The sample resume is in chronological format and tracks her career progression from a medical records clerk, medical biller, remote coder and now a Certified Professional Coder CPC medical coder. 444 Orlando Street – Orlando, FL 32809 State your certification level and classification systems you know. Do you need the best Medical Coder resume? After all, Linkedin named it the fifth most important skill for landing a job in 2019. Get the job you want. Use This medical biller and coder Resume Template . Whether you want to be a trainee coder or nosologist, you need to make your education resume section shine. Try our resume builder. Check them out now! Create a cover letter in 5 minutes. Medical Coder. A medical biller resume should show your ability to use medical codes to document patient diagnoses and treatments—but to put yours over the top, you should show how you’re detail-oriented … Unless the company specifically asks for a Word doc. This is one of the hundreds of Medical Coder resumes available on our site for free. Mobile: +971558253592 CAREER OBJECTIVE: Seeking assignments as a Medical coder / medical claim processor with reputed organisations in Medical and Insurance field. CPT®, ICD-10-CM, and HCPCS Level II codes, Certificate in Medical Terminology 2017, University of Jamestown, Washington, DC Regional Conference 2018, Washington, DC. Not every medical billing and coding externship resume includes a professional summary, but that's generally because this section is overlooked by resume writers. May produce complex documents, perform analysis and maintain databases, Bachelor's degree in health sciences, health management, or nursing, 5 years of ICD-9 coding or medical record audit experience in a consultative role, CPC or CPMA from an accredited source or equivalent certification, Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner, Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. To write the job history section of the resume, the sample job description shown above provides useful information in writing the section. When writing your resume, be sure to reference the job description and highlight any skills, awards and certifications that match with the requirements. Go for a resume objective if you target entry-level positions. A medical biller processes claims with health insurance companies in order to receive payments for services from a healthcare provider. Protect the security of medical records to ensure that confidentiality is maintained, Participate in inter-rater reliability testing/peer review exercises, as requested, Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information, Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes, Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding, Knowledge of anatomy, physiology and medical terminology, Excellent verbal, math and written communication skills, ------------------------------------------------------------------------------------, Responsible for conducting non-routine audits, documenting & communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits, Conduct risk assessments and preparation of work plans, Develop an understanding of the operations, system processes and procedures used in areas being audited, Review and test for compliance with institutional policies and procedures, applicable laws and regulations through the inspection of physical operations, processes, retrieval and review of documents and investigation of irregularities and errors, Compile information and/or prepare reports and analyses setting forth results of compliance audits with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action, Develop recommended corrective actions to address issues detected, Actively participates in exit conferences, providing clarification and supporting information necessary, Bachelors degree and coding certifications REQUIRED**, Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. It can be either a resume summary, or resume objective: Use a resume summary if you’re in the healthcare business for more than two years. Followed state law requirements when performing coding procedures. and/or as requested by medical leadership or CBO management, Monitor Coding changes to ensure that most current information is available, Provide coding support to Central Billing Office as requested, ICD-10 Proficiency Certification required, Certified Medical Coder with either CPC, CCS-P, Knowledge and experience in health care/managed care environment, Direct Cardiology coding experience ideal, Certified Cardiology Coder (CCC) preferred, Experience with HEDIS performance measures and Medicare STAR ratings, Prior work experience with curriculum design combined with stand up and delivery of complex content - specific to medical coding, Medical coding certification (AHIMA or AAPC), Computer literate (MS Word, Power Point, Excel), Ability to travel within the assigned region as necessary, Prior coding experience in managed care at least 5 years preferred, Understand the importance of accuracy related to charge entry, Knowledge of standard governmental billing requirements, Payer requirements, and HIPPA regulations, Knowledge