resume format for experienced medical coder

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Medical Coder Resume Examples: Proven To Get You Hired In 2024

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Medical Coder Resume Template

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Medical Coders are skilled professionals who translate medical reports into a universal code used by healthcare providers and insurers for billing purposes. As a medical coder, you're a crucial link between insurance companies and doctors, ensuring that procedures are being correctly billed. In recent years, there's been a surge in outsourcing coding jobs; despite this, highly proficient coders are still in demand stateside. When crafting your resume, remember it's an opportunity to showcase your attention to detail, knowledge in medical terminology, and your proficiency in ICD-10 codes, CPT, and HCPCS Level II coding.

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Recruiter Insight: Why this resume works in 2022

Tips to help you write your medical coder resume in 2024,    highlight specific coding certifications.

Employers value certifications as they demonstrate your commitment and expertise in the field. On your resume, highlight any coding certifications you have like CPC, COC, CIC, or specialty coding certifications from AAPC or AHIMA.

   Detail experience with Electronic Health Records (EHR) Software

Proficiency in EHR software is a must in this digital era. List any EHR software you're familiar with, like Epic or Cerner, under your skills section. This will emphasize your adaptability and familiarity with digital health platforms.

A medical coder is a healthcare information management professional. A medical coder is responsible for the data management and security of patient files. Medical coders use a system of alphanumeric codes to privately secure patient information and records. The medical coder will also facilitate billing patients and processing insurance claims in a confidential manner. To get a job as a medical coder, a degree is not necessary but is recommended. A relevant degree in healthcare, healthcare administration, or something similar will make you a stronger candidate. You will want to obtain certification as a registered medical coder to land this job. In addition, relevant experience in billing or IT can catch a hiring manager's eye. A good candidate for this role will have impressive attention to detail and great data entry skills.

   Obtain accreditation by taking a medical coding course

Most people who land a job as a medical coder have a certificate in medical coding. An accredited ICD-10-AM course educates you on the medical coding system and best practices. Once complete, this certificate is nationally recognised. Having this credential on your resume shows hiring managers you understand the foundational knowledge to be a successful medical coder.

   Obtain relevant experience in billing

Since medical coders are typically responsible for managing the billing process, it’s important to get experience with billing to heighten your chances of landing the role. Landing an entry level role as a billing assistant, and building a year or two of experience, will show the hiring manager you have hands-on experience with billing processes and expectations.

Health Information Specialist Resume Sample

As a hiring manager who has recruited medical coders at companies like UnitedHealth Group, Anthem, and Humana, I've seen countless resumes over the years. The best medical coder resumes effectively highlight the candidate's coding skills, certifications, and experience in a clear and concise manner. Here are some tips to help your medical coder resume stand out:

   Showcase your coding certifications

Employers highly value coding certifications as they demonstrate your expertise and commitment to the field. Make sure to prominently display your certifications on your resume, such as:

• Certified Professional Coder (CPC) from AAPC
• Certified Coding Specialist (CCS) from AHIMA
• Certified Coding Associate (CCA) from AHIMA
• Specialty coding certifications (e.g., CPCO, CPMA, CPPM)

Don't just list the certification acronyms; spell out the full name and include the issuing organization. If you have multiple certifications, consider creating a separate "Certifications" section on your resume to draw attention to them.

   Highlight your coding accuracy and productivity

Employers want to know that you can code accurately and efficiently. Quantify your coding skills by including metrics such as:

• Maintained a 98% accuracy rate while coding an average of 200 charts per day
• Achieved a 95% first-pass claim acceptance rate, surpassing the department goal of 90%
• Consistently met or exceeded productivity targets of 150 charts per day

Avoid making vague statements like "skilled in coding" or "detail-oriented." Instead, use specific numbers and percentages to demonstrate your coding prowess.

   Emphasize your knowledge of coding systems and guidelines

Showcase your expertise in the coding systems and guidelines relevant to your target position, such as:

• ICD-10-CM, ICD-10-PCS, and CPT coding systems
• HCPCS Level II codes and modifiers
• Official Coding Guidelines and Coding Clinic advice
• MS-DRG and APR-DRG grouping systems

Don't just list the coding systems; provide examples of how you've applied your knowledge to solve complex coding scenarios or improve coding processes.

   Tailor your resume to the specific job posting

Customize your resume to match the requirements of each job you apply for. Carefully review the job description and incorporate relevant keywords and phrases into your resume, such as:

• Specific coding systems (e.g., ICD-10, CPT, HCPCS)
• Medical specialties (e.g., orthopedics, cardiology, neurology)
• Coding software and tools (e.g., 3M Encoder, Epic, Cerner)

Avoid submitting a generic resume that doesn't address the specific needs of the employer. Instead, prioritize the skills and experience that are most relevant to the position you're seeking.

   Include relevant education and professional development

In addition to your coding certifications, include any relevant education and professional development activities that have enhanced your coding skills, such as:

• Associate or bachelor's degree in health information management or related field
• Completion of AAPC or AHIMA-approved coding courses and workshops
• Attendance at coding conferences and seminars
• Participation in coding webinars and online learning modules

Don't list every course or workshop you've ever attended. Focus on the most recent and relevant professional development activities that demonstrate your commitment to staying current in the field.

   Showcase your experience with coding audits and quality assurance

Many medical coder positions involve auditing and quality assurance responsibilities. Highlight your experience in these areas by including examples such as:

• Conducted regular coding audits to ensure compliance with coding guidelines and regulations
• Identified and corrected coding errors, resulting in a 20% reduction in denied claims
• Collaborated with physicians and clinical documentation specialists to improve documentation and coding accuracy
• Developed and delivered coding education and training sessions to team members

Don't overlook the importance of auditing and quality assurance skills. Employers value coders who can not only code accurately but also identify and resolve coding issues to minimize denials and optimize reimbursement.

Writing Your Medical Coder Resume: Section By Section

  summary.

A resume summary, also known as a professional summary or summary statement, is an optional section that appears at the top of your resume. It's a brief paragraph, typically 3-5 sentences long, that highlights your most relevant skills, experiences, and achievements. While a summary is not required, it can be a valuable addition to your medical coder resume, especially if you have extensive experience or are making a career change.

On the other hand, an objective statement, which focuses on your career goals rather than your qualifications, should be avoided. Objective statements are outdated and can make you appear self-centered rather than focused on how you can contribute to the employer's success.

To learn how to write an effective resume summary for your Medical Coder resume, or figure out if you need one, please read Medical Coder Resume Summary Examples , or Medical Coder Resume Objective Examples .

1. Tailor your summary to the medical coding job description

When crafting your medical coder resume summary, it's essential to align your skills and experiences with the requirements listed in the job description. This demonstrates to the employer that you have the specific qualifications they are seeking.

For example, if the job description emphasizes a particular coding system or requires experience with certain medical specialties, be sure to mention these in your summary:

• Certified Professional Coder with 5+ years of experience in ICD-10-CM, CPT, and HCPCS coding for both inpatient and outpatient settings.
• Skilled medical coder with a strong background in cardiology and orthopedics, ensuring accurate and compliant coding for complex cases.

Avoid using a generic summary that could apply to any medical coding position, such as:

• Experienced medical coder seeking a challenging position in a healthcare organization.

2. Highlight your coding certifications and expertise

As a medical coder, your certifications and specialized knowledge are crucial to your success in the field. Make sure to prominently feature your relevant certifications and areas of expertise in your summary.

Include certifications such as:

• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Certified Outpatient Coder (COC)
• Certified Inpatient Coder (CIC)

Additionally, mention any specific coding systems or medical specialties in which you have extensive experience:

AAPC-certified medical coder with expertise in ICD-10-CM, CPT, and HCPCS Level II coding. Specialized in coding for general surgery, gastroenterology, and oncology. Skilled in ensuring accurate, compliant, and timely coding for optimal reimbursement and patient care.

  Experience

The work experience section is the core of your resume as a medical coder. It's where you show hiring managers how you've applied your skills in real-world settings. It's also the perfect place to highlight your career progression and achievements.

To make the most of this section, focus on the following tips.

1. Highlight medical coding skills and tools

Throughout your work experience, sprinkle in mentions of the specific medical coding skills and tools you've used. Hiring managers want to quickly see if you have experience with the same skills and tools they use on the job.

• Applied knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems to assign accurate codes for diagnoses, procedures, and equipment
• Utilized 3M Coding and Reimbursement System to streamline coding processes and ensure compliance with regulations
• Collaborated with healthcare providers to clarify documentation and resolve coding discrepancies

Avoid simply listing the coding systems or software you've used without context, like this:

• Knowledge of ICD-10, CPT, HCPCS
• Familiar with Epic, 3M, Cerner

2. Show career progression and promotions

Hiring managers love seeing a track record of career growth and progression. If you've been promoted or taken on increasing responsibilities, make it obvious.

One way to do this is by bolding your job titles, like this:

Medical Coder II , ABC Hospital, 2019-Present Medical Coder I , ABC Hospital, 2017-2019

In your bullet points, also highlight how you've taken on more complex assignments or mentored junior coders.

• Promoted to Medical Coder II after demonstrating advanced coding accuracy and speed
• Provided training and guidance to a team of 5 junior medical coders

Recruiters often scan your resume quickly, so make your career progression pop with bold titles. Our resume format guide has more tips on structuring your resume to impress hiring managers.

3. Use strong action verbs for medical coding

Start each bullet point with a strong, specific action verb. This makes your contributions clear and impactful. It also keeps your writing concise.

Good action verbs for medical coders include:

• Collaborated

Avoid starting bullets with weak, vague phrases like "Responsible for" or "Worked on".

Responsible for coding and auditing medical records

Coded and audited 50+ medical records per day with 98%+ accuracy

4. Quantify your work experience with metrics

Numbers jump off the page and make your contributions more concrete for hiring managers. Throughout your work experience, find ways to quantify your impact.

Some examples:

• Coded an average of 200 outpatient records per day, maintaining 95%+ accuracy
• Reduced denied claims by 15% by improving documentation and coding precision
• Audited 1000+ coded records per month to ensure compliance with Medicare and Medicaid guidelines

Without metrics, your bullets lack context and impact:

• Coded outpatient records daily
• Reduced denied claims by improving documentation
• Audited coded records to ensure compliance

  Education

Your education section is a vital part of your medical coder resume. It shows employers that you have the necessary training and knowledge to perform the job effectively. Here are some tips to help you craft a compelling education section that will catch the eye of hiring managers.

1. Highlight relevant coursework and certifications

When listing your education, be sure to include any relevant coursework or certifications that relate to medical coding. This can include:

• Anatomy and physiology
• Medical terminology
• ICD-10 coding
• HCPCS coding
• Healthcare reimbursement methodologies

By highlighting these specific courses and certifications, you demonstrate to employers that you have the specialized knowledge needed for the role.

2. List degrees in reverse chronological order

When formatting your education section, always list your degrees in reverse chronological order, with your most recent degree first. Here's an example of what to do:

• Bachelor of Science in Health Information Management, XYZ University, Graduated 2021
• Associate of Applied Science in Medical Coding, ABC Community College, Graduated 2019

Avoid listing your degrees out of order, like this:

3. Keep it concise if you're a senior medical coder

If you're a senior-level medical coder with many years of experience, you can keep your education section brief. Employers will be more interested in your work history and accomplishments. Here's an example:

Bachelor of Science in Health Information Management XYZ University

Notice how the graduation year is omitted to avoid potential age discrimination. In contrast, here's an example of what not to do as a senior medical coder:

Online Course in Medical Billing and Coding, EFG Online School, Completed 2022 Bachelor of Science in Health Information Management, XYZ University, Graduated 1995 Associate of Applied Science in Medical Transcription, ABC Community College, Graduated 1993

  Skills

The skills section of your medical coder resume is a critical component that showcases your expertise to potential employers. It's an opportunity to highlight your proficiencies in coding systems, medical terminology, and relevant software. By strategically crafting this section, you can demonstrate your value and increase your chances of landing an interview.

1. Prioritize relevant medical coding skills

When listing your skills, focus on those that are most relevant to the medical coder position you're applying for. Review the job description carefully and identify the key skills and qualifications the employer is seeking.

Some essential skills to include are:

• Proficiency in coding systems such as ICD-10-CM , CPT , and HCPCS
• Knowledge of medical terminology and anatomy
• Familiarity with electronic health record (EHR) systems
• Attention to detail and accuracy
• Strong analytical and problem-solving skills

By highlighting these relevant skills, you demonstrate to the employer that you possess the necessary qualifications for the role.

2. Use industry-specific terminology

Incorporating industry-specific terminology in your skills section shows that you are well-versed in the language of medical coding. This helps you come across as a knowledgeable and experienced professional.

However, be cautious not to overload your skills section with jargon or acronyms that may be unclear to some readers. Strike a balance by using commonly recognized terms and providing brief explanations when necessary.

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) CPT (Current Procedural Terminology) HCPCS Level II (Healthcare Common Procedure Coding System) Medical terminology Anatomy and physiology

3. Showcase your technical skills

In addition to your coding skills, it's important to highlight your technical proficiencies. Medical coders often work with various software programs and databases, so demonstrating your comfort with these tools can set you apart from other candidates.

Some technical skills to consider including are:

• Proficiency in EHR systems such as Epic , Cerner , or MEDITECH
• Familiarity with medical billing software like MediSoft or Kareo
• Experience with coding auditing tools such as 3M Coding Audit Expert or Optum Insight
• Knowledge of Microsoft Office suite (Word, Excel, PowerPoint)

4. Be mindful of Applicant Tracking Systems (ATS)

Many healthcare organizations use Applicant Tracking Systems (ATS) to screen resumes before they reach human eyes. These software programs scan resumes for specific keywords and skills related to the job description.

To increase your chances of passing the ATS screening, incorporate relevant keywords from the job posting into your skills section. However, be careful not to engage in 'keyword stuffing' – the practice of overloading your resume with keywords in an unnatural way.

Medical coding, medical coding, medical coding ICD-10, ICD-10, ICD-10, ICD-10 EHR, EHR, EHR, electronic health records, EHR

Instead, integrate keywords naturally into your skills section:

Medical coding (ICD-10-CM, CPT, HCPCS) Electronic health records (EHR) systems Compliance with HIPAA regulations

Skills For Medical Coder Resumes

Here are examples of popular skills from Medical Coder job descriptions that you can include on your resume.

• Medical Terminology
• Epic Systems
• Health Information Management
• U.S. Health Insurance Portability and Accountability Act (HIPAA)
• Medical Records

Skills Word Cloud For Medical Coder Resumes

This word cloud highlights the important keywords that appear on Medical Coder job descriptions and resumes. The bigger the word, the more frequently it appears on job postings, and the more likely you should include it in your resume.

How to use these skills?

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Medical Coder Resumes

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Medical Coder Resume

Formal medical coder resume, elegant medical coder resume.

• Medical Coder Resume Writing 101

Compliance and data accuracy are essential for medical organizations to get the best results for patients. That’s why pros like you are needed to identify documentation deficiencies, analyze treatment results, and provide the right data in the treatment process.

Have you reviewed your resume to ensure it meets each medical organization’s needs? Does your resume template help highlight your achievements and skills?

Since your work can significantly impact patient success, hiring managers will perform in-depth overviews of resumes to choose the best applicants to interview. We’ll help you stand out with cover letter writing tips and our medical coder resume examples that are landing many jobs in 2024.

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What Matters Most: Your Medical Coder Skills & Work Experience

The job skills needed for medical coders can vary depending on the organization and the type of patients they treat. For example, one organization may need coders to help with billing, whereas another needs assistance with CPT coding. 

To optimize, review the job description to ensure you choose the right skills for each company you apply to. It’ll ensure you stand out whether you’ll be using Quadax or Meditech systems in daily processes. 

Here are some of the best medical coder skills to list on your resume. 

9 best medical coder skills

• Claims Submissions
• Quality Assurance

Sample medical coder work experience bullet points

While medical billing and quality assurance skills will stand out, medical hiring teams will still want to see more, so they’re sure you’ll be successful. 

Knowing how many metrics are used in medical environments, you can optimize your work experience examples by including the right numbers, such as accuracy or compliance rates.

Also, ensure the examples you list are actionable achievements rather than just job duties. For example, rather than saying you were “in charge of claims submissions,” try for something more impactful, such as “reviewed over 300 weekly claims submissions using Quadax to ensure 99% accuracy.”

