Medical Coder. See 20+ resume templates and create your resume here. A recruiter skims through your resume to see if you are a candidate worth spending more than a few seconds on. Vast knowledge of medical terminology, procedures and billing nuances of general hospital health care. Deep knowledge in ICD-9 and CPT coding, medical terminology, data management, data entry, conducting billing practices, and … So show the hiring manager that you can do it. For each entry, add up to 6 bullet points describing your responsibilities and skills used in practice. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, Government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current, Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA, Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information, Minimum of two years technical coding experience that includes complex outpatient ambulatory services and ancillary coding or demonstrated level of higher proficiency such as, Interventional radiology, wound care, oncology and relevant hands-on coding experience, Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Proficient computer knowledge including MS Office (Outlook, Word, Excel, Power Point), Must display excellent interpersonal and problem solving skills with all levels of internal and external customers, Proficient in Microsoft Word, Outlook, and Excel, High level of organization with the ability to multi-task effectively, Self-motivation with a proven ability to learn quickly, multi-task, and work independently, Flexibility to respond in a fast-paced, diverse, and changing environment, Organized, disciplined and detail oriented, 2 years of relevant and recent work experience in the medical coding field, Perform Coding duties as appropriate according to pre - determined schedules, Participate in Coding department meetings, 3+ years of coding experience in Family Practice/Internal Medicine, Experience Coding from paper charts as well as EMR, MS Office experience required i.e. Madeleine Forrest. Sample Resume: Medical Billing and Coding Specialist (entry level) Jacklyn Doe. Clear layout makes it easy to read. Excellent oral and written communication skills, Ability to plan, organize and prioritize job duties under general supervision, Excellent customer service and customer relations skills, Time management skills to meet client productivity goals, Highly motivated, independent and innovative, Provide support for onsite audit reviews regarding clinical documentation, Provide support of new and established group coding for Care Management, Create and maintain project plans and documentation related to clinical editing, High school education or equivalent experience, Certified coder via AHIMA or AAPC or an RN, Knowledge of physician coding methodologies including CPT, HCPCS, facility coding methodologies, Experience with Windows applications - MS Office, PowerPoint-Creating/Managing Presentations, Excel- Creating/Updating spreadsheets, formulas, and Word- Creating/Updating documents, Experience leading and facilitating virtual meetings, Excellent verbal and written communication/presentation skills, Ability to review medical record documents to derive at accurate and appropriate ICD10 codes for claims, Ability to contact physician’s office to ask additional questions or seek additional information/ records to derive at valid ICD10 code (Strong communication skills and phone etiquette), Ability to collaborate with AR team on denials related to diagnosis codes, Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. When you’re done, Zety’s resume builder will score your resume and tell you exactly how to make it better. With the same stuff. Resume Details. It will help you showcase your skills and things you’ve learnt on courses or during internships. Think of the skills you gained in non-medical jobs. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. Pro Tip: Writing a resume with no experience in the healthcare business? Make sure to present only those duties and accomplishments that are, International Classification of Diseases (ICD), The Common Coding System for Healthcare Procedures (HCPCS), Medicare, Medicaid, and Blue Cross insurance regulations. Together with averting the errors that are aforementioned, in addition, it is sensible… Read More » Resume Text. Whether you want to be a trainee coder or nosologist, you need to make your education resume section shine. See perfect cover letter samples that get jobs. 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The education requirements vary depending on the level of the position and the employment setting. ), Proficient in ICD-9-CM ICD-10-CM/PCS and CPT coding system, DRG, APG, MS-DRG and APCs and official coding guidelines, Ability to plan and prepare for ICD-10CM/PCS updates, Knowledgeable in medical terminology, anatomy and physiology, abnormal lab results, disease processes, and pharmacology-drug names, Basic computer knowledge and familiarity with systems used in healthcare, proficiency with Microsoft Office, Ability to work independently, and in a matrixed, team oriented, fast paced project environment, Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines, Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed, 2 + years of experience in Medical Billing, Able to respect and maintain patient confidentiality at all times, 5 years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing. Travel could be up to 50%, Must have reliable transportation with valid driver’s license and insurance, Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required, Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude, Comprehensive knowledge of Microsoft Word and Excel and Access, Bachelor’s Degree in Business or a related field, Prior Coding experience, preferably in a medical office, Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems, Knowledge and experience in a