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3 Medical Coder Resume Examples Proven to Work in 2024

Stephen Greet

Medical Coder Resume

Formal medical coder resume, elegant medical coder resume.

  • Medical Coder Resume Writing 101

Compliance and data accuracy are essential for medical organizations to get the best results for patients. That’s why pros like you are needed to identify documentation deficiencies, analyze treatment results, and provide the right data in the treatment process.

Have you reviewed your resume to ensure it meets each medical organization’s needs? Does your resume template help highlight your achievements and skills?

Since your work can significantly impact patient success, hiring managers will perform in-depth overviews of resumes to choose the best applicants to interview. We’ll help you stand out with cover letter writing tips and our medical coder resume examples that are landing many jobs in 2024.

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Medical coder resume example with 6+ years experience

Related resume examples

  • Medical Billing and Coding
  • Medical Receptionist
  • Medical Assistant
  • Medical Billing

What Matters Most: Your Medical Coder Skills & Work Experience

Your resume skills and work experience

The job skills needed for medical coders can vary depending on the organization and the type of patients they treat. For example, one organization may need coders to help with billing, whereas another needs assistance with CPT coding. 

To optimize, review the job description to ensure you choose the right skills for each company you apply to. It’ll ensure you stand out whether you’ll be using Quadax or Meditech systems in daily processes. 

Here are some of the best medical coder skills to list on your resume. 

9 best medical coder skills

  • Claims Submissions
  • Quality Assurance

Sample medical coder work experience bullet points

While medical billing and quality assurance skills will stand out, medical hiring teams will still want to see more, so they’re sure you’ll be successful. 

Knowing how many metrics are used in medical environments, you can optimize your work experience examples by including the right numbers, such as accuracy or compliance rates.

Also, ensure the examples you list are actionable achievements rather than just job duties. For example, rather than saying you were “in charge of claims submissions,” try for something more impactful, such as “reviewed over 300 weekly claims submissions using Quadax to ensure 99% accuracy.”

Here are a few samples:

  • Followed ICD-10 coding standards to provide the proper diagnosis codes, boosting treatment accuracy by 26%. 
  • Conducted audits on 315 medical records using EncorderPro, boosting compliance with HIPAA standards by 48%. 
  • Created audit reports in Excel for review from medical office managers, boosting data efficiency by 59%. 
  • Implemented automated coding solutions with NextGen Share, saving 300 manual data entry hours and reducing monthly operational costs by $4,000. 

Top 5 Tips for Your Medical Coder Resume

  • Medical coding is a highly technical profession with high compliance standards. So, focusing on a technical skill set like ICD-10 coding and medical billing will help you stand out. 
  • Action words like “reviewed” and “analyzed” will make your examples more impactful. For instance, you could say you “reviewed over 500 records during quarterly quality assurance efforts to boost data accuracy by 38%.” 
  • Medical coding tools and standards are constantly evolving. For example, there has been an evolution from ICD-9 to new ICD-10 standards in today’s medical coding practices. So, listing your most recent coding experiences first will help you emphasize the most relevant skill set . 
  • Think of your resume like you’re organizing reporting data for medical decision-makers. You’d want it to have clear headers, be well-spaced, and have bullet points with key information. Choose a resume template that presents your medical coding experiences similarly.  
  • Your accuracy on the job will be vital when entering diagnosis codes and sending out billing documents. To show medical hiring managers you can maintain compliance, start things off right by proofreading to ensure your resume is grammatically correct throughout.  

Limit your medical coding resume to three or four jobs. They should be the most recent and use a relevant skill set in aspects like CPT coding and claims submissions. 

There are still many ways for inexperienced medical coders to stand out. You could list transferable skills from other jobs, like performing accurately as a data entry clerk. Additionally, educational achievements from your information management degree or while obtaining your CPC can provide more relevant abilities. 

Inexperienced medical coders can often benefit from using a resume objective . For example, you could write a few sentences about how you’re an organized and motivated coding professional ready to apply your three years of data entry experience and knowledge of CPT coding to ensure the best results for patients. 

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Medical Coder Resume Examples: Proven To Get You Hired In 2024

Hiring Manager for Medical Coder Roles

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  • Medical Coder Resume Tips

Medical Coder Resume Template

Download in google doc, word or pdf for free. designed to pass resume screening software in 2022., medical coder resume sample.

