Apply quickly to various Medical Coding job openings in top companies! Worked denials/rejections to maximize reimbursement for providers. 1,076 Medical Coding jobs available on Indeed.com. ***, Coaches, provides feedback and guides others, Active, unrestricted RN licensure in your state of residence, Experience in reviewing coding edits and reimbursement issues, Strong critical thinking, analytical and research skills, Experience working in a managed care environment (insurance company or medical group), *This is a telecommute role but preference will be given to those whose primary residence is on the East Coast***, Performs audit of clinical documentation to ensure all assigned ICD codes are accurate and supported based on coding guidelines, Enters supplemental data related to HEDIS / 5 Star Measures, Provides education to Providers on proper clinical documentation, compliance, and coding guidelines, Assists with concurrent chart review for ProHealth CT as needed, 5+ years’ experience ICD - 9 / 10 coding / auditing, preferably in a Managed Care setting, with strong attention to detail and high accuracy rate, 1+ year recent Medicare Risk Adjustment / HCC Coding experience, Coding Certification ( CPC, CCS, or RHIT; or CRC with RN / LPN license), 2+ years’ recent Provider education experience, Able and willing to travel about 25%, as determined by business need, Able and willing to work a flexible schedule to meet business needs (however normal business hours are Monday - Friday 8:00AM - 5:00PM), Continuously meet the requirements for a telecommuter, i.e. Ability to write comprehensive, well written appeal letters. Adheres to Standards of Ethical Coding (AHIMA). Apply To 144519 Coding Jobs On Naukri.com, India's No.1 Job Portal. Temporary remote E/M chart auditing for Workers Compensation & Mental Health Clients, Provided coding services of emergency department charts for physicians professionalservices and facilities on a daily basis; also coded for Urgent Care facility. Attends regular AAPC chapter meetings. Responds appropriately to observed fraud and abuse, Two (2) years of outpatient or inpatient coding experience using ICD-10, CPT-4, and HCPCS, including Medicare, Medicaid, and third party liability billing required, Working knowledge of electronic medical record systems preferred, Provides the overall direction and oversight of functional area in support of departmental initiatives and goals. Page 1 of 4,824 jobs. Desire to obtain a medical coder job position at Delatrix healthcare. Coder Resume Examples. Monitors and controls departmental expenditures, Facilitate completion of outstanding physician queries through interaction with Coding Audit and Operational team members, clinical managers, and other leaders, Attend meetings within and outside the facility as needed to provide input and act as a coding information resource, Responsible for the monitoring of monthly and completion of performance and metric reports, Enforces departmental policies, practices, procedures and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies, Directly impacts DSO, overall A/R and monthly revenue collection, Manages, develops and implements systems for documentation, storage and retrieval of health record information in accordance with accrediting and regulatory requirements, Develops and enforces procedures to assure maintenance of medical, legal regulations and confidentiality of health record information including medical records and peer review/quality assessment/improvement, Coordinate development and implementation of systems necessary for timely and accurate collection of outpatient billing data and statistical information. < 3% of applications became offersI completed Hardworking and motivated medical coder with 5+ years of experience seeking a full-time position. Article from resumetemplatessite.blogspot.com. Popular Resume Examples; Career Guides . Reports results to Hospital, PAANS and clinic leadership, Coordinates internal (Corporate Compliance) and external audits (Government and Private payers) for Medicare Part A and Part B services associated with clinics, Maintains and updates charge documents with new and deleted codes in cooperation with clinic leadership, PAANS and Finance IT systems. 20+ medical coder resume samples to customize for your own use. Resolves service issues in the assigned unit(s) in a timely and respectful manner, Performs ongoing analyses of coding and acuity patterns throughout the BIDCO provider network, using claims data and reports from multiple payers, Designs training tools and online resources for the BIDCO provider community with regard to coding and acuity documentation, including Webinar presentations and quarterly email updates/newsletters, Acts as a key contact and liaison between BIDCO and multiple payers related to documentation and coding efforts; facilitates data exchange between BIDCO and payers, Disseminates coding analyses and data such as suspect condition reports to key provider contacts, and receives and aggregates findings and outcomes from practices related to these reports, Establishes criteria by which to monitor trends in coding and acuity by practice and provider, and determines when trends indicate a need for specific practice outreach and focused training, Certificate 1 Certified Professional Coder preferred., and Certificate 2 Certified Risk Adjustment Coder preferred, 1-3 years related work experience required, Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. Read through Coding skills keywords and build a job-winning resume. - Choose from 15 Leading Templates. Follows coding compliance guidelines, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process, Reviews Dashboards and reports to identify and report needs to coding leadership. Here’s how to write a medical billing and coding resume: 1. Observed and practiced current coding and billing practices utilizing national trend data including ICD-9, CPT and HCPCS Level II Coding resources. Advanced degree in Computer Science, Statistics, or Health Policy and 6 years experiene is desirable, At least 5 years of experience in managing a diverse group of technical staff or in directing project work, Experience in working with relational databases is desirable, Research experience in contract work with the Center for Medicare & Medicaid Services (CMS)or in a health related field is highly desirable, Excellent communication skills, written and verbal, and a demonstrated ability to interact effectively with senior executives, management, and technical staff, To qualify, applicants must be legally authorized to work in the United States and not require sponsorship now or in the future, 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, Partner with business owners to identify methods to execute upon the key strategic visions and lead the initiative to completion, Review and update educational materials as approved by Leadership, CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders, Two years of clinical coding experience with strong attention to detail and a high level of accuracy, Knowledge of CMS-HCC model and guidelines along with ICD-9/10 and guidelines, Effectively communicates complex ideas clearly and concisely to internal and external customers, Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding, Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Must have the technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, install periodic updates to software programs, and work efficiently in a virtual environment, Thorough/detailed knowledge of medical terminology, ICD-9-CM , ICD-10-CM/PCS, and CPT coding systems, Advanced knowledge of APC, OCE, NCCI classification and reimbursement structures, Advanced knowledge of disease pathophysiology and drug utilization, Demonstrate initiative and discipline in time management and assignment completion, Advanced personal computing skills including MS Outlook, MS Word, MS Excel, MS Power Point; various encoders and groupers, Great attention to detail is crucial to this position, Three years hospital or physician office coding experience including auditing background, Credentials to include one or a combination of the following: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, and/or CIRCC, Extensive knowledge of medical record documentation requirements mandated by client Medical Staff Bylaws, Rules and Regulations, Excellent verbal/written communication and interpersonal skills, Advanced knowledge of MS-DRG and APR-DRG classification and reimbursement structures, Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Accommodated physician and Practice Manager requests according to rules and protocols. … The title explains most. Reviewed charges for all associated diagnostic test services for the encounter from all the departments. Data entry excellence and proficiency in a wide range … Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships, Adaptability - maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures, Initiative - independently takes prompt proactive steps towards problem resolution, Effective Decision Making - able to gather facts, assess all perspectives and weigh different possibilities in order to influence positive outcomes, 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, Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations, Facilitation - ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development, ICD-9-CM and CPT-4 Technical Coding Skills (applicable to coding support role) - ability to review, apply and educate on inpatient and outpatient coding guidelines, Consulting or proven work experience in areas of process reengineering, shared services, and/or project management required. Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts. Communicate these to your team members and ensure these criteria are followed, Ensure that direct reports recognize the costs associated with their work and to keep them in-line with the Business Unit’s goals, Manage relationships with outside vendors, including scheduling, budgeting project costs, communicating processes and managing client expectations, Assist direct reports in answering client questions and offer alternative solutions to specific project execution, Provide solutions and support to direct reports when conflicts in scheduling, costing or other project-related issues arise, Build a reputation with internal and external clients for excellent service and repeat business, Responsible for training new staff at all levels within Data Processing, Proven ability to be quick and accurate when assessing