Coder Resume Sample
Nia Parisian
20035 Abby Parkways,
Boston,
MA
+1 (555) 919 6438
Work Experience
Senior Coder
01/2016
-
PRESENT
San Francisco, CA
- 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
- Develops and maintains an education calendar and individual continuing education and orientation record for each member of the assigned work group. Develops and conducts programs with educational materials, procedures and exercises that are task/function specific using a variety of learning and evaluation strategies for all staff
- Works in regional/system-wide teams to develop Health Information Management Systems and Services educational materials and activities, and promotes standardized practices throughout the region and/or company
- Abstracts and validates required data elements into the coding and abstracting
- Communicates with providers for missing documentation or questions regarding
- Abstracts, assigns and sequences ICD-9-CM/CPT/HCPCS codes to diagnoses and procedures as supported by documentation. Assures the final diagnoses and operative procedures as stated by the physician are valid and coded to the highest level of specificity. Abstracts all necessary information from documentation to identify secondary complications and co-morbid conditions
- Meets FMG Production standards for coding procedures
- Meets FMG Quality standards per the Coding Audit and Monitoring process
Coder
07/2009
-
07/2015
Phoenix, AZ
- Successfully complete in house coding test with a score of 70 or higher
- Understanding of appropriate level of care orders
- Working knowledge of Value Based Purchasing (VBP)
- Proficient in researching and responding to Business Office questions and/or question by the payer
- Advanced personal computing skills including MS Outlook, MS Word, MS Excel
- Advanced technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, install periodic updates to software programs and work efficiently in a virtual environment
- Advanced problem-solving skills and ability to quickly analyze a situation
- Other functions as deemed necessary to complete and final bill claims accurately
Coder Asst-physician Group
03/2003
-
06/2009
New York, NY
- Follows all Coding department policies and procedures
- Understands and applies changes in the external regulatory environment, third party reimbursement agencies, and stays current with coding updates ensuring clean claims are submitted for adjudication
- Performs a comprehensive review of the documentation to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data
- Analyses, trends, and identifies front end edits based on denied claims. Correct or compose appeal letters when appropriate. Works closely with the insurance follow-up department
- Performs coding reviews based on customer billing disputes. Works closely with the customer service department providing recommended feedback information regarding the disputed claims
- Working knowledge of the Outpatient Prospective Payment System (OPPS)
- Education and training in medical coding (ICD-9-CM, CPT and APC), medical terminology, anatomy, and physiology required
Education
Trinity University
1998 - 2002
School's Degree in Computer Science
Professional Skills
- Excellent reading, written and oral communication skills, positive attitude as well as interperonal skills
- Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills
- Demonstrates effective written and verbal communication, interpersonal skills and organizational skills
- Demonstrates strong decision making, problem solving and advanced critical thinking skills by applying coding concepts
- Knowledge of instructional skills in the techniques of presentation and communication skills needed to successfully conduct coding training programs
- Excellent written, verbal and presentation skills; excellent business judgment, decision making, and business savvy are also essential
- Advanced skills MS Office Suite; encoder software; moderate skills in computer-assisted-coding software
How to write Coder Resume
Coder role is responsible for computer, coding, interpersonal, basic, microsoft, software, medical, organizational, advanced, excel.