of insurance guidelines especially Medicare and state Medicaid, Hematology and Oncology coding certification, 2+ years of Coding experience and knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code, RHIT/RHIA, CCS, AHIMA or CCP certification, Knowledge of Coding, Payor, and Federal Billing guidelines, Knowledge of Anatomy, Physiology & Disease processes, CCS and knowledgeable with 3M/HDS coding application, 2+ years of work experience in a Healthcare-setting or equivalent education, American Academy of Professional Coders (AAPC) Certified Professional Coder –Apprentice (CPC-A) or American Health Information Management Association (AHIMA) Certified Coding Associate (CCA), Knowledge Medical Terminology and Human Anatomy, (AHIMA) RHIA, RHIT, CCS, CCS-P, approved ICD-10-CM trainer, or approved ICD-10-CM/PCS trainer, Certified Medical Coder with either CPC, CCS, COC or CSSP with high degree of competency in this area, Strong knowledge or certification in ICD-10 coding, Ability to visit and educate Clinic Staff, 3 years of Medical Coding experience in an acute care setting, Knowledge of coding guidelines, payer guidelines, and federal billing guidelines, CCS experience and knowledgeable with 3M/HDS coding application, Knowledge of anatomy, physiology and disease processes, CPC or CCS-P Coding Certification or CPC-A with coding experience, Ability to drive to provider offices throughout Polk, Osceola, Orange, and Sumter Counties and be on site at provider offices approximately 75% of the time, Prior experience in a fast paced insurance or health care setting, 1+ year of related Coding experience (CPT, ICD-9, and ICD-10), Experience following-up with insurance companies, Prior experience with Managed Care Companies, Working knowledge of Next Gen or Electronic Health record system, CPC, CRC, or CCS-P Coding Certification or CPC-A with coding experience, Minimum of 18 months of prior medical coding experience, Ability to drive to provider offices in the Memphis and surrounding areas approximately 3-4 days weekly, Bachelor’s Degree in business administration or related field preferred/or a combination of advanced training and experience, 2 years of experience with coding and reimbursement activities, Demonstrated knowledge of ICD-9 & CPT4 Coding, Demonstrated knowledge of computerized billing systems, Knowledge of third party insurance billing policies, procedures, regulations and billing requirements and government reimbursement programs, CPC-A certification with coding experience, Ability to drive to provider offices and be in the field approximately 50%, CPC - A coding certificaiton with coding experience, Responsible for MRA aspects of market management, including managing the MRA coder team, Executes MRA initiatives within the local market, Coordinates and deploys MRA training policies/objectives to the local team, Plans and directs MRA training techniques and suggests enhancements to existing training programs within existing markets, Use detailed analysis/consideration of financial and operational implications to make recommendations to the MSO and physician groups, Medicare Risk Adjustment, Documentation and Medicare Advantage experience, Professional coding certification such as CPC, CCS-P, CRC, or RHIT, Demonstrated experience partnering with senior leadership on strategic initiatives, Proven planning, preparation and presentation skills, Demonstrated ability to manage multiple projects and meet deadlines, Comprehensive knowledge of all Microsoft Office applications, Ability to travel throughout the local market approximately 2-3 days weekly with occasional overnight travel, Strong collaboration and relationship building skills, Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance, Comprehensive knowledge of Medicare policies, processes and procedures, Evaluate the element of the medical record for diagnosis code selection, Effective Communication and Professionalism, Certification in American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; American Academy of Professional Coders (AAPC): CPC-H, Solid assessment and documentation skills, Successful completion of a Coding certificate program with AHIMA approval status, 18+ months of prior medical coding experience, Prior experience in a fast paced insurance, health care, or physician office setting, HCC coding experience not required, but is a plus, Associate's and/or Bachelor's Degree in Health Information Management, AHIMA certification; Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P), Knowledge of ICD-CM (current edition) and ICD-PCS coding systems, Microsoft Office/Suite proficient (Excel and Word, 5+ years of Medical Coding experience or related work experience, Knowledge of 3rd party payer requirements and Federal / State guidelines and regulations pertaining to Coding and Billing practices, Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments, Be an active participant in client and Precyse staff meetings, training and conference calls, often using online technology, Learning is a daily part of your role with Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. 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