Inpatient Coder Resume Sample
Angelo Waelchi
859 Elinore Manors,
Philadelphia,
PA
+1 (555) 715 4534
Work Experience
Lead Inpatient Coder
01/2016
-
PRESENT
Chicago, IL
- 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
- Working knowledge of Value Based Purchasing. (VBP)
- Achieve satisfactory score on Advocate's coding test
- Attention to detail (such as interpretation of clinical data including medical terminology and disease processes)
- Analytical skills for abstracting of clinical data
- Interpret regulatory and payer rules and directives concerning coding
- RHIT or RHIA ~Code charts at various locations within the medical center complex and at off~site clinics
Inpatient Coder
05/2013
-
07/2015
San Francisco, CA
- Assigning and sequencing codes accurately based on medical record documentation
- Assigning the appropriate discharge disposition
- Abstracting and entering coded data for hospital statistical and reporting requirements
- Adhering to the American Health Information Management Association’s code of ethics and departmental Code of Integrity
- Maintain coding credential along with any required CEUs for ongoing credential maintenance and subject matter expertise
- Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility. 45%
- Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines. 40%
- Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution. 5%
Inpatient Coder Remote
01/2011
-
04/2013
New York, NY
- Reviews and interprets medical information, physician treatment plans, courses, and outcomes to determine appropriate ICD/CPT codes for diagnoses and procedures. (65%)
- Acts as a mentor for others. Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
- Keeps informed of the changes/updates in the ICD/CPT by attending appropriate training, reviewing coding clinics and other resources and implements these updates in their daily work. (5%)
- Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines
- Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters
- Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures
- Extracts required information from source documentation and enters into encoder and abstracting system
- Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM and/ or ICD-10 CM/ PCS diagnoses and procedures
Education
University of California, San Diego
2005 - 2010
Bachelor's Degree in Health Information
Professional Skills
- Demonstrated 1-2 years’ recent progressive inpatient coding experience or an equivalent combination of experience and education
- Basic personal computing skills including MS Outlook, MS Word, MS Excel
- Occasionally trains others, as in orientation of new employees or acting as a preceptor for workers learning new skills
- Improves skills through continued education and training
- Good computer skills with the ability to learn Cerner and Optum Encoder
- Demonstrate intermediate to advanced technical coding competency in coding with current Coding and Indexing systems
- Demonstrates initiative in providing patients/customer service and resolving problems
How to write Inpatient Coder Resume
Inpatient Coder role is responsible for software, training, basic, computer, purchasing, mainframe, security, reporting, education, research.
To write great resume for inpatient coder job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Inpatient Coder Resume
The section contact information is important in your inpatient 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 Inpatient Coder Resume
The section work experience is an essential part of your inpatient 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 inpatient 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 inpatient coder position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Inpatient Coder resume experience can include:
- Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
- Solid understanding of Medicare, Medicaid, and Commercial provider reimbursement methodologies for hospital chart documentation
- Outpatient Facility Surgery coding experience
- Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility
- Validates admit orders and discharge dispositions
- Determines that the final diagnoses documented by the provider are valid and complete and support medical necessity and billing criteria for payment purposes
Education on an Inpatient Coder Resume
Make sure to make education a priority on your inpatient coder resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your inpatient 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 Inpatient Coder Resume
When listing skills on your inpatient 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 inpatient coder skills:
- Advanced encoder and computer skills required
- One to three years’ experience performing medical record coding in acute care setting required
- Experience working in a level I trauma or teaching hospital
- Three (3) to five (5) years of Inpatient coding experience in an acute care setting
- Inpatient Coding experience
- Experience Required: One year in hospital health information coding field
List of Typical Experience For an Inpatient Coder Resume
1
Experience For HIM Inpatient Coder Resume
- Participates in communication and education with medical staff concerning documentation issues to support accurate coding and billing
- Works from assigned coding queue, completing and re-assigning accounts correctly
- Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists
- Adhere to the ethical standards of coding as established by AAPC and / or AHIMA
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient or outpatient encounters
- Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions
2
Experience For Lead Inpatient Coder Resume
- Serve as a resource for coding related questions as appropriate
- Codes and enters diagnoses and procedures for discharged inpatient medical records within appropriate timeframes to meet timely billing requirements
- Codes and enters diagnoses and procedures for admission (interim) claims within appropriate timeframes to meet timely billing requirements
- Assists with any coding or compliance audits, as needed
- Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner
3
Experience For Senior Inpatient Coder Resume
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA)
- Assists in implementing solutions to reduce backend-errors
- Analyzes provider documentation to assure the appropriate Evaluation and Management (E/M) levels are assigned using the correct CPT code
- Provide documentation feedback to providers and query physicians when appropriate
- Maintain up-to-date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc
- Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery and observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
4
Experience For Inpatient Coder Remote Resume
- Understand the Medicare Ambulatory Payment Classification (APC) codes
- Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, etc
- Abstracting: Reviews medical records to determine accurate required abstracting elements -(facility/client specific elements) including appropriate discharge disposition
- Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
- Reviews professional and hospital inpatient medical record documentation and properly identifies and assigns
- ICD-10-CM and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures
5
Experience For Inpatient Coder / Outpatient Coder Resume
- Adhere to the Federal Coding Guidelines
- Code 15 inpatient records daily regardless of assembly for the purpose of reimbursement, research, using the ICD.10.CM/PCS coding classification system, as appropriate
- Enter/abstract coding data (to include outside agency coders) into the 3M abstracting system and Invision computer system
- Check daily discharge logs of day to be coded to account for all charts listed as inpatient
- Maintain 90% rate of information correctly abstracted
- Read, absorb and use coding data given to coders by the Supervisor to keep up to date on new coding guidelines including Federal and State rules and regulations updates within 7 days of receipt
- Ensures that available records are coded within 24 hours or receipt and notifies coding manager when / if work is backlogged
6
Experience For Inpatient Coder Resume
- Proficient in alphabetical and numerical filing systems
- Hold a RHIA, RHIT or CCS Credential. Attend seminars and workshops on an annual basis to maintain credential. Maintain association membership
- When diagnosis and/or operative report not available on chart, contacts responsible physician in a professional, tactful manner
- Analyzes and accurately identifies physicians/clinicians signatures and deficiencies as required
- Accepts constructive criticism, direction, and assignments willingly and makes appropriate changes
- Thoroughly reviews chart using manual and electronic systems to identify all diagnoses/procedures. Evaluates the documentation to identify incomplete or inconsistent documentation for inpatient encounters. Initiates physician queries through the CDI process.
- Assigns ICD-9-CM diagnosis and procedure codes using the 3M Encoder for all inpatient accounts & maintains a 95% accuracy rate when coding & sequencing medical records
- Assigns codes to ambulatory, observation, and PHP as necessary
- Complies with established coding productivity standards as outlined in department policies & procedures and seeks supervisor assistance when such standards cannot be met
7
Experience For HIM Inpatient Coder Resume
- Maintains and submits to Leader on a daily basis required productivity logs for all assigned tasks
- Reviews the Smart system (Sheet) generated flags on a daily basis and makes necessary changes to the patient registration and accounting system (Series) in a timely manner
- Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
- Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for complex inpatient encounters
- Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10- PCS procedures on all Inpatient admissions
- Identifies non-payment conditions; Hospital Acquired Conditions (HAC) and when required, report through established procedures
- Reviews documentation to verify and when necessary, correct the patient disposition upon discharge
- Utilize technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and ICD-10-PCS procedures on accounts under $100,000
8
Experience For Lead Inpatient Coder Resume
- Identify non-payment conditions; Hospital Acquired Conditions (HAC) and when required, report through established procedures
- Review documentation to verify and when necessary, correct the patient disposition upon discharge
- Collaborate in the DRG Mismatch process with the Clinical Documentation Improvement team
- Answers questions pertinent to ICD-10 guidelines
- Codes outpatient records as needed
- Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG
- Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system
9
Experience For Senior Inpatient Coder Resume
- Meets or exceeds an accuracy rate of 95%
- Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type
- Identifies and appropriately reports all hospital-acquired conditions (HAC)
- Participates in both internal and external audit discussions.
