicants for potential employment, process all new employee paperwork, Assist with annual review evaluations for all Coding department employees, Assist with coding and/or correcting charts sent for review from other departments, Act as technical resource to coders on issues regarding coding or MRTS, Review & monitor employee hours in Kronos, Works with manager to develop and implement corrective action and/or disciplinary action, Establish and monitor QA production schedule for seniors, Review patient complaints from the Patient Services Department, Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT procedural coding, Extensive knowledge of medical terminology, regulatory requirements, and physician billing and reimbursement, Effective organizational, analytical, and communication skills, Working knowledge of Microsoft Word and Excel, Minimum high school diploma or equivalent, B.S. Summary for a Medical Biller and Coder Resume The resume summary replaces the out-of-date resume objective. Use professional field-tested resume templates that follow the exact resume rules employers look for. The sample resume is in chronological format and tracks her career progression from a medical records clerk, medical biller, remote coder and now a Certified Professional Coder CPC medical coder. Read original data insights to boost your reporting. New York, NY. Assigned a sequence of ICD-9 CM and CPT codes to clinic patient records. Followed state law requirements when performing coding procedures. Northwell Health Clinic, Chicago, IL . When writing your resume, be sure to reference the job description and highlight any skills, awards and … We’d love to hear from you, leave your comment below! Build My Resume . Learn how to make a resume that gets interviews. Make your achievements quantifiable to catch the recruiter’s eye. This site uses cookies to ensure you get the best experience on our website. You can get ahead of them by showing your worth at the beginning itself. Pick the right format for your situation. It can be either a resume summary, or resume objective: Use a resume summary if you’re in the healthcare business for more than two years. Use the medical billing and coding specialist resume sample as a guide, or use the resume builder for a customized resume in minutes, no writing needed. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. Learn how to find the right job and get it. If you haven't started your job search just yet, then you might find looking at other medical coders resumes helpful. When writing your resume, be sure to reference the job description and highlight any skills, awards and certifications that match with the requirements. The next step is to take a look at some sample resumes online to get an idea of how you want to format yours. preferred or equivalent of management/supervisory experience in physician billing related field, 1-2 years in a work leader, auditor, or supervisory position, 2-4 years previous medical coding experience, emergency medicine experience preferred, Manages Clerk(s), Coder(s), and Senior Coder(s), Review medical records and assign the appropriate Evaluation & Management codes, procedure codes, diagnosis code and modifiers using ICD-10-CM, CPT-4 and HCPCS coding guidelines, Communicate coding problems or irregularities to the Billing Operations Manager, Communicate with the physicians regarding chart documentation questions and issues, Note and communicate trends in physician documentation with the Medical Director over the specific market and/or clinic, Assist in providing annual coding refresher training to all physicians, Maintain working knowledge of medical terminology, coding guidelines and regulations, Posts all time of service payments and researches batches that are out of balance, Works closely with the Accounts Receivable and Customer Service representatives to assist with payment denials, appeals and patient related coding questions, Works in a team-oriented environment to achieve organizational goals, Attends training sessions and meetings as required, Coding credential required (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H), 3+ years' PCP / Outpatient coding experience, Adhere to and maintains required levels of performance in both coding accuracy and productivity, Identify appropriate assignment of CPT and ICD - 9 Codes for Physician and facility services provided in an observation service setting, and outpatient setting, Maintain up - to - date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others, Experience with MS Office (i.e. Set career goals that fire you up like something Elon Musk just tested on the launchpad. Perform compliance audits for designated providers/centers consistent with established audit protocol; Participates in provider/client/network meetings, which may include provider education through written communication Communicated with insurance companies regarding the updates in invoices. If you have the space to include it, you should. Word, Excel, Outlook, Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes, Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies, Evaluates medical records for consistency and adequacy of documentation, Maintains compliance standards as per the policies and reports compliance issues as required, Bachelor’s degree in any stream (preferably Life Science), Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred, Minimum one year of experience in medical coding, Analytical thinking and problem solving skills, Ability to work independently and accomplish targets in a timely manner, Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information, Active AAPC coding certification CPC or CCS, 2+ years of related work in billing or laboratory testing, Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials, Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA, Privacy and Security Regulations as evidenced by appropriate handling of patient information, Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic), Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee, As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Ability to consistently code at 95% threshold for both accuracy and quality while maintaining, Client-specific and/or Precyse production and/or quality standards, Proficient computer knowledge including MS Office (Outlook, Word, Excel), Must display excellent interpersonal and problem solving skills with all levels of internal and, 2+ years of Hospital Inpatient Coding experience, Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, 2+ years of specialty Practice Coding experience, Knowledge of Anatomy and Medical Terminology, Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations, Associate's and/or Bachelor's Degree in a related field, Experience with ENT, Neurology, Plastic Surgery, etc, Prior work experience utilizing ICD10 codes, Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures, Ability to analyze, problem-solve, and work independently, Ability to provide guidance and training to professional and coding staff, Knowledge of University policies and procedures is necessary, Prior Evaluation and Management or Emergency Medicine coding experince preferred, Preferably 3 years of data management experience and the majority of this with medical coding, Preferably 2 years of experience in Information Technology, Preferably knowledge of Clinical Development, Preferably experience in project management, Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. 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. Medical Billing Resume Medical billers are primarily responsible for handling all aspects related to medical billing and payments. So if you’re a medical coding specialist, job opportunities abound. Look to the Resume Checklist below to investigate how Medical Coding, CPT, and ICD-10 match up to employer job descriptions. Heading: Here you write your complete name, complete address, a telephone number where you can be reached, and a professional e-mail address. Present the most important skills in your resume, there's a list of typical medical coder … Deep knowledge in ICD-9 and CPT coding, medical terminology, data management, … Learn how to make a cover letter that gets interviews. A medical biller resume should show your ability to use medical codes to document patient diagnoses and treatments—but to put yours over the top, you should show how you’re detail-oriented … See perfect cover letter samples that get jobs. If you think to yourself: do I have to send a cover letter? Staff will translates these services into the correct CPT (Procedure) and ICD (Diagnosis) codes with all necessary and applicable modifiers, Staff will conduct training sessions for physicians and staff clinicians in individual or group settings on coding rules and federal regulations. Does the company prefer longer tenured coders? 20+ medical coder resume samples to customize for your own use. 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. Choose the Best Medical Billing Resume Template . Choose the Best Format for Your Medical Coder Resume . 09/2005 – 03/2012. Create a CV in 5 minutes. MEDICAL CODER RESUME TEMPLATE (TEXT FORMAT) SUMMARY. Get the job you want. Alice Nielberg 768, Sample Street, Place Name, TG 99823 (909) 977-9797, Email: nielberg.alice777@mail.com. Create a resume in 5 minutes. 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. 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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