A summary outlines the most impressive parts of your resume for easy recall by your potential employer, while also serving to fill in personal qualities that may not appear elsewhere on the page. An optimized Medical Coder resume will get you shortlisted by showing your prowess in both medical and IT fields. Of course time management lands on our list of medical coding skills you should add to your resume. Not every medical billing and coding externship resume includes a professional summary, but that's generally because this section is overlooked by resume writers. Build your resume in 15 minutes. Your Medical Coding Specialist resume should show you have the right skills. Familiarity with eClinicalWorks EMR/PM (Desired), Proficient with Medicare Fee For Service, Medicaid and Commercial payers guidelines and regulations, Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care, A thorough knowledge of Federal, State and Local regulations related to billing and insurance, Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models, Experience with and exposure to compliance matters, Specific knowledge of the regulations and guidelines as they relate to documentation and coding, Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines, Coding certifications (CPC, CCS, CCS-P, CPMA, CEMC or CENTC); compliance certifications (CHC, CPCO) and/or Bachelor's degree, Revenue management and/or healthcare industry experience, Certified Medical Coder with either CPC or CCS with high degree of competency in this area, Prior experience with Medical Office Practice Management System (EMR), Ability to research coding related issues, Hospital inpatient coding experience within the past 2 years and be knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, Ability to read, analyze and interpret medical records, Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered, Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc, Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustment, Deliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards, Coordinate with clinical leadership in development of provider training plans and for active support in the training process, Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. Communicated with insurance companies regarding the updates in invoices. Resolve questions with provider, Verify and abstract specific clinical and demographic data, APR-DRG assignment, and APG/EAPG outpatient assignment, Assure appropriate diagnosis and grouper assignment. Resume Details. Post a resume on LinkedIn to make it easy to download by recruiters. Make sure to present only those duties and accomplishments that are, International Classification of Diseases (ICD), The Common Coding System for Healthcare Procedures (HCPCS), Medicare, Medicaid, and Blue Cross insurance regulations. Are you writing entry level medical coder resumes or maybe targeting a senior position? Madeleine Forrest. 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. Communicates with the Operations Manager to find solutions and implement changes to increase productivity and department efficiency, Performs all duties and interacts with others in a professional manner, Two years of Outpatient Coding experience required, Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position, Comprehensive understanding of ICD10 and CPT coding, Demonstrated ability to create strong working relations with physicians and practices, Capable of working independently as well as in a team environment, Responsibilities include: Applying CPT - 4 and ICD - 10 codes by translating dictated pathology reports, in a timely and accurate manner, Responds to accounts receivable department when coding discrepancies need reviewed due to payer denials, Active AAPC coding certification CPC or Active AHIMA coding certification CCS, Experience working in a measured production and quality based environment, Compile, abstract and maintain patient medical records to document condition and treatment. Deep knowledge in ICD-9 and CPT coding, medical terminology, data management, … At Zety, she writes dedicated guides that help readers create job-winning resumes and cover letters. Check out real resumes from actual people. A skills-based resume can help highlight your internship experience, education, and … We’d love to hear from you, leave your comment below! 444 Orlando Street – Orlando, FL 32809 If you haven't started your job search just yet, then you might find looking at other medical coders resumes helpful. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. 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 My resume is now one page long, not three. Felicia … In previous roles abstracted and assigned ICD and CPT codes to patient medical records, maintaining 97% accuracy per 150 daily claims. Let’s look at three different job applicants’ medical billing resumes: one just starting out, another with experience under her belt, and a third who’s looking to move into a managerial position. Learn how to find the right job and get it. Read original data insights to boost your reporting. After all, Linkedin named it the fifth most important skill for landing a job in 2019. 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. Write a cover letter that convinces employers you’re the best. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues, This education is being used by some of the top health systems in the country, Work with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states, You’re a key player in the nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information, Our coding colleagues work for nThrive, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive, Experience coding Inpatient Acute and/or Outpatient medical records, Must have a thorough knowledge of medical terminology, anatomy, and physiology, Review, research and respond to practice billing and coding questions via Ask The Expert (SalesForce) platform within a designated timeframe, Collaboration with Radiation and Imaging team, participate in project calls and dashboard creation, Collaboration with Innovative Practice services to include answering coding questions and attending meetings, Research related to government regulations and commercial payer policies. Resume - Medical Coder 1. ), Ability to work 8:00 am to 4:30 pm CST Monday through Friday and overtime as business needs require, Investigational and/or Auditing experience, Understanding of ICD-10 Coding in relation to DRGs, Travel up to three days per week to providers offices, Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook and navigate in a Windows environment, Travel up to 3 days per week to providers offices, Managed Care / IPA / Health plan experience, Support the Risk Adjustment Department in the processing of attestations as well as coding and documentation education to our provider network, Travel up to 25% - Orange County and Long Beach,CA, CCS or CPC credentials through AHIM or AAPC, Travel up to 25% in Orange County and Long Beach, CA, Adjudication of claims with zero critical errors, Completion of claims in queue within specified time frame, Ability to work accurately and efficiently at all times, including those of high processing volume, Ability to multi-task and manage time efficiently under the pressure of deadlines, Sensitivity to the confidential nature of the data and proprietary company information, Good Leadership skills (Leader without Title), Review and assign accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (eg, inpatient hospital), Develop policy and work with Managed Care and Medical Affairs on trends that require payor interaction, Update education through online information as well as courses available in order to maintain strong coding skills and knowledge of legal compliance standards, Create and maintain reports for coder use in tracking productivity, denials, level of service changes made by coders, and to comply with internal audit standards, Reviews all physician documentation to ensure compliance with third party and regulatory guidelines, Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine, Understanding of how to integrate medical coding and payment policy changes into a practice's reimbursement processes, Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services, ICD-10-CM Official Guidelines for Coding and Reporting, CPT® coding guidelines and parenthetical notes, Services covered under Medicare Parts A, B, C and D, Ability to apply the above skills and knowledge in audit settings and educate on findings, Minimum of 2+ years knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture, Maintain thorough knowledge of coding policies and procedures, and medical terminology/technology, Is able to determine benefit and coverage based on TRICARE policy and UHCMV guidelines, Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance, Attend and participate in Prior Authorization List (PAL) Committee and Episode of Care (EOC) Committee and collaborate with PGBA on ensuring coding in CRT is consistent with PGBA processing of referrals/authorizations, Work closely with Utilization Management team to ensure timely updates of CRT for change orders and contract modifications, Work closely with IT developers on enhancements and releases, Able to recode authorization/referral requests to ensure TRICARE coverage and consistency in claims payment (unlisted codes, etc), Assist with annual review of Prior Authorization List and support coding changes as required, 1+ years of experience in a medical office or similar setting, in a medically related role such as customer service, administrative support, medical care or clerical related role, or an Associate's Degree (or higher), Certified Medical Coder ( CPC, etc) with current certification, Graduate of an Accredited Medical Coding School, Ability to navigate a PC to open applications, send emails, and conduct data entry, Ability to create, copy, edit, send and save using Microsoft Word, Excel, and Outlook, Ability to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86, Associate's Degree (or higher) or some college, Certified Medical Coder with either CPC or CCS with high degree of competency in this are, 1-2 years prior coding experience in a medical office or hospital environment, Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCSs, Modifiers, and CPT codes, based on National Coding Guidelines, Assists in the identification and recommendation of system edits, Code within timeframes established by Allina hosptial coding standards, Will be reviewing provider dictation and charge entry done by business ops personnel to make certain that correctCPT codes are billed and appropriate diagnoses assigned in accordance with Provider dictation, Reports for coder use are created and maintained in both business software applications and are used for tracking productivity, denials, and level of service changes made by coders, Update education through online information as well as courses available to them in order to maintain strong coding skills and knowledge of legal compliance standards, Knowledge of Medicare/CMS requirement and Allina Policy; will perform the job in accordance with Allina’s Standards of Business Conduct, which include principles of legal compliance, ethics and integrity, confidentiality, protection of assets and avoidance of conflict of interest and inappropriate business relationships, Certified as a professional coder (CPC or CCS-P), 1+ year of medical record coding and record review experience, Knowledge of ICD-10 and experience working in a managed care health plan organization, Enjoy the benefits and learning experience of being exposed to different HIM environments, Be an active participant in client and MedAssets-Precyse staff meetings, training and conference calls, often using online technology, Learning is a daily part of your role with MedAssets-Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. Pick the right resume 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. Looking for some more inspiration on how to write a resume for a healthcare professional? 2+ years of experience coding patient records in a hospital HIM departmentt, Review physician documentation and code diagnoses and procedures using current ICD-10-CM and CPT-4 coding conventions to assure the specificity of diagnoses, procedures and modifiers assignments as appropriate for optimal reimbursement for hospital and/or professional charges, Accurately code procedures and diagnosis according to specific policies and procedures, Assist with denials related to coding issues as necessary, Participate in Quality Management activities, as appropriate, Perform related work as required and/or assigned. Felicia Hartworth 100 Broadway Lane New Parkland, CA, 91010 Cell: (555) 987-1234 example-email@example.com . These professionals are … This education is being used by some of the top health systems in the country, You’re a key player in MedAssets-Precyse's Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information, Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to MedAssets-Precyse. Keep your Medical Coding Specialist resume objective short but concise. Medical Coder Trainee. That doesn’t mean, however, that you can get lazy with your applications. 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. 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