Here are a few samples:

• Followed ICD-10 coding standards to provide the proper diagnosis codes, boosting treatment accuracy by 26%. 
• Conducted audits on 315 medical records using EncorderPro, boosting compliance with HIPAA standards by 48%. 
• Created audit reports in Excel for review from medical office managers, boosting data efficiency by 59%. 
• Implemented automated coding solutions with NextGen Share, saving 300 manual data entry hours and reducing monthly operational costs by $4,000. 

Top 5 Tips for Your Medical Coder Resume

• Medical coding is a highly technical profession with high compliance standards. So, focusing on a technical skill set like ICD-10 coding and medical billing will help you stand out. 
• Action words like “reviewed” and “analyzed” will make your examples more impactful. For instance, you could say you “reviewed over 500 records during quarterly quality assurance efforts to boost data accuracy by 38%.” 
• Medical coding tools and standards are constantly evolving. For example, there has been an evolution from ICD-9 to new ICD-10 standards in today’s medical coding practices. So, listing your most recent coding experiences first will help you emphasize the most relevant skill set . 
• Think of your resume like you’re organizing reporting data for medical decision-makers. You’d want it to have clear headers, be well-spaced, and have bullet points with key information. Choose a resume template that presents your medical coding experiences similarly.  
• Your accuracy on the job will be vital when entering diagnosis codes and sending out billing documents. To show medical hiring managers you can maintain compliance, start things off right by proofreading to ensure your resume is grammatically correct throughout.  

Limit your medical coding resume to three or four jobs. They should be the most recent and use a relevant skill set in aspects like CPT coding and claims submissions. 

There are still many ways for inexperienced medical coders to stand out. You could list transferable skills from other jobs, like performing accurately as a data entry clerk. Additionally, educational achievements from your information management degree or while obtaining your CPC can provide more relevant abilities. 

Inexperienced medical coders can often benefit from using a resume objective . For example, you could write a few sentences about how you’re an organized and motivated coding professional ready to apply your three years of data entry experience and knowledge of CPT coding to ensure the best results for patients. 

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What do employers look for in a medical coding resume?

An optimized Medical Coding resume will get you shortlisted by showing your prowess in both the medical and IT fields. The perfect resume will show the recruiter coding skills laced with a healthy knowledge of medical terminology.

A medical coder has to work with patients so top-notch communication abilities and versatile techniques of procuring patient information will make you shine.

In this guide, we will show you all the tricks of framing that perfect resume to get you right on top of any recruiter’s list. Additionally, we have riddled the blog with medical billing resume sample and medical coder resume examples to help you through the entire process.

Before beginning, we would like you to be aware of what is about to come.

Here is a brief overview of our medical coding resume 2022 Blog:

• Enter your certification details in your resume for medical coding.
• State if you have worked on any relevant projects.
• Stick to reverse chronological format to communicate your details.
• Provide links to your professional portfolio on personal websites.
• List your medical coding skills in a separate section.
• Wrap up your resume by including a strong medical coding resume summary.

That's not all.

This blog contains 10+ entry level medical billing and coding resume sample and section-wise medical biller resume example so you can analyze what we are talking about, in real-time!

By the end of this blog, you will be able to learn how to write a medical billing and coding resume by learning:

• What is medical coding job description?
• How do I write a medical coding resume?
• What to add to a medical coder resume template?
• How to start medical coding resumes?
• How to add medical coding experience to a resume?
• Should I add medical coding qualification and certification details to my resume?

What skills do medical coders need?

• When to include a resume summary and medical coding resume objective?

However, if you are in a rush and want to get your hands on the perfect resume in minutes, go to Hiration's Online Resume Builder .

We have a fine selection of designs and pre-written medical billing resume samples. All you have to do is edit the information present in our medical coder resume template to fit your career needs, and that’s it!

Job Description of Medical Coding Jobs

Medical coders are health care professionals responsible for creating useful medical codes from physician reports. Medical coders ensuring that all the patients' information is available online and easily accessed by the insurance company and other organizations.

Medical coders not only work in hospitals but are also an essential part of nursing homes, urgent care facilities, treatment centers, and other medical settings.

According to the U.S. Bureau of Labor Statistics , from 2019 to 2029, medical coders might see an 8% increase in job vacancies.

The Medical Coding market size in the US alone is expected to grow in the coming years.

SOURCE: Grand View Research

Medical Billing and Coding Skills for Resume

Here is a list of some common medical coding skills:

Medical Coder Salary

• Payscale.com : $18.90/hour
• Indeed.com : $47,699 per year
• Glassdoor.com : $41,246 per year

Choose the Right Medical Coding Resume Format

How to make a resume for medical coder?

First and foremost, we would like to make you aware of the Applicant Tracking System ( ATS ). Every maneuver we design is in the hopes that your resume will sidestep these bots and land in front of an actual recruiter.

Choosing the right medical coder resume format is a step in this direction. The right resume format can make a world of difference to your job application.

You have three formats to choose from to write your medical coding resume:

• Reverse-Chronological : This format is the best one in business. It displays your most relevant career information first to the recruiter, thus making it extremely recruiter-friendly. More good news is, it is extremely ATS-compliant. It has the Hiration seal of approval.
• Functional : We would not advise using a functional resume for a medical coder. Though this format has its benefits for frequent job-hoppers, and people with career gaps. But it can cause a hindrance when matched with an ATS. Avoid using it if you have a normal career trajectory.
• Combination : This format combines the best of both worlds. If you have advanced in your career and have gathered 15-20 years of experience, this resume format could be the one for you.

If you are doubtful about whether you have chosen the right format and want some expert opinion, our resume experts at Hiration would love to guide you.

Get your resume reviewed by us to ensure that it is recruiter-friendly and ATS-compliant. We will give you valuable feedback and inform you regarding the changes your resume needs.

Identify Distinct Sections to Organize Your Medical Coding Skills Resume

There are some hard and fast sections that are imperative to your medical coding resume and must be included at all costs.

However, there are some optional sections as well that only you can be the judge of whether they are required in your medical coding resume or not.

Here's a list of all the resume sections you can introduce in your medical biller and coder resume:

• Personal Information
• Profile Title
• Summary/Objective
• Key Skills/Technical Skills
• Professional Experience
• Internship (if any)
• Certifications (if any)
• Additional Information (if any)
• Extracurricular Activities (if any)

You have to be wise in choosing what optional sections you display in your medical coding resume.

For instance, sections like extracurricular activities are more appropriate for entry level medical coder resumes.

Further, dividing your information and filing it under appropriate headings makes it more readable and easy to navigate.

If your thirst for curiosity is not yet quenched. Go to our Guide to resume sections .

Whether you are wondering how to create resume for new medical coder or you are an experienced professional looking to update your resume. Our tool has something for everyone!

Start Writing Your Medical Coding Resume with the Header

Now that you have decided on the format you are going to use and identified the sections for your resume. It’s time to begin the actual writing process.

Starting with the resume header, firstly give your resume a unique label so that the recruiter can identify whose resume it is as soon as they look at it. You can do so by writing your name as the label.

Your name is the biggest thing in a medical coding resume. Write it in the font size of 16-20 points .

There have been candidates that label their resume as 'CV' or 'resume'. This however is not the correct approach. It’s just stating the obvious and taking up precious space on your resume that could be put to better use.

There are more tips and examples on our Guide to writing a resume header to give you in-depth knowledge of the same.

Here's a medical biller resume example illustrating what your resume header should look like:

Medical Coding Resume: Personal Information

Just after you have written your name, the next business to take care of is writing down your correct contact information. This makes sure that if you make your way into any shortlists, the recruiter has viable means of contacting you so you can move up to further rounds.

Here's the information without which medical coding resumes would be incomplete:

• Updated mobile number: Only provide your mobile number on which you are available day or night
• Professional email ID: Possibly the most professional and convenient way of communicating with your prospective employers. Show them your professional mannerism by giving out a professional-looking address.
• Current Location: No need to provide your full address. Only write your city and state if the job you are applying to is in your country of residence. If however, you are looking for opportunities abroad, write your city and country name.
• Personal Website Link: If you have a well-maintained professional profile in any relevant platforms like Kaggle, GitHub, LinkedIn, etc.

Hiration Pro Tip : Well-maintained social media profiles or an online portfolio can do wonders for your job application. So, add links to your professional profiles on various websites in the personal information section.

If you still think, there is not much to write in the personal information section. Our guide to resume contact information will have you think otherwise.

To know what an ideal personal information section should ideally look like, take a look at the medical coder resume sample below:

All the snapshots of medical coder resume templates in this guide have been made using our Online Resume Builder .

Medical Coding Resume: Profile Title

The people who tell you that they bumped up their title on their resumes and got a high-profile job or a big pay raise are lying! Lying on your resume is absolutely unforgivable and will most definitely cost you your job.

So, take one step at a time and apply for jobs based on merit rather than fraud.

Your profile title should be honest and tell the recruiter your exact job title, your functional industry, and your seniority level.

Moreover, this information occupies the second-largest font size in your medical coding resume of 14-16 points .

Here's a medical biller resume example showcasing the profile title of the candidate and what it should look like in your resume:

Find out if the profile title you are writing on your resume is suitable for the job you are targeting. Get your resume reviewed today!

Draft the Professional Experience Section of Your Medical Billing Resume

How to write a resume for medical coding experience?

Now let’s get to the actual business. This section will occupy maybe around 70% of the space on your medical coding resume. Needless to say, you need to make it perfect!

The details that will go in this section are:

• Your past and current employers
• The duration of each employment
• Your job profile in each organization
• Your day-to-day roles & responsibilities

...and much more

Basically, you have to put together a career trajectory that will appeal to your prospective new employer and make them want to interview for the job you are eyeing for.

You can take the following measures to ensure that your professional experience section is nothing less than perfect:

• Frame one-liner medical coding resume bullet points
• Use the STAR format
• Practice Grouping & Highlighting

Say with us, points over paragraphs. This is the mantra that you will follow when putting together your medical coding resume bullet points. Anytime the urge to exceed any point to even 2 lines strikes. Repeat the mantra.

Remember, the recruiter will spend an approximately 6-7 seconds on your resume. So, rambling on in your resume, even if you think that portrays your personality better will be your downfall.

Strictly stick to one-liner medical coder resume bullet points. We will show you in the next section another mantra that will make your points impactful!

For now, here are two medical coder examples to further drive our point home:

AVOID THIS:

Medical Coder Resume Example 1

" As a Medical Coder, I was responsible for assigning codes during the medical billing process. I diligently ensured that the accuracy of codes remained at 100% while consistently complying with the government & insurance regulations. I was also responsible for maintaining relationships with 9 insurance companies to make sure that invoices were updated while handling insurance verifications. Moreover, I assigned CPT and ICD codes to the patient's medical records with 98% accuracy".

PRACTICE THIS:

Medical Coder Resume Example 2

• Assigned 150+ codes in a day throughout the medical billing process
• Ensured the accuracy of codes to be 100% while also seeing that they were sequenced in compliance with the government & insurance regulations
• Liaised with 9 insurance companies to update invoices and handle insurance verifications
• Assigned CPT and ICD codes to patient's medical records with 98% accuracy

Framing Points: Analysis

The two medical coder resume samples illustrated above demonstrate the following:

In conclusion, make your medical coding resume more recruiter and ATS-friendly by using power verbs to start each one-liner point.

STAR FORMAT

So, now you know that you have to formulate one-liner points. That does not mean that you can break down your paragraph into individual sentences and display them as bullet points. You have to put in a little work to make your one-liner points pack a punch.

Here comes another widely used technique, called the STAR format . Use this to structure your work details and make them look flawless.

Here is what STAR means:

• S or Situation : The situation/backdrop/context of your contributions
• T or Task : The actual task that was assigned to you
• A or Action : The strategy you used to execute the assigned task
• R or Result : The result/outcome of your action in the form of an achievement figure

GROUPING & HIGHLIGHTING

At last, another simple step called highlighting & grouping can enhance your medical coding resume and bring out the best in it.

Under grouping, you simply have to group similar points that can be assembled under the same function. Moreover, under highlighting, the important aspects of each bullet are highlighted by marking them in bold.

Here are two medical coder resume samples to explain this point:

LESS IMPACT:

HIGHER IMPACT:

Medical Coding

• Ensured the 100% accuracy of codes and in compliance with the government & insurance regulations

Invoice Management & Billing

• Liaised with 9 insurance companies to update invoices and handle** insurance verifications**

Grouping & Highlighting: Analysis

We can draw the following conclusions from these two medical coder resume examples illustrated above:

Ensure that you include achievement figures where it rightfully belongs.

Medical Coder Sample for Professional Experience

There is always more to learn. Read our guide on work experience in a resume .

Wondering what do employers look for in a medical coder resume? Wonder no more! Here is a sample medical coder resume showcasing the perfect professional experience section:

All the snapshots of medical coder resume samples in this guide have been curated using our Online Resume Builder . Use this tool to access a pre-designed medical coder resume and cover letter.

Medical Coding Resume Keywords

Another practice to follow to make sure your resume gets parsed by any ATS is to keyword-optimize your resume. You can find these medical coder resume keywords in the job description of the job you are targeting.

Before sending your medical coding resume to the recruiter, scan the JD thoroughly to find keywords that are applicable to you. Introduce these keywords organically in your professional experience statements.

Further, later in the resume-writing process, when you will be writing your medical coder resume summary and medical billing and coding skills for resume, sprinkle a healthy dose of the medical coder resume keywords here as well.

List Your Education Details in a Medical Coding Resume

Have you been confused over what to include on a resume for an entry level medical coder? Do not leave out your education section, especially on an entry level medical coder resume.

Here's a list of the details that your education sections need:

• Name of the school/university you have attended.
• Name of the courses you have pursued.
• The location of your school/university.
• Enrolment and graduation dates in month & year format .

There is more on Hiration's Guide on how to list education on your resume . Head on there to read an exhaustive guide.

Here's a medical coder resume example showcasing the ideal education section for your resume:

Medical Coder Resume: Certifications

As a medical coder, your recruiter will expect to see some certifications in your medical coding resume. Especially if you want to have an edge over your competition.

If you have been asking yourself how to create resume for new medical coder, this would be one of the steps to take. Certifications will definitely help you land a job.

Here's a list of the details you should include in the certifications section of your medical billing specialist resume:

• Name of the Certification.
• Name of the Certifying Institute.
• Location of the Certifying Institute.
• Dates of Enrolment & Completion of the course.

Arrange these details in your medical coding resumes in the below-mentioned format:

{Name of Certification} | {Affiliating Institution} | {Location} | {Date} (month & year format)

Want more information before deciding whether to display certifications in an entry level medical coder resume or not, read up about it in Hiration’s Guide to certifications on resume .

Here's a medical billing and coding resume sample demonstrating the ideal certifications section for your resume.

All the snapshots of the medical coder resume samples in this blog have been drafted using our Online Resume Builder .

It comes with a pre-designed medical billing specialist resume and cover letter so all you need to do is modify them to suit your needs and that’s it.

Highlight Your Medical Coding Resume Skills

This section can do wonders to solidify your candidacy. You will be picking up this section near the end so that all the information needed to frame this section is already present on your resume.

Scan your professional experience section and pick out your most significant skills. After you have identified them, introduce them in this section.

Moreover, for the sake of the ATS, also consider adding a few keywords present on the JD. However, only those keywords should be added which your career trajectory can justify.

There is more on this in our guide to what skills to put on a resume .

Here's a medical coder resume example showcasing how to correctly endorse your skills in your resume:

Conclude Your Medical Coding Resume with a Summary

A recruiter skims through your medical coding resume to see if you are a candidate worth spending more than a few seconds on.

You can get ahead of them by showing your worth at the beginning itself.

Although it is the last section you are tackling, it will be displayed near the top. So, recruiters will look at this section first to see if you are a desirable candidate.

How can you grab the recruiter's attention? Just smartly curate a 3-5 lines summary of your medical coding resumes that will show the recruiter the impact you can bring to their organization.

Remember that only 3+ years of experienced professionals need a resume summary. If you are drafting a medical coder resume no experience or an entry level medical coder resume, then go with the objective statement.

Divulge into this know-how Guide to writing a resume summary to write perfect resume summaries.

Attached below is a medical billing resume sample showcasing what a well-curated resume summary should look like:

In the meanwhile, let us carry some of the load off. Job hunting is difficult as is! Visit our Online Resume Builder and create the perfect medical biller and coder resume.