- Abstracts all necessary information and assigns codes (CPT and HCPCS), which most accurately describe each documented surgical procedure and other services according to established payer guidelines and System policies. Obtain any necessary clarification of information from the provider to support coding and billing of services
- Apply correct and accurate modifiers as needed in accordance with payer guidelines
- Accurately and timely code all services for patient encounters in accordance with payer guidelines and CPN guidelines
- Communicates information to appropriate clinic staff and medical personnel. Educates providers on documentation improvement related to billing professional fee services
10
Experience For Inpatient Coder Remote Resume
- Collaborates with CPN Revenue Cycle and EMR to identify training needs, assess A/R rejection and denials, support appeals and provide education and feedback to providers and management for appropriate action
- Collaborates with CPN Compliance in accordance with System policies and as necessary for an effective compliance program
- Maintain appropriate level of knowledge of revenue cycle process as well as the practice management software and electronic medical record by continuous training
- Supports the department and CPN in achieving established performance targets and completes required training
- Keep abreast of CMS, Medicaid and private payer coding and documentation guideline/requirement updates and communicates to clinic staff as needed
- Maintain certification through appropriate organization(s)
- Follows the CHRISTUS Provider Network guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality
List of Typical Skills For an Inpatient Coder Resume
1
Skills For HIM Inpatient Coder Resume
- Three to five years’ experience performing medical record coding in acute care setting required
- Experience with inpatient MS-DRG/APR-DRG acute-care facility coding
- 3 – 5 years of inpatient and outpatient experience in an acute care setting
- Experience with coding complex cardiovascular, cardiothoracic, transplant, and neurological procedures
- Inpatient Acute Care Hospital Coding experience required
- Previous inpatient rehabilitation coding experience and familiarity with IRF-PAI and IGC
- Demonstrates attention to detail, thoroughness and accuracy in daily work
- Medical coding experience
2
Skills For Lead Inpatient Coder Resume
- Working knowledge of ICD-9/10 coding
- Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS)
- Coding credential required from AHIMA / AAPC
- Assigning ICD-9-CM and/or ICD-10 diagnosis and procedure codes and present on admission (POA) indicators; HCPCS/CPT codes; and modifiers
- Working applicable McKesson Pre-Bill Edits and Receivable Work Station (RWS) requests
3
Skills For Senior Inpatient Coder Resume
- Using the computerized system, prepares reports
- Informs the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance
- Remote coding possibilities after meeting and maintaining productivity standards as well as following employee conduct guidelines
- Works with other Coding team members to keep coding within the four (4) day cooling off period
- Perform research using reliable resources relating to ICD.10.CM/PCS coding classification system
- Assist physicians and other clinicians with questions regarding DRG, coding, and prospective payment requirements and guidelines
4
Skills For Inpatient Coder Remote Resume
- Works with other coding team members to maintain ANSB days to less than 0.75 days after cooling off period
- Knowledge of Specific coding guidelines, and Coding Clinic guidelines
- Expertise in ICD and CPT coding and reporting guidelines
- Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution 5%
- Familiarity with current healthcare based technology, coding, and EHR
- Professional demeanor, patience, and tact required in dealing with any and all staff within the department, the facility, and outside influences
5
Skills For Inpatient Coder / Outpatient Coder Resume
- Monitors the status of the unbilled reports, and resolves CCTs timely to help manage the timely filing of unbilled accounts
- Consistently maintains productivity and accuracy standards as outlined by the Director of Coding
- Completes coding for multiple facilities in a timely manner
- Participates in department performance improvement reviews and coding reviews
- Meets and Maintains a 95% or better in coding accuracy
- Successfully completes all sections of the ICD-10 training via AHIMA
- Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e. 3M)
6
Skills For Inpatient Coder Resume
- Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems
- Certificates Required: RHIA, RHIT, CCS (Certified Coding Specialist) or CPC (Certified Professional Coder)
- Professional coder certification with credentialing from AHIMA and / or AAPC (RHIA, RHIT, CIC, CCS) to maintained annually
- Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually
- Review documentation in a medical record and to enter into the coding software
- Able to work independently in a remote setting, with little supervision
- Professional coder certification with credentialing from AHIMA and / or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually
- Exceeds Dignity Health’s coding accuracy and productivity standards at the Inpatient Coder I level
7
Skills For HIM Inpatient Coder Resume
- Inpatient Acute Care Hospital Coding required
- Maintains average to high productivity based on Ardent Shared Coding Productivity Standards
- Communication of issues to the MS-DRG, APC Manager and/or Director Shared Coding Services, as appropriate
- Thorough understanding of Medicare Inpatient Prospective Payment System (IPPS), Medicare Severity-Diagnosis Related Groups (MS-DRGs)
- Certified Coding Specialist (CCS) (AHIMA)
8
Skills For Lead Inpatient Coder Resume
- Certified Coding Associate (CCA) (AHIMA)
- Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
- Identify appropriate assignment of ICD-10 Codes and CPT for facility services provided in a hospital setting, Inpatient rehab and Observation if applicable
- Provide/Confirm codes for other departments, physicians and attending physician offices when needed
- Familiar with pediatric and SNF coding requirements
