Coding Resume Sample
Thea Beatty
30062 Krystel Shoals,
Detroit,
MI
+1 (555) 654 1518
Work Experience
Manager, Coding
01/2016
-
PRESENT
Dallas, TX
- Perform routine and special audits of par and no-par provider claims to determine payment accuracy
- Make recommendations regarding the accuracy of claim payments and process improvements
- Utilize Excel and Access to launch theoretical claim queries into the system
- Review and audit claims that match the query
- Contact providers to discuss overpayments and arrange recovery
- Audit, code and clear claims from Missing Charge Reports by site mentioned in #1
- Process sterilization consents as required by carrier
Coding Coordinator
09/2009
-
07/2015
Houston, TX
- Building Trust - interacts with others in a way that gives them confidence in one’s intentions and those of the organization
- Consistently exhibits behavior and communication skills that demonstrate Davita Medical Group’s (DMG) commitment to superior customer service, including quality care and concern with each and every internal and external customer
- Uses, protects, and discloses DMG patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Develops new EF’s and rounding logs and revises existing EF’s and rounding logs using the most current codes
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- To 75% of the time
Junior Producer, Coding
08/2004
-
06/2009
Detroit, MI
- Responsible for the proper handling of all inquiries from internal and external parties relative to patient accounts
- Evaluates change proposal from a regulatory perspective, financial perspective, and claims operational perspectives
- Creates test cases and test scenarios in support of business functional requirements
- Executes each test case to identify defects prior to the delivery of software and/or edits in a production environment and actively participates in reviews and checkpoints
- Maintains a library of all existing and retired rules, the source of the rule and the implementation/retire date of the rule (by Market and by Line of Business)
- Documents supporting authority for each claim coding rule by Market and by Line of Business (Master Grid)
- Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization
- Reviews medical records for inpatient psychiatric diagnoses, procedures and tests utilizing basic knowledge of ICD coding, assigns and inputs the appropriate diagnosis and procedure codes
Education
University of Alaska Southeast - Sitka Campus
1999 - 2003
Bachelor's Degree in Health Information Management
Professional Skills
- Excellent oral & written interpersonal skills and social skills
- Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines
- Excellent computer skills including experience working with Microsoft Excel, Word, PowerPoint, and Outlook
- Excellent computer skills including experience with electronic patient health records database, McKesson, and Microsoft office programs
- Excellent organizational skills including ability to multi-task, produce rapid turnaround, and effectively manage multiple projects
- Excellent people skills and ability to work with diverse individuals in a complex organization and establish strong, cooperative working relationships
- Strong knowledge of ICD-10/CPT/HCPCS coding with excellent analytical and data mining skills
How to write Coding Resume
Coding role is responsible for coding, interpersonal, computer, microsoft, organizational, training, medical, software, excel, health.