Medical Coding Resume Objective

People drafting medical coder resume no experience or entry level medical coder resume should include an objective statement in their resume.

It looks and sounds like a resume summary, however, you are playing up your skills and not your work experience. Show how you can be a valuable addition by highlighting work done in internships, etc.

Read more about resume objectives on our guide to the resume objective section .

Applying to jobs but never getting a callback? Send us your medical coding resumes and we will review them to help you make them perfect.

Use Hiration’s Services to Perfect Your Medical Coding Resume

We are offering you a state-of-the-art resume builder and review services to help you build an impeccable medical biller and coder resume. You have to go no further! Visit our Online Resume Builder and see for yourself.

Resume Review Service

Send us your medical coding resume and rest assured that we will take care to make your resume nothing less than perfect.

The feedback you receive will be based on the following parameters:

• Compliance with industry norms
• Content Relevance
• Design Compatibility
• ATS Compliance
• Performance Assessment
• Conversion Scope
• Global Compatibility
• Recruiter Friendliness
• Resume Formatting (font, margins, the order of sections, etc.)

Online Resume Builder for Your Medical Coding Resume

We guarantee that our Online Resume Builder is the best in the recruitment business.

Doubt us? Visit us and witness the AI-powered tool in all its glory yourself.

Here's a list of the features that come with Hiration’s Resume Building Tool:

• LIVE resume score
• 25+ resume designs
• Full rich-text editor
• Unlimited PDF downloads
• JD-resume matcher
• Option to save unlimited resumes
• 1-click design change
• Intuitive text recommendations
• 100+ pre-filled resume templates
• A sharable link
• LIVE resume editor

Hiration Cover Letters & Other Services

Go to our cover letter builder and check out the medical coding resume cover letter examples.

Hiration's Cover Letter Builder provides:

• 10+ ready to use templates
• 15+ designs
• Freedom to customize templates
• Create multiple cover letters
• Easy downloading

The following features are worth checking out:

• Digital Portfolio Builder
• LinkedIn Review
• Interview Preparation

Medical Coding Sample Resume

Wondering what does a medical billing resume looks like? Here is our medical billing and coding resume template to show you exactly:

• Assigned 100+ codes in a day during the medical billing process and created a claim to be paid by insurance carriers
• Ensured codes are 100% accurate and sequenced correctly in accordance with government & insurance regulations
• Searched for information where the coding is complex and followed up with the doctors in case of insufficient information
• Communicated with 7 insurance companies regarding the updates in invoices and handled insurance verifications
• Assigned ICD and CPT codes with 99% accuracy to patient's medical records (100+ daily claims )
• Performed CAC via radiology information systems and analyzed DRG assignments by deploying ICD-9-CM codes
• Reviewed the patient's charts & documents for maintaining the accuracy and ensured that all codes are current & active
• Maintained patient's confidentiality & information security and kept track of their data over multiple visits
• Certified Professional Coder | American Academy of Professional Coders (AAPC) | Mar '16
• Top 5 percentile of the class
• Part of the ChildCare NGO | Apr '17 - Present
• Donating 10% of the salary each month to provide clothes & shoes to the homeless
• Educating 250+ children and their families on nutrition and disease prevention
• Member of the Basketball Team in High School | Apr '14
• Languages : English, French and Spanish

The given medical coding resume format/medical coding resume template is your best shot for communicating your medical coding skills and expertise to the recruiters.

Key Takeaways

Here are the key takeaways of our medical biller and coder resume blog:

• An objective for medical coding resume is needed for entry level medical coder resume.
• Scan the JD for medical coding resume keywords to understand what do employers look for in a medical coding resume. Include these keywords organically in your resume.
• For new medical coders wondering what to include on a resume for an entry level medical coder. In addition to the standard sections, include your certificates, internships, and other academic information .
• Use distinct resume sections to organize your information.
• Instead of writing ‘CV’ or ‘resume’ on top of the medical coding resume, write your name .
• Do not divulge anything more than your contact information in the personal information section.
• Write an honest profile title.
• Do not overlook the education & certification section on your medical coding resume.
• Use a distinct 'Key Skills' section in your medical coding resume to highlight your medical billing and coding skills for resume.
• Use grouping & highlighting in addition to one-liners to enhance the effectiveness of your medical coding resume.

With this, you have reached the end of our medical biller and coder resume guide.

We hope that the medical coder resume examples and medical billing resume samples present in this blog made your resume-writing experience easier.

Go to Hiration resume builder and create a professional resume for yourself. Additionally, reach out to us at [email protected] and you can get 24/7 professional assistance with all your job & career-related queries.

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• Medical Coding Specialist Resume Example

Resume Examples

• Common Tasks & Responsibilities
• Top Hard & Soft Skills
• Action Verbs & Keywords
• Resume FAQs
• Similar Resumes

Common Responsibilities Listed on Medical Coding Specialist Resumes:

• Reviewing patients' medical records to identify diagnoses and procedures performed
• Assigning accurate medical codes for diagnoses, treatments, and procedures according to the appropriate classification system
• Ensuring compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines
• Abstracting relevant information from patient records for billing and reporting purposes
• Collaborating with healthcare providers to ensure that documentation supports the codes assigned
• Entering coded data and patient information into electronic health records (EHR) systems
• Staying current with updates in medical coding standards and compliance requirements
• Conducting audits to ensure coding accuracy and to prevent fraud or incorrect billing
• Communicating with insurance companies regarding discrepancies in payments and denials
• Participating in educational sessions to improve coding skills and healthcare knowledge
• Resolving coding issues and discrepancies by collaborating with other coding specialists and healthcare professionals
• Assisting in the development and implementation of coding policies and procedures within the healthcare organization

Speed up your resume creation process with the AI-Powered Resume Builder . Generate tailored achievements in seconds for every role you apply to.

Medical Coding Specialist Resume Example:

• Streamlined the medical coding process by implementing a new EHR system, leading to a 15% increase in coding efficiency and reducing average claim processing time by 20%.
• Conducted thorough audits of coding practices, identifying and correcting discrepancies that resulted in a 10% decrease in billing errors and a 5% increase in revenue recovery.
• Developed and led training sessions for 25 coding specialists on the latest ICD-10 updates, ensuring 100% team compliance and maintaining the organization's reputation for coding accuracy.
• Collaborated with a team of healthcare providers to refine documentation workflows, which enhanced code assignment accuracy and resulted in a 30% reduction in claim denials due to coding errors.
• Played a pivotal role in the transition to a new coding classification system, achieving a seamless changeover with zero downtime and maintaining consistent billing cycles.
• Initiated a peer-review coding accuracy program that improved overall coding precision by 18%, significantly contributing to the organization's goal of top-tier coding standards.
• Successfully managed the coding aspect of a high-volume specialty department, handling over 1,000 patient records monthly and maintaining a 98% accuracy rate in code assignments.
• Resolved complex coding issues, resulting in the recovery of $200,000 in previously lost revenue over a six-month period through meticulous back-coding and claims adjustment.
• Enhanced inter-departmental communication protocols with billing and insurance teams, leading to a 25% faster resolution of payment discrepancies and a higher patient satisfaction score.
• Expertise in ICD-10, CPT, and HCPCS coding
• Proficiency with electronic health records (EHR) systems
• Knowledge of medical terminology, anatomy, and physiology
• Auditing and quality assurance skills
• Understanding of healthcare reimbursement methodologies
• Ability to analyze and interpret medical records
• Strong attention to detail and accuracy
• Experience with medical billing processes
• Compliance with HIPAA and other healthcare regulations
• Skills in data entry and management
• Proficiency in coding software and tools
• Continuous education and training in coding updates
• Collaboration and communication skills with healthcare professionals
• Problem-solving and critical thinking abilities
• Time management and organizational skills
• Experience in policy and procedure development
• Negotiation skills with insurance companies
• Leadership and team management capabilities

Top Skills & Keywords for Medical Coding Specialist Resumes:

Hard skills.

• ICD-10-CM/PCS Coding
• Medical Terminology
• Health Information Management
• Medical Billing Software
• Electronic Health Records (EHR) Systems
• Health Insurance Portability and Accountability Act (HIPAA) Compliance
• Medical Coding Guidelines
• Anatomy and Physiology
• Medical Coding Auditing
• Medical Coding Classification Systems
• Medical Coding Reimbursement

Soft Skills

• Analytical Thinking and Attention to Detail
• Accuracy and Precision
• Organizational Skills
• Problem Solving Abilities
• Adaptability to Change
• Time Management
• Critical Thinking
• Interpersonal Skills
• Ethical and Professional Behavior
• Ability to Work Independently
• Technical Proficiency
• Attention to Compliance and Regulations

Resume Action Verbs for Medical Coding Specialists:

• Collaborated
• Implemented
• Communicated
• Interpreted

Generate Your Resume Summary

Resume FAQs for Medical Coding Specialists:

How long should i make my medical coding specialist resume, what is the best way to format a medical coding specialist resume, which keywords are important to highlight in a medical coding specialist resume, how should i write my resume if i have no experience as a medical coding specialist, compare your medical coding specialist resume to a job description:.

• Identify opportunities to further tailor your resume to the Medical Coding Specialist job
• Improve your keyword usage to align your experience and skills with the position
• Uncover and address potential gaps in your resume that may be important to the hiring manager

Complete the steps below to generate your free resume analysis.

Related Resumes for Medical Coding Specialists:

Certified medical assistant, medical administrative assistant, medical assistant, medical office assistant, medical support assistant, medical technologist, non certified medical assistant, healthcare administrator.

Medical Coder Resume Examples and Templates

This page provides you with Medical Coder resume samples to use to create your own resume with our easy-to-use resume builder . Below you'll find our how-to section that will guide you through each section of a Medical Coder resume.

What Do Hiring Managers Look for in a Medical Coder Resume

• Medical coding using coding systems such as ICD-10-CM and CPT.
• Reviewing medical records and extracting relevant information for coding.
• Ensuring compliance with coding guidelines and healthcare regulations.
• Entering coded information into electronic systems or software.
• Participating in quality assurance activities and coding audits.

How to Write a Medical Coder Resume?

To write a professional Medical Coder resume, follow these steps:

• Select the right Medical Coder resume template.
• Write a professional summary at the top explaining your Medical Coder’s experience and achievements.
• Follow the STAR method while writing your Medical Coder resume’s work experience. Show what you were responsible for and what you achieved as a Medical Coder.
• List your top Medical Coder skills in a separate skills section.

How to Write Your Medical Coder Resume Header?

Write the perfect Medical Coder resume header by:

• Adding your full name at the top of the header.
• Add a photo to your resume if you are applying for jobs outside of the US. For applying to jobs within the US, avoid adding photo to your resume header.
• Add your current Medical Coder position to the header to show relevance.
• Add your current city, your phone number and a professional email address.
• Finally, add a link to your portfolio to the Medical Coder resume header. If there’s no portfolio link to add, consider adding a link to your LinkedIn profile instead.
• Bad Medical Coder Resume Example - Header Section

Taylor 7600 W. Bay Meadows Avenue Rochester, NY 14606 Marital Status: Married, email: [email protected]

• Good Medical Coder Resume Example - Header Section

Taylor Malone, Rochester, NY, Phone number: +1-555-555-5555, Link: linkedin/in/johndoe

Make sure to add a professional looking email address while writing your resume header. Let’s assume your name is John Doe - here is a formula you can use to create email addresses:

• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]
• [email protected] - [email protected]

For a Medical Coder email, we recommend you either go with a custom domain name ( [email protected] ) or select a very reputed email provider (Gmail or Outlook).

How to Write a Professional Medical Coder Resume Summary?

Use this template to write the best Medical Coder resume summary: Medical Coder with [number of years] experience of [top 2-3 skills]. Achieved [top achievement]. Expert at [X], [Y] and [Z].

How to Write a Medical Coder Resume Experience Section?

Here’s how you can write a job winning Medical Coder resume experience section:

• Write your Medical Coder work experience in a reverse chronological order.
• Use bullets instead of paragraphs to explain your Medical Coder work experience.
• While describing your work experience focus on highlighting what you did and the impact you made (you can use numbers to describe your success as a Medical Coder).
• Use action verbs in your bullet points.

Senior Medical Coder Resume Example

Senior Medical Coder

• Evaluate medical bills, ensuring consistency and accuracy of claims.
• Analyze coding for errors and deny incorrect claims.
• Conduct random or focused reviews of medical records.
• Make referrals and collaborate with Medical Directors.
• Assess medical records against clinical and reimbursement policies.
• Maintain adherence to quality assurance standards.
• Serve as a resource to facilitate understanding of Clinical Editing Team and Complex Claim Unit Programs.
• Handle escalated cases promptly.
• Seek supervisory assistance for problem-solving and decision-making when necessary.
• Report any concerns or complaints expressed by healthcare professionals to supervisory staff.
• Maintain effective communication, courtesy, and professionalism in all interactions.
• Collaborate with contracting and provider relations as needed to meet customer needs.
• Analyze clinical information and make appropriate recommendations.
• Identify and refer cases for possible fraud to the appropriate departments.
• Participate in special projects as required.
• Handle multiple products and benefit plans.
• Perform additional duties as assigned.

Ambulance Medical Coder Resume Example

Ambulance Medical Coder

• Verified signatures and ensured medical charts were complete and accurate.
• Reviewed patient charts to gain a comprehensive understanding of health histories, diagnoses, and treatments.
• Entered patient information into an EMR system (TraumaSoft) and assigned procedure and diagnostic codes for billing purposes.
• Selected appropriate descriptive codes when multiple anatomical locations were indicated.
• Coded emergent and non-emergent ambulance trips at a rate of 80 charts per day.
• Utilized various coding books, procedure manuals, and online encoders effectively.
• Demonstrated active listening, interpersonal skills, and telephone etiquette when communicating with others.
• Conducted billing and coding procedures for ambulance trips.
• Applied official coding conventions and rules from the American Medical Association and Centers for Medicare and Medicaid Services to input diagnostic codes.
• Ensured accuracy of coded data to prevent fraud and abuse and to reflect services provided.
• Identified diagnoses and procedures and selected accurate coding sequences, including ICD-10, HCPCS, and CPT codes, while meeting the required quota of 281 records.
• Reviewed and interpreted documentation from 281 medical records.

Certified Medical Coder II Resume Example

Certified Medical Coder II

• Accurately assign ICD and CPT codes to patient records based on the provided documentation.
• Review patient charts and identify any discrepancies or missing information in the documentation that may affect coding accuracy.
• Interpret medical terminology and diagnoses to translate them into coding software.
• Provide guidance and training to physicians and staff on medical coding practices and documentation requirements.
• Ensure compliance with medical coding policies, guidelines, and regulations.

Medical Coder Resume Example

Medical Coder

• Process insurance pre-authorization requests and communicate with insurance companies to obtain necessary approvals.
• Handle claims submission and resubmission, addressing any rejections or denials.
• Proficient in using insurance portals for efficient claims management.
• Accurately assign diagnosis and procedure codes to ensure proper billing and reimbursement.
• Familiar with DHA portals and proficient in navigating them for insurance-related tasks.
• Well-versed in dealing with various insurance Third Party Administrators (TPA) and payers.
• Follow up with insurance companies to ensure timely payment processing.
• Conduct internal audits and reconciliation to maintain accurate financial records.
• Handle day-to-day activities, including email management and general office duties.
• Maintain high standards of quality assurance, including addressing telephonic queries.
• Utilize effective people management and organizational skills to plan and provide training to staff.
• Possess knowledge about pharmacy insurance-related queries, dealing with insurance companies, checking remittance, and preparing reports.
• Conduct performance reviews and internal audits to encourage professional development and identify areas for improvement.
• Generate coded information by reviewing clinical information and translating it into appropriate codes using ICD-10-AM code set and ACHI code set.
• Provide classified data for patient population health, health information exchange, physician performance and utilization review, insurance, planning, and forecasting for healthcare services.
• Contribute to writing medical coding policies and procedures within the organization.

Sr. Medical Coder / Physician Documentation Trainer Resume Example

Sr. Medical Coder / Physician Documentation Trainer

• Schedule and conduct new provider training, perform follow-up audits with training, bi-annual audits, and annual audits, and ensure timely submission of new, revised, and deleted CPT, HCPCS, and ICD-10 codes.
• Provide assistance with coding inquiries, super bills, E/M services, procedural documentation, and PATH attestation(s) in compliance with Federal regulations and guidelines.
• Code multi-specialty E/M services, work with high volume claim files, handle invoice corrections, and perform various other tasks typical to medical coding practices as a member of the coding unit.
• Proficient in systems such as Centricity, SCM, IDX, Patient Keeper, E-Bridge, Microsoft Word, and Excel.

