Outpatient Coder Resume Sample
Shad Cummings
744 Jackeline Burg,
Houston,
TX
+1 (555) 236 1646
Work Experience
Outpatient Coder
08/2016
-
PRESENT
Los Angeles, CA
- Performs all types of inpatient and outpatient coding function on all patient types under minimal to no supervision of coding supervisor
- Make independent judgments on how to proceed with incomplete or ambiguous cases with minimal supervisory intervention
- Reviews medical record documentation to ensure the complete coding of all~relevant diagnoses and procedures for hospital billing
- Assigns and sequences ICD~10~CM diagnoses and ICD~CM and CPT procedures in accordance with advice from Coding Clinic and ICD~CM Official Coding Guidelines and CPT Assistant (CPT/HCPCS) guidelines
- Uses 3M coding products including encoder and groupers for Diagnosis Related Groups (DRG) and Ambulatory Payment Class (APC) for Medicare reimbursement and other third~party payers and for internal Advocate business/quality purposes
- Abstracts selected demographic and clinical information to create a comprehensive database of information for billing purposes and internal data management
- Utilizes personal protection equipment (PPE) per MMC standards
Cath / IVR HIM Outpatient Coder
09/2009
-
02/2016
Dallas, TX
- Demonstrates ability to assess a situation, consider alternatives and choose an appropriate course of action
- Codes and abstracts all outpatient surgery, emergency room and outpatient records using standard ICD-9-CM
- Meets productivity standards set by HIM
- Meets quality standards of having 95% of principal diagnosis and procedure correctly coded
- Performs retrospective reviews of ASC, Discharge Disposition and other types of records as requested
- Experience with various coding abstracting and coding systems (MS4 Mira, Meditech, Clintrac, Optum CAC, HBO Star) and electronic medical record (Cerner Powerchart
- Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters
Education
Des Moines University
2003 - 2008
Bachelor's Degree in Anatomy
Professional Skills
- At least one year experience working in an acute hospital setting coding outpatient procedures
- Experience working in an acute hospital setting coding outpatient procedures
- Two (2) years' progressive on-the-job experience coding with ICD-9-CM and/or ICD-10-CM and CPT-4 coding in a hospital or outpatient setting
- Two (2) years' progressive on-the-job experience coding with ICD-9-CMand/or ICD-10-CM and CPT-4 coding in a hospital or outpatient setting
- 1~2 years of recent acute care hospital inpatient or outpatient coding experience~and~Achieve satisfactory score on Advocate's coding test
- Able to work under stressful conditions while maintaining professionalism and manage multiple completing priorities
- Professionalism and manage multiple completing priorities
How to write Outpatient Coder Resume
Outpatient Coder role is responsible for travel, insurance, research, reporting, coding, training, credit, software, health, compliance.
To write great resume for outpatient coder job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Outpatient Coder Resume
The section contact information is important in your outpatient 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 Outpatient Coder Resume
The section work experience is an essential part of your outpatient 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 outpatient 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 outpatient coder position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Outpatient Coder resume experience can include:
- Encoder usage with proficiency in computer skills
- Basic computer experience; required
- Six months to one year of experience with medical claims examiner knowledge
- Working knowledge of APC with ICD-9-CM coding and abstracting of patient records for the purposes of billing and research
- Understanding of coding resources and tools, including 3M 360 Encompass
- Training or working knowledge of ICD-10
Education on an Outpatient Coder Resume
Make sure to make education a priority on your outpatient coder resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your outpatient 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 Outpatient Coder Resume
When listing skills on your outpatient 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 outpatient coder skills:
- Analytical skills for abstracting of clinical and nonclinical data
- Flexible/Adaptable - coping effectively with complexity and change?