- Ensure that records are coded within 72 hours of discharge, excluding weekends and holidays
- Maintain quality standards of having 90% of the principal diagnosis and procedures appropriately/correctly coded
- Notify applicable department in a timely manner regarding documentation issues
9
Skills For Senior Inpatient Coder Resume
- Extends self in critical situations and is willing to accept additional assignments
- Meets quality standards of having 95% of principal diagnosis and procedure appropriately/correctly coded
- Completes annual educational requirements/reviews coding periodicals within 7 days of receipt
- Accurately logs/enter diagnoses, procedures and other abstracting data as per procedure
- Codes all diagnoses/procedures in accordance to ICD-9-CM, Level I (CPT) and Level II coding principles
- Determines appropriate sequencing of clinical data and other related patient and physician data needed for statistical information
- Primarily remote position therefore does not need a central location
10
Skills For Inpatient Coder Remote Resume
- Access to high-speed internet and be in compliance with Atos Remote Work Agreement specifications
- 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
- Occasional contact with physicians and their office staff
- Occasional contact with CDIS team
- Communicates to various departments when charges need added, deleted, or changed and when discharge dispositions and patient type/status needs clarified
- Codes all the diagnosis, treatments and procedures for inpatient records in accordance to departmental policies and procedures
- Abstracts all inpatient, outpatient surgery and procedure charts Verifies CAC codes and/or assigns diagnosis and procedure codes following ICD-9 coding principles, CPT Assistant, Coding Clinic guidelines and Department coding policies and procedures manual
List of Typical Responsibilities For an Inpatient Coder Resume
1
Responsibilities For HIM Inpatient Coder Resume
- Apply coding knowledge to analyze / correct CCI Edits and Medical Necessity accounts
- Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
- Identify appropriate assignment of CPT and ICD - 10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
- Maintain up - to - date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc
- Possession of a national certification or registration in health information management coding from the American Health Information Management Association (AHIMA), as a Certified Coding Specialist (CCS), a Registered Health Information Technician (RHIT) or a Registered Health Information Administrator (RHIA)
- CCS, RHIA or RHIT certification
- College level courses or equivalent in anatomy and physiology, and medical terminology
- Demonstrated complex diagnostic and procedural ambulatory surgery or inpatient or outpatient surgery coding experience in a computerized/electronic environment
- Documented evidence of advanced course work ICD-10 CM, ICD-10 PCS and disease process
2
Responsibilities For Lead Inpatient Coder Resume
- Skills Required: Hospital ICD-9-CM (ICD-10) and CPT Coding and DRG and APC assignment for all inpatient and outpatient service lines, communication, interpersonal, team-building, self-motivation, detail oriented, and accountability
- Knowledge of anatomy, physiology and medical terminology to translate medical record documentation into the appropriate classification system for reporting purposes
- Experience with various Encoder systems (eAbstract, eCAC, EPIC)
- Basic computer programs and job related applications
- Experience working in a level I trauma center and / or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
- Experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
3
Responsibilities For Senior Inpatient Coder Resume
- Coding experience
- Successful completion of college level courses in anatomy and physiology and medical terminology
- Current certification for RHIA, or RHIT, or CCS, required
- Access to a home office with high speed cable or DSL internet
- Maintains at least a 97% accuracy rate
- Registered Health Information Administrator (RHIA) (AHIMA)
- Registered Health Information Technician (RHIT) (AHIMA)
4
Responsibilities For Inpatient Coder Remote Resume
- Certification in professional fee coding through a recognized coding organization, i.e., the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC)
- Remote Coder II Professional Neuro/Cardiac SDS Coder
- Reports directly to Director, Health Information Management
- RHIT (Registered Health Information Technician (AHIMA)), CCS (Certified Coding Specialist (AHIMA)) CPC-H (Certified Professional hospital outpatient facility (AAPC)
- Verifies principal diagnosis assigned by physician or coder, verifies and agrees with diagnostic and procedure codes selected via Computer Assisted Coding (CAC), and Uniform Hospital Discharge Data Set definition of principle diagnosis
5
Responsibilities For Inpatient Coder / Outpatient Coder Resume
- Verifies CAC codes and/or assigns diagnosis and procedure codes based on physician documentation in the record supporting assigned diagnoses
- Reviews and/or verifies diagnostic information as entered into JA Thomas by the CDIS (Clinical Documentation Specialists),
- Reviews assigned charges in the charge viewer to verify what is ordered and what procedures are carried out
- Reviews and Correct charges on surgical accounts, makes changes as appropriate
- Completes high quality work in accordance with outlined standards and procedures within defined timeframes
- Prepares workload reports and managerial support data as needed
- Works closely with the CDIS (Clinical Documentation Specialists) for clear, complete documentation for all Medicare records entered into JA Thomas software
6
Responsibilities For Inpatient Coder Resume
- Meets and Maintains productivity standards
- Sets priorities and demonstrates effective organizational skills by optimizing use of time, meeting deadlines, and completing assigned tasks in a cost-responsible manner
- Basic Coding Knowledge
- Successfully meets requirements to code all patient types
- Remote position therefore does not need a central location
- Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls 10%
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