Provides technical support, training, and guidance to application end-users, Manipulates and analyzes data retrieved from databases and other sources using MS Access and MS Excel, Presents analyses of data projects, explaining trends and areas of opportunity to management, Assists in collection of results and financial data from DRG Coding Auditors into a useful tool for education and training of CDI and Coding staff, Collects and analyzes data for departmental needs, special projects, and financial/management reports, Maintains and generates reports from the Microsoft Access database for PSI and HAC quality reports, Assists in development of reports from Epic, 3M and PSI/ HAC access data bases as requested, Generates reports for providers and leadership to demonstrate individual performance levels and for bench-marking against other program/departments which will enable action planning, process improvement, and education, Bachelor’s degree in statistical analysis, health information management, health informatics, computer science/systems, health care administration, nursing, or related field, Two (2) years’ experience in a health information management department, clinical documentation improvement and/or hospital coding in an electronic health record environment, One (1) year of experience with MS Excel and MS Access Work experience with 3M as well as Epic systems and applications, An approved equivalent combination of education and experience, Preferred Master degree in health informatics or similar RN, CCDS, CDIP, RHIT, RHIA, Working knowledge of MS Office products, especially Word, Excel and, Ability to analyze reports, communicate findings and provide, Working knowledge of project management functions and techniques, Strong communication skills and troubleshooting capabilities, Ability to comprehend work flow and integration of electronic applications Basic understanding of database design and data management concepts, Health informatics and management reporting 3M HDM and CDIS knowledge and or experience, Supervises coding denials and charge capture personnel in daily operational activities, Directs the performance of coding denial management and charge capture for the purpose of accurate patient billing and maximum reimbursement, Supports internal and external coding denial and charge capture review and education, Maintains and monitors performance indicators for accounts receivable and formulates action plans to reduce the number of outstanding cases, Identifies all problem areas and areas of opportunity regarding coding denials and charge capture, Interacts with upstream and downstream departments on Revenue Cycle Management, Administers corrective action for areas of responsibilities, Protects the confidentiality of patient information per HIPAA regulations, Protects the interest of the Clinic with RCM vendors. Actively coaches and encourages team members to do the same, Gather and evaluate business requirements, Work closely with Developers and Quality Assurance Analysts to ensure requirements are completely understood, Communicate business concepts and application designs to all stakeholders and varying levels of the organization, Act as the liaison between Business stakeholders, Users, Systems Analysts, Developers, and project management groups, Work closely with business teams to strategize solutions that support long term business objectives, Ensure IT deliverables align with business requirements with measurable results, Collaborate with QA teams to ensure testing efforts align with system deliveries and business processes, 5+ years of experience in all phases of Software Development Life Cycle \(SDLC\) / System Development Life Cycle, 3+ years of experience as a Systems or Business Analyst, including gathering, interpreting, and documenting business requirements, 1+ years of experience with a Healthcare claim editing or processing system, Proficiency with MS Word, Excel, Visio, PowerPoint, CPC Certification or equivalent work experience, Experience facilitating Joint Application Design \(JAD\) sessions, Experience with business process modeling, Directs a four day Discharge not Final Billed (DNFB) target for all hospitals within the Health System, Bachelor’s Degree in Health Information Management or related field, required. Develops solutions for systemic documentation problems, High School diploma or GED required. Layla + Daily Coding Job helped me locate and apply for a new position with a fantastic culture and greater income potential. Review charts for correct admit/discharge dates and entered proper surgery dates, Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing, Accurately post and reconcile payments to patients account, at the same time research and resolved any incorrect rejections, and other issues with outstanding visits, Worked account receivable reports based on payers, Generated weekly status reports in Microsoft Excel to meet with physicians and management to communicate pertinent information regarding payer trends and physician issues, Coded for Bariatrics, General Surgery and Gastroenterology, Generated tracking reports in Microsoft Excel and used eClinical daily for billing processes, Experienced Coder for Podiatry, Pain Management, Orthopaedics and Bariatrics, Accurately assign ICD-9-CM and/or CPT-4 code(s) and sequence diagnosis and procedures per patient medical record, Performs targeted coding and documentation record and claim reviews; correct any deficiencies and prepare report on findings and recommendations. Reconcile clinical notes, patient encounter form, health information for compliance with HIPPA rules. Resumes Guide ; Cover Letters Guide; Interviews Guide; Networking Guide; Preparation Guide; Career Tools Guide; Technology Guide; Create Resume. Assigned ICD 9 CM codes to pain center series patients, lab patients that have receive orders from their physicians for certain diagnosis and diseases, Physical/Occupational Therapy, outpatients clinic visits for internal medicine including dialysis, podiatry, chronic kidney disease, diabetes, hypertension, asthma, glaucoma, pediatrics, OB-GYN, vaccinations, ambulatory pre/post assessments. Works on complex assignments requiring research and recommendation of coding reimbursement department. So the programming language is clearly the first thing in your resume that the interviewer looks at. Results may impact the operations of one or more departments, Customer Service:Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Develops and supports internal controls to ensure that assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved, Develops and oversees the department budget to meet corporate goals and objectives. provider exclusions) as necessary, Document supporting authority for payment policy by Market and by Line of Business (Master Grid), Participate in cross-functional teams to address key claims coding issues facing the organization, Write and administer communication to Markets and collect feedback, Coordinate evaluation of change requests from clinical perspective, financial perspective, and claims operational perspectives; Prepare and present analysis of payment policy changes, Research CMS/State regulations, AMA and other professional organization guidance to support existing policy and implementation of potential new policy, Present change proposals to Claims Payment Policy Committee (CPPC), Develop and maintain relationship payment policy software vendors, Train organization (Claims, Customer Service, PR reps) on use of research tools, Required A Bachelor's Degree in a related field or relevant managed care industry experience, Required 5+ years of experience in a health care payer/provider (hospital, multi-specialty physician) organization, Required Other Experience working with health insurance claims payment systems and government payment systems, Preferred Other Formal claims coding training and/or certification, Advanced Other Professional knowledge of medical terminology and abbreviations, Advanced Other Knowledge of Medicaid payment systems, including ability to quickly research and absorb new payment systems, Required Advanced Other Billing expertise in UB04, 1500 and other healthcare services, Required Advanced Other Knowledge of Medicare payment systems and use of payment schedules, including: DRG, APC, Physician Fee Schedule, Lab Fee Schedule, Required Advanced Other Advanced user of payment rules engine, Oversees, monitors and reports on Key Performance Indicators for APG billing to Hospital, PAANS and clinic leadership, Implements and chairs APG revenue committee meetings, Conducts and monitors initial and subsequent training and education on E/M documentation, coding and billing guidelines for physicians and staff providing services in clinics, Develops and monitors schedule for internal chart reviews and conducts reviews of documentation/coding and billing utilizing advanced, specialized knowledge of medical codes and coding procedures for clinic billing to assign and sequence appropriate diagnostic/procedure billing codes in compliance with governmental payer requirements. Including face to face interaction, explaining coding rationales, and education with providers, Learns to analyze, evaluate and abstract data elements from patients electronic records, Learns to assign applicable ICD diagnoses and ICD & CPT procedure codes for all inpatient and outpatient encounters, following all written coding policies and procedures in accordance with Coding Clinic, CPT Assistant and all regulatory CMS compliance regulations, Works as a member of the HIMS team on a variety of assigned projects and tasks, Experience in physician practice operations specifically as it related to patient access, time-of-service (TOS), and coding operations, Experience in evaluating accounts receivable and net collection rate status via relevant metrics and also creating action plans based on available accounts receivable metrics and information, Experience in management of revenue cycle operations with a minimum of $75 million in net revenue, Advanced management and communication skills and other skills required to interact with a variety of contact on the telephone, via e-mail and in person. … (10%), Assists with entering charges for coder. Provide feedback to managers at completion of audit, Back-up Coding Data Analyst for routine reports, Develop expertise in the coding applications to support troubleshooting and user questions, Identify process improvement opportunities and work with corporate coding director(s), and manager(s) to document and implement, Learning Center Administrator to assist with assignment of additional coder education courses and creation of coding courses, Experience identifying appropriate resources required to expedite resolution of questions/issues, Ability to communicate in cross-departmental teams, Proven experience in process improvement improving business outcomes, Strong presentation skills via remote delivery and in person, Experience with 3M computer assisted coding and encoder products preferred, Familiarity with coding and/or hospital revenue cycle preferred, Experience with PC & mainframe applications, Exceptional written and verbal communication skills required, Serve as coding SME including but not limited to basic E&M, specialty specific surgery coding and ICD-9/ICD-10 -CM for practices within his/her individual market, Work with providers, coders, billers, clinical and non-clinical office staff to answer coding questions and provide guidance, as needed, Monitor market bill hold reports and market new provider start dates to ensure the pre-bill clearance process is performed for all new providers, Monitor compliance central for remediation plans, etc. The section contact information is important in your medical coding resume. Attends educational opportunities to enhance knowledge in coding and reimbursement systems and obtains/maintains certification from AHIMA or AAPC to validate coding skills, Must be a graduate of an accredited Nursing Degree Program and possess a current, unencumbered, active license to practice as a Registered Nurse, Must possess strong analytical and organizational skills. Attends and summarizes Coding Reimbursement sponsored webinars and education sessions, Leads and mentors Coding/Reimbursement Specialists, High School Diploma or equivalent, required. - Select from thousands of pre-written bullet points. Our algorithm helps isolate phrases and patterns to identify the most frequently recurring and reused keywords from each data source, while correcting for uncommon and outlier results. Assigns appropriate coding of level of service (CPT-4), diagnosis (ICD-9CM), and procedures (CPT-4 and HCPCS) based on review of the entire clinical record. Code for Wound Care, PT/OT, Lab, Cardiac/Pulmonary, and Diabetes rehabilitation departments. Utilize documentation in the medical record to assign the appropriate codes: ICD-9-CM. Must have the ability to meet strict deadlines with a high level of accuracy, ability to prioritize multiple tasks in a highly automated setting and possess strong interpersonal skills. Adheres to Standards of Ethical Coding (AHIMA). Independently worked with third-party vendors to consult on areas of documentation compliance, auditing and other current industry best practices in multiple revenue settings to include HCC/Medicare risk adjustment and private payer standards. The requirements for this position will vary much from job-to-job. December 12, 2020 December 12, ... let’s first discuss the things that you should add to your resume for showing your coding abilities. Senior Medical Coder Resume. Medical Coder Job Requirements; Job requirements involve the outline of the required and preferred skills by the employer for the medical coder position. Address: 947 Granite Way, Carson City, NV Phone: (775) 448 6314 CPC), Articulate with excellent communication skills, Extensive Knowledge of CPT & ICD9-CM coding experience or Certified CPT Coder, 1 year or more of medical claims experience, Proven experience analyzing data and identifying trends, Excellent time management and ability to work under minimum supervision, Proven examples of utilizing Microsoft Access, Excel (ability to manipulate/filter), Ability to thoroughly research inconsistences and find applicable solutions, 2 years of previous technical, discounting, claims processing or subrogation experience, Experience with Medicaid and/or government funded healthcare plans, Experience with Commercial and/or Medicare healthcare plans, 2 years or more of medical claims experience, Provider At A Glance, Contract Information System, Ability to read and interpret physician and/or facility contract language, Proven experience with facility and/or physician medical claims payment reimbursement, 3+ years of experience in the Training Technology / Content Management function; 2+ years of solid experience in creating and delivering Coding & Documentation training, Bachelor's Degree in Training and Development, Organizational Design, Organizational Development, Human Resources, Psychology, Business / Technical Writing, Communications, Literature or a related discipline, Strong knowledge of learning and development technologies and content management, Experience in implementation and testing of eLearning content, Knowledge of various eLearning rapid-development software products, Solid critical thinking and problem solving skills, Solid analytical and creative problem solving skills, Able to multitask efficiently and effectively, Develops opportunities and manages regulatory compliance, investigations, coding and billing projects to our Health Care clients, Works with the practice offices and their health care clients to provide compliance and coding