- Coding experience in CPT and ICD-9 coding is required
- Previous coding experience with the ability to work independently
- Experience in deficiency analysis, registration, and basic coding courses
- Experience in deficiency analysis or registration and basic coding courses
List of Typical Experience For an Outpatient Coder Resume
1
Experience For Remote Outpatient Coder Resume
- Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhere to official coding guidelines
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
- Codes billing supplies and implants; furnishes completed coding information as necessary to bill cases
- Utilize technical coding principals and expertise to assign appropriate ICD-10-CM diagnoses, HCPCS and ICD-10-CM/CPT-4 procedures
- Ensures that 3M encoder updates are processed timely/upon receipt to ensure use of the most current coding information
- Maintain coding credentials
- Meet performance and quality standards at the Outpatient Coder II level
- 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%-
2
Experience For Outpatient Coder Consultant Resume
- Identifies and provides appropriate and accurate assignment of ICD-10-CM, ICD-10-PCS, and CPT diagnosis and procedure codes for outpatient facility services provided in the acute hospital setting, as well as additional data elements identified during the chart review process
- Identifies and provides appropriate and accurate assignment of ICD-9-CM and CPT diagnosis and procedure codes for outpatient facility services provided in the acute hospital setting, as well as additional data elements identified during the chart review process
- Coding:Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA)
- Abstracting:Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition
- 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
- Goal:Average coding quality standard of =>95% accuracy per monitoring period
- Exceeds =>95.01% accuracyCoding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity guidelines
3
Experience For Cath / IVR HIM Outpatient Coder Resume
- Assigns ICD-10-CM or HCPCS codes creating APC group assignments. Primarily responsible for coding outpatient-in-a-bed accounts and observation services for both facility and professional services that were performed
- Codes and abstracts pertinent information from Emergency Department records for both facility and professional services that were performed
- Abstracts pertinent information from patient records and green bar report for outpatient services
- Codes all appropriate diagnosis and procedure codes from results and reason for visit for ancillary services
- Reviews and abstracts clinical documentation for medical necessity, utilizing the current local and national coverage determination policies and other regulatory guidelines
- Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution
- Reviews OCE and CCI edits and resolves issues in order to finalize the account to ensure coding accuracy
- Performs data entry of coded/abstracted information for APC assignment into the Medical Center computer system
- Assigns ICD-10-CM or HCPCS codes creating APC group assignments. Abstracts pertinent information from patient records and green bar report for outpatient services
4
Experience For Outpatient Coder Resume
- Collaborates with the OP coding educator to ensure accurate and complete coding. Trains with the OP coding educator on new account types when selected for promotion
- Contacts various departments to request additional clinical information such as missing reports or patient diagnosis, and to report registration issues requiring intervention
- Organizes, evaluates, and reviews patient medical records for accuracy and completeness
- Brings identified concerns to supervisor or department manager for resolution
- Relies on instruction and pre-established guidelines to perform the functions of the job
- Assigns ICD-10-CM or HCPCS codes creating APC group assignments. Abstracts pertinent information from Emergency Department records for both facility and professional services that were performed
- 10 Adheres to the standards identified in the Medical Center's Organizational Competencies
- Reviews medical records and physician documentation to code patient charges
- Adhere to TPR productivity standards and submits daily productive reports
5
Experience For Remote Outpatient Coder Resume
- Meet TPR accuracy and quality audit standard
- Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures
- Assigns ICD-9-CM and CPT-4 diagnosis and procedure codes, using the 3M Encoder, for all outpatient and emergency room records; maintains a 95% accuracy rate when coding and sequencing medical (patient) records
- Assists medical staff and hospital with proper nomenclature of medical terminology and proper coding and sequencing of ICD-9-CM and CPT codes
- Complies with established coding productivity standards as outlined in department policies and procedures, and seeks supervisor assistance when such standards cannot be met
6
Experience For Outpatient Coder Consultant Resume
- Performs patient record coding using the EPF system 100% of the time when patient records have been scanned and indexed into the EPF system
- Reviews unbilled accounts on a daily basis to identify those pending and maintains the work current and within 4 days of discharge and assigned financial goal
- Maintains and submits to supervisor on a daily basis required productivity logs for all assigned tasks
- Accurately codes all diagnoses and procedures on all outpatient visits
- Accurately abstracts all Outpatient codes into the CPSI/Evident computer system, including Lab, Radiology, Cancer Center, all Family and Rural Healthcare Clinics, Physical Therapy, and Emergency Room visits and procedures
- Verify all outpatient orders are complete with accurate diagnosis for test/procedure being performed
7
Experience For Cath / IVR HIM Outpatient Coder Resume
- Work with held bill report for all outpatient visits and/or procedures
- Maintains at least a 95% accuracy rate
- Communication of issues to the APC Manager
- Code all diagnoses and procedures according to the current International Classification of Disease, Clinical Modification (ICD~10~CM) and Physician's Current Procedural Terminology, current edition (CPT/HCPCS) rules and principles and coding guidelines utilizing a computerized encoding system
- Able to work well on a team
- Take Direction From Others
- Reviews and corrects registration for inpatients and outpatient records as needed
- Audits all new providers as needed and/or first year resident charts for first six months
8
Experience For Outpatient Coder Resume
- Audits all other charts for LCPP practices as assigned
- Work independently and complete assigned reports by given deadlines
- Completes all jellybeans and weekly reports in a timely manner
- Codes outpatient surgery center(s) records in a timely manner, including the assignment of ICD-10-CM, E/M, Procedure Categories, modifiers (when applicable), and HCPCS/CPT procedure codes
- Resolves/clarifies codes and diagnosis with conflicting, missing, or unclear information by appropriately utilizing the query tool to get additional information from the Medical Staff as necessary
- Collects data and prepares reports of findings
- Assists with preparation for AAAHC and/or State reviews
9
Experience For Remote Outpatient Coder Resume
- Guides others to follow the state standards related to the release of information from medical records and assists with determining the appropriate release of medical information
- Initiates physician queries in compliance with ASD guidelines/policies where appropriate
- Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Consults with the business office management for assistance with resolving issues, as needed
- Utilizes the complete medical record’s documentation in code assignment
- Meets all educational requirements as stated in HCA-ASD policies
- Proficiency in Medicare, Medicaid, and Commercial provider reimbursement methodologies for hospital chart documentation
10
Experience For Outpatient Coder Consultant Resume
- Efficient - able to produce significant output with minimal wasted effort?