Medical Coders are skilled professionals who translate medical reports into a universal code used by healthcare providers and insurers for billing purposes. As a medical coder, you're a crucial link between insurance companies and doctors, ensuring that procedures are being correctly billed. In recent years, there's been a surge in outsourcing coding jobs; despite this, highly proficient coders are still in demand stateside. When crafting your resume, remember it's an opportunity to showcase your attention to detail, knowledge in medical terminology, and your proficiency in ICD-10 codes, CPT, and HCPCS Level II coding.

A streamlined resume showcasing skills and certifications of a Medical Coder.

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Recruiter Insight: Why this resume works in 2022

Tips to help you write your medical coder resume in 2024,    highlight specific coding certifications.

Employers value certifications as they demonstrate your commitment and expertise in the field. On your resume, highlight any coding certifications you have like CPC, COC, CIC, or specialty coding certifications from AAPC or AHIMA.

Highlight specific coding certifications - Medical Coder Resume

   Detail experience with Electronic Health Records (EHR) Software

Proficiency in EHR software is a must in this digital era. List any EHR software you're familiar with, like Epic or Cerner, under your skills section. This will emphasize your adaptability and familiarity with digital health platforms.

Detail experience with Electronic Health Records (EHR) Software - Medical Coder Resume

A medical coder is a healthcare information management professional. A medical coder is responsible for the data management and security of patient files. Medical coders use a system of alphanumeric codes to privately secure patient information and records. The medical coder will also facilitate billing patients and processing insurance claims in a confidential manner. To get a job as a medical coder, a degree is not necessary but is recommended. A relevant degree in healthcare, healthcare administration, or something similar will make you a stronger candidate. You will want to obtain certification as a registered medical coder to land this job. In addition, relevant experience in billing or IT can catch a hiring manager's eye. A good candidate for this role will have impressive attention to detail and great data entry skills.

A resume for a medical coder with a BS in healthcare adminstration and experience as a billing assistant and medical billing specialist.

   Obtain accreditation by taking a medical coding course

Most people who land a job as a medical coder have a certificate in medical coding. An accredited ICD-10-AM course educates you on the medical coding system and best practices. Once complete, this certificate is nationally recognised. Having this credential on your resume shows hiring managers you understand the foundational knowledge to be a successful medical coder.

Obtain accreditation by taking a medical coding course - Medical Coder Resume

   Obtain relevant experience in billing

Since medical coders are typically responsible for managing the billing process, it’s important to get experience with billing to heighten your chances of landing the role. Landing an entry level role as a billing assistant, and building a year or two of experience, will show the hiring manager you have hands-on experience with billing processes and expectations.

Obtain relevant experience in billing - Medical Coder Resume

Health Information Specialist Resume Sample

As a hiring manager who has recruited medical coders at companies like UnitedHealth Group, Anthem, and Humana, I've seen countless resumes over the years. The best medical coder resumes effectively highlight the candidate's coding skills, certifications, and experience in a clear and concise manner. Here are some tips to help your medical coder resume stand out:

   Showcase your coding certifications

Employers highly value coding certifications as they demonstrate your expertise and commitment to the field. Make sure to prominently display your certifications on your resume, such as:

  • Certified Professional Coder (CPC) from AAPC
  • Certified Coding Specialist (CCS) from AHIMA
  • Certified Coding Associate (CCA) from AHIMA
  • Specialty coding certifications (e.g., CPCO, CPMA, CPPM)

Don't just list the certification acronyms; spell out the full name and include the issuing organization. If you have multiple certifications, consider creating a separate "Certifications" section on your resume to draw attention to them.

Bullet Point Samples for Medical Coder

   Highlight your coding accuracy and productivity

Employers want to know that you can code accurately and efficiently. Quantify your coding skills by including metrics such as:

  • Maintained a 98% accuracy rate while coding an average of 200 charts per day
  • Achieved a 95% first-pass claim acceptance rate, surpassing the department goal of 90%
  • Consistently met or exceeded productivity targets of 150 charts per day

Avoid making vague statements like "skilled in coding" or "detail-oriented." Instead, use specific numbers and percentages to demonstrate your coding prowess.

   Emphasize your knowledge of coding systems and guidelines

Showcase your expertise in the coding systems and guidelines relevant to your target position, such as:

  • ICD-10-CM, ICD-10-PCS, and CPT coding systems
  • HCPCS Level II codes and modifiers
  • Official Coding Guidelines and Coding Clinic advice
  • MS-DRG and APR-DRG grouping systems

Don't just list the coding systems; provide examples of how you've applied your knowledge to solve complex coding scenarios or improve coding processes.