To write great resume for coder job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Coder Resume
The section contact information is important in your 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 Coder Resume
The section work experience is an essential part of your 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 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 coder position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Coder resume experience can include:
- Demonstrates good communication skills both verbal and written
- Typing skills of 40+ wpm. with good accuracy with numbers
- Maintains effective and professional communication skills
- Educate and Train providers on how to utilize available tools to improve their knowledge and coding skills while staying within the guidelines
- Checks all work for accuracy prior to the release of coding to the billing department
- Demonstrates knowledge of security of systems by not sharing computer logons
Education on a Coder Resume
Make sure to make education a priority on your coder resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your 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 Coder Resume
When listing skills on your 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 coder skills:
- Good organizational and communication skills and excellent interpersonal skills
- Typing skills and Strong computer skills including MS Office
- Excellent verbal and written communication skills required to effectively work as a liaison with all individuals contacted during the course of work
- Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively to physicians and coding staff
- Team oriented. Strong interpersonal, brainstorming and collaboration skills. Good balance between creativity and practical flexibility
- Displays strong organizational skills with the ability to prioritize, multitask, detail orientated
List of Typical Experience For a Coder Resume
1
Experience For Certified Coder Resume
- Computer skills to include Microsoft Office and prior use of billing software
- Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
- Maintains knowledge and skills through a variety of methods including reading current coding resources, clinical information, in-services, etc
- Prior experience in professional fee coding/billing
- Reviews and validates all charges and CPT codes prior to finalizing the abstract for billing
2
Experience For Medical Records Coder Resume
- Participate in the OBR (Online Billing and Registration) process by entering and/or verifying all valid diagnoses and procedure codes found on medical review
- Assists in the development of educational materials based on trends or risk areas and in determining the effectiveness of training provided
- Experience with various abstracting and coding systems and electronic health record systems
- Coding experience and certified in one of the following: RHIT, RHIA, CPC
- Skill in organizing tasks to ensure the timely and accurate coding of information
- Two years coding experience in ICD-9-CM and CPT-4 coding systems
- Experience and understanding of CPT codes and ICD-9 Codes
- Improve the practice’s documentation and coding accuracy and help the practice adopt more efficient and effective processes
- Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
3
Experience For Certified Professional Coder Resume
- Experience with Meditech billing software required
- Three (3) to five (5) years of previous coding experience and CPC, RHIT or RHIA certification required
- Two years hospital coding experience
- Experience with billing and/or Accounts Receivable
- Reviews and validates or deletes, all codes suggested by the computer assisted coding application
- Experience in the entertainment, video game, or digital marketing industries
- Strong knowledge base of current NCCI and OCE guidelines
- Creating and maintaining current Instructor-Led Training, eLearning training, and Webinars
4
Experience For HIM Coder Resume
- Creating and maintaining current Instructor - Led Training, eLearning training, and Webinars
- Completing assignments and transmitting data according to CROSSMARK’s established procedures and schedules
- Performing/ leading functional QC activities and testing
- Reporting bugs detected in MATLAB, Simulink, Simulink Coder, Embedded Coder and other Toolboxes using an in-house bug tracking system
- Abstracting and entering coded data for hospital and or physician practice statistical and reporting requirements
- Researching and locating UPC’s/products assigned
5
Experience For Clinical Coder Resume
- Coding Labor Productivity:Meets and/or exceeds Conifer’s coding productivity guidelines
- Writing test suites using MATLAB and JavaScript to test the functionality of the Code Generation product tools
- Executing the interactive testing plans on UNIX and PC platforms
- Testing of client request and rework coding as needed to meet client intent
- Working knowledge of CMS coding guidelines
6
Experience For Coder Analyst Resume
- Working Conditions (environment in which the job is performed) - Retail stores, Convenience Stores
- Coding client requests
- Understanding of medical terminology, anatomy and physiology
- Abstracting coding information and assign codes from the provider’s hospital documentation
- Coding Certification with CPS by AAPC, or CCSP by AHIMA
- Referring physicians, patients, and patients’ families
- Scanning UPC’s via hand-held device
- Submitting time card and expense information in accordance with CROSSMARK’s established procedures and schedules
- Using a PC auditing application review Physician documentation and determining the level of service and procedures performed
7
Experience For Professional Coder Resume
- Familiar with billing and revenue systems as it relates to outpatient surgery coding/billing and emergency room coding/billing
- Assist in establishing and maintaining procedures for the collection, coding, abstracting, filing and retreival of medical records
- Specific training related to CPC procedural coding and ICD9, ICD10 diagnostic coding through continuing education programs/seminars and/or community college
- Responsibility for maintaining coding certification and referencing current ICD-10 coding guidelines and regulatory changes
- Acts as a resource regarding coding and supports the training of new staff and existing staff
- Learns and applies coding principles and clinical documentation strategies by following education schedules and coding/abstracting by record type. (35%)
- Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college
- Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client
- Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting
8
Experience For Physician Coder Resume
- Codes records by the appropriate coding scheme utilizing approved coding guidelines
- If participating in the remote coding program, required to adhere to the Remote Coding Program Policy (Medical Record Services Policy 09)
- Conducts medical charts and claims audits, identifying opportunities for improving coding accuracy
- Attains and maintains proficiency in ICD-10-CM. Understands new coding guidelines and participates in ongoing education and training
- Abstracts information accurately into current abstracting system.5. Assigning and sequencing codes accurately based on medical record documentation
9
Experience For HCC Coder Resume
- Meets coding deadlines to expedite the billing process and to facilitate data retrieval for physician and on-going care
- Knowledge of ASC, Surgery Coding, ICD and CPT coding and reporting guidelines
- Determines sequencing of diagnoses and procedures according to established coding rules and regulations
- Remains current with the coding and processing of records to assure timely coding
- Maintains required certification and training in the area of coding and abstracting
- Researches/Resolves any other coding issue/discrepancy not detailed here, including requesting addendum to documents
- Thorough understanding health insurance and medical costs, including coding
- Provide coding education and guidance including coaching to Claims Department Staff
- Coding Acute Care Inpatient and Outpatient Coding, to including but not limited to surgical procedures, emergency room visits, and ancillary services
10
Experience For Hospital Coder Resume
- Assists coders with difficult coding situations including education, and conducts coding in-services when necessary
- Guide nursing staff in keeping records neat and orderly during the patient’s hospitalization
- Imports billing to Practice Management Billing System for electronic billing
- The Senior Coding Specialist is responsible for correct coding of professional services and upholding compliance standards
- Provides necessary mentoring and training for the professional coding staff
- Participates in data quality peer review process, reviewing records according to established procedure
- Verifies billable physician services by reviewing physician documentation for adherence to the andldquo;Physician At Teaching Hospitalandrdquo
- Knowledge of current and developing issues and trends in medical coding procedure requirements
- Knowledge of medical coding rules, regulations and compliance utilizing ICD 9 or ICD 10
List of Typical Skills For a Coder Resume
1
Skills For Certified Coder Resume
- Interpersonal skills necessary in order to communicate effectively with Physicians and other hospital personnel in order to accurately code and compile data
- Strong communication skills on the phone and in writing
- Possess good verbal and writing skills for communication with physicians
- Strong skills in CPT, ICD-9, ICD-10 and HCPC coding applications
- Strong technical skills including expertise in HTML and CSS (ability to code by hand)
2
Skills For Medical Records Coder Resume
- Demonstrates excellence in communication skills and positive interpersonal relations.
- Strong written and oral communical skills
- Outstanding visual design skills for digital platforms
- Communicate with physicians effectively regarding billing errors and solutions
- Previous coding experience; at least two (2) years experience in surgical coding
- Moderate computer-assisted-coding skills
- Demonstrated experience with ER coding
3
Skills For Certified Professional Coder Resume
- Experience acute care coding experience
- Experience with 3M Encoder, EPIC, Clinical experience and/or Query writing
- Three to five (3 - 5) years coding experience with proven knowledge of inpatient/outpatient/surgery/emergency room records with RHIT/RHIA/CCS credential
- Demonstrated coding experience with inpatient/outpatient surgery/emergency room records
- Two years of directly related work experience with Professional Fee Coding, preferably with Radiology and or Pathology experience
- Medical coding experience strongly desired
- Basic computer, word processing, and 10-key skills required
- Demonstrated coding experience with outpatient surgery and emergency room records
- Two (2) years coding experience with proven knowledge of inpatient, outpatient, surgery, emergency room records with RHIT, RHIA, CCS credential
4
Skills For HIM Coder Resume
- Basic computer, word processing, excel spreadsheet and 10-key skills required
- Prior experience in a similar role $
- Skills in understanding medical billing procedures and protocols
- Skills in linking diagnosis to services and applying appropriate codes to diagnosis, procedures, evaluation and management, and supplies
- Skills in operating personal computer utilizing a variety of software applications
- Skills in operating computerized medical data entry and information processing systems
- Skills in oral and written communication and presenting information
- Technical skills to work with detailed systems, computer applications and intradepartmental units
5
Skills For Clinical Coder Resume
- Utilize clinical skills, chart review, physician communication, applicable regulatory policies
- Understanding of, and experience working with, Medical Terminology
- Coding Certificate from accredited program or equivalent experience
- Coding experience in physician services for Internal Medicine and OB/GYN
- Experience developing and delivering training in the physician office setting
- Experience in using a computerized coding & abstracting database software and an encoding/code finder systems are required
- Experienced in coding and working with physician on coding practices
6
Skills For Coder Analyst Resume
- IP coding experience in hospital acute care coding environment and hospital outpatient coding environment
- Strong knowledge with ICD9-CM coding, CPT and APC coding system and CODE 3 coding system, DRB classification systems and OSHPD data collection requirements
- Coding experience working in an acute or ambulatory facility care setting
- Maintains coding skill through continuing education and reading of distributed materials.
