Resume format for medical coding job. Authorization Specialist for referring doctors of all specialties to expedite patient's scanning for various carriers and their network affiliates including the referring MD'S Business Agreement. Crafting a Medical Billing and Coding Specialist resume that catches the attention of hiring managers is paramount to getting the job, and LiveCareer is here to help you stand out from the competition. Adheres to Standards of Ethical Coding (AHIMA). Must possess extensive knowledge of auditing concepts and principles, Minimum of two years of experience in medical coding and billing required, Must have successfully completed CPC course and applied and been accepted to the AAPC. Full resume pasted below. Ability to review, analyze, and interpret billing guidelines and state and federal regulations, Performs the minimum number of validations consistent with established departmental goal, Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note, Ensures accuracy of entry by comparing to outcome of diagnoses on eAttestation post validation entry, Identifies and reports quality concerns and errors to DataRAP Clinical Process Quality Analyst for review and education, Coding certification (CPC or CCS or RHIT or RHIA), Intermediate (or higher) MS Office (Word, Excel & Outlook), Code medical records, understanding CPT and ICD coding, Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCs, Modifiers and CPT codes based on national coding guidelines, Will be reviewing provider dictation and charge entry done by Business Ops personnel to make certain that correct cpt codes are billed and appropriate diagnoses assigned in accordance with provider dictation, Need to establish and maintain effective communication with providers and management, Identifies training needs for staff; designs, develops, schedules, and implements training activities as needs are identified, Provides leadership throughout the region in regards to coding and chargemaster inquiries, Works with CBO to eliminate all holds on all accounts utilizing Xactimed/Emdeon software, Responsible for the development and monitoring of the Clinical Documentation program throughout the facilities, Creates, reviews, and submits all monthly corporate reports to Vanguard Health System for Corporate Compliance Initiative, Develops and implements policies and procedures to assure clear and consistent operation of coding areas while encompassing departmental and organizational needs, Works with hospital directors throughout the Market to identify and address any missed opportunities regarding revenue and corrections to daily charges, Implements data collection for all JCAHO indicators in accordance with hospital needs, Conducts quality review on clinical database for accuracy, Provides monthly coding education to all coding staff, Coordinates internal and external compliance audits, including insurance and RACs, Performs all management functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports, Ensure integrity of Audit Expert/ARMS databases by maintenance/revision of data as necessary, Demonstrates competency in the use of 3M software, including multiple groupers as well as all computer applications in area of responsibility, Assigns and schedules the work of direct reports and manages to insure a smooth and efficient workflow. Create Resume Michael Cordin100 Broadway LaneNew Parkland, CA 91010Cell: (555) 987-1234example-email@example.comProfessional SummaryEfficient and accurate medical coder with full awareness of ICD-9, CPT-4, HCPCS and DRG procedures. Perform analysis from chart reviews for provider education training. Must maintain credentials through completion of required CE requirements, Bachelor’s Degree in Health Information Management or related field, CCS preferred but not required; candidate must be able to code and audit both inpatient and outpatient records, Must possess excellent written and verbal communication skills, Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD - 9 / ICD - 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines, Documents Decisions on reviews through notations and enters notes in appropriate company systems, Ability to discuss and present on decisions made to appropriate internal and external individuals / groups, Coordinate with team members to understand trends and schemes related to billing issues / coding trends, 3+ years of experience in coding and medical billing, Associates degree or related field experience, Clinical and/or coding expertise in a Physician office, SNF, ALF, Hospital setting, and/or billing/office, Strong organizational/time management skills and be able to work independently or as a team, Strong knowledge of CMS 1500 and UB04 data elements, Strong knowledge of ICD, CPT, HCPC and Revenue Codes, Ability to support heavy work load volume and meet unit standards while engaging multiple priorities, Serves as a resource on moderately complex issues related to coding / billing, Supervises coding section personnel in daily operational activities, Directs the performance of inpatient coding and outpatient coding for the purpose of accurate patient billing, Supports internal and external coding review and education, Maintains and monitors performance indicators for unbilled inpatient and outpatient accounts receivable and formulates action plans to reduce the number of outstanding cases, Identifies all problem areas and areas of opportunity regarding unbilled accounts, Monitors and maintains data on employee compliance with productivity and quality standards and takes appropriate action, Interacts with downstream departments on Revenue Cycle Management, e.g., PFS, PFSS and ITD, regarding billing related questions and/or accounts receivable, Management-level responsibilities include: hiring, performance appraisals, disciplinary actions, training, work distribution and flow, and employee engagement, Develops and implements efficient systems and work flow to meet both CCF and government regulations, Develops, implements, processes and maintains clinical data computer systems, Protects the interest of the Clinic with HIM vendors. < 3% of applications became offersI completed Well organized and proficient in Microsoft Word. Save your resume. Discuss software skills in your resume objective and experience sections as well. Monitors goals and benchmarks productivity and quality standards in conjunction with industry trends. Inpatient Certified Medical Coder Resume Examples & Samples. Release information to persons or agencies according to regulations. Abstracted and assigned appropriate E &M, CPT, HCPCS and CPT codes per physician encounter. Write a resume that will land you a programming job by Justin James in Software Engineer , in Developer on October 8, 2007, 3:10 PM PST Proactively monitor, analyze and manage reports and all related documents, Ensure the division is integrated with other departmental areas, Develop the division's operational policies, procedures standards and expectations, providing clear opportunities to meet or exceed the entity balanced scorecard objectives, Conduct performance reviews of direct reports; develop and mentor direct reports and staff, Participate in community and agency events, Ensure accuracy and consistency of coded data for outpatient records to include day surgery, emergency room, clinic treatment room procedures and observation records, Identify areas of high risk in coding and documentation practices, Perform ongoing coding quality reviews of outpatient records to validate ICD-9-CM and CPT procedural coding, Validate accurate capture of APC assignment, Conduct ongoing quality reviews on outpatient HIM coding staff utilizing the official coding guidelines as published in the AHA Coding Clinic, -AMA CPT Assistant, AHA Coding Clinic for HCPCS, and CMS publications, Interpret coding conventions, formats, instructional notations, and definitions to accurately select diagnoses and procedures, Provide training of HIM Outpatient Coding Staff, Communicate coding updates to the HIM outpatient coding staff, Resolve billing edits utilizing the National Correct Coding Initiative and the Local and National Coverage Determinations, Facilitate billing issues with PFS and informs PFS when charges need to be moved on outpatient accounts, Monitor the work flow of the hospital clinic treatment room cases, Serve as a resource to other department and coding staff to answer coding and documentation related questions, Associate Degree or Equivalent Experience, Requires one of the following certifications: CCS, CCS-P, CPC, RHIT or RHIT, Contribute to key projects as a programmer or task lead of programming work, Develop a system for storing and sharing our knowledge of major systems at CMS (e.g., CCW, IDR) and within RTI (e.g., FIPS moderate environment, SAS Grid), with an emphasis on identifying the best coding practices within each environment, Work with program managers to plan and organize programming tasks and allocate staff, Oversee program managers to promote leadership and professional development opportunities for staff, Identify and develop new partnerships and areas for growth that are consistent with the Center’s mission, Establish standards for programming and quality assurance within the program, Represent the program to our clients and at various levels throughout RTI; and Contribute to proposals writing sections and forecasting labor, Bachelor’s Degree in Computer Science, Statistics, Health Policy or related degree and 12 years of SAS programming experience. 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