Certified Medical Coder Resume

Medical coders handle various clerical duties, and play a vital role in maintaining the confidentiality of data in a hospital, clinic or medical center. These professionals are accountable for performing various duties such as translating data into codes, preparing accurate bills, and claiming them from the patient's insurance provider as well as handling billing and insurance issues. To work in this position, you must have a relevant associate/bachelor's degree and an accredited certificate from a recognized institute. Moreover, you are also expected to have prior experience in performing administrative duties as well as excellent researching skills to find out codes for medical terminologies related to human anatomy, diagnosis or treatment. To demonstrate that you are an apt candidate for this position, draft a succinct medical coder resume mentioning your qualification, work history and certain skills that would definitely impress a prospective employer.

George S. Purger
371 Thunder Road
San Francisco, CA 94108
Phone: 650-712-8139
Email: george.purger@anymail.com

Career Summary:

Detail-oriented, organized and certified 'Medical Coder' with over 5+ years of experience in writing accurate codes for patient records, processing claims for payment and performing clerical duties as required. Adept in maintaining confidentiality of the patient data and entering accurate clinical codes in the software by using excellent research skills for complex diseases, treatment methods or medical prescriptions. Team player with exceptional organizational and communication skills.

Summary of Skills:

Sound knowledge of ICD-10, CPC and HCPCS codes for various diagnostics, treatment procedures, and medicines
Strong knowledge of medical terminologies and coding systems
Capable of determining exact amount of claims to present it to the patient's insurance company for collecting payment within limited time
Familiar with assessing billing records to calculate pending fees from the concerned patient as well as approving reimbursement for special cases as per the instructions from the hospital's chair person
Adept at writing accurate coding terminologies as well as performing various clerical duties as required
Expertise in operating hospital's software, clinical database, and other computer applications such as MS Office suite, mail and Google spreadsheet
Compassionate and empathetic medical personnel with strong analytical and communication skills
Team player with exceptional organizational and problem solving skills

Work Experience:

Certified Medical Coder
Ridgecrest Regional Hospital, San Francisco, CA
October 2017 - Present

Assisting to translate medical procedures into standardized codes for helping insurance companies to assess patients' bill, and creating accurate invoice for the services provided
Extracting clinical information from the software and assigning appropriate ICD-10 or CPT-4 codes to patient records as per the established procedures
Reviewing patients' medical reports for MIPS coding, and assigning appropriate modifiers in the data to receive proper reimbursement
Researching medical dictionaries and anatomical charts for unusual treatment procedures or unique diagnosis to ensure correct information is filled in the software
Coordinating with the team to perform data entry tasks to maintain accurate medical information, including doctor's name, surgery dates or other procedures, prescription and discharge date in the hospital's database
Performing specific tasks related to accurate storage for ensuring accurate data quality, and completeness of clinical records
Maintaining an up-to-date database of clinical records in the hospital's software by coding diagnosis, treatment provided and prescriptions about drugs/injections

Certified Medical Coder
Spectrum Health Clinic, San Francisco, CA
February 2015 - September 2017

Performed various duties with tasks related to coding, including patient review record, assigning of ICD-10-CM, and surgical or anesthetic CPT codes
Assisted to complete timely and independent review of operative reports and physician notes to accurately assign CPT or ICD-10 codes to define the services provided
Helped the team to maintain confidentiality of data by coding diagnosis, treatment provided, and information about physicians who administered the treatment
Coordinated with the team to analyze physician documentation contained in routine outpatient records for coding principal diagnosis and treatment procedures to keep accurate records
Ensured that the claims for the patient's visit at the clinic are properly coded and accurately billed to reflect the provided services to get appropriate payment from concerned patient's insurance company
Took responsibility to code diagnostics and procedures of emergency department records, and abstracted statistical information for reimbursement
Carried out various clerical duties as required and entered charges into the designated billing systems for proper maintenance of records

Internship:

Medical Coding Assistant
Holy Name Medical Center, San Francisco, CA
July 2013 - January 2015

Worked under the supervision of senior coders and assigned appropriate CPT, ICD - 9/10 and HCPCS codes into the medical center's billing systems
Maintained a working knowledge of coding fundamentals, including ICD-9-CM coding for inpatient, outpatient, and physician services
Assigned codes based on medical documentation, sought further clarification from the concerned physicians when the patient's medical file is unclear
Coordinated with the administrative and business office department and resolved denied claims due to coding issues
Assisted to complete coding activities, including HCPCS coding, CPT-4 coding for outpatient physician services
Worked with the team to achieve and maintain a high-level of accuracy in coding
Performed duties to apply ICD clinical modification and CPT codes for outpatient ambulatory clinic records
Identified records that are to be coded within designated time limit

Education:

Bachelor's Degree in Health-care Administration
University of San Francisco, San Francisco, CA
2014
Associate's Degree in Health Information Technology
University of San Francisco, San Francisco, CA
2015

Reference:
On request.

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