Medical Coder / Biller Resume Example

• Proficient in surgical coding, E/M coding, relevant pathology coding, and radiation IMRT coding.
• Responsible for handling all coding and billing tasks for a team of four surgeons and one radiation oncologist.
• Ensure accurate and timely coding of surgical procedures, evaluation and management services, pathology procedures, and radiation therapy treatments.
• Review medical documentation and apply appropriate codes based on the procedures performed and the guidelines set forth by coding and billing regulations.
• Collaborate with physicians and other healthcare professionals to clarify documentation and obtain necessary information for coding accuracy.
• Assigning accurate diagnoses and procedures codes for outpatient and inpatient encounters in clinics, hospitals, and out-of-office procedures.
• Ensuring proper coding of ICD-10, CPT, and HCPCS charges for entry into relevant systems.
• Collaborating with healthcare providers to obtain necessary documentation and clarification to ensure accurate coding.
• Reviewing denial trends and implementing measures to resolve and prevent future denials.
• Keeping updated with coding guidelines and regulations to ensure compliance and optimize reimbursement.
• Working closely with billing and reimbursement teams to address coding-related issues and facilitate claims processing.
• Accurately code and analyze emergency room charts to reflect the documented diagnoses and procedures performed.
• Review laboratory, radiology, pathology reports, and clinical studies to determine the appropriate diagnosis codes based on the findings.
• Ensure coding is aligned with existing diagnoses and medical records to support accurate billing and reimbursement.
• Apply knowledge of coding guidelines and regulations to assign the most appropriate diagnosis codes.
• Collaborate with healthcare providers to clarify documentation and ensure accurate coding.

Medical coder and Biller Resume Example

Medical coder and Biller

• Provided medical billing and coding services for a team of 12 cardiologists.
• Utilized next-gen and epic billing software to electronically bill claims.
• Demonstrated extensive knowledge of Medicare and Medicaid guidelines and procedures.
• Applied in-depth understanding of medical terminology, ICD-9, CPT coding, and HCPCS.
• Accurately coded procedures using CPT coding guidelines.
• Ensured compliance with coding regulations and guidelines for accurate and timely reimbursement.
• Collaborated with healthcare providers to clarify documentation and ensure accurate coding.
• Stayed updated on industry changes and coding updates to maintain compliance and accuracy in coding practices.

Junior Medical Coder Resume Example

Junior Medical Coder

• Receive and thoroughly review patient charts and documents to ensure accuracy and completeness.
• Verify the currency and validity of all codes used in coding processes.
• Identify and report any missing or incomplete documentation to the appropriate healthcare providers.
• Meet daily coding production targets while maintaining a high level of accuracy and quality.
• Ensure proper coding on provider documentation to accurately reflect the services provided.
• Adhere to coding guidelines, including ICD-10 and HCPCS, and comply with legal requirements such as HIPAA regulations to ensure data privacy and security.
• Conducted thorough patient interviews to gather comprehensive case histories and relevant medical information.
• Scheduled diagnostic, surgery, and medical appointments efficiently to ensure timely and appropriate patient care.
• Electronically supplied accurate ICD-10 and CPT codes on physician orders and referrals for proper billing and coding purposes.
• Performed wound care, blood draws, and EKG testing to support patient care and diagnostic procedures.
• Provided training and guidance to existing and new hire employees to ensure adherence to best practices and quality standards.
• Collaborated closely with physicians and management to implement new policies and procedures, promoting efficient and effective healthcare delivery.
• Accurately and efficiently assign appropriate ICD-10 and CPT codes to medical charts to ensure proper reimbursement and compliance with coding guidelines.
• Interpret complex medical terminology and documentation to accurately translate it into relevant codes.
• Stay updated on all policies, procedures, and regulations required by government agencies, state authorities, and third-party payors.
• Identify and rectify any discrepancies or inconsistencies in the medical charts to ensure accurate coding and billing.
• Review claim edits and clearing house rejects to resolve any coding-related issues and ensure clean claims submission.
• Maintain open communication with physicians, providing feedback and conducting audits to improve coding accuracy and documentation.
• Assist in providing coding training and support to new physicians, ensuring their understanding of coding guidelines and best practices.
• Accurately assign appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to diagnoses and procedures.
• Ensure codes are accurate, complete, and sequenced correctly according to government and insurance regulations.
• Collaborate with clinical staff to clarify and obtain necessary documentation for accurate coding.
• Conduct research and consult references to resolve complex or unusual coding scenarios.
• Auditing chart for quality check
• Assessing quality drop by analysing reports
• Root cause analysis based on audit Conducting Quality improvement Programs(QIP) based on Error category reports.
• Providing education regarding Current updates and guide
• Review and analyze patient's diagnosis to accurately assign appropriate codes.
• Evaluate medical necessity of treatments, services, or supplies based on patient's condition and documentation.
• Identify and document all treatments, services, and supplies provided to the patient.
• Take into consideration any unusual circumstances or medical conditions that may have impacted the treatments and services rendered.

Top Medical Coder Resume Skills for 2023

• Knowledge of Medical Coding Systems (ICD-10, CPT, HCPCS)
• Medical Terminology
• Anatomy and Physiology
• Disease Processes and Pathology
• Diagnostic Code Assignment (ICD-10-CM)
• Procedure Code Assignment (CPT, HCPCS)
• Evaluation and Management (E/M) Coding
• Surgical Coding
• Evaluation and Review of Medical Records
• Medical Coding Guidelines and Compliance
• Documentation Analysis and Review
• Coding Modifiers and Sequencing Rules
• Coding for Specific Specialties (e.g., cardiology, orthopedics)
• Coding for Inpatient and Outpatient Services
• Coding for Ambulatory Surgery Centers (ASC)
• Reimbursement Systems and Payment Methodologies
• Medical Necessity and Clinical Indications
• Fraud and Abuse Detection and Prevention
• Coding Edits and Validation Systems
• Revenue Cycle Management
• Denials Management and Appeals
• Insurance Claims Processing
• Electronic Health Records (EHR) and Health Information Systems
• Healthcare Data Analytics and Reporting
• Healthcare Compliance and Regulatory Knowledge
• HIPAA (Health Insurance Portability and Accountability Act) Compliance
• Compliance Audits and Monitoring
• Provider Documentation Improvement
• Coding Compliance and Ethics
• Healthcare Reimbursement Policies and Guidelines
• Medical Record Abstraction
• Medical Billing and Coding Software (e.g., Encoder Pro, Optum360)
• Quality Assurance and Quality Control in Medical Coding
• Coding Validation and Accuracy Checks
• Continuous Learning and Staying Updated with Coding Updates and Changes
• Coding for Ancillary Services (laboratory, radiology)
• Coding for Behavioral Health Services
• Coding for Home Health and Hospice Services
• Coding for Durable Medical Equipment (DME)
• Compliance with Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
• Correct Coding Initiative (CCI) Edits and Bundling Rules
• Coding for Telehealth Services
• Coding for Preventive Services
• Medical Coding Research and Reference Tools
• Coding for Evaluation and Management of Chronic Conditions
• Knowledge of Medical Billing Processes and Requirements
• Coding and Documentation Training for Providers
• Health Information Exchange (HIE) and Interoperability

How Long Should my Medical Coder Resume be?

Your Medical Coder resume length should be less than one or two pages maximum. Unless you have more than 25 years of experience, any resume that’s more than two pages would appear to be too long and risk getting rejected.

On an average, for Medical Coder, we see most resumes have a length of 2. And, that’s why we advise you to keep the resume length appropriate to not get rejected.

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Medical Coding Resume Samples

The guide to resume tailoring.

Guide the recruiter to the conclusion that you are the best candidate for the medical coding job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies, tailor your resume & cover letter with wording that best fits for each job you apply.

Create a Resume in Minutes with Professional Resume Templates

• Collaborating with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts
• Training providers on our Risk Adjustment methods and tools, and working toward their compliance with our programs
• Targeting local providers who would benefit from our Medical Risk Adjustment training
• Developing comprehensive, provider - specific plans to increase their RAF performance
• Reaching out to physicians, medical groups, IPAs and hospitals, and building positive, consultative relationships
• Educating providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
• Finalizing documentation and providing feedback to team members based on findings
• Coordinate and process medical record requests while maintaining strict adherence to Policies and Procedures and Corporate Compliance Program Guidelines
• Process medical record requests flagged for coding review for all Anesthsia and Pain Mgmt. related facilities
• Assemble all Anesthesia and Pain Mgmt related documentation for coding audits and special request projects
• Conducts follow-up on outstanding medical record requests
• Maintains audit workflow spreadsheet
• Updates and maintains audit workflow and outcome in an Excel spreadsheet
• Ensures accurate data input received from the Coding Auditors
• Recommends new approaches, policies, and procedures to influence continuous improvements in department’s efficiency and services performed
• Performs duties and job functions in accordance with the policies and procedures established for the department
• Assist Medical Coding Manager in training new employees
• Assists in evaluation of reports, decisions, and results of department in relation to established goals
• Reports to work, meetings and professional obligations on time. Good attendance is paramount to the success of this position and the department
• Works in conjunction with the Reimbursement and A/R Claims Follow Up staff to answer all inquiries regarding coding and billing for physicians’ services
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding
• Knowledge of Health Information Portability and Accountability Act (HIPAA)
• Good customer service skills and the ability to demonstrate professionalism and compassion
• Analytical skills and the ability to be detail oriented
• Good communication skills and the ability to communicate effectively verbally and in writing accurate information
• Problem solving skills and the ability to apply analytical skills
• Organizational skills and the ability to plan work based on priorities
• Multitasking skills and the ability to manage more than one patient simultaneously
• Time management skills and the ability to plan and prioritize task
• General office skills and the ability to function comfortably in a high pace office setting
• Interpersonal skills and the ability to interface with physicians, patients, and coworkers effectively

14 Medical Coding resume templates

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• Certified Medical Coder with an active CPC certification and high degree of competency
• Strong experience in ICD-9 and CPT coding
• Prior Management or Supervisory experience
• Prior coding experience in a medical office environment
• Must be able to travel to various offices in the Tampa Bay market regularly
• This role is considered to be in a patient facing environment and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
• Prior leadership experience in a health care/managed care environment
• MRA and HEDIS knowledge

Medical Coding & Education Trainer Resume Examples & Samples

• Minimum of 3 years certified coding experience or college degree in lieu of experience
• Team building skills
• One to three years of coding experience and ICD-9 knowledge
• ICD-10 proficient
• Knowledge of Medicare Risk Adjustment

Medical Coding Education Specialist Resume Examples & Samples

• 3+ years coding experience required
• Associates or Bachelors degree
• MRA background
• Working knowlege of Webex

Certified Medical Coding Front Line Leader Resume Examples & Samples

• Execute MRA initiatives within the local market
• Coordinate and deploy MRA training policies/objectives to the local team
• Plan and direct MRA training techniques and suggests enhancements to existing training programs
• Medicare Risk Adjustment, Documentation and Medicare Advantage experience
• Experience partnering with senior leadership
• Ability to travel throughout designated georgraphicarea 2-3 days weekly with occasional overnight travel
• Bachelor's degree strongly preferred

Medical Coding Liaison Resume Examples & Samples

• Will provide direction and give guidance on coding best practices
• Responsible for identify the impact diagnosis coding has on risk adjustment models
• Evaluate the element of the medical record for diagnosis code selection
• CPC (Certified Professional Coder) Certification required
• Effective Communication and Professionalism
• Self- Management, Responsibility and Accountability
• Problem Solving & Team building skills
• Proficient in the use of Microsoft Office
• ICD-10 knowledge
• Experience in a provider setting

Medical Coding & Documentation Educator Resume Examples & Samples

• CPC Certification from AAPC
• Must be willing to obtain CPC-I if you do not have this certification
• Ability to travel up to 75% of the time (primarily within the region, however, there may be occasional overnight travel)
• Experience teaching, training providers is strongly preferred
• CPMA (Certified Professional Medical Auditor)

Medical Coding / Billing Faculty Resume Examples & Samples

• Minimum of a Master's Degree in Healthcare Administration or MBA with Healthcare Emphasis and Medical Billing and Coding experience required
• Zero to two years experience in instruction or formalized education process, preferably in a post-secondary or college institution
• Excellent verbal and written communication skills including the ability to build successful relationships with student populations
• Demonstrated time management and detail-oriented skills
• Computer based skills (i.e., software, analytical, and report writing skills )
• Ability to work effectively under pressure and to meet frequently occurring deadlines
• Ability to develop a professional rapport with diverse school/campus constituents
• This position can be located in Kansas city or Tulsa, OK
• At least 1 year experience with in a provider setting
• Must have 3+ years of coding experience

Associate Director, Medical Coding Duhs Resume Examples & Samples

• Extensive Knowledge of ICD-9-CM and CPT coding principles and guidelines
• Extensive knowledge of hospital/technical and professional services reimbursement systems (DRGs, APCs, RBRVUs)
• Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding and billing for professional and technical services
• Strong managerial, leadership and interpersonal skills

M HIS NLP Medical Coding Expert Resume Examples & Samples

• You will participate in large scale agile teams using Scrum to organize their work, and coordinate your teams’ work with other groups
• Apply your knowledge of medical coding systems to help build systems that code automatically
• Communicate with product owners, scrum masters, subject matter experts, and developers
• Test changes against data, validate improvements to the products, and support the release of changes to customers
• High School education or higher from an accredited learning institution
• Minimum of one (1) of the following Coding Certifications: AHIMA, AAPC, RHIA, RHIT, CCS, CCS-P OR CPC
• Minimum of two or more (2+) years of Medical Coding experience
• Working knowledge of ICD-10, CPT, and SNOMED-CT
• Experience with revenue cycle applications
• Experience with automated medical coding products
• Comfortable working with knowledge resources: lexicon/ontology understanding, editing of vocabularies
• Excellent analytical skills, being able to detect patterns and predict behavior for coding rules in medical documentation
• Comfortable working with technical editing resources, XML/CSV editing, regular expressions, etc
• A commitment to team oriented approaches and consensus building

L&I Medical Coding Compliance Auditor Resume Examples & Samples

• Objectively review medical documentation for appropriate procedural coding
• Understand and apply various healthcare coding structures (including both CPT® and HCPCS Level II)
• Understand general medical terminology
• Interpret and apply laws, rules and policies related to the payment of healthcare services
• Apply critical thinking and analytical skills
• Effectively and professionally communicate complex information in both oral and written format in a way that is understandable to the audience
• Build rapport and partner with others
• Independently analyze and weigh the risks verses benefits in decisions and recommendations related to provider billing and bill audit issues
• Apply organization and time management skills with minimal supervision
• Manage multiple projects and assignments at one time
• Apply negotiation and conflict resolution skills
• Maintain confidentiality in the performance of this role
• Effectively use various computer applications (including: internet, Microsoft Word and Excel) to conduct research, create reports and detailed spreadsheets

Manager, Professional Services Medical Coding Resume Examples & Samples

• Develop action plans as necessary to resolve knowledge gaps with employees or to address the implementation of new service offerings or code changes. Provide feedback to physicians through the consultants on work performance to ensure consistency and accuracy with all professional coding. Advise the Region and staff on professional coding and documentation guidelines to ensure regulatory compliance. Provide education to support Medicare Risk requirements and organization goals. Provide staff with training and resources on coding procedures and system workflow/functionality
• Demonstrate positive human relations skills, utilizing effective leadership, written and oral communication skills. Ensure staff capabilities through established Kaiser Permanente policies and procedures along with prescribed management and personnel practices. Coordinate recruitment, development, appraisal and retention of competent professional coding services staff
• Monitor efficiency and productivity to ensure compliance to national metrics and departmental performance standards. Provide leadership and staff supervision to accomplish timely and qualitative response to professional services documentation/coding requests, issues, and responsibilities
• Executes problem identification, data gathering, and implementation of strategy actions that are in the best interest of the department and its mission, values, and philosophy. Provide staff with information about the Program's mission, strategic direction, values and the external environment to increase their effectiveness
• Determine and assure the proper utilization of human resources necessary for the effective and efficient operation of the department. Develop, administer, and maintain a comprehensive annual budget that reflects department needs and the application of cost-effective management
• Minimum three (3) years of supervisory work experience in Health Information Management/Medical Records or equivalent experience
• Minimum two (2) years of combined experience in professional fee coding experience in a multispecialty provider setting including Medicare and business management
• Minimum one (1) year of experience conducting coaching/training of coding staff
• Minimum four (4) years of supervisory work experience in Health Information Management/Medical Records
• Minimum four (4) years of professional fee coding experience in a multispecialty provider setting coding including Medicare
• Minimum two (2) years of experience coaching/training of coding staff
• Experience with data systems and reporting for health record coding, abstracting, and performance metrics
• Strong communication skills, ability to deal tactually and assertively with physicians and nursing staff
• Bachelor's degree in health care administration or health information management
• Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
• Excellent command of the ICD-9-CM and CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement
• Knowledge of Medicare Risk Adjusted coding and reimbursement methodologies
• Thorough knowledge of state, federal, and TJC licensing and accrediting requirements/standards related to documentation for coding purposes

