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Coding Specialist Resume Profile

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Objective

Highly motivated coding professional seeking to maximize growth and potential while contributing to the success of a perspective employer.

Skills

Medical Terminology Human Anatomy/Physiology Human Pathology Basic Pharmacology ICD-9-CM CPT-4 HCPCS CMS-DRG APR-DRG Inpatient/ Auditing Outpatient Coding and Same-Day-Surgery CHCS I 3M/Ingenix/Winstrat Encoder/Grouper Software Systems Typing: 50 WPM Patient Accounts/ Registration/Scheduling and Medical/Dental Benefits.

Work experience

Confidential

Coding Specialist II

I am accountable for analyzing/abstracting clinical data from same-day-surgeries labor/deliveries and ancillary service's medical records utilizing the 3M-encoder system. I am required to report all appropriate codes using CPT-4, HCPCS II and ICD-9-CM classification systems for those services provided. In addition, other responsibilities are following up on charts reviewed for medical necessity and making the necessary changes needed and relaying that information to the Medical Necessity Coordinator/Business Office.

Confidential

As a DoD Contract Medical Coder at the Naval Medical Center in Portsmouth, VA, I am responsible for reporting the appropriate diagnosis/procedural code s , Evaluation and Management E/M leveling determination and submitting the Professional charges for the Emergency Department services that are rendered to Military personnel and their dependents. I am accountable for applying and maintaining the specific DoD Coding Guidelines when analyzing these medical charts. My duties include using the International Classification of Diseases 9th Revision Clinical Modification ICD-9-CM , Current Procedural Terminology 4th Edition CPT-4 , Healthcare Procedural Coding System HCPCS classification systems and Extender Codes specific to the DoD. Additional tasks include using the 3M encoder/grouper software along with abstracting the ER clinical data into the Composite Healthcare System CHCS I application. Requirements for this two-month project include completing mandatory Command Training sessions.

Confidential

Coding Specialist

As an Outsourced Coding Specialist, my responsibilities were to code the ancillary and emergency department's encounters using the 3M encoder/grouper system. My duties were to apply all pertinent E/M levels and ED/Facility charges provided on the date of service using the hospital's charge-master. When time permitted, I was required to also code inpatient charts. Additionally, before my placement at the client site, I was required and successfully passed an intense 4-week on-the-job Inpatient coder development program.

Confidential

Coding Associate/Consultant

I was responsible for interacting with HP3 clients to provide consulting services to the various Health Information Management Departments. My duties included CMS-DRG and APR-DRG coding and auditing of both inpatient and outpatient medical records using various Encoder/Groupers. This experience has given me a greater knowledge in the importance of paying close attention to detail when assigning appropriate codes.

Confidential

Clinical Data Specialist

My duties were to code and audit diagnosis and procedures using the ICD-9-CM, CPT-4 and HCPCS classification systems for ambulatory encounters when the physicians requested coder assistance using the Ingenix encoder/grouper system. I enhanced my understanding when applying the UHDDS rules with coding and auditing outpatient visits.

Confidential

  • Non-paid: Medical Coding Internship Program
  • I completed 60-hours of Inpatient and ED/Outpatient coding.

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