To write great resume for coding job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Coding Resume
The section contact information is important in your coding 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 Coding Resume
The section work experience is an essential part of your coding 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 coding responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular coding position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Coding resume experience can include:
- Strong attention to detail and good problem solving skills
- Ability establish priorities, effectively problem solve, and use good judgment and decision making day-to-day operations
- Demonstrates ability to prioritize work effectively, and assign workflow
- Excellent programming, debugging and analytical skills (C, C++, Objective-C)
- Computer knowledge and experience including excellent keying skill
- Excellent research skills as it relates to medical specialties and documentation and coding requirements
Education on a Coding Resume
Make sure to make education a priority on your coding resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your coding 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 Coding Resume
When listing skills on your coding 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 coding skills:
- Proficient typing skills and strong computer skills, including MS Office
- Excellent oral and written communication skills to effectively communicate
- Demonstrate good decision-making skills in making revisions to charge documents
- Outstanding coding skills with hands-on experience with coding edits and reimbursement issues
- Excellent programming, debugging and problem solving skills ( C, C++, Objective-C )
- Strong reading comprehension skills; ability to correctly interpret context in provider documentation and other job-related training manuals and documents
List of Typical Experience For a Coding Resume
1
Experience For Coding Coordinator Resume
- Excellent problem solving skills including the ability to identify trends and business opportunities and create recommendations
- Promotes effective working relationships and works effectively as part the team, collaborates with HIM leadership
- Experience in an acute care health information/medical record department with experience in ICD-9 and CPT coding or equivalent education/experience
- Auditing experience specific to Coding Auditing and Validation Reviews
- Work independently and use critical thinking skills to problem solve
- Clinical coding experience with strong attention to detail and a high level of accuracy
- Medical/surgical coding experience in an acute care (hospital) setting preferably at a teaching institution
- Work experience in the design and delivery of training programs which includes some technical training
- Knowledge of and experience using ICD-10-CM and CPT coding
2
Experience For Coding Technician Resume
- Knowledge of and skill in using personal computers in a Windows environment with an emphasis on basic word processing, data entry, spreadsheets, and PowerPoint
- Knowledge of and experience using ICD-9-CM and CPT coding
- Demonstrates personal initiative, team spirit, and service orientation while maintaining a positive, caring, professional attitude
- Develops, grows and manages of the consulting group's Health Care Regulatory Compliance and Coding Validation practice
- Experience creating and editing documents in Microsoft Word
- Experience working for a 3rd party coding vendor and personnel management for multiple facilities
- Experience developing embedded image and video processing solutions
- Experience working on real-time media and networking applications (WiFi and cellular networks)
3
Experience For Manager, Coding Resume
- Outpatient coding and billing experience
- Four (4) years’ experience working directly with and training Physicians and staff
- Over 5 years and up to and including 7 years of ICD-9, CPT and HCPCS coding experience
- Over 5 years of coding training experience
- One to two years’ experience in marketing communications, sales, advertising or related fields
- Recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
4
Experience For Coding Quality Analyst Resume
- One year of experience in health information/medical record setting or equivalent training
- Experience using Meditech EHR and Patient Accounting
- Experience using split-testing software such as Test & Target, Optimizely, Monetate Maxymizer OR
- Recent and related experience in medical record documentation review, diagnosis coding, and/or auditing required
- Reviews the official AHA Coding Clinic and demonstrates the ability to accurately apply new coding guidelines. 6
- Inpatient coding experience or Clinical Documentation Improvement Specialist in an acute care Hospital setting required
- Skilled in developing presentations and presenting material
- Experience with risk adjustment coding and methodology
- Excellent understanding and comprehension of medical terminology
5
Experience For Coding Quality Auditor Resume
- Knowledge of Microsoft Office and demonstrated proficiency in managing software needed