Manager Medical Coding Resume Examples & Samples

• Perform medical coding activities from CRF review of codable pages to system coding approval and final sign off of a Clinical Study and manages the synonym-lists to ensure accuracy and consistency of the coded data
• Manage and review coding listings using MedDRA and WHODD or any other company dictionary
• Performs approval of terms, oversees coding query and coding listings for review to study directors
• Manage requests for grouping of terms for Adverse Events of Interest or Medications of Interest and Interacts with Clinical Safety Data Review team in review of the AESI data
• Provide Coding guidance to medical coders in first pass coding, and to project data managers in reconciliation of adverse event between clinical and pharmacovigilance database
• Manages Oncology coding convention, dictionary upversioning and and synonym list
• Coordinates with Data Operations in Study Start up of coding in clinical database and Coding set –up in Coding Environment. Identify and coordinates technical issues regarding coding
• Participate in the development and implementation of department standards and documents as needed

Director, Medical Coding Services Resume Examples & Samples

• Leadership - Provides strategic guidance and direction for the provision of coding services by planning and executing short and long term startegic actions throughout the region supporting the Program's mission, goals, policies and procedures. Creates and manages a strong culture that understands and supports the Program's vision and philosophy. Active leader in the Region's revenue cycle processes to meet defined goals and objectives. Maintains comprehensive knowledge of contemporary coding practices and emerging technology (clinical information systems) to ensure that KPNW coding services and infrastructure are progressive and effective. Works closely with other business support departments to coordinate efforts, share best practices and promote consistency in processes. One key area of focus will be in generating the appropriate Risk Adjustment score for the region for Medicare, Medicaid and ACA members
• Communication - Develops communication strategies and processes for communicating to coding team members as well as senior leadership. Communication needs to include success metrics, project updates, policy changes, system ehancements, etc. Will also need strong communication with national coding leaders for involvement with national initiatives and training
• Operations - Implements and evaluates organizational structures, policies and personnel management practices to achieve effective leadership and supervision of coding staff for the Region. Ensures the recruitment, training and retention of motivated, competent managers/supervisors. Directs operational activities to improve processes, ensure adequate staffing, with a focus on customer satisfaction. Develops and communicates accountabilities for managers/supervisors and support staff. Provides coaching, counseling, leadership to management to address human resource issues. Meets quality and throughput standards as developed through internal processes. Develops, measures and manages a high performance culture, effectively maintaining a high performing team
• Quality Management - Establishes, manages and evaluates KPNW coding quality. Required to develop a robust quality management program. Achieves compliance with state and federal laws, regulatory agencies, administrative and medical/legal risk assessments and accepted professional practice standards. Evaluates and plans for advanced technology to enhance the quality of coding. Develop vision and strategy for completeness and accuracy of documentation for accurate code capture of diagnoses, procedures and professional services. Leads the organization through changes to meet new industry or governmental requirements
• Expense/Budget Control - Organizes, manages, assesses, reports and monitors cost effective coding. Manages area of responsibility within budget authority. Maintains an ongoing process to identify, evaluate and implement cost restructuring activities to meet KPNW mission and goals
• Internal Controls-Ensures effective internal controls and SOX compliance for coding management functions
• Partnering with Labor - Activity participate in labor negotiations, compilation of contract interpretation manual, and provide written or oral documentation of dialogue during labor negotiations. This includes sponsorship of Unit Based Teams (UBTs) and facilitation of process improvement (including issue resolution and grievances)
• Minimum three (3) years plus experience at middle management or director level position within Kaiser Permanente, large hospital system or large Managed Care Organization (MCO)
• Minimum six (6) years in Coding Management including: compliance, operations, and systems
• Minimum five (5) years experience at director level position within Kaiser Permanente, large hospital system or large Managed Care Organization (MCO)
• Minimum ten (10) years in Coding Management including: compliance, operations, and systems
• Master's degree in Health Care Administration, business or related field OR six (6) years of experience in a directly related field
• Current/active Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential
• Current working knowledge of KP HealthConnect
• Comprehensive knowledge of managed health care setting, medical and legal, coding compliance
• Technical knowledge of professional and hospital (technical) coding disciplines

Director Medical Coding Services Resume Examples & Samples

• Provides direction and oversight while coordinating the efforts of the department’s certified coders in supporting their assigned clinics, specialties, and providers. Maintains consistent communications with each clinic/department Site Manager and CMD to ensure their needs are being met. Performs scheduled and random visits of each clinic at least quarterly to observe each coder’s interactions and relationship with clinic provider’s and staff, and to provide coder’s any clinic-specific assistance that may be needed
• Presides over the coders weekly team meeting, ensuring that the time is used productively for updating the coders on important, relevant information gathered since the last meeting, sharing best practices they’ve observed, resolving or creating plans to resolve coding issues and initiate accurate and consistent corrective action, ensuring all ongoing assignments (i.e. Etm and Tes edits) are being completed timely and accurately. Identifies and addresses other issues that may be impacting the coders ability to provide their clinics/providers with quality, value-added services
• Maintains appropriate, consistent communications with operating/other department management, and serves on and/or ensures departmental participation in appropriate committees and work groups to help ensure that compliance/coding considerations are included and that the department is aware of situations and/or changes that may impact its operations
• Monitors and works closely with Revenue Operations to ensure the integrity, accuracy, and appropriate application of all edits built and operating via the Flowcast Ingenix coding scrubber software. Facilitates determination of the need for new edits, as well as their design and implementation, helping ensure compliance while appropriately maximizing reimbursement
• Prepares and monitors the department’s Operating & Capital budgets. Addresses variances in a timely manner
• Mentors and coaches coding staff to help ensure accomplishment of organizational, departmental, and personal goals. Assists coders in enhancing their coding expertise by ensuring they have opportunities for further education and experience
• Four (4) years of related experience of which two (2) years must have been in a supervisory capacity
• Ability to communicate effectively; Ability to direct and manage projects and/or programs; Ability to prepare technical reports; Advanced computer skills

Medical Coding Instructor Resume Examples & Samples

• Demonstrate and apply a thorough and accurate knowledge of the teaching field and discipline
• Organize instruction in ways which maximize student learning. Practice excellence in teaching and instruction
• Modify instructional methods and strategies to meet diverse students’ needs
• Encourage the development of communication skills and higher order thinking skills through appropriate assignments
• Minimum of 7 years of experience in the medical coding field with a strong background in training and/or classroom teaching experience
• AAPC CPC or CPC-H certification required
• Expertise in the skills needed to solve insurance billing problems, how to manually file claims (using the CPT and ICD-10 manual), complete common insurance forms, trace delinquent claims (EOB’s) and use generic forms (CMS 1500) to streamline billing procedures
• Expert knowledge in the following Outpatient coding topics
• Healthcare Basics
• Hospital Revenue Cycle
• The concept of a HER
• Medical Terminology in relation to ICD-10-CM
• Anatomy and Physiology in relation to ICD-10-CM
• Coding Ethics, Medical Necessity, and Ancillary (outpatient) coding
• ICD-10-CM coding classification and guidelines
• Encoder Logic, MPI and medical record abstraction
• Proficiency in medical coding in an ancillary hospital coding role

Medical Coding Quality Analyst Resume Examples & Samples

• Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD-9/ICD-10) and Healthcare Common Procedure Coding System (HCPCs) guidelines
• Documents Decisions on reviews through notations and enters notes in appropriate company systems
• Ability to discuss and present on decisions made to appropriate internal and external individuals/groups
• Coordinate with team members to understand trends and schemes related to billing issues/coding trends
• 2+ years of experience in coding and medical billing
• Associates degree or related field experience
• Clinical and/or coding expertise in a Physician office, SNF, ALF, Hospital setting, and/or billing/office
• Strong organizational/time management skills and be able to work independently or as a team
• Strong knowledge of CMS 1500 and UB04 data elements
• Strong knowledge of ICD, CPT, HCPC and Revenue Codes
• Ability to support heavy work load volume and meet unit standards while engaging multiple priorities
• Current CPC or CCS-P Certification
• Serves as a resource on moderately complex issues related to coding / billing

Medical Coding / QA Manager Resume Examples & Samples

• Maintain working knowledge and demonstrate understanding of CMS and insurance payor claim filing requirements associated with coding, modifier usage and concurrency compliance
• Must maintain knowledge, apply and promote compliance to company policies and operating procedures in place for Account Origination, Coding, Charge Entry and Batch Reconciliation
• Must maintain specific staff productivity measures for account originators, batch reconciliations representatives and coders ensure productivity
• Must ensure to meet weekly and monthly work flow deadlines in accordance with identified performance goals and measures
• Must be able to communicate clearly and comfortably with providers (MDs or CRNAs) regarding medical record documentation or concurrency issues that require clarification
• Must be able to communicate with practice/hospital/facility staff regarding patient insurance and demographic information, electronic demographic needs/issues or patient medical records needs
• Must be able to communicate effectively with internal and external auditors, provide the documentation required for audit purposes and/or document and modify existing procedural documentation based on the outcome from the audit
• Calculates and prepares department staff time and attendance records for each payroll period
• Interacts with company Coding Education and Auditing leaders
• Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients
• Works in conjunction with the Patient Accounting team to answer all inquiries regarding coding and billing for physician services and assists with resolving coding related payer denials
• Works in coordination with other members of the Central Business Office as necessary
• Coaches and assists assigned personnel to maximize productivity and teamwork which includes providing work direction, managing performance, supporting training and development, administering company policies and fostering positive employee relations
• Adheres to MEDNAX Services, Inc., Department and HR policies and procedures. Advises staff within and outside the department of changes. Supports and promotes adherence of all policies
• Participates in administrative staff meetings and attends other meetings and seminars. Assists in evaluation of reports, decisions, and results of department in relation to established goals and requirements
• Serves as a member of the Business Services Team and other project teams
• Prepare and maintain functional work area operational procedures and training manual standards
• Prepares monthly productivity reports for areas of responsibility and uses to assist in the preparation of annual employee evaluations and/or with achieving monthly Business Services performance goals
• Maintains a high level of confidentiality, ethical, and professional standards
• Certified Professional Coder (CPC or CCS-P) designation required with current active status, clinical background; and a minimum of four years related experience and/or training; or equivalent combination of education and experience
• Level of educational degree and years of experience in hospital administration and/or multi-specialty physician practice, with full exposure to managing the accounts receivables, physician billing, and CPT-4/ICD-10 coding with medical terminology will identify the appropriate candidate
• Direct experience with anesthesia, critical care and pain coding preferred. This individual must have a strong working knowledge of medical terminology and anatomy
• Ability to read, analyze, and interpret common and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors

Medical Coding Team Lead Resume Examples & Samples

• Responsible for leading team and ensuring the success of daily coding workflow and assignments in accordance with weekly and monthly deadlines using FIFO methodology
• Reviews code check/errors for claims being processed by Clearing House for resubmission
• Assists with periodic coder and compliance audits, including but not limited to the CBO Quarterly QA Audits
• Maintains a high level of confidentiality, as well as promotes ethical and professional standards in compliance with Corporate Policies
• May require overtime or schedule change flexibility to accommodate work flow
• Performs initial charge coding review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers
• Monitors and follows up to ensure all services that can be billed are captured and coded for billing accurately and timely in accordance to CBO billing guidelines, deadlines and goals
• Works in conjunction with the Reimbursement and A/R Claims Follow Up staff to answer all inquiries regarding coding and billing for physicians’ services
• Assist Accounts Receivable Department staff with coding related payer denials
• Works in coordination with other members of the Physicians’ Billing Office as necessary
• Meets and exceeds short and long term goals as established for the department
• Is a member of the CBO Front End and Back End Enhancements Task Force as well as actively participates in Coding Committees
• Takes ownership of special projects, researches data and follows through with detailed action plans
• Adheres to MEDNAX Services, Inc., Department and HR policies and procedures
• High school diploma or GED completion is required. Certified Professional Coder (CPC or CCS Certification) with a minimum of two years’ experience with CPT/ICD-10 coding of physician services preferred. Good working knowledge of medical terminology and anatomy required
• Ability to gather and interpret clinical data

Medical Coding Spec Resume Examples & Samples

• Provide guidance on documentation requirements, queries, and documentation improvement processes
• Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services
• Provide technical support to medical providers, as appropriate, regarding coding compliance documentation, regulatory provisions and third-party payer requirements
• Evaluate the quality of clinical documentation to identify incomplete or inconsistent documentation that could impact the quality of data being reported
• Audit codes and professional fee services performed by providers from medical records according to ICD-10, CPT, ASA, and CMS guidelines
• Maintain up-to-date knowledge of coding such as appropriate documentation, accurate coding, coding trend found during chart reviews, third-party audit findings, and annual coding updates
• Serve as a resource to the office staff, providers, and billing department
• Conduct all business in a professional manner maintaining respect for individuals at all times
• Associate's degree (A.A.) or equivalent from a two-year college or technical school Coding Certification preferred (CPC or AHIMA)
• Coding Experience Required: 1 – 2 years minimum
• Ability to adapt, modify and prioritize audit functions as required
• Ability to ensure the confidentiality and rights of patients, the confidentiality of health system and patient documents required
• Ability to identify problems, develop course of action and follow through to resolution required
• Ability to analyze and identify opportunities in documentation improvement
• Excellent written communication, and analytical skills

Review Services Lead-medical Coding Resume Examples & Samples

• Review the following
• Certified as a Registered Health Information Technician, Coding Specialists, or Coding Specialists- Physician based
• At least 3 years’ experience in medical coding
• Correct use of medical terminology, grammar and punctuation
• Computer experience
• Successfully receive interim approval for government security clearance (eQIP - Electronic Questionnaire for Investigation Processing)
• Experience with Medicare and TriCare DRGs
• Supervisory/Management Experience

Senior Manager Medical Coding Services Resume Examples & Samples

• Manages the Medical Coding Team on coding, auditing activities and overall education and general support of the coding functions
• Interprets, provides feedback and acts as the subject matter expert of CMS regulations, documentation guidelines, and HCC reimbursement methodologies
• Provides management, training. Mentoring and coaching for the coding staff to help ensure accomplishment of organizational and departmental goals. Provides feedback and suggestions to improve coding accuracy and documentation
• Maintains appropriate, consistent communications with department management, medical staff, and physicians as required to successfully resolve coding issues
• Works closely with Revenue Operations to ensure the integrity, accuracy, and appropriate application of all edits built and operating via the Flowcast Ingenix coding scrubber software. Facilitates determination of the need for new edits, as well as their design and implementation, helping ensure compliance while appropriately maximizing reimbursement
• Assists in the preparation and monitors the department’s Operating & Capital budgets. Addresses variances in a timely manner
• Assists in the development policies, processes, strategies and goals that support the department and the organization’s direction
• Over 3-5 years and up to and including 5 years of management experience