   Tailor your resume to the specific job posting

Customize your resume to match the requirements of each job you apply for. Carefully review the job description and incorporate relevant keywords and phrases into your resume, such as:

  • Specific coding systems (e.g., ICD-10, CPT, HCPCS)
  • Medical specialties (e.g., orthopedics, cardiology, neurology)
  • Coding software and tools (e.g., 3M Encoder, Epic, Cerner)

Avoid submitting a generic resume that doesn't address the specific needs of the employer. Instead, prioritize the skills and experience that are most relevant to the position you're seeking.

   Include relevant education and professional development

In addition to your coding certifications, include any relevant education and professional development activities that have enhanced your coding skills, such as:

  • Associate or bachelor's degree in health information management or related field
  • Completion of AAPC or AHIMA-approved coding courses and workshops
  • Attendance at coding conferences and seminars
  • Participation in coding webinars and online learning modules

Don't list every course or workshop you've ever attended. Focus on the most recent and relevant professional development activities that demonstrate your commitment to staying current in the field.

   Showcase your experience with coding audits and quality assurance

Many medical coder positions involve auditing and quality assurance responsibilities. Highlight your experience in these areas by including examples such as:

  • Conducted regular coding audits to ensure compliance with coding guidelines and regulations
  • Identified and corrected coding errors, resulting in a 20% reduction in denied claims
  • Collaborated with physicians and clinical documentation specialists to improve documentation and coding accuracy
  • Developed and delivered coding education and training sessions to team members

Don't overlook the importance of auditing and quality assurance skills. Employers value coders who can not only code accurately but also identify and resolve coding issues to minimize denials and optimize reimbursement.

Writing Your Medical Coder Resume: Section By Section

  summary.

A resume summary, also known as a professional summary or summary statement, is an optional section that appears at the top of your resume. It's a brief paragraph, typically 3-5 sentences long, that highlights your most relevant skills, experiences, and achievements. While a summary is not required, it can be a valuable addition to your medical coder resume, especially if you have extensive experience or are making a career change.

On the other hand, an objective statement, which focuses on your career goals rather than your qualifications, should be avoided. Objective statements are outdated and can make you appear self-centered rather than focused on how you can contribute to the employer's success.

How to write a resume summary if you are applying for a Medical Coder resume

To learn how to write an effective resume summary for your Medical Coder resume, or figure out if you need one, please read Medical Coder Resume Summary Examples , or Medical Coder Resume Objective Examples .

1. Tailor your summary to the medical coding job description

When crafting your medical coder resume summary, it's essential to align your skills and experiences with the requirements listed in the job description. This demonstrates to the employer that you have the specific qualifications they are seeking.

For example, if the job description emphasizes a particular coding system or requires experience with certain medical specialties, be sure to mention these in your summary:

  • Certified Professional Coder with 5+ years of experience in ICD-10-CM, CPT, and HCPCS coding for both inpatient and outpatient settings.
  • Skilled medical coder with a strong background in cardiology and orthopedics, ensuring accurate and compliant coding for complex cases.

Avoid using a generic summary that could apply to any medical coding position, such as:

  • Experienced medical coder seeking a challenging position in a healthcare organization.

2. Highlight your coding certifications and expertise

As a medical coder, your certifications and specialized knowledge are crucial to your success in the field. Make sure to prominently feature your relevant certifications and areas of expertise in your summary.

Include certifications such as:

  • Certified Professional Coder (CPC)
  • Certified Coding Specialist (CCS)
  • Certified Outpatient Coder (COC)
  • Certified Inpatient Coder (CIC)

Additionally, mention any specific coding systems or medical specialties in which you have extensive experience:

AAPC-certified medical coder with expertise in ICD-10-CM, CPT, and HCPCS Level II coding. Specialized in coding for general surgery, gastroenterology, and oncology. Skilled in ensuring accurate, compliant, and timely coding for optimal reimbursement and patient care.

  Experience

The work experience section is the core of your resume as a medical coder. It's where you show hiring managers how you've applied your skills in real-world settings. It's also the perfect place to highlight your career progression and achievements.

To make the most of this section, focus on the following tips.

1. Highlight medical coding skills and tools

Throughout your work experience, sprinkle in mentions of the specific medical coding skills and tools you've used. Hiring managers want to quickly see if you have experience with the same skills and tools they use on the job.

  • Applied knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems to assign accurate codes for diagnoses, procedures, and equipment
  • Utilized 3M Coding and Reimbursement System to streamline coding processes and ensure compliance with regulations
  • Collaborated with healthcare providers to clarify documentation and resolve coding discrepancies

Avoid simply listing the coding systems or software you've used without context, like this:

  • Knowledge of ICD-10, CPT, HCPCS
  • Familiar with Epic, 3M, Cerner

2. Show career progