Certified Coder Resume

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Career Objective:

Detail-oriented, self-motivated, and competent ‘Certified Medical Coder’ possessing 5+ years of experience in translating medical practitioner’s notes into HCPCS/CPT or ICD codes, preparing accurate bills, and maintaining confidentiality of patient information. Adept in answering queries from insurance providers as well as handling reimbursements. Exceptional in operating coding software, and have solid communication as well as interpersonal skills.

Summary of Skills:

  • Possess an extensive knowledge of anatomy and physiology, disease processes, pharmacology as well as different coding systems such as HCPCS, CPT, ICD, etc.

  • Expertise in translating the physician’s written notes and medical charts into codes for maintaining confidentiality of the patient data

  • Capable of creating accurate discharge bills, and conveying the payment details to the insurance providers

  • Proficient in serving as a vital resource for physicians, administrators, and other health-care personnel

  • Skilled in providing information on documentation, regulations and reimbursement to respective medical personnel

  • Adept in operating coding software, including MS office suite, mail, spreadsheet and billing database

  • Team player having excellent organizational and communication skills

Work Experience:

Certified Medical Coder

Baptist Health-care System, Tinley Park, IL

February 2017 – Present

  • Ensuring optimum reimbursement based on accurate coding, and updating clinical database

  • Checking patients’ medical charts for accuracy and completeness, and clarifying doubts related to diagnosis or treatment by communicating with the concerned medical personnel

  • Abstracting and coding the diagnosis and procedural information for the outpatient and emergency department medical records by using the latest version of ICD, CPT and McKesson Intelligent coding software

  • Interacting with the billing department to solve queries, and submitting hospital bills to the patient’s insurance provider

  • Performing chart reviews of assigned patients, and assisting medical staff in improving quality, completeness, and integrity of documentation

  • Collaborating with various medical personnel to ensure patient information in standardized coded format, and maintaining confidentiality of the data

Certified Medical Coder

John Muir Health Center, Tinley Park, IL

April 2015 – February 2017

  • Reviewed patients’ documents to interpret medical information, treatment plans, and outcome to determine appropriate ICD-10/CPT codes for diagnosis and procedures

  • Performed coding of patients’ data, filled the blanks generated due to handwritten notes to keep updated information in the hospital database

  • Applied coding principles and clinical documentation strategies to assure that the medical records are complete and readily accessible

  • Coded and abstracted all outpatient surgery, emergency room, and trauma department outpatient records by following standard ICD-10-CM and CPT coding guidelines

  • Verified and applied required HCPCS, CPT or diagnosis codes in patient records to ensure complete and compliant billing

  • Provided feedback related to coding changes, and used standard query procedures to contact medical personnel for additional information as required

  • Interacted with various physicians, nursing aide, and other medical personnel to ensure accuracy, and used appropriate codes to give exact bill to insurance providers

  • Translated physicians’ notes to a standard set of codes before submitting documents to the respective insurance provider

    Internship:

    Medical Coding Assistant

    Anion Health-care, Tinley Park, IL

    September 2013 – March 2015

    • Used various correct medical codes, including HCPCS, CPT and ICD for appropriate reimbursement

    • Answered queries from insurance providers related to diagnostics, provided surgical and medical treatment

    • Reviewed and interpreted patients’ medical records, and assigned appropriate codes to them

    • Provided assistance in coding outpatient ancillary clinic, specialty clinic, and regular visit records as necessary, and maintained confidentiality of patients

    • Attended medical personnel meetings/discussions, and maintained up-to-date knowledge of change in coding and documentation rules

    • Coordinated with the concerned physician to clarify doubts regarding complicated patient cases before entering information in the hospital database

    • Reviewed E&M levels selected by physicians or other medical personnel on a monthly basis, and provided appropriate feedback to increase accuracy

    Education:

    • Bachelor’s Degree in Health-care Administration

      DeVry University, Tinley Park, IL

      2012

    Certification:

    • Coding Specialist

      American Health Information Management Association, Tinley Park, IL

      2013

    Reference:

    On request.

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