health care environment/managed care, Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether a) the diagnosis codes are supported by the documentation and agree with ICD 10 Guidelines for Coding and Reporting, Review all medical record documentation for HEDIS and STARs capture and closure. They’re all FREE to download and ready to use on your resume. Participate in and support internal and external prospective and retrospective reviews and audits, Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires, Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients, Serve as project and process SMEs when needed, AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC, Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision, Basic Microsoft office skills: Word, Excel, PowerPoint, Ability to travel locally to various IPA sites, Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes, Ability to code from a variety of electronic medical records systems, This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics, Review insurance payments and denials and recommends coding corrections, National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), Experience working with the Affordable Care Act and Medicare Advantage (preferred), Interpret medical record data in order to process physician and/or facility charges, Three years of medical chart abstraction and coding experience or relevant work experience required, Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. Heading: Here you write your complete name, complete address, a telephone number where you can be reached, and a professional e-mail address. When listing skills on your medical coder resume, remember always to be honest about your level of ability. Familiarity with eClinicalWorks EMR/PM (Desired), Proficient with Medicare Fee For Service, Medicaid and Commercial payers guidelines and regulations, Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care, A thorough knowledge of Federal, State and Local regulations related to billing and insurance, Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models, Experience with and exposure to compliance matters, Specific knowledge of the regulations and guidelines as they relate to documentation and coding, Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines, Coding certifications (CPC, CCS, CCS-P, CPMA, CEMC or CENTC); compliance certifications (CHC, CPCO) and/or Bachelor's degree, Revenue management and/or healthcare industry experience, Certified Medical Coder with either CPC or CCS with high degree of competency in this area, Prior experience with Medical Office Practice Management System (EMR), Ability to research coding related issues, Hospital inpatient coding experience within the past 2 years and be knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, Ability to read, analyze and interpret medical records, Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered, Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc, Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustment, Deliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards, Coordinate with clinical leadership in development of provider training plans and for active support in the training process, Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. Word, Excel, Outlook, Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes, Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies, Evaluates medical records for consistency and adequacy of documentation, Maintains compliance standards as per the policies and reports compliance issues as required, Bachelor’s degree in any stream (preferably Life Science), Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred, Minimum one year of experience in medical coding, Analytical thinking and problem solving skills, Ability to work independently and accomplish targets in a timely manner, Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information, Active AAPC coding certification CPC or CCS, 2+ years of related work in billing or laboratory testing, Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing, Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials, Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA, Privacy and Security Regulations as evidenced by appropriate handling of patient information, Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic), Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee, As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective, Ability to consistently code at 95% threshold for both accuracy and quality while maintaining, Client-specific and/or Precyse production and/or quality standards, Proficient computer knowledge including MS Office (Outlook, Word, Excel), Must display excellent interpersonal and problem solving skills with all levels of internal and, 2+ years of Hospital Inpatient Coding experience, Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, 2+ years of specialty Practice Coding experience, Knowledge of Anatomy and Medical Terminology, Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations, Associate's and/or Bachelor's Degree in a related field, Experience with ENT, Neurology, Plastic Surgery, etc, Prior work experience utilizing ICD10 codes, Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures, Ability to analyze, problem-solve, and work independently, Ability to provide guidance and training to professional and coding staff, Knowledge of University policies and procedures is necessary, Prior Evaluation and Management or Emergency Medicine coding experince preferred, Preferably 3 years of data management experience and the majority of this with medical coding, Preferably 2 years of experience in Information Technology, Preferably knowledge of Clinical Development, Preferably experience in project management, Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. 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