Manager, HCC Medical Coding Resume Examples & Samples

• Plan, organize, staff, direct, and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority
• Provide day-to-day managerial oversight for staff responsible for HEDIS, Quality and Coding activities. Ensure continuous improvement of processes and delivery of results within assigned area. Encourage innovation and focus resources, including staff not under direct managerial control, to ensure successful delivery of desired results. Optimize the use of resources in assigned area using proven resource management techniques
• Contribute to the department’s strategic planning efforts by identifying both strategic and tactical opportunities for improvement and recommending solutions, especially directed at HEDIS, Quality and Medical Coding/Medical Record Documentation projects related to Revenue Program Management and overseeing the development and implementation of educational opportunities related to HEDIS, Quality, Medical Record Coding, and medical record documentation to appropriate departments and network provider office sites
• Oversee development and execution of processes that will support the capture of complete and accurate diagnosis coding. Oversee Revenue Program Management medical record reviews to ensure medical coding and medical record documentation is complete and accurate. Oversee the development and implementation of QA standards for all medical coders
• Oversee the processes to conduct annual audits, identify gaps, repeating issues and communicate results in provider office sites with data analysis from office site and/or medical record reviews to (a) continually improve the care, service to members and patient satisfaction; (b) coordination with the credentialing and quality improvement programs to achieve and maintain accreditation, and (c) ensure medical records meet regulatory requirements. Consults with providers as needed to ensure identified gaps, or chart deficiency trends are outlined, communicated, discussed and provider staff trained on correct procedures
• Participate in initiatives requiring cross-functional, matrix relationships. These initiatives may involve staff in different departments or business units within the organization, or vendors and/or strategic business partners
• Assess the impact of potential or actual regulatory changes impacting the assigned area. Ensure ongoing compliance in all activities within the assigned area
• Oversee the development and manage process improvement initiatives to include detailed data analysis, process analysis, report generation and documentation
• Bachelor's Degree in a health-related field or 6 years of experience as a registered nurse with managerial, process improvement, healthcare insurance and/or medical coding experience
• 5-7 years of HCC Coding experience
• 3-5 years of Coding experience with a ICD-10 Coding Certification (CPC, CCS, or RHIA)
• 3-5 years of experience working with government markets and working within all Compliance and Coding Guidelines
• 3-5 years of leading and/or supervising employees
• 1-3 years of prior project management experience
• ICD-10 Coding Certification
• Excellent verbal communication skills and professional manner, excellent written communication skills and a familiarity with a variety of writing styles. Must be able to communicate with medical administrators, including Medical Directors and Physician Advisors related to problem identification, action plan implementation, ongoing monitoring and problem resolution
• Demonstrated computer literacy and knowledge of information systems and comparative data bases. Working knowledge of Microsoft Office software (Word, Excel, Access, PowerPoint, etc.)
• Well-developed, analytical and problem solving skills with the ability to understand and interpret clinical data

Medical Coding Technician Resume Examples & Samples

• Responsible for identifying, compiling, abstracting patient date, and coding patient data using the current standard classification systems
• Reviewing patient records for completeness and accuracy to insure that the overall management of patient health information is of the highest quality and maintained in accordance with HIPAA, HITECH, and other regulatory standards
• Abstracts clinical information from documents in a patient record and assigns appropriate ICD-10 codes according to established procedures, when necessary queries physicians for documentation clarification, utilizes coding databases and confirms DRG assignments
• Assists H.I.M. Director in department functions as needed
• AHIMA Certification preferred (CCS, RHIT, or RHIA)
• Three years minimum coding experience
• Minimum of five years' experience in Health Information Management
• Knowledge of psychiatric and medical terminology
• Coding and auditing skills
• Good communication skills, computer skills helpful, ability to work with others as a team
• Basic experience with office equipment (telephone, copy machine, fax, etc.)
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization

Analyst Medical Coding Resume Examples & Samples

• Develops preventive measures in response to patterns identified through analysis of claims denial data and HCC reviews; prepares periodic reports for the HCC findings, trends and clinical staff identifying corrective measures necessary to resolve denial problems
• Advises and instructs providers regarding billing and documentation policies, procedures, and regulations; interacts with provider staff regarding conflicting, ambiguous or non-specific medical documentation, obtaining clarification of same; and educates providers regarding changes and measuring compliance
• Compiles and reports HCC statistical data

Field Based Medical Coding Quality Consultant Resume Examples & Samples

• Developing comprehensive, provider-specific plans to increase their RAF performance
• Conducts physician chart audits (including research and presentation). Assesses and interprets whether the coding assigned by the provider was properly assigned based upon review of the medical documentation and application of the coding guidelines
• Identify potential suspects through clinical documentation where diagnosis is clinically indicated but not documented, discuss findings with providers for validation
• Able to field any questions or concerns and provide solutions that will mirror management’s guidelines
• Implement education, and provide formal training to Client providers and staff as needed regarding coding compliance, documentation guidelines, HCC education and Medicare/Medicaid regulations by proactively providing solutions to meet the needs of the Client provider
• Utilize management for escalation purposes
• Available to assist other team members in coding, HCC opportunities and act as a resource to less experienced staff
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10 CM knowledge
• Reports to/works with the Associate Director of Clinical Quality & Coding
• Provide feedback and present solutions, to the Associate Director of Clinical Coding and Quality, regarding trends or patterns noticed in provider coding
• Must have completed coding certification course, AAPC/AHIMA, or other accredited certifying body, or completed college courses with degree in coding or currently enrolled in program for CPC, COC, CRC, CIMC, CFPC, CPMA, CCS, CCA, CDIP, or RHIT
• Must have experience auditing charts and consulting with providers on improving documentation and coding
• Complete Understanding of ICD - 10 - CM coding classification and guidelines
• Must have Computer skills (i.e. MS Office)
• Must be task oriented and able to meet designated deadlines, productivity standards and able to work independently
• Must reside within a commutable distance (50 miles or 50 minutes) of Los Angeles, San Diego or Orange County areas
• Previous consulting or sales experience

Supervisor, Physician Medical Coding Resume Examples & Samples

• Oversees the daily operations of the Physician Coding Department as directed by the Coding Manager
• Monitors coding operations for compliance with established policies, regulations, procedures and standards
• Supervises staff actions as related to coding, communication with practices and resolution of claim edits, denials, procedures and standards as related to Physician Coding
• Assists management with the administration of education and training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Coding Manager
• Work collaboratively with Coding Manager and Practice Management staff to assess the strengths of practitioners and staff involved in the coding process and make recommendations for improvements
• Serve as a resource to physician practices and staff for ongoing educational needs related to coding. Respond to practitioners and management questions regarding coding and reimbursement, researching as necessary to find answers and make recommendations
• Assist in the development, implement and evaluate educational programs for Coding applications and processes
• Provides input to Coding Management for employee evaluations
• Maintains current working knowledge of all coding and reimbursement rules, regulations, trends and new developments. Responsible for providing knowledge to staff as related
• Makes sound judgments; strong organizational, independent, problem solving and analytical skills
• Performs other job related duties and assignments as requested
• Associate or Bachelor degree in business, healthcare, or related field preferred
• Minimum of three to five years' experience in Physician Coding, including experience in auditing and/or management
• Requires CPC certification with the AAPC or Certified Coding Specialist- Physician-based (CCS-P) with AHIMA
• Specialty in E&M (CEMC), Certified Evaluation and Management Coder through the AAPC, or CPMA, Certified Professional Medical Auditor through the AAPC preferred
• Requires comprehensive understanding of Evaluation and Management Coding
• Requires comprehensive understanding of ICD-10 coding
• Ability to communicate effectively with a wide variety of individuals, both verbally and in writing
• Demonstrated ability to assist in creating training materials and deliver training in area of expertise
• Experience with software applications as they apply to the computerized patient record and billing system (ECW, Patient Keeper, Soarian Financials preferred)
• Knowledge and expertise in the following areas: physician billing requirements, CPT/ICD-10 coding schemes and physician reimbursement methodologies
• Demonstrated ability to create training materials and deliver training in area of expertise
• Demonstrated ability to create strong working relations with physicians
• Proficient PC skills; proficient use of Microsoft Excel, PowerPoint and Word desired
• Capable of working independently as well as in a team environment

Instructor Medical Coding Resume Examples & Samples

• Present facilitative, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus (AAPC curriculum, medical terminology, anatomy & physiology, advanced medical coding, HCPCS coding, ICD-10 coding) and school policies
• Continually promote students’ development and effective use of skills in areas such as critical and analytical thinking, evaluation, communication, professionalism, customer service, computation, problem solving, and decision-making
• Provide the student with timely information and feedback on his/her academic progress relative to quizzes, tests, homework and projects
• Maintain accurate, up-to-date records of student academic and attendance performance
• Possess a thorough knowledge and understanding of all school policies, and actively participate in their implementation and enforcement
• Follow all retention policies of the school to ensure students are in attendance

Medical Coding Spec Senior Resume Examples & Samples

• Review inpatient records and interpret documentation to identify all diagnoses and procedures; applying knowledge of medical terminology, disease processes and pharmacology. Assigns proper ICD-9-CM/ICD-10-CM and CPT diagnosis and procedure codes in accordance with Official Coding Guidelines
• Code charts consistently according to the national gold standard utilizing 3M CRS grouper for proper Medicare Severity Diagnosis Related Group (MS-DRG) assignment
• Apply appropriate discharge status disposition codes in a compliant manner and in accordance with established HIM guidelines and CMS mandates
• Enter diagnoses and procedures 3M CRS grouper, analyze groupings, and observe for appropriate and optimal assignment of MS-DRGs and POAs for reimbursement
• Contact the physician and/or clinical staff when necessary to gain additional information or clarify documentation discrepancies
• Maintain the inpatient Discharged Not Final Billed (DNFB) report on a regular basis; ensure accounts do not go unresolved past payer specific billing guidelines
• Assess the adequacy of medical record documentation to ensure it supports all reportable diagnoses and procedures; identify clinical documentation improvement opportunities and seek clarification when appropriate
• Communicate daily to appropriate persons regarding any issues or concerns pertaining to coding, abstracting, or billing
• Notify the appropriate manager if a medical chart is not available with forty-eight hours of discharge
• Assist in the development, review, and assessment of departmental goals and objectives
• Maintain an up-to-date knowledge and understanding of current trends and widely accepted practices related to Health Information Management; pursue professional growth and development opportunities
• May lead the day-to-day activities of the assigned team. Provide leadership and direction to members of the department, performing those responsibilities in accordance with the Hospital's policies and applicable laws. May provide input during interviews, on hiring, planning, assigning or directing work, and assessing performance
• Four (4) years of medical coding experience
• Knowledge of medical terminology and hospital medicine

Senior Medical Coding & Quality Specialist Resume Examples & Samples

• Maintains departmental tracking logs/databases. Collaborates on various projects where coding expertise is required
• Risk Adjustment
• Inpatient coding
• Prior experience developing Quality Improvement programs
• Prior experience developing and administering educational programs with 2 years work experience directly applying codes in a health plan, hospital or physician's office

Medical Coding & Quality Specialist Resume Examples & Samples

• Interprets and assigns ICD-10-CM, ICD-10 PCS, CPT and HCPCS codes at the most precise level. Assigns and files medical policy/benefits system edits
• Supports corporate audits where medical coding expertise is needed
• Registered Nurse, or Licensed Practical Nurse with equivalent combination of experience, or Bachelors degree in health related field, or Registered Health Information Management Administrator (RHIA), or Registered Health Information Record Technician (RHIT) or Certified Coding Specialist (CCS) by the American Health Information Management Association with equivalent education, or Certified Professional Coder (CPC) with equivalent education
• Minimum of 3 years experience in field and 3 years clinical coding experience using ICD (International Classification of Diseases and Procedures) and CPT (American Medical Association Current Procedural Terminology)coding systems
• Demonstrated proficiency in ICD and CPT coding
• Ability to read and interpret regulations and specifications
• Intermediate proficiency with Microsoft Office Suite of products. Ability to learn/use DB2
• Proficient in web-site research for coding changes

Medical Coding Quality Consultant Resume Examples & Samples

• Educating providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
• Rely upon independent judgment and decision making while at a provider site, whether conducting an audit or providing training/education, both from historical and/or real time data
• Implement education, and provide formal training to Client providers and staff as needed regarding coding compliance, documentation guidelines, HCC education and Medicare / Medicaid regulations by proactively providing solutions to meet the needs of the Client provider
• Enhance professional growth and development through in-service meetings, and educational programs
• Work independently and rely on professional discretion and judgment; as well as a professional representation of Client/Optum
• Maintain strictest confidentiality based on HIPPA privacy policy
• Schedule audits and provide patient lists to practice managers to promote a smooth audit process
• Performs related work and projects as required
• Must possess a CCS, CPC or COC certification or will have it completed within next 90 days of employment
• 3+ years of medical coding experience (after obtaining certification)
• HCC coding experience
• Must have working knowledge of billing systems to understand how to identify potential black holes in claims submissions that might be causing lower risk adjustment scores to be reported inaccurately
• Must have an excellent understanding of medical terminology, disease process and anatomy and physiology
• Ability to travel locally to provider practices, will be out in field 75% with rare overnight stay required
• Must reside within a commutable distance (50 miles or 50 minutes) of Los Angeles County
• Bilingual in Spanish, Vietnamese, Korean, and / or Farsi / Persian
• Knowledge of Risk Adjustment HCCs

Medical Coding Assurance Specialist Resume Examples & Samples

• 5+ years of experience in a health care setting
• Experience with MARS and Cerner
• Knowledge of ICD-9 and 10, CPT classifications, and coding of diagnoses and procedures
• Knowledge of medical terminology, human anatomy or physiology, pharmacology, and pathology
• Graduate of a Health Record Administration or Accredited Medical Record Technician program, including RHIA, RHIT, or equivalent coding program
• Ability to problem solve and communicate with staff and other health care professionals in a professional manner
• Possession of excellent detail and organizational skills

Medical Coding Program Compliance Analyst Resume Examples & Samples

• 5+ years of experience with financial management, information systems, health information management, or medical coding
• Knowledge of ICD10 transition and CPT coding and modifiers
• Ability to interact directly with client
• BA or BS degree in Health Administration or Business Administration
• Risk Management or Healthcare Compliance Certification preferred

Adjunct Medical Coding / Insurance Instructor Resume Examples & Samples

• Minimum of Associates Degree in Medical Billing, Medical Coding, or related field, OR CMA (Certified Medical Assistant)/RMA (Registered Medical Assistant), OR credentialed as a CCA (Certified Coding Associate)
• Must have three years work experience within the last five years in the area of Medical Coding/Billing/Insurance
• Previous teaching experience in the postsecondary Health Science environment strongly preferred
• Must be knowledgeable in course content, as evidenced by education/or experience, effective in directing and evaluating student learning and laboratory performance, and be prepared in educationaltheory and techniques
• Must possess valid driver’s license and required insurability
• Must possess skill in oral and written communication
• Must possess basic computer skills including, but not limited to, Word; Excel; PowerPoint, and Outlook/email
• Experience in the use of the Banner a plus
• Must possess excellent organizational and customer service skills to deal professionally with Savannah Tech employees, students, and visitors

Medical Coding Quality Assurance Associate Director Resume Examples & Samples

• Manage a team of auditors that are contracted and full time employees remotely and onsite
• Assign QA products to auditors
• Ensure coders and auditors are meeting quality standards
• Ensure coders and auditors are meeting production standards set by the department
• Assist with vendor and client audits
• Ensure the auditors and coding staff are adhering to the coding policies set forth by the department
• Develop and perform ongoing coding training for coders and auditors
• Quality reporting, analysis and audits and for developing plans and programs to support continuous quality improvement using applicable tools
• Assist with management training programs for current and new hire coding and quality assurance staff
• Generate monthly productivity, quality, and resource usage statistics; configured data and distribution files daily to promote right staffing
• Develop coding policies, procedures, and best demonstrated practices as part of a collaborative continuing quality improvement task force
• High School Diploma / GED or equivalent experience
• 7 or more years of ICD-9 / ICD-10 Coding experience
• 5 or more years of experience in Medicare Risk Adjustment Coding
• Intermediate (or higher) MS Office (Word, Excel & Outlook) proficiency
• 7 or more years of experience with Coding certification (CPC or CCS or RHIT or RHIA)

Medical Coding / Audit Supp Specialist Resume Examples & Samples

• Utilizes Excel and Word to complete numerous logs, spreadsheets, and data entry assignments
• Communicates audit status frequently with the Coding Manager to ensure adherence to the audit timeline and schedules
• Working with the Coding Manager prepares quarterly reports from the audit outcome worksheet. Reports are distributed to Senior Management and Corporate Officers
• Develops and creates Excel worksheets for special projects and audit reviews
• Assists the Coding Compliance Auditors and the Coding Manager with creating PowerPoint presentations
• Performs a variety of other Audit Support duties
• Consistently meets deadline dates and times on assigned projects
• Works overtime in mandatory situations
• Assists Department Administrative Assistant when needed with the scheduling and organization of audit related tasks
• Maintain strict confidentiality in accordance with HIPAA regulations and Company policy
• Performs other job-related duties within the job scope as requested by Management of Coding
• Embodies the principles of the corporate Mission Statement and Philosophy at all times. Represents the corporation in a positive fashion and makes all individuals feel as comfortable as possible

