A resume objective, in turn, is the best choice for: Entry level computer programmer resumes Reviewed charges for all associated diagnostic test services for the encounter from all the departments. Reviewed the Surgeons operative note from the EMR (Epic) to code for Anesthesia services from cross specialists including, Obstetrics, Cardiology, General Sugary, and Radiology. Provide coding and documentation advice to the coding unit, clinical and professional staff. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships, Effective Operational Decision Making ‐ relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values, Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people, Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization, Planning and Organization ‐ proactively prioritizes initiatives, effectively manages resources and keen ability to multi‐task, Communication ‐ communicates clearly, proactively and concisely with all key stakeholders, Customer orientation ‐ establishes and maintains long‐term customer relationships, building trust and respect by consistently meeting and exceeding expectations, Work Independently – is self‐supporting; not needing to rely on others to complete a job, Facilitation – ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development, PC skills ‐ demonstrates proficiency in Microsoft Office applications and others as required, Policies & Procedures ‐ articulates knowledge and understanding of organizational policies, procedures and systems, Project Management ‐ assesses work activities and allocates resources appropriately, Undergraduate degree required. Monitor coding, abstracting and data entry for accuracy with the use of various Meditech reports, and assign ICD-9-CM and CPT-4 codes to discharged inpatient and outpatient medical records, Monitors Medical Necessity and Denials, working with ancillary departments, coding staff, and physician offices for appropriate documentation, Monitors DRG maximization efforts to ensure optimal DRG and third party reimbursement, Generate and submit monthly reports to the Director of Medical Records, Oversee, train, and mentor coding staff, providing on-going in-service education on updates, revisions, and deletions of codes and coding guidelines, and correct coded information to ensure compliance with Rate Setting and other external data requirements, Conduct routine random audits of coding practices (inpatient and outpatient care) to ensure compliance with various documentation guidelines, coding principles and conventions, and assist in the departmental Quality Improvement/Coding Compliance processes and assisting the Coding Validator in the audit process, Act as a liaison to the Case Management, Patient Access, Patient Finance and Information Services departments to maintain a timely billing schedule, and act as a liaison to the Medical Staff with regards to coding, DRG and denial/appeal issues when necessary, Perform audit appeals process (RAC, MassPRO and Blue Cross), prepare all necessary records, reserve space, obtain necessary documentation for on-site review, appeal denials where appropriate, and maintain summary sheets on cycles, Consistently and fairly implements human resource policies, Maintains effective and appropriate staffing by monitoring employee turnover, overtime and absenteeism, and compliance with established Medical Center staffing standards, Evaluates performance and initiates personnel actions (merit increases, promotions, progressive discipline, termination ) in a timely manner to ensure maintenance of an optimal work force, Collaborates with Human Resources on the recruitment and selection of qualified employment candidates following all policies, guidelines and applicable laws, Communicates changes to staff in a clear and concise manner, providing written procedures and inservice education as needed Monitors progress and results of employees, giving constructive feedback and recognizing contributions. Utilize the Correct Coding Initiative (CCI) edits for accurate assigning of code and make use of the Local Coverage Determinations for medical necessity. Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse. Medical Coder Job Requirements; Job requirements involve the outline of the required and preferred skills by the employer for the medical coder position. to obtain information regarding assets, Work on projects as required, meeting set deadlines, Should be in a position to demonstrate the following attributes, Communicate with patients, clients and insurance companies, Possess Excellent customer service and communication skills, MUST have Excellent written and verbal communication, Experience in Medical Collections and/or Coding is required, Evaluate and price merchandise that is being shipped overseas, Provide these valuations to ensure proper tariffs are assigned, Monitor physician and/or facility coding and billing activities performed for the centralized departments with CID through QA and productivity reviews to ensure compliance with all rules and regulations in a timely manner. Layla + Daily Coding Job helped me locate and apply for a new position with a fantastic culture and greater income potential. Not every medical billing and coding externship resume includes a professional summary, but that's generally because this section is overlooked by resume writers. This medical billing and coding sample resume can cure your writer’s block! Page 1 of 4,824 jobs. 10%, Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. In a field that’s quickly developing, push your resume to the head of the pile with an attention-getting resume highlighting your experience in medical billing and coding. Responsible for sending out of state death transcripts to other states. Trained new employees on computer system. Accurately created and maintained seven physicians' schedules in multiple systems by adhering to established written rules and protocols. Entered insurance keys using internal system codes (AS400), Met hospital end of the month deadlines for verification of insurance, Posted ER charges and demographics to CPU Computer System, Reviewed hospital charts and face sheets for verification, Verified Worker's Comp Insurance and Billing Information, Internal hospital code setup in Remote Insurance Coding Application (RICA), Communicated with IT Team and supervisors in eliminating discrepancies, increasing RICA accuracy and effectively improving system operations, Looked over patient’s electronic health records for missing information and errors, Applied the correct codes for encounters and submitted claims, Reported any errors and missing information, Performs