- College level courses in anatomy & physiology, medical terminology and pathophysiology with certificate of completion
- Is either CPC, or CPR-H, CCS-P CCS Certified (active status)
- Programs that reach out to our community
- Competitive Paid Time Off program
List of Typical Skills For an Outpatient Coder Resume
1
Skills For Remote Outpatient Coder Resume
- Working knowledge of coding
- Abstracting of facility required data in McKesson Star
- Working applicable SMART and McKesson Pre-Bill Edits and Receivable Work Station (RWS) requests
- Working knowledge of anatomy, medical and procedural terminology
- Assigning ICD-9-CM and/or ICD-10 diagnosis codes; HCPCS/CPT codes; and modifiers
- Thorough understanding of ICD-9-CM/ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic
- Successful score of 85% on "Christus Inpatient Coding Qualifying Test" and/or "Christus Outpatient Coding Qualifying Test."
- Thorough understanding of HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines
- Successful score of 90% on "Christus Inpatient Coding Qualifying Test"
2
Skills For Outpatient Coder Consultant Resume
- Review and analyze content of medical record to accurately assign ICD diagnosis and procedure codes; CPT procedure codes and modifiers according to national coding guidelines
- Answer coding and abstracting questions from peers, doctors, hospital employees, etc
- Performs complete chart review and/or coding. Assigns ICD-10-CM and/or CPT codes in accordance with official coding and reimbursement guidelines
- Communicate with providers and office managers regarding coding and documentation requirements via telephone, email and/or in person
- Follow up on missing documentation, including the generation of appropriate queries, as needed
- Contributes toward achieving the team goals for Shared Coding Services
- In-depth knowledge of the National Coding Guidelines and AHA Coding Clinic
3
Skills For Cath / IVR HIM Outpatient Coder Resume
- Tenacious - willing to go the distance to get something done?
- Certified Coding Associate or Certified Coding Specialist or Registered Health Info Tech License
- Assists provider and practice staff with reviewing provider coding as needed
- Is responsible for coding all services including IR outpatient accounts
- Maintain coding accuracy rate
- Accurately identify and enter data elements for abstracting
- Meet coding productivity standards
4
Skills For Outpatient Coder Resume
- Keep current with coding and industry changes through participation in educational opportunities
- Diagnostic & Procedural coding
- Remains up to date and in compliance with current CMS and local (MAC) coding rules and guidelines
- Resolves technical/medical necessity claim edits utilizing NCD/LCD’s
- Promotes the company image through exercising sound and ethical business practices
- Functions as relief for other coders as needed during absences. Works with lead Coder to identify areas in which they can assist others
- Shares knowledge of the reporting and the disposition of medical records (statistical reports)
- Maintains average productivity based on Ardent Shared Coding Productivity Standards
5
Skills For Remote Outpatient Coder Resume
- Thorough understanding of Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC)
- Acknowledgement of receipt and review of updated Ardent coding policies
- Maintains continuing education (CE) requirements per Ardent policy
- Achieve CEUs and maintain coding certification
- Attentive - not letting important details slip through the cracks?
- Honest - not cutting corners ethically?
6
Skills For Outpatient Coder Consultant Resume
- Strategic - able to see and communicate the big picture in an inspiring way?
- Certification or license as a Certified Coding Specialist (C.C.S.), Registered Health Information Technician
- Knowledge of ICD-10 coding concepts
- Completion of an accredited Coding Education program
- Performs data entry of coded/abstracted information into the Medical Center's computer system. Reviews all necessary edits to ensure coding compliance
- Reviews coding denial/edits and appeals/corrects codes
7
Skills For Cath / IVR HIM Outpatient Coder Resume
- Utilize technical coding principals to assign appropriate ICD-10-CM diagnoses, HCPCS and ICD-10-CM/CPT-4 procedures
- As provided by management, review error reports to correct or complete missing data elements
- Serve as a resource for coding related questions to other employees as appropriate
- Identify documentation trends and topics for education/feedback to physicians and departments
- Same day surgery Surgical Pain Clinic
- Infusion Services Electrophysiology
- Cardiac Catheterizations Orthopedic
- Professional Primary Care Services
8
Skills For Outpatient Coder Resume
- Ensures all projects are accurate and completed in a timely manner
- CCS or CCS~P credential or RHIT/RHIA The ability to maintain an ergonomic workstation in a remote work environment while protecting patient confidentiality and maintaining Advocate owned computer hardware and software
- Able to work under stressful conditions while maintaining
- Knowledge of ICD–10 coding guidelines
- Knowledge of the policies and procedures of the organization to complete coding tasks within compliance of the federal, state, insurance and organization regulations
- Interpret regulatory and payor rules and directives concerning coding
- Maintains current knowledge of ICD~CM~10 and maintains required continuing education credits and certification(s)
- Make independent decisions in problem solving
- Trains and updates physicians on coding and documentation techniques
9
Skills For Remote Outpatient Coder Resume
- Maintains and promotes patient confidentiality by following current HIPAA guidelines
- Maintains open lines of communication with Physician(s), Nurse(s), Administration, Billing Management and other departmental personnel
- Influence others for positive and productive outcome
- Work successfully and independently in a remote, home environment
- CCS or CCS~P credential or RHIT/RHIA
10
Skills For Outpatient Coder Consultant Resume
- The ability to maintain an ergonomic workstation in a remote work environment while protecting patient confidentiality and maintaining Advocate owned computer hardware and software
- Able to travel to other hospital sites, corporate settings and seminar locations
- Obstetrics Gynecology -- COBGC™
- Undelivered/Labor & Delivery
- Orthopaedic Surgery -- COSC™
- Plastics and Reconstructive Surgery -- CPRC™
- Surgical Foot & Ankle -- CSFAC™
List of Typical Responsibilities For an Outpatient Coder Resume
1
Responsibilities For Remote Outpatient Coder Resume
- Comprehensive Medical, Dental and Vision Benefits
- Company provided & Optional Life Insurance
- Healthcare & dependant care flexible
- Certified Professional Coder (CPC®)
- Certified Interventional Radiology Cardiovascular Coder (CIRCC®)
- Ambulatory Surgical Center -- CASCC™
- Anesthesia and Pain Management -- CANPC™ , Cardiology -- CCC™,
- Cardiovascular and Thoracic Surgery -- CCVTC™
- Emergency Department - CEDC™
2
Responsibilities For Outpatient Coder Consultant Resume
- Evaluation and Management -- CEMC™
- 401(k) Retirement Savings
- Family Practice -- CFPC™
- Internal Medicine -- CIMC™
- Certified Procedural Coder (CPC), Certified Professional Coder – Hospital Outpatient (CPCH) or Certified Coding Specialist (CCS) certification required and maintained thereafter
- RHIA, RHIT, or CCS license required
- RHIA, RHIT, CCS, or CCA certification required
3
Responsibilities For Cath / IVR HIM Outpatient Coder Resume
- Gastroenterology -- CGIC™
- General Surgery -- CGSC™
- Hematology and Oncology -- CHONC™
- RHIT, RHIA, CCS, CPC, CCA
- Otolaryngology -- CENTC™
- Fun, energetic people!
- Chiropractic -- CCPC™
4
Responsibilities For Outpatient Coder Resume
- Rheumatology -- CRHC™
- Dermatology -- CPCD™
- Pediatrics -- CPEDC™
- Surgical Pain Clinic
- Encoder and/or CAC
- Same day surgery
- Urology -- CUC™
- 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
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