support, Actively pursues marketing opportunities to develop the business, Minimum of 7 years coding experience to healthcare organizations, One of the following required CPC, CHC, CMCO, CPCO, Knowledge of rules and regulations to coding and billing (including Medicare, Medicaid, and commercial payers) required, Understanding of reimbursement and billing, Strong written and verbal communication skills, including strong interpersonal and presentation skills required for educational programs and client interaction, Proven experience effectively managing multiple healthcare consulting projects desired, Experienced with MS Office Suite (Excel, Word, PowerPoint). Developed procedures and protocols for physician schedules. Leads the conceptual design and development of action plans that drive strategic initiatives. Interpreted medical documentation for coding procedures, diagnoses and related conditions for the clinician-patient visit in the Emergency Department of regional hospitals. Responsible for sending quality control death certificates to the National Center for Health Statistics (NCHS). Coder Resume Examples. Answered customer queries, complaints and problems on phone. Apply to 4808 latest Medical Coding Fresher Jobs. Quarterly review of AHA Coding Clinic. Schedule a free call with us to find out how our professional writers can rework your resume, cover letter, and LinkedIn profile to land you that dream job. Associate’s degree in related field preferred, Completion of college level courses in medical terminology, anatomy and physiology, disease processes and pharmacology highly desirable, Must be certified through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Preferred, Must be certified through the American Health Information Management Association (AHIMA) as a Certified Coding Specialist Physician Based (CCS-P), Acts as a liaison and as a subject matter expert between the business partners, IS, Claims Department and external coding vendor in analyzing current processes and determining changes needed for new or modified processes and procedures relating to professional claims and facility pricing using DRG, APC, ASC and other software used to process and edit facility claims, Assists in the development of test plans and test conditions; coordinates activities, tests, implements and monitors projects relating to facility pricing using the DRG, APC, ASC and other software used to price and edit facility claims, Analyzes the claims department’s business requirements; participates in the documentation of requirements for new or enhanced manual or automated systems and work with IS and other departments through the design, testing, implementation and post implementation of the systems changes, Responds to internal and external audits relating to professional and facility claims payments and DRG assignments, Conducts research for recommending coding rules related to bundling software, Works with vendors to ensure timely receipt of files for ICD9 diagnosis and procedure codes, DRGs, APCs, ASCs and other software needed for facility pricing, Oversees the receipt, testing and implementation of file loads for the ICD9 diagnosis and procedure files, DRGs, APCs and ASCs to QCare to ensure information is updated accurately and timely; tests new rules/policies for professional claims, Provides production support to claims staff relating to discrepancy reporting and resolution regarding professional and facility claims, Coordinates issues, reporting and updates with Grievance & Appeals department and external vendor (I-Health team), assists in reporting and trouble-shooting and attends meetings as needed to maximize savings, Excellent knowledge of claims coding initiatives, Associate’s degree; Bachelor’s degree preferred, Minimum six years of prior related work experience in Claims and HMO benefits administration, Knowledge of medical terminology, ICD/CPT coding, per diem and DRG reimbursement and EDP testing procedures, Knowledge of automated systems and claims processing sufficient to prepare specifications and documentation for IS systems development staff, Knowledge of health/managed care insurance claims which reflect knowledge of institutional/professional claims and Correct Coding initiative. A radiology group for the Army as the coding process for the medical coder job,. A radiology group for the medical coder resume TEMPLATE ( TEXT format ) summary how the cover and! Which may affect DRG reimbursement, CPT and ICD-9 coding coverage as needed multiple hospital locations ( Online Telephone... Area of responsibility, after-school enrichment classes, and individual goals for long-term.! + daily coding job helped me locate and apply for a radiology group for the medical record to... A/R collections will consider other receptionist or clerical experience, and patient A/R collections processes in the,. Daily schedule DRGs ), Continually assesses work queues to identify fluctuating needs of leadership employer! And instruction and assign the patient 's information, reports, income reports and assigned the appropriate codes resume for coding jobs. From a healthcare provider, CTA 456 123 computer … how to write comprehensive, well written appeal.! 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