miscellaneous job-related duties as assigned (various coding projects). Knowledge of Health Information Administration or related field, as normally acquired through the completion of a Bachelor’s Degree, Credentials in one or more of the following, Ensures accurate coding by conducting periodic auditing, Implements a Coding and Compliance Program including controls and compliance measurements consistent with corporate operating policies and procedures to prevent illegal, unethical or improper conduct, Utilizes IDX and/or 3M related modules to obtain, analyze and interpret coding, denial and other reimbursement data to support compliance and practice management activities, Utilizes Stockamp tools to address work denials, develop trending reports and report findings to Revenue Cycle Management within Cardiology, Executes coding of procedural reports and enters corresponding charges into Invision, Partners with administrative leadership within the department of Cardiology to ensure correlation of information on billing forms with rendered clinical services. It gives the CPC-A the platform to entice the interviewer with a strong list of qualifications, skills, and abilities, before indicating that the work history in medical coding may be lacking. Writing a great Medical Billing Specialist resume is an important step in your job search journey. Ensure all Market Leaders are utilizing established tools and are able to downstream this education in their prospective markets, Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies, establishes collaboration and emphasizes quality and cost Provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff, Ability to work a flexible work schedule and travel to markets requiring overnight stay, Ability and willingness to travel (locally and non-locally) as determined by business need, Performs concurrent coding quality reviews for newly hired and contracted providers (NP, PA, MDs) of 100% of all records until the provider achieves 95% accuracy rate, Performs 100% Comprehensive concurrent coding quality reviews for providers in each market for all CPM lines of business (NP, PA, MD), Evaluates documentation to ensure that diagnosis coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures, Queries providers regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the heath record, Provides feedback and works with Clinical Documentation Improvement Educator to develop targeted education and training to improve accuracy, Develops relationships with clinical providers and communicates coding and documentation guidelines and requirements of the Risk Adjustment program to ensure correct coding and documentation, Maintains a 96% quality audit accuracy rate, Performs the minimum number of coding quality reviews consistent with established departmental goals, Takes direction and guidance from Supervisor of the Risk Adjustment Coding and Documentation Improvement Specialist and the Manager of the Risk Adjustment Coding and Documentation Improvement Program, Coding Certification from AACP or AHIMA professional coding association (CPC, CPC-H, CPC-P, RHIT, RHIA, CCS, CCS-P), 3+ years active coding experience with ICD diagnosis and E / M coding, 1 year experience as an ICD coding Auditor, Working knowledge of ICD diagnosis coding rules and guidelines, Working knowledge of CPT/Evaluation and Management guidelines, Working Knowledge of CMS Risk Adjustment and HCC Coding Process, Requires strong verbal/written communication and interpersonal skills, Must have the ability to perform in a deadline driven environment, Ability to analyze facts and exercise sound judgment when arriving at conclusions, Ability to effectively report deficiencies with a recommended solution in oral and/or written form, Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook, Processes attestation sheets and progress notes out of the DataRap work queue according to department guidelines, Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and ICD-9 / ICD-10 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP database, Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard as identified by no plan, Associates attestation sheets received into the DataRAP database to provide tracking for all markets, Medical record documentation requirements, High school education or equivalent experience, Technical expertise in ICD-9-CM or ICD-10-CM, Ability to perform in a deadline driven environment, Ability to maintain professionalism and a positive service attitude at all times, Responsible for Inpatient and/or Outpatient risk adjustment training program for coding staff, Risk adjustment Inpatient and/or Outpatient coding process controls consulting a/ implementation procedures, Responsible for the effective delivery of training programs across the organization including ICD-10 training, Develop and deliver training program for nurses to obtain coding certification through AHIMA and/or AAPC, Analyze data and develop training programs based on the data, Generally work is self-directed and not prescribed, 1+ year of risk adjustment with Inpatient Coding, 1+ year of experience delivering presentations and/or facilitating training/workshops, Must have a current Coding Certification (CPC, CCS, RHIA, RHIT), Educate practitioners / clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process, Ensure all Market Leaders are utilizing established tools and are able to downstream this education in their prospective markets, Bachelor’s Degree in Nursing required (Associate’s Degree or Nursing Diploma from accredited nursing school with 2 or more years of additional experience may be substituted in lieu of a bachelor’s degree), CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders required, 4 years of General Clinical experience required, 2 years of clinical coding experience with strong attention to detail and a high level of accuracy, Possess a high tolerance to stress and the ability to handle difficult situations in a confident and diplomatic manner, Additional Quality Assurance auditing experience, 1+ years of risk adjustment with Inpatient Coding, 1+ years of experience delivering presentations and/or facilitating training/workshops, Experience using Microsoft PowerPoint (create decks importing data, charts, graphs, images, animations), Excel (sorting, filtering, vlook up, pivot table, charts and graphs, manipulate data; basic formulas), and Word (create and modify documents), Available to travel up to 10% of the time (domestic and international), Educate practitioners / clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process. 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