Certified Coding Specialist Resume

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A certified coding specialist handles the tasks of interpreting medical terminology for the purpose of creating numerical codes for insurance and medical statistics. The codes are use to track the rate of infection, diagnosis and treatment among medical institutions. A certified coding specialist plays an important part of medical documentation process and the health industry as a whole. One can work as a certified coding specialist in hospitals, physician offices, home health care facilities, ambulatory surgical centers, as well as in insurance and drug companies.

Certified Coding Specialist Resume Example

Career Objective:

A Certified Coding Specialist with a degree in Health Information Technology and proficient in guidelines, techniques and methods of medical coding seeks a challenging role in a growing organization.

Skill Sets:

• Comprehensive knowledge of Current Procedural Terminology (CPT) and International Classification of Diseases Clinical Modification
• In-depth knowledge of the methods, techniques and guidelines of medical coding
• Familiar with the policies, procedures, laws, and regulations of health care organization
• Extensive knowledge of the laws and regulations governing medical record coding and documentation
• Skilled in reading and interpreting medical terminology and procedures
• Attention to detail with excellent communication skills

Educational Qualifications:

Achieved Bachelor's degree in Health Information Technology
University of Washington in the year 2008

Certifications:

Certified Coding Specialist
American Health Information Management Association in the year 2009

Work Experience:

Organization: Pinnacle Medical Group, WA
Duration: May 2011 till date
Designation: Certified Coding Specialist

• Responsible for evaluating medical record documentation to ensure that diagnostic and procedural codes accurately reflect and support the outpatient visit
• Perform the tasks of interpreting medical information like diagnostic procedures, diseases and symptoms
• Handle responsibilities of reviewing Medicare reimbursement claims before submission to minimize claim denial
• Perform responsibilities of providing technical guidance to physicians in identifying codes that do not conform to the approved coding principles/guidelines
• Responsible for educating staff on proper code selection, documentation, and procedures
• Handle the tasks of developing and updating procedures manuals to minimize the risk of fraud and standards for correct coding

Organization: The Telmos Medical Group, WA
Duration: March 2009 to April 2011
Designation: Senior Medical Coder

• Responsible for identifying billable claims and submitting insurance claims
• Handle the tasks of completing insurance data for patient claims as well as review and adjust account balances
• Perform responsibilities of analyzing billing components and posting payments in billing databases
• Handle the tasks of creating, organizing, updating and maintaining data spreadsheets by using medical billing software
• Responsible for ensuring correct claims payments through confirmation from providers
• Handle the tasks of assisting coding specialist in training new employees
• Verify signatures and perform checking of medical data for accuracy and completeness

Reference:

Will be pleased to furnish upon request.