Medical Coding & Education Specialist Resume Examples & Samples

• Reviews medical records for appropriate coding levels and reimbursement
• Direct coding staff with education, chart reviews and works with Medical Records staff on random audits to assure coding accuracy
• Design and run training sessions on a regular or as needed basis
• Administer coding resources for all coding staff and physicians
• Develop efficient coding processes for coding staff and physicians
• Offer input to the Physician Billing Department on policies and procedures as they relate to coding and documentation
• Maintain regular contact and clear communication with the physicians. Maintain current coding library for MHS clinics
• Update encounter forms with new and deleted codes
• Maintain CPC certification
• Required to work weekends, holidays and reasonable amounts of overtime if necessary
• Maintain patient confidentiality
• Attend all mandatory in-service and department meetings
• Maintain a professional appearance and encourage behavior appropriate for a healthcare setting
• Actively participate in organization committees
• Consistently demonstrate a self-directed, mature, disciplined and tactful approach to completing work duties
• Keep updated on applicable regulations, laws and new procedures

Medical Coding Resume Examples & Samples

• The purpose of this position is to assign ICD-10-CM diagnosis codes for Central Lab outpatient claims in order to ensure a valid data base to be used for research, reporting, quality improvement activities, management of days not final billed (DNFB) and appropriate reimbursement
• Codes ancillary encounters utilizing ICD-10-CM diagnosis codes according to the official coding guidelines as published in Coding Clinic for ICD-10-CM
• Abstracts data elements for ancillary encounters as required by the facility
• Coordinates with Ancillary Departments relative to medical necessity issues
• Utilizes official coding guidelines and resources as required including Coding Clinic for ICD-10-CM, Faye Brown Coding Handbook, UHDDS guidelines for sequencing, pharmacology reference, medical dictionary, CMS directives and bulletins, and Fiscal intermediary communications
• Reports inaccuracies found in coding software to HIM coding supervisor, reports any potential unethical and/or fraudulent activity per compliance policy, adheres to all HIM coding and compliance policies, and reports inaccuracy or inconsistencies in coding practices to the HIM coding supervisor

Senior Clinical Document Spclst Medical Coding Resume Examples & Samples

• Communicates with physicians, case managers, coders and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients
• Utilizes the hospital’s designated clinical documentation system to identify opportunities for physician and hospital outcomes
• Provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct DRG
• Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team in accordance with the hospital’s designated clinical documentation system
• Gathers and analyze information pertinent to documentation findings and outcomes
• Identifies patterns, trends variance and opportunity to improve documentation review and process
• Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization
• Responsible for monitoring appropriate applications and creating reports relevant to the current clinical documentation workflow
• Monitors productivity, query response rates, query rates and any other applicable performance metrics for the Clinical Documentation Improvement team
• Daily and weekly reviews for Clinical Documentation Improvement Specialist queries and Retrospective Coding queries for appropriateness and feedback
• Participation in the Coding and Clinical Documentation Oversight Committee
• Performs retrospective reviews of medical record documentation to determine opportunities for improvement and education with Clinical Documentation Specialists, Coders and/or patient care teams. Acts as a resource to the Clinical Document Specialists and aids in training new staff (??)
• Conducts reviews on records that have been identified as suspicious and / or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD - 9/ICD - 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines
• Ability to discuss and present on decisions made to appropriate internal and external individuals / groups
• Coordinate with team members to understand trends and schemes related to billing issues / coding trends
• Clinical and / or coding expertise in a Physician office, SNF, ALF, Hospital setting, and / or billing / office
• Strong organizational / time management skills and be able to work independently or as a team
• Current CPC or CCS - P Certification

Related Job Titles

Medical Coder resume examples for 2024

A medical coder's resume should highlight a range of skills. These include proficiency in medical terminology and ICD-10-CM, as well as knowledge of CPT-4, DRG, and Medicare/Medicaid. It's also important to demonstrate experience with data entry, coding, and auditing. As a medical coder, you'll need to be able to review documentation for compliance and ensure that coding supports medical necessity for proper reimbursement. You may also be required to communicate with physicians and other healthcare professionals, so strong communication skills are essential.

Medical Coder resume example

How to format your medical coder resume:.

• Use the job title 'Medical Coder' in your resume to match the application
• Highlight achievements in your work experience section, such as increasing accurate reimbursement or optimizing DRG revenue
• Follow the recommendation of hiring managers and fit your resume on one page, prioritizing relevant medical coding experience and achievements

Choose from 10+ customizable medical coder resume templates

Choose from a variety of easy-to-use medical coder resume templates and get expert advice from Zippia’s AI resume writer along the way. Using pre-approved templates, you can rest assured that the structure and format of your medical coder resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

Medical Coder resume format and sections

1. add contact information to your medical coder resume.

Medical Coder Resume Contact Information Example # 1

Dhruv Johnson

[email protected] | 333-111-2222 | www.linkedin.com/in/dhruv-johnson

2. Add relevant education to your medical coder resume

Your resume's education section should include:

• The name of your school
• The date you graduated ( Month, Year or Year are both appropriate)
• The name of your degree

If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination.

Optional subsections for your education section include:

• Academic awards (Dean's List, Latin honors, etc. )
• GPA (if you're a recent graduate and your GPA was 3.5+)
• Extra certifications
• Academic projects (thesis, dissertation, etc. )

Other tips to consider when writing your education section include:

• If you're a recent graduate, you might opt to place your education section above your experience section
• The more work experience you get, the shorter your education section should be
• List your education in reverse chronological order, with your most recent and high-ranking degrees first
• If you haven't graduated yet, you can include "Expected graduation date" to the entry for that school

Check More About Medical Coder Education

Medical Coder Resume Relevant Education Example # 1

High School Diploma 2011 - 2013

Medical Coder Resume Relevant Education Example # 2

High School Diploma 2005 - 2007

3. Next, create a medical coder skills section on your resume

Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills. If you haven't started your job search yet, you can look over resumes to get an idea of what skills are the most important.

Here are some tips to keep in mind when writing your resume's skills section:

• Include 6-12 skills, in bullet point form
• List mostly hard skills ; soft skills are hard to test
• Emphasize the skills that are most important for the job

Hard skills are generally more important to hiring managers because they relate to on-the-job knowledge and specific experience with a certain technology or process.

Soft skills are also valuable, as they're highly transferable and make you a great person to work alongside, but they're impossible to prove on a resume.

Example of skills to include on an medical coder resume

CPC is a digital marketing metric that measures the amount of money paid for each click in a pay-per-click (PPC) marketing campaign. Several factors determine your cost per click, including your maximum bid, Quality Score, and ad rank from other advertisers bidding on the same keyword. When using cost-per-click advertising, it is important to understand how to create your ad, choose the price you want to pay each time the ad is clicked, and how you will not only drive traffic to your website but increase conversion as well. Cost per click (CPC) is calculated by dividing ad costs by the number of clicks an ad generated.

Clinical documentation is a record specifying an instance of administered clinical therapy, clinical care, or a clinical test. Clinical reports should be exact, opportune, and reflect all instructions and advisements given to a patient.

Medicare is a federal government insurance program that offers health care coverage to people who are 65 and above. In some cases, younger people with disabilities whose status is identified by the SSA can also avail the insurance program. Medicare covers the health expenses of people who are not able to afford it plus it protects the payee from rising health care costs.

Procedure codes are usually referred to as the medical classification that is used to identify surgical, medical, or diagnostic interventions like durable medical equipment, surgeries, medications. These codes can be structured alphanumerically, alphabetically, or numerically depending on where they are being used.

Productivity standards are referred to as performance thresholds or requirements that must be met to satisfy organizational expectations. Productivity is calculated by measuring the number of units produced in relation to the number of working hours spent on the production.

Top Skills for a Medical Coder

• CPC , 11.3%
• Medical Terminology , 8.0%
• ICD-10-CM , 7.4%
• AHIMA , 6.7%
• Other Skills , 66.6%

4. List your medical coder experience

The most important part of any resume for a medical coder is the experience section. Recruiters and hiring managers expect to see your experience listed in reverse chronological order, meaning that you should begin with your most recent experience and then work backwards.

Don't just list your job duties below each job entry. Instead, make sure most of your bullet points discuss impressive achievements from your past positions. Whenever you can, use numbers to contextualize your accomplishments for the hiring manager reading your resume.

It's okay if you can't include exact percentages or dollar figures. There's a big difference even between saying "Managed a team of medical coders" and "Managed a team of 6 medical coders over a 9-month project. "

Most importantly, make sure that the experience you include is relevant to the job you're applying for. Use the job description to ensure that each bullet point on your resume is appropriate and helpful.

• Maintained top accuracy and productivity records for ICD-9, CPT and HCPCS coding exceeding 98%.
• Conducted Initial Medicare Surveys for new medical facilities that opened in West Virginia Conducted JCAHO Validation surveys at JCAHO accredited hospitals.
• Started my career coding inpatient records and assigning DRG's.
• Assigned ICD-9-CM and CPT-4 diagnoses and procedure codes based on the coding guidelines and documentation in the inpatient/outpatient medical record.
• Verified each patients insurance; both Medicaid and private insurance
• Communicated with primary care providers over phone to retrieve medical records via fax while adhering to HIPAA guidelines.
• Ensured accurate provider pricing, demographics and payment of claims in accordance with contracted rates.
• Trained new and existing employees on policies and procedures relating to release of information.
• Tracked Release Of Information (ROIs) records while following ROI protocols to ensure patient confidence.
• Maintained 8% monthly deficiency rating remaining compliant with JCAHO standards.
• Provided guidance to other Administrative Assistants for time and attendance procedures.
• Utilized medical databases and automation systems including CHCS, AHLTA, ESSENTIS, TRAC2ES, and DEERS.
• Ensured department operations were in accordance with the MWR Policies and Procedures.
• Performed contacts to organizations for securing information and updated all Standard Operating Procedures (SOP's) relating to Youth Center.
• Demonstrated awareness of agency mission, organizational goals, values, policies and procedures.
• Assigned codes and modifiers with ICD-9-CM, CPT and HCPCS Level II Codes when appropriate.
• Reviewed instances that were potentially reimbursable, including Medicare and other third party payers, by applying correct coding principles.
• Reviewed Outpatient encounters to ensure coding accuracy Working knowledge of diverse medical terminology Knowledge of EMR/EHR.
• Attended state and local AHIMA, Medicare, CPT-4 and ICD-9 meetings/seminars.
• Utilized HCPCS level III, ICD-9 CM codes, CPT 4 codes, 3M coding software, EPIC, Encoder Pro.

5. Highlight medical coder certifications on your resume

Specific medical coder certifications can be a powerful tool to show employers you've developed the appropriate skills.

If you have any of these certifications, make sure to put them on your medical coder resume:

• Certified Billing and Coding Specialist (CBCS)
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)
• Registered Health Information Technician (RHIT)
• Certified Medical Coder (CMC)
• Medical Assistant
• Certified Code Specialist
• Registered Health Information Administrator (RHIA)
• Certified Professional Medical Auditor (CPMA)
• Certified Outpatient Coding (COC)

6. Finally, add an medical coder resume summary or objective statement

A resume summary statement consists of 1-3 sentences at the top of your medical coder resume that quickly summarizes who you are and what you have to offer. The summary statement should include your job title, years of experience (if it's 3+), and an impressive accomplishment, if you have space for it.

Remember to emphasize skills and experiences that feature in the job description.

Common medical coder resume skills

• Medical Terminology
• Clinical Documentation
• Procedure Codes
• Productivity Standards
• Diagnosis Codes
• Home Health
• Accuracy Rate
• Medical Billing
• Emergency Room
• Cycle Management
• Good Time Management
• Medical Necessity
• Surgical Procedures
• Rehabilitation
• Professional Work
• Interventional Radiology
• Physician Documentation
• Charge Entry
• Billing System
• Orthopedics
• Outpatient Services
• Patient Accounts
• Patient Charts
• Internal Medicine
• Physical Therapy
• Gastroenterology

Medical Coder Jobs

Links to help optimize your medical coder resume.

• How To Write A Resume
• List Of Skills For Your Resume
• How To Write A Resume Summary Statement
• Action Words For Your Resume
• How To List References On Your Resume

Medical Coder resume FAQs

How do i put a cpc certification on my resume, what is a medical coder's job description, what should a medical coder put on a resume, what skills do you need to be a medical coder, search for medical coder jobs.

Updated April 25, 2024

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Medical Coder Related Resumes

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Medical Coder Related Careers

• Health Care Administrator
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• Medical Records Manager
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Medical Coder Related Jobs

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Medical Coder Resume Sample

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Work Experience

• To be able to verify charts notes meet the criteria for the level of visit and enter into the billing software,
• Release claims through the billing software to the clearinghouse
• Correct any claims that are rejected or denied due to coding issues
• Translates billable charges into CPT4 procedural codes and ICD9 diagnosis codes
• Provides education to physicians and staff concerning coding in accordance with National Correct Coding Initiative (NCCI)
• Provides coding audits to Executive Director in accordance with NCCI coding initiatives
• Receives inpatient and outpatient bills for coding appropriateness
• Meets with providers in assigned area on a regular basis on carrier guidelines, coding regulations and fee schedules identifying updates and changes in process
• Responsible for all charge corrections in assigned area using IDX data processing system
• Updates CPT and ICD codes on a yearly basis and assesses impact to practice
• Comprehend the medical record to identify all diagnosis, operations and procedures relevant to the current encounter documentation and orders in a Stage 7 electronic medical record
• Gaps in documentation or potential gaps are escalated for remediation, trending and reporting
• Select, assign and sequence the appropriate ICD-10 Diagnosis, ICD 10 PCS (inpatient only), CPT, Modifiers (both EAPG based and non-EAPG based) , HCPCS codes to patients’ current period of care according to established sequencing guidelines for optimal reimbursement for the emergency department, hospital outpatients, and recurring patients
• Contact the appropriate health care provider if there is inadequate information on which to base code assignment; or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible Physician
• Comprehend revenue categories for auditing claims prior to billing and/or perform post billing random audits
• Coding knowledge of infusion hierarchy with knowledge of medications for charge capture for all Emergency department patients
• Validate that each outpatient encounters has a provider order for the service prior to coding
• AHIMA credential: RHIT, RHIA, and/or CCS
• In-office position requires sitting at a desk at our office in Denver
• Verify that chart notes meet the criteria for the level of visit and enter into billing software
• Communicate with providers regarding chart notes
• Release claims to the clearinghouse through the billing software
• Monitor and correct any claims that are rejected or denied due to coding issues
• Understand the life-cycle of the medical bill
• Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards
• As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes

Professional Skills

• One year clinical experience to include general office skills and computer experience
• Demonstrated proficiency working with Epic work queues as well as prior charge posting experience
• Strong computer skills; understanding of RIS system
• Adobe Acrobat experience and experience working collaboratively on projects using Microsoft SharePoint experience
• Demonstrated proficiency in spelling, punctuation, and grammar skills
• Demonstrated customer service and organizational skills
• Excellent verbal and written communication skills and have the ability to function under the pressure of daily work requirements

How to write Medical Coder Resume

Medical Coder role is responsible for coding, basic, computer, medical, general, education, learning, efficient, oncology, security. To write great resume for medical coder job, your resume must include:

• Your contact information
• Work experience
• Skill listing

Contact Information For Medical Coder Resume

The section contact information is important in your medical coder resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

• First and last name
• Telephone number

Work Experience in Your Medical Coder Resume

The section work experience is an essential part of your medical coder resume. It’s the one thing the recruiter really cares about and pays the most attention to. This section, however, is not just a list of your previous medical coder responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular medical coder position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Medical Coder resume experience can include:

• Demonstrates experience in professionally handling and protecting items confidential in nature
• Communicates effectively with internal and external sources concerning diagnoses and procedure(s) to assure proper coding and reimbursement
• Six months of prior CPT-4, ICD-9 and ICD-10 coding experience
• One year of prior CPT-4, ICD-9 and ICD-10 coding experience
• One year prior CPT-4 and ICD-9 coding experience
• Research and analyze the medical records when there is a discrepancy in coding; validate the coding and supporting the department in the reporting of findings

Education on a Medical Coder Resume

Make sure to make education a priority on your medical coder resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your medical coder experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

• School you graduated from
• Major/ minor
• Year of graduation
• Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Medical Coder Resume

When listing skills on your medical coder resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical medical coder skills:

• Demonstrated skill/experience working with computerized reports to abstract information
• Demonstrated medical coding skills
• Good interpersonal skills and a basic understanding of team management concepts
• Good communication skills both verbally and written and the ability to communicate clearly and concisely
• Strong computer, customer service and communication skills
• Organizational skills to prioritize workload and meet deadlines; develop and carry out project assignment in an efficient and timely manner

List of Typical Experience For a Medical Coder Resume

Experience for certified medical coder resume.

