Certified Coder Resume

Medical coders play an instrumental role in transcribing patients' information using appropriate coding formats for use by various health-care personnel, and insurance provider companies. These professionals are responsible for translating medical practitioners' notes into required codes, ensuring completeness and accuracy of data, and answering queries of the billing department. A degree in health-care administration, or a certification in medical coding is essential for this career. In addition, knowledge of human anatomy and pharmacological science is also beneficial in starting this profession. To communicate your eligibility for the job, draft a certified coder resume or use this sample to personalize one.

Alan B. Hilbert
7106 170th St.
Tinley Park, IL 60477
Phone: 708-351-2954
Email: alan.hilbert@anymail.com

Career Summary:

Detail-oriented, self-motivated, and competent 'Certified Medical Coder' possessing 5+ years of experience in translating medical practitioner's notes into HCPCS/CPT or ICD codes, preparing accurate bills, and maintaining confidentiality of patient information. Adept in answering queries from insurance providers as well as handling reimbursements. Exceptional in operating coding software, and have solid communication as well as interpersonal skills.

Summary of Skills:

Possess an extensive knowledge of anatomy and physiology, disease processes, pharmacology as well as different coding systems such as HCPCS, CPT, ICD, etc.
Expertise in translating the physician's written notes and medical charts into codes for maintaining confidentiality of the patient data
Capable of creating accurate discharge bills, and conveying the payment details to the insurance providers
Proficient in serving as a vital resource for physicians, administrators, and other health-care personnel
Skilled in providing information on documentation, regulations and reimbursement to respective medical personnel
Adept in operating coding software, including MS office suite, mail, spreadsheet and billing database
Team player having excellent organizational and communication skills

Work Experience:

Certified Medical Coder
Baptist Health-care System, Tinley Park, IL
February 2017 - Present

Ensuring optimum reimbursement based on accurate coding, and updating clinical database
Checking patients' medical charts for accuracy and completeness, and clarifying doubts related to diagnosis or treatment by communicating with the concerned medical personnel
Abstracting and coding the diagnosis and procedural information for the outpatient and emergency department medical records by using the latest version of ICD, CPT and McKesson Intelligent coding software
Interacting with the billing department to solve queries, and submitting hospital bills to the patient's insurance provider
Performing chart reviews of assigned patients, and assisting medical staff in improving quality, completeness, and integrity of documentation
Collaborating with various medical personnel to ensure patient information in standardized coded format, and maintaining confidentiality of the data

Certified Medical Coder
John Muir Health Center, Tinley Park, IL
April 2015 - February 2017

Reviewed patients' documents to interpret medical information, treatment plans, and outcome to determine appropriate ICD-10/CPT codes for diagnosis and procedures

Performed coding of patients' data, filled the blanks generated due to handwritten notes to keep updated information in the hospital database

Applied coding principles and clinical documentation strategies to assure that the medical records are complete and readily accessible

Coded and abstracted all outpatient surgery, emergency room, and trauma department outpatient records by following standard ICD-10-CM and CPT coding guidelines

Verified and applied required HCPCS, CPT or diagnosis codes in patient records to ensure complete and compliant billing

Provided feedback related to coding changes, and used standard query procedures to contact medical personnel for additional information as required

Interacted with various physicians, nursing aide, and other medical personnel to ensure accuracy, and used appropriate codes to give exact bill to insurance providers

Translated physicians' notes to a standard set of codes before submitting documents to the respective insurance provider

Internship:

Medical Coding Assistant
Anion Health-care, Tinley Park, IL
September 2013 - March 2015

Used various correct medical codes, including HCPCS, CPT and ICD for appropriate reimbursement
Answered queries from insurance providers related to diagnostics, provided surgical and medical treatment
Reviewed and interpreted patients' medical records, and assigned appropriate codes to them
Provided assistance in coding outpatient ancillary clinic, specialty clinic, and regular visit records as necessary, and maintained confidentiality of patients
Attended medical personnel meetings/discussions, and maintained up-to-date knowledge of change in coding and documentation rules
Coordinated with the concerned physician to clarify doubts regarding complicated patient cases before entering information in the hospital database
Reviewed E&M levels selected by physicians or other medical personnel on a monthly basis, and provided appropriate feedback to increase accuracy

Education:

Bachelor's Degree in Health-care Administration
DeVry University, Tinley Park, IL
2012

Certification:

Coding Specialist
American Health Information Management Association, Tinley Park, IL
2013

Reference:

On request.