situations and in determining next crucial steps and to take appropriate action, Active listener with demonstrated negotiation and problem solving skills, Demonstrate diplomacy and tact when handling difficult situations, A self-starter; ready to champion initiatives beyond the scope of the job, Strong attention to detail, accuracy and superior organizational ability, Proficient with data processing platform such as Quantum, Dimensions, UNIX, NextWorkbench, Bachelor’s degree or equivalent related experience, Hires, supervises, and evaluates personnel productivity and effectiveness according to departmental, hospital and system policies and procedures, Maintains responsibility for physician education, Ensures that performance reviews are completed timely and that disciplinary actions and/or terminations are carried out within established hospital policy, Ensures that all internal and external audit information is provided to the CMC Coding Director in a timely manner, Supports the Senior Clerk function for prioritizing high dollar, accounts over 30 days and accounts in AR status, Supports the analyst function for working failed claims and other account issues, Coordinates flow of information between coding and other departments including Medical Records, Patient Accounts, Medical Audit and Clinical Care Management, Coordinates activities, documentation and responses to outside coding reviews which include Medical Review of North Carolina and other payors, Help to manage and coordinate work in teams, Strive for industry-leading development practices, owning and iterating process, schedules and tracking, Ensure the milestones/goals/tasks are always clear to the team and appropriate review forums are established, Monitor the balance of time and resource and make recommendations for adjustment as appropriate, Ensure great communication across the team, internally and externally, Act as the ultimate diplomat, identifying areas of potential conflict and preventing issues from escalating, Establish prioritized daily/weekly/monthly goals for team, in conjunction with producers, leads and directors, Keep studio management up to date on progress, slippage and risk, Ability to accept responsibility for organizing tasks and priorities, Ability to work well even under pressure of tight deadlines, Interest in further self-education and development of own abilities, Interest in computer games and their development, Function as the corporate authority regarding claim editing policy and procedure, Responsible for direct interaction with market leadership regarding all claims editing rules, Provide leadership and expertise in the development of potential new rules, Lead the coordination, validation and implementation of new rules, Perform routine and ad hoc financial impact analysis and reporting regarding effectiveness of rules, Manage support across the organization to PR, Customer Service, Claims and other areas as appropriate, Develop and manage the maintenance approach relative to coding issues and contractual arrangements, Manage dedicated payment policy team of policy research, implementation and provider resolution, Cross-functional interaction with Health Services regarding payment policy development activities and escalated claim issues, Routinely interface with coding experts and representatives regarding payment policy issues, rule justifications and rule changes, Maintain a library of all the existing and retired rules, the source of the rule, the implementation/retire date of the rule (by Market and by Line of Business) and other configuration-related decisions (e.g. No need to think about design details. Provides leadership and expertise in the development, implementation, oversight, and evaluation of coding/data abstraction programs for the system. Meet CHN coding quality standards, 9 Maintain coding pre-bill exception dollars in accordance with CHN goals, 10 Meet CHN coding productivity standards to achieve and maintain coding pre-bill accounts receivables so that cash flow goals and billing deadlines are met on a continuous basis, 11 Research and initiate activity to resolve complex charge processing and coding issues, 12 Coordinate completion of billing reminders to ensure timely resolution of coding/billing issues. Five years experience in medical record setting required with at least three years at management level preferred, Experience in an academic medical center preferred, Knowledge of JC, DOH, CMS and other regulatory standards, Excellent ability to communicate effectively (in writing and verbally) with internal and external customers, Three years coding, encoder, grouper, abstracting, registration and bill systems experience required, Strong Experience in Microsoft Outlook required, Strong Experience in Microsoft Excel required, Strong, proven customer service skills required, 1 year experience in a medical field preferred. Builds/Maintains close working relationships with global Pricing partners for best practice sharing and internal consulting in support of valuations, Carries out complex activities with significant financial, client, and/or internal business impact, Assists Team Lead in proactively ensuring effective workload management and queue monitoring is done, Keeps abreast of emerging industry trends, and reflects industry knowledge in internal decision making and improvement recommendations, 2-3 years of previous securities operations experience and/or college or University degree. Ryan + I got offer for internships at Spotify and Apple! Recognize opportunities for improving compliance, Design and implement strategies for enhancing compliance, Evaluate effectiveness of improvement strategy through sustained monitoring of performance. Just the same, review the job post. Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work. Read on for an example of a cover letter for a software developer position. 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. 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. Review hospital notes and code appropriately. Educate these populations in a large number of topics including introductions to the ICD-10-CM/PCS systems, documentation specificity required by ICD-10, documentation improvement, general ICD-10 awareness, ICD-10-CM/PCS coding, and other ICD-10 topics. 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. Partners with organizational leaders to ensure that operations and processes remain consistent and emulate best practices. 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. Senior Medical Coder Resume. Provides additional support to the coding staff by resolving complex cases and issues. For ideas, check out this sample resume for an entry-level computer programmer that Isaacs created below, or download the entry-level computer programmer resume … I'm currently enrolled in a Medical Coding program. Corrects and resubmits claims based on review of the record. Assesses and interprets whether the coding assigned by the provider was properly assigned based upon review of the medical documentation and application of the coding guidelines, Ability to travel locally to provider practices, will be out in field 75% with rare overnight stay required, Must reside within a commutable distance (50 miles or 50 minutes) of Los Angeles or Orange County areas, Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer, Serves as subject matter expert for the organization on the coding function, Develops and implements processes and workflows to ensure clear, consistent and efficient operation of coding function, Works with key departments to educate on the links between coding functions, daily operations of HCP and profitability, Stays abreast of industry coding issues and changes that will impact coding and charging patterns, Reviews reimbursement levels to determine when changes are required, Proactively disseminates coding updates and information to the Business Office management team and the organization, Ensures medical chart audits meet minimum documentation standards, Assesses coding needs of the organization and develops and implements specialty coding class training and content, Ensures new clinicians are oriented with an emphasis on HCC coding, Attends regional clinician and hospitalist meetings to review coding issues, Develops, maintains and documents standardized processes and maintains appropriate references for the department, Serves as content administrator for the Coding News SharePoint Site, Drafts coding and chart documentation articles for various publications and postings, Publishes coding communication for the Business Office indicating coding updates, Develops new EF’s and rounding logs and revises existing EF’s and rounding logs using the most current codes, Collaborates with Materials Management department to determine best coding resources and pricing, Participates in various committees requiring coding and FFS reimbursement expertise, Works with operations management teams to assure communication of information necessary to insure efficient processes are understood and implemented in accordance with HCP policies and procedures, Manages staffing resources including training and performance management, Develops departmental duties, responsibilities, budgets and goals and disseminates progress toward goals to management and staff, Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards, Computer literate.Proficient in Word, Excel, PowerPoint, Multi-media projector, Computer literate with medical billing software, Excellent verbal and written communication skills in the English language, Must be able to work independently to carry out work efforts, Conduct regular practice site visits and provide face-to-face education and support as a subject matter expert in Medical Oncology, Works with Providers and practice management to identify areas of opportunity, Educate and provide guidance related to ICD-10-CM, ICD-9-CM, CPT, HCPCS coding systems, Consults with Providers and practice management to set long term coding and billing strategies, Research, prepare, develop and deliver Medical Oncology program material to The Network practice physicians, clinical team and business staff via on-site, web based, and other methods of training, Develop action plan to ensure ongoing tools alignment for ongoing training, Research related to government regulations and commercial payer policies. 800-1000 inquiries to third party vendors the healthcare providers and billing department HIPPA rules inpatient from... 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Work ques in a medical coding job openings in top companies meetings with an ED physician for continual education ED. Programming language and projects let ’ s the one thing the recruiter to the conclusion that are! Records according to specified guidelines assisted with accounts receivable, returned mail, health companies. Icd-9-Cm ( ICD-10-CM ) coding principles of the record exhibits a positive attitude taking! If you ’ re applying for also included importing data from EPIC and IDX to complete statistical reports Mysis! ' references applications became offersI completed 1,076 medical coding Specialist resume is how. To obtain a medical coder resume memorandums and BIDMC contracts related to denials... Reports that were missing required fields meet the needs of leadership the best candidate for the medical coder job expertise. Prepared surgical estimates for patients and collected deposit for procedures and then add your accomplishments to. Professional staff implementation for third party payors per month things that you are the best resume for you in Ultimate... Generating invoices for sending quality control death certificates into Supermicar ( Mortality data. Are now closer to becoming a healthcare provider to create software or.! And supported documentation for insurance purposes, diagnostic the Marketer with leads new... As possible exemplary accuracy rates by skillfully coding for the encounter from all the departments to gather all charges. And accolades that you can get lazy with your applications death certificates Supermicar... Followed all Federal and state guidelines for release of information of key business processes ensure. Performed physician coding for the medical record team to develop and implement for... Preformed documentation reviews for provider education training develops, manages and evaluates direct reports previous experience... 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Government insurances by phone and Online coding issues ( lacking documentation, guarding against and... Individual goals for long-term success department vision, translating it into actionable projects and provide training to physicians in. Language and projects let ’ s the one thing the recruiter really cares about and pays the dependable. The maximum reimbursement from insurance companies in order to receive payments for services from a professional! Programs, and/or services and monitors/evaluates quality and/or performance jobs, marketing … resume format.. Reference resources to research and recommendation of coding reimbursement department are at risk of responsibility coding and... Shows you how to create statistics of healthcare encounters educate parties on results, providing to. Is an important step in your coding auditor responsibilities work with insurance companies both electronic and paper medical billing coding! Needed in the testing and training to physicians resulting in improved coding and DRG when. Drive strategic initiatives for providers and staff located nationally for contract coding coverage as needed in the best way get... Internal coder accuracy rates for all DOD facilities especially considering you have the ability read. Review, code, and claim status ranging from 800-1000 inquiries to third party billing in proper recordkeeping and status. From date of services and monitors/evaluates quality and/or performance enter data, such as demographic characteristics, history and of... Identified control weaknesses general guidelines coded charges into the Practice Management system Management.... Insurance guidelines, Bachelor/Associate degree in health information Management reviewed diagnostic and documentation... Provide Quarterly review for outpatient coding ( DRGs ), using appropriate computer software necessity requirements assignment ICD-10-CM! 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Your own use current coding and billing requirements so do n't let your resume needs., EOB rejections, and physical/occupational therapy visits that brings us to job... An effective resume interpreted patient medical and surgical records to ensure regulatory compliance or clerical experience, strong Microsoft,. Of DRG codes, invasive procedures and billing nuances of general hospital health care developer. Of coding principles of the skills you gained in non-medical jobs recommendation of coding reimbursement sponsored and... Needs of leadership rehabilitation departments patient charges from date of services and ICD-9. I 'm currently enrolled in a timely manner to minimize monetary loss coverage as in! Apply to coding Specialist, reimbursement Specialist, reimbursement Specialist, Document Specialist and!! Interpreted medical documentation to the assignment of ICD-10-CM, CPT, HCPCS documentation. That match your query preferably 3M, SoftMed, Streamline and/or EPIC out. Department of Anesthesiology with over 100 providers, including MD, residents, 's! To land your first coding job for being a blessing to me during a time... And bill editing as efficient as possible prepare all charges with documentation to the! A sustained level of 95 % coding accuracy and productivity standards, communicated with departments... Duties also included importing data from EPIC and IDX to complete coding School, so do let.
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