- Evaluate coding compliance on a consistent basis; establish priorities and develop revise procedures to ensure maximum use of resources
- Validates user error vs CAC natural language processing (NLP) improvement
- Assists in the review, improvement of processes, education, and troubleshooting and recommend prioritization of issues
- Experience using OASIS C
- Inpatient and outpatient hospital coding experience, preferably in a Medical Center environment
- Strong knowledge of electronic medical records/billing systems and medical terminology and abbreviations
- Contribute to Quality Control by contributing to effective quality checks
- Good working knowledge of Bloomberg, Reuters, FT Interactive Data and Telekurs
6
Experience For Coding & Audit Team Lead Resume
- Good understanding of Corporate Action and trade settlements
- Experience Required: Four years in all patient types in hospital health information coding field
- Clinical experience in a hospital, acute care or direct care setting
- Experience with all the various payer types, including Self Pay, Commercial, Workman's Compensation, Medicare and Medicaid
- Experience working in the Health Insurance Industry
- Demonstrate analytical abilities to identify and comprehend opportunities for coding through observation, data analysis and interpretation required
7
Experience For Coding Data Specialist Resume
- Demonstrate ability to develop and maintain working relationships in department and hospital to foster a team environment required
- Experience working collaboratively with CDI departments in partnership to improve reimbursement accuracy
- Five or more years of consulting and project management experience in revenue cycle design and optimization highly desirable
- Experience using Microsoft Excel to create, edit and manipulate data
- Five years coding experience required
- Experience coding in the area of psychiatric medicine
- Experience working in an environment that requires coordination and utilization of multiple groups and resources
- Coding experience in ICD - 10 - CM
8
Experience For Manager, Coding Validation Resume
- Experience in coding of multiple specialties is required, such as radiology, emergency medicine, cardiology, pathology, surgery
- Experience with Evaluation & Management coding
- Work experience in coding
- Skilled in CPT, ICD-CM, coding rules and guidelines
- Previous coding experience preferable but not require
- Quality Assurance auditing experience
- Two (2) years coding experience
9
Experience For Coding Trainer, Senior Resume
- Three (3) years of experience in physician coding required
- Risk adjustment experience in a managed care setting
- Experience in physician practice coding
- Previous hospital coding experience highly desired but not require
- Experience with inpatient/ ICD-10-CM/PCS medical coding
10
Experience For Coding Education Specialist Resume
- Knowledge, understanding and experience with CMS regulations and industry standards
- Upervisory experience in hospital coding
- Inpatient Hospital Coding Experience
- Over 7 years and up to and including 10 years of management experience
- Over 5 years of medical billing experience
- Valid coding credentials (AAPC/AHIMA) required
- Experience using digital analytics software such as Google Analytics, or Web Trends
List of Typical Skills For a Coding Resume
1
Skills For Coding Coordinator Resume
- Strong organizational skills with ability to prioritize workload
- Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better
- Experience and skills with Outlook, Word, Excel, PowerPoint, and WebEx tools
- Good escalation/issues management skills
- Strong verbal and written presentation skills with the ability to communicate in a clear, organized manner
2
Skills For Coding Technician Resume
- MS Office Suite experience, moderate to advanced Excel and PowerPoint skills
- Demonstrated strengths in teaching and presentation skills
- Demonstrated project management skills, required
- Demonstrated relationship-building skills in a managed healthcare environment
- Strong listening, verbal and written communications skills
- Able to effectively work with the entire team to generate excellent products to support business initiatives
- Prior experience as a clinical documentation improvement specialist or inpatient hospital experience
- Strong time management skills with the ability to multitask in an organized manner
3
Skills For Manager, Coding Resume
- Coding Technical Skills‐ extensive regulatory coding (ICD‐10‐CM, ICD‐10‐PCS, CPT/HCPCS,, MS‐DRGs, APR DRGs) and associated reimbursement knowledge
- Learning new skills in Excel Macro
- Coding Technical Skills – ICD-10-CM, CPT/HCPCS, and associated reimbursement knowledge
- Coding Technical Skills – ICD-10-CM, ICD-10-PCS, MS-DRGs, APR DRGs and associated reimbursement knowledge
- Coding Technical Skills – ICD‐10‐CM, CPT/HCPCS, and associated reimbursement knowledge
- Coding experience with demonstrated knowledge of medial terminology, anatomy and physiology, basic knowledge of medical procedures and disease states/processes
- Strong technical knowledge of Pricing and understanding of effective controls in a Pricing environment which includes equity as well as fixed-income securities