- Proven competency in coding by testing (training period 90 days). Combination of productivity, quality and/or versatility
- Demonstrates on-going participation in continuing education and other training programs
7
Skills For Professional Coder Resume
- Demonstrates working knowledge of ICD-10-CM, ICD-10 PCS and CPT 4. Passing Score of 80% or higher on the coding test to be considered
- Inpatient coding experience in a hospital setting
- Reviews medical records and performs coding on all inpatient Trauma, Medical/Surgical charts and Skilled Nursing charts
- Reviews AHA Coding Clinic and demonstrates the ability to accurately apply new coding guidelines
- Excellent understanding of OASIS and Medical Coding practice
- Coding experience. Knowledge of both inpatient/outpatient coding guidelines
- Experience with physician practice coding and billing reviews
- Skill in examining and evaluating data with references to standards and requirements
- Demonstrate advanced technical coding competency in coding with ICD-9 , CPT-4 and HCPCS
8
Skills For Physician Coder Resume
- Four or more years related experience in coding, physician/medical billing
- Relevant coding and abstracting experience in an acute care hospital required
- Coding experience in hospital acute care coding environment
- Three (3) years experience working in a Health Information Management setting in CODING
9
Skills For HCC Coder Resume
- CCH outpatient coding experience as an Outpatient Health Information Coding and Reimbursement Specialist
- 6 months coding experience in one of the following outpatient specialties: Pain Management, Surgical Day Care, Oncology, Radiation or Observation
- At least two (2) years experience with ICD-9-CM and CPT-4 coding and 3M Interface coding system in an acute hospital
- At least two (2) years’ experience with ICD-9-CM and CPT-4 coding and 3M Interface coding system in an acute hospital
- At least one (1) year experience with ICD-9-CM and CPT-4 coding and 3M Interface coding system in an acute hospital
- Multispecialty coding and billing experience
- Validation of operational assessment related to coding – incomplete medical record for accurate coding and workflow issue
- Strong knowledge of coding and coding guidelines
10
Skills For Hospital Coder Resume
- Experience in Medical Coding (ICD-9, CPT, and HCPCS) Testing required
- Three year coding experience in an acute care setting for inpatient and outpatient
- Outpatient coding experience in an acute care setting
- Andnbsp;Two years coding experience in Health Care setting
- Experience in accessing and reviewing electronic medical records
- Inpatient coding experience in a hospital setting
- Medical coding experience required in a physician setting
List of Typical Responsibilities For a Coder Resume
1
Responsibilities For Certified Coder Resume
- Strong skills in CPT, ICD-9, & HCPC coding applications
- Strong skills in CPT, ICD-10, & HCPC coding applications
- Strong analytical and communications skills (Verbal and in Writing); detailed oriented
- Demonstrate analytical and problem-solving ability with regard to barriers in receiving and validating accurate HCC information
- Basic PC skills. ICD 10 CM and ICD 10 PCS and/ or CPT coding education
- Analytical skills developed through formal education or on the job training with a medical practice or other health care organization
2
Responsibilities For Medical Records Coder Resume
- Coding certification and one year of appropriate experience
- Experience in claims processing, provider data maintenance, contracting, or contract loading
- At least two years of coding experience in an acute care setting, preferably a Trauma 1 teaching hospital or large healthcare delivery system
- Coding experience in a healthcare setting (Ex. Hospital, MD Office, Clinic, Healthcare Consulting, etc.)
- Maintains good working relationship with DRG Coordinators to facilitate accurate and complete coding
- Two years of coding experience using CPT and ICD-9-CM or equivalency
3
Responsibilities For Certified Professional Coder Resume
- Demonstrated proficiency in data analysis, data interpretation and identifying and resolving issues
- Experience with Microsoft SharePoint (working with databases, macro building, project management)
- Experience coding for multi-specialties, including OB/GYN and General Surgery
- Experience coding for multi-specialties, including Radiation Oncology and General Surgery
- Coding experience or successful completion of Ochsner's coding intern program
- Strong knowledge of ICD-10 coding/HCC Coding
4
Responsibilities For HIM Coder Resume
- Medical Coding (ICD-10, CPT, HCPC) and Billing experience
- Demonstrated coding (ICD-10 CM and CPT) expertise
- Develop excellent working relationships with consumers, vendors and staff
- Three (3) years of recent and relevant hands-on coding experience with all record types
- Promotes good morale and cooperation to enhance the coding and/or HIM team
- Set priorities and meet deadlines without being micromanaged
- Strong E&M visit understanding
- Coding experience in multi-specialties, preferrably General Surgery, Cardiology, Neurology, Ortho, Pulmonary and E/M
5
Responsibilities For Clinical Coder Resume
- Experience coding office and hospital
- Emergency Department facility coding experience
- Coding experience required
- Experience in assigning MedDRA, WHO Drug, and ATC codes to clinical/safety data
- Experience providing physician education in one-on-one and group settings
- Experience working with Healthcare / Insurance Products and / or Contracts
- Advanced experience and knowledge of CPT, ICD-10 and HCPCS coding
- Advanced experience and knowledge of CPT, ICD-10 and HCPCS coding with a radiology focus
6
Responsibilities For Coder Analyst Resume
- Strong knowledge of risk adjustment/HCC coding
- Acute care coding experience
- Three years related experience and/or training required
- Outpatient coding experience
- Inpatient, day surgery, and observation coding experience
- : Experience in coding in a health care environment
- Extensive CPT and ICD-10-CM training or experience
- One year experience in medical record processing
7
Responsibilities For Professional Coder Resume
- Coding experience in ICD-9CM and CPT-4
- Health Information Management or related Hospital Office Setting Experience
- One to three years of coding experience and ICD-9 and ICD-10 knowledge
- Strong knowledge of ICD-9 and ICD-10 coding
- Five (5) years of coding and specialty experience required
8
Responsibilities For Physician Coder Resume
- Two (2) years of coding experience. Completion of college level courses in medical terminology, anatomy and physiology, or similar
- Successful completion of ICD-10 coding assessment prior to hire/transfer
- Previous outpatient and/or inpatient coding experience
- Three years of experience in surgical coding and/or reimbursement activities is required
- Anesthesia coding experience
9
Responsibilities For HCC Coder Resume
- Strong knowledge of DRG’s, APC’s and hospital billing systems
- Experience with CPT, HCPS, ICD-9/ICD-10 coding rules, guidelines and functions
- Filing records requires reaching, pulling, pushing, bending and stooping
- Using ICD-10 codes, assign codes for all diagnoses for each inpatient encounter following establishes coding guidelines and procedures
- Working knowledge of governmental laws and regulations as they affect billing and coding processes
- Understanding of ICD-10 CM and CPT coding principles and guidelines
- Working knowledge of reporting instruments, metrics and / or dashboard design
- Working Conditions: This individual spends almost 100% of his/her time in an air-conditioned building
10
Responsibilities For Hospital Coder Resume
- Outstanding proficiency in Microsoft Office applications (including Microsoft Excel, Word and Outlook)
- Coding certification is required with a preference for CCS, CCS - P CPC
- Working knowledge of medical anatomy and physiology
- Coding credential required (RHIA, RHIT, CCS, CPC)
- Coding injections and infusions
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