• Skill and ability to communicate effectively both orally and in writing
• Patient Skills Types: Inpatient Acute Hospital
• 1) Experience with Outpatient Coding (transforming descriptions of medical diagnoses and procedures into universal medical code numbers)
• 3) Experience with reviewing complex patient data and being able to investigate a solution
• Experience coding patient records in a hospital HIM department
• Two (2) years of experience with ICD-9 and CPT coding
• Patient Skill Types: Inpatient Acute Care
• Patient Skill Types: Inpatient Acute Hospital; Observation; Same Day Surgery

Experience For Medical Coder Outpatient Resume

• Skill and ability to maintain working relationships with physicians and other staff
• Skill and ability to research and analyze data, draw conclusions, and resolve issues
• Skill and ability to review the work of others and maintain confidentiality
• Demonstrates ability to handle multiple items simultaneously and produce high-quality work in a timely, accurate and efficient manner
• Demonstrates ability to learn and work independently
• Ensures pre-certifications/authorizations are valid for the procedure performed
• Uses only pre-approved source documents as validation for recommendations
• Validate and abstract CPT, ICD-10 and HCPCS codes from professional and facility medical documentation

Experience For Senior Medical Coder Resume

• At least 3-5 years experience as a medical coder
• Examining and verifying coding errors through audits
• Correcting rejected claims, researching, and contacting physician offices
• Reprocessing and researching of coding denials
• Understanding of ICD - 10 Coding in relation to DRGs
• Tracking their own continuing education credits to maintain professional credentials

Experience For Remote Medical Coder Resume

• Answering Medical Representatives coding questions
• Providing timely bill processing per state guidelines
• Coding Certification required; CPC or equivalent certification
• Coding claims from Pathology Reports
• Ensuring appropriate code was given
• Willing to travel to provider offices in Orange county

Experience For Medical Coder Supervisor Resume

• Works in conjunction with the Reimbursement staff to answer all inquires regarding coding and billing for physicians' services
• Trains clinical staff on coding guidelines, ensuring compliance around documentation, coding and payor guidelines
• Updates physicians and managers of regulatory and coding system changes, reviews training needs and creates and implements training plans as needed
• Maintains updated knowledge of coding requirements; including continuing education and certification renewal
• Communicates with families, assisting with billing/insurance questions and collecting surgical prepayments
• Our coding colleagues work for coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
• Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for physicians' services
• Assist coding trainer with all training/audits or retraining audits

Experience For Optum Data Management Medical Coder Resume

• Adapt to continually changing coding requirements and regulations
• Provides regular and on-going communication with management and medical staff to resolve coding issues and associated problems
• Collaborates with the coding team at the external billing company
• Audit medical records to ensure compliance with the organizations coding procedures and standards according to government regulations
• Medical Billing/Coding Diploma or Certificate Required (CPC)
• A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement
• Identify appropriate assignment of CPT and ICD -10 Codes for physician and facility services provided in an Observation service setting, and Inpatient setting

Experience For Medical Coder Analyst, Claims Resume

• Comply with all legal requirements regarding coding procedures and practices
• Acts as a liaison between the CBO (Central Business Office) department, billers, and third party payers in resolving billing and reimbursement accuracy
• Report coding problems or irregularities to Coding leadership as appropriate
• Contact leadership, billing, and or coding representatives for information and assistance with denied or incorrectly paid claims
• Assists in finding resolutions to billing issues – rejections, non-paid accounts, etc
• Advise physicians on a day-to-day basis regarding documentation and coding standards
• Advise physicians on a day to day basis regarding documentation and coding standards

Experience For Medical Coder / Educator Resume

• Responsible for maintaining current knowledge of coding guidelines through the use of current CPT, HCPCS II and ICD10 materials
• Communicates with staff, relaying messages or other information relevant to maintaining timely workflow and customer satisfaction
• Performs all audits of documentation, coding and billing practices in whatever office or capacity it is required
• Assists with working the missing condition reports from all carriers
• Assists with all quality measures initiatives – working with the PCP offices in capturing the data to support the variables
• Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary
• Perform ongoing analysis of medical record charts for the appropriate coding compliance
• Sequences the diagnoses and procedures using coding guidelines
• Acts as liaison between the Billing Department and medical staff, clinical staff for coding and documentation issues

Experience For Inpatient Certified Medical Coder Resume

• Maintains knowledge of and complies with coding guidelines and reimbursement reporting requirements
• Our coding colleagues code records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
• Support Director of Risk Adjustment Coding with department projects including some project management
• Presenter of HCC Coding Education to network providers with Medical Directors (evening workshops)
• Assist with coding supervisors and coding staff to ensure that concerns are investigated and appropriate action is taken
• Assists and confers with other coders and Coding Manager concerning any problem records
• Prepare individual report for each Level 1 audit to the supervisor/trainer, identifying and communicating potential quality issues
• Assist with auditing on MRTS in incomplete and unbillable chart reviews, or any other department reviews to ensure coding accuracy and adherence to policies
• Assist with coding and/or correcting charts sent by all departments

Experience For Hospice Medical Coder Resume

• Assists with US Oncology audit and compliance or reimbursement audits such as providing records, audit reports, and standard operating procedure manuals
• Interacts with clinician and other clinic/corporate departments to assure completeness of charts for billing
• Interacts with Medical Billers to assure compliance and appropriate billing practices
• Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments
• Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services
• Reviews billing and/or EMR system to identify and analyze trends, recommend and implement corrective actions
• Medical coding through medical record abstraction
• Proficient knowledge of medical terminology, ICD-10 and CPT coding
• Look into any coding errors and ensure resolution

List of Typical Skills For a Medical Coder Resume

Skills for certified medical coder resume.

• Excellent interpersonal skills
• Coding Technical Skills –Regulatory coding (ICD-9-CM, ICD-10 and HCPCS/CPT) and associated reimbursement knowledge
• Coding Technical Skills –Regulatory coding (ICD-9-CM and HCPCS/CPT) and associated reimbursement knowledge
• Coding Technical Skills – Regulatory coding (ICD-9-CM, ICD-10 and HCPCS/CPT) and associated reimbursement knowledge
• Medical coding experience with demonstrated sustained coding quality
• Exemplary attention to detail and critical thinking skills
• Effectively present coding issues to internal or external clients
• Adaptability to change and learning new skills

Skills For Medical Coder Outpatient Resume

• Prior experience with correcting diagnosis codes and modifiers assigned to outpatient services
• 18+ months prior medical coding experience
• Prior Evaluation and Management or Surgical coding experience
• Analytical or critical thinking skills
• Prior experience in a role/s within a medical office environment
• Third party medical billing and coding experience from Evaluation and Management documentation and coding experience from a narrative/report format
• Four ( 4 ) years experience in CPT-4 and ICD-9-CM coding and abstracting experience for a physician office, hospital or insurance carrier multi-specialty areas
• Works efficiently and effectively to minimize overtime

Skills For Senior Medical Coder Resume

• Coding experience in obstetrics, primary care or oncology
• CCS coding credential requires inpatient coding experience before taking exam
• Charge entry/cleaning claims for coding accuracy prior to submitting to insurance
• Recent and relevant hands-on coding experience including active production coding
• Recent and relevant hands-on coding experience including active medical production coding
• Professional Coding experience in a Hospital or Physician setting
• Inpatient Coding experience in a Hospital setting

Skills For Remote Medical Coder Resume

• Demonstrate flexibility to accommodate rapidly changing needs of a growing organization
• Experience in a healthcare environment dealing with medical coding
• Experience using ICD and CPT coding systems
• 6 months or more of experience in medical coding
• Good working knowledge of medical terminology and anatomy required
• ICD-9 Coding or Medical Record Audit experience in a consultative role

Skills For Medical Coder Supervisor Resume

• Strong problem solving and resolution abilities
• Experience using Athena Health practice management or a similar system is required
• Experience in medical coding
• Experience using ICD-10
• Coding experience
• Experience using ICD-9-CM, CPT, HCPCs or equivalency
• Minimumof two years related coding experience required

Skills For Optum Data Management Medical Coder Resume

• Experience using ICD-9-CM, CPT
• Experience presenting data to leadership
• Experience with coding and reimbursement activities
• Demonstrated knowledge of ICD-9 and CPT4 Coding
• Healthcare Coding experience
• Excellent understanding of clinical documentation requirements in order to support an active diagnosis
• 6 months or more of medical coding experience
• Experience in Medical Coding (ICD-10, CPT, and HCPCS)

Skills For Medical Coder Analyst, Claims Resume

• Or more of professional experience in clinical/medical setting
• Medical Coding Certificate-currently valid (CPC through AAPC) or (CCA or CCS through AHIMA)
• Knowledge of or experience with ICD-10 and CPT coding
• ME/Team Lead experience working with cross functional teams
• Experience in working in a healthcare insurance environment
• One (1) year of recent and relevant hands-on coding experience
• Demonstrates ability to work in a team environment, and to build trust in the working relationships with other staff and faculty

Skills For Medical Coder / Educator Resume

• Strong billing knowledge
• Min 6 months experience in coding
• Monitor and report the effectiveness of internal/external understanding of LHI services
• Demonstrates knowledge of ICD-10-CM and CPT coding guidelines and medical terminology
• Five years of experience in hospital inpatient coding required
• Profee/physician coding experience is required

Skills For Inpatient Certified Medical Coder Resume

• Organize and prioritize and meet deadlines
• Excellent knowledge of medical record review and abstraction
• Demonstrated knowledge of ICD-10-CM, CPT, PQRS (Physician Quality Reporting System-Medicare), and HCPCS coding guidelines and principles required
• Able to demonstrate full knowledge of insurance payers and their coding requirements per their Clinical Policy Bulletins, NCCI edits and Medicare LCDs
• Strong ICD-10, HCPCS and CPT Coding knowledge
• Prioritize responsibilities and meet deadlines
• Coding experience in a medical office environment

Skills For Hospice Medical Coder Resume

• CPC, CRC, CCS-P, or CPC-A (with experience) coding certification
• CPC, CPC-A (with experience), CRC, or CCS-P Coding Certification
• Experience as a Certified Medical Coder
• Experience with Medicare, Medicaid, and commercial carrier coding guidelines
• Experience using a computer and Microsoft Office (Microsoft Word, Microsoft Excel, and Microsoft Outlook) to create, copy, edit, send, and save documents
• Experience in defining business requirements, traceability and system configuration
• Facility based coding experience
• At least 1-year medical coding experience
• Experience orthopedic coding

List of Typical Responsibilities For a Medical Coder Resume

Responsibilities for certified medical coder resume.

• Working knowledge of medical terminology, basic coding skills including familiarity with ICD-10 and CPT coding is required
• Working knowledge of medical terminology, basic coding skills including familiarity with ICD-10 and CPT coding (required)
• Previous experience coding for PCP and / or skilled nursing facilities, or specialty clinics
• Work independently and proactively with critical thinking skills
• Coding experience in either inpatient or outpatient setting
• Of 3 yrs. Ambulatory Procedure Visit (APV) coding experience within the last 6 yrs. in a military coding environment
• One of the following Professional Services Certifications: CPC, RHIA, RHIT, CPMA, CCS-P or COC with professional membership in good standing
• Experience working in healthcare in an academic setting
• Experience working as a Certified Medical Coder directly with Physicians, for coding accuracy

Responsibilities For Medical Coder Outpatient Resume

• Experience working in a teaching/academic/research oncology center
• Experience in the coding field
• Risk adjustment experience in a managed care setting
• Experience with the Common Procedure Coding System (HCPCS)
• 1-2 years Medical Coding experience
• Coding experience in Family Practice / Internal Medicine

Responsibilities For Senior Medical Coder Resume

• Experience of Outpatient Coding from Electronic medical records
• One (1) year of Radiation Oncology coding experience
• At lease two years of progressively complex billing & third party payer experience
• Pediatric Coding Experience
• Demonstrated ability working directly with Physicians in a consultative manner
• Professional coding experience
• Experience working with Modifiers
• Experience working with CPT, ICD-9, ICD-10

Responsibilities For Remote Medical Coder Resume

• +2 years of related work experience in medical coding
• Of medical coding experience
• Good working knowledge of medical terminology and anatomy
• Coding certification to include the following: CPC, CPC-H, CCS,CCS-P, CCA, RHIA and RHIT
• Coding certification to include the following: CPC, CCS, RHIA, and RHIT (no CPC-A, RHIT – A, etc.)
• Working knowledge of ICD-10 and CPT coding
• Working knowledge of medical terminology, human anatomy, and coding
• Coding certification to include the following: CPC, CCS, RHIA and RHIT (no CPC-A, RHIT A, etc.)

Responsibilities For Medical Coder Supervisor Resume

• Coding certification to include the following: CPC, CCS, RHIA, and RHIT (no CPC-A, RHIT, RHIA, etc.)
• Coding certification to include the following: CPC, CCS, RHIA, and RHIT (no CPC-A, RHIT)
• Coding certification to include the following: CPC, CCS, RHIA, and RHIT (no CPC - A, RHIT - A, etc.)
• Working knowledge of ICD-9/ICD-10/CPT coding
• Coding scheme and reimbursement practices required
• Coding credential (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H)

Responsibilities For Optum Data Management Medical Coder Resume

• Understanding of ICD-10 anesthesia codes
• Coding certification from AAPC or AHIMA REQUIRED
• Coding certification from AAPC, AHEMA required
• Provide Anesthesia cross walk codes, procedure, diagnosis and modifier coding using CPT and ICD-10 coding systems
• Knowledge of CMS, Medicaid and third party coding, billing and data processing system

Responsibilities For Medical Coder Analyst, Claims Resume

• Utilizes 3M coding software in coding process for each account and/or Regs for assistance when unsure of proper coding
• Maintain knowledge of CPT-4 and ICD-9/10-CM coding principles, governmental regulations, protocols and third-party requirements pertaining to billing
• Assist leadership, billing and coding staff to ensure that concerns are investigated and appropriate action is taken
• Monitor, interpret and advise management regarding changes to third party reimbursement activities and trends with coding related denials
• Focus on specific patient accounts regarding matters of billing and reimbursement
• Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients
• Performing medical coding for multispecialty physician and hospital services

Responsibilities For Medical Coder / Educator Resume

• CPC Certified Professional Coder, CCS Certified Coding Specialist, or CCA Certified Coding Associate
• Completion of a formal medical coding training program
• Medical Billing/Coding Diploma or Certificate
• Knowledge of payers & medical insurance terminology for billing lines, including but not limited to, Managed Care, Medicare, Medical Assistance and Self-Pay
• Knowledge of third-party billing and payment requirements for third party payors including managed care benefits
• Knowledge with third-party medical insurance, diagnostic & procedural coding, and medical billing
• ICD-9, ICD-10 and CPT coding with an emphasis on Radiology specific coding
• Medical Coding and/or Auditing in two or more medical, ancillary or surgical specialties (w/in past 10 years)

Responsibilities For Inpatient Certified Medical Coder Resume

• Internal US Oncology Billing and Coding Integrity Program certification (BCS-M) in Medical Oncology and (BCIP) in Radiation Oncology within the first 90 days
• Active AAPC coding certification CPC or Active AHIMA coding certification CCS or CCA
• Perform all coding functions by assigning appropriate CPT, ICD10, HCPCS codes to operative reports
• Able to interpret and understand medical content, including knowledge of CPT and ICD-10 CM coding
• Knowledge of Medical Documentation requirements, National Correct Coding Initiative edits, LCD and Physician Billing requirements

Responsibilities For Hospice Medical Coder Resume

• Medical billing/coding
• Knowledge of CPT, ICD-10-CM, and HCPCS Level II coding with additional knowledge of modifier uses, CCI edits, and payers bundling guidelines
• Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance
• Responsible for the ongoing identification and implementation of revenue integrity solutions
• Conduct audits and coding reviews to ensure all documentation is accurate and precise
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes

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