- Experience ICD - 9 / 10 coding / auditing, preferably in a Managed Care setting, with strong attention to detail and high accuracy rate
- Experience in medical billing and collections and/or at least two years of physician coding experience or equivalent
4
Skills For Coding Quality Analyst Resume
- Demonstrated coding and billing knowledge/experience
- One year medical record processing experience including experience with electronic medical records
- Three years progressively responsible experience, including previous physician coding experience required
- Three or more years of progressively more responsible experience in Coding. Strong knowledge of Official Coding Guidelines
- Previous coding experience; at least two (2) years experience in an H.I.M. coding department of an acute care facility the equivalent size of SMH
- Exemplary leadership and business driver skills including ability to make hard decisions focusing upon operational goals and business requirements
- Experienced with performing quality assurance evaluations to validate correct coding
- Communicates effectively and exhibits courteous behavior when dealing with coding department employees, as well as physician and hospital employees served
5
Skills For Coding Quality Auditor Resume
- Effectively supervise and direct various levels of staff (including on-site and remote)
- Team player and strong ability to manage competing priorities
- Excellent prioritization and multitasking ability
- Demonstrates strong attention to detail in both coding and all other job-related functions
- Problem solving and analytical skills. Medical Terminology
6
Skills For Coding & Audit Team Lead Resume
- A positive attitude and superior interpersonal communication skills
- Formal, yet engaging presentation skills
- Proficient PS Skills (Excel, PowerPoint, Access)
- Effectively supervise project tasks, plan and implement programs, and evaluate outcomes
- Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings
7
Skills For Coding Data Specialist Resume
- Clinical experience OR 3 years’ experience as Certified Facility Coder
- Excellent knowledge and experience of video processing technology (digital filter design and video quality analysis)
- Excellent knowledge and experience of computer vision and machine learning
- Excellent knowledge and experience of video compression technology and standards ( H.264 and HEVC)
- Communicate effectively with supervisor, peers and others requiring interactions
- Basic office skills and computer knowledge
- Intermediate level skills using a range of software applications (PowerPoint, MS Word, MS Excel)
- Proficient computer skills with MS excel knowledge
8
Skills For Manager, Coding Validation Resume
- Experience as a team lead or 1 – 3 years’ experience as a Supervisor
- Validating, configuring, maintaining, implementing and communicating the benefit plan design additions
- Ongoing review of existing edits created to verify information is still valid
- Coding supervisor or management experience with either Pro Fee, Inpatient, Outpatient, Radiology, or Emergency Department coding
- Coding supervisor or management experience in Inpatient coding
- Coding experience within Pro Fee, Outpatient, Radiology, or Emergency Department
9
Skills For Coding Trainer, Senior Resume
- Coding Data Specialist III – Accredited RHIT or RHIA or have been grandfathered in Allina prior to 1998
- Two years of experience working with insurance coding and billing using ICD10-CM, CPT-4, HCPCS, and National Correct Coding Initiative policies
- Experience in coding, billing, and/or auditing in physician practice or hospital-based physician setting
- Strong working knowledge of professional healthcare, medical record coding, billing companies and auditing
- Experience analyzing billing and coding trends
- Proven record of successfully managing DNFB, global contract coding, and coding compliance programs, preferable in a client-vendor based environment
- Previous Outpatient coding/coding operations experience required
- Hands on experience in handling critical queries and managing internal partner area expectations
- Strong background in Oncology coding and billing
10
Skills For Coding Education Specialist Resume
- Experience in coding auditing
- Experience in billing and coding in various specialties
- Previous coding experience in a physician office setting
- One year experience using word processing, spreadsheet
- One year experience supporting acute care coding functions
- Coding experience in either inpatient or outpatient setting
List of Typical Responsibilities For a Coding Resume
1
Responsibilities For Coding Coordinator Resume
- Communicate effectively, and demonstrate good interpersonal and professional skills when interacting with others throughout M.D. Anderson Cancer Center
- Strong time management skills and broad knowledge of computer systems utilized in healthcare and HIM is desired, including electronic health records
- Proficient computer skills required, including payer websites and excel
- Communicate effectively, resolve issues independently and determine route of escalation
- Communicate effectively any issues or weaknesses with coding and documentation to the engagement team
- Skill necessary to operate a computer keyboard and numeric keypad in an efficient manner
- Establish and maintain processes to effectively code inpatient and emergency psychiatric unit patients
2
Responsibilities For Coding Technician Resume
- Data entry is performed accurately, as evidenced through quality review/data validation structure
- Effectively problem solve and make independent decisions
- Effectively works with management to identify training opportunities and programs
- Coding Data Specialist III – Accredited RHIT or RHIA or have been grandfathered in Allina prior to 1998 – grade 42
- Experience working with a relational database, using e.g. PostgreSQL
- Recent billing/coding experience
- Good understanding of 3M encoding systems, preferably in Meditech EMR environment
3
Responsibilities For Manager, Coding Resume
- The HB Educator completes external payor reviews and appeals, DRG, APC, and coding-for-billing validation record reviews and paired DRG reviews
- Strong knowledge of social media platforms including Facebook, LinkedIn, Twitter, Instagram
- Experience in a Trading environment is an asset
- Strong knowledge of social media platforms including Facebook, Linked In, Twitter and Instagram
- Professionally skilled in verbal and written communication and
4
Responsibilities For Coding Quality Analyst Resume
- ? practice operations/revenue cycle experience
- Good communicative knowledge of English
- Excellent understanding and comprehension of medical terminology, anatomy and physiology, pathophysiology and pharmacology required
- Education and experience in ICD-10-CM/PCS required
- Healthcare experience required
- Validates DRG assignment for all appropriate inpatient discharges as needed
- Assists with creation and validation of new CDM’s
5
Responsibilities For Coding Quality Auditor Resume
- Five (5) years experience in clinical coding
- Demonstrates proficiency in job specific software applications: Microsoft Office (Outlook, Excel, Word) Epic, Electronic Registry Systems (ERS), CR-Star
- Assess workflow prioritization on a daily basis to confirm that DNFB metrics and benchmarks are consistently achieved
- Two (2) years experience in a supervisory or leadership role
- Recommends changes to enhance department productivity and effectiveness as well as meet/maintain HCMC's quarterly coding accounts receivable goals
- Verifies and validates transcription services and invoices
- Develops opportunities and manages professional coding audit and validation services to our Health Care clients
- Provides skilled coding support through regularly scheduled coding meetings and as the need arises
- Staff and/or project leadership experience
6
Responsibilities For Coding & Audit Team Lead Resume
- Or greater experience with physician billing, medical coding and compliance required
- Work Independently, with experience working in a team environment
- Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, systems and query handbook
- Medical Coding experience
- Presentation experience required
- Excellent knowledge of HIM department functions, including Joint Commission and COP requirements
7
Responsibilities For Coding Data Specialist Resume
- Develop electronic training, education modules, validation systems and other tools/resources
- Extensive medical billing experience with ICD-9, ICD-10, and CPT knowledge required
- Coding experience in ICD-10-CM 9
- Medicare Risk Adjustment HCC coding experience
- Medicare Risk Adjustment coding experience
- One to three years of coding experience and ICD-10 knowledge
8
Responsibilities For Manager, Coding Validation Resume
- Over 5 years and up to: including 5 years of HCC activities and project management experience required
- Physician billing experience highly desirable
- Experience with teaching physician guidelines
- One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required
- Previous experience with compliance software. Previous imaging system and/or HBOC products
9
Responsibilities For Coding Trainer, Senior Resume
- Three to five years of outpatient coding experience to include evaluation and management level assignment
- Experience in medical billing/office procedures
- Inpatient coding experience at a tertiary care facility, preferably in an academic medical center
- Experience in coding
- Previous office experience in insurance and billing
- Experience in general billing and customer service
- Thorough knowledge and significant experience in ICD10/CPT4 coding, DRG assignment, APC assignment, PPS payment systems and CMS compliance issues
- Demonstrated thorough knowledge of coding standards
10
Responsibilities For Coding Education Specialist Resume
- Have demonstrated expertise in current multi-specialty CPT, ICD-9, and HCPC coding principles and practices
- Skilled in auditing charts
- Excellence: Demonstrates competence in continuous improvement, continuous learning, accountability and teamwork
- Collaborates with other RCCH hospitals and corporate departments to disseminate best demonstrated practices
- Excellent knowledge of HIM IT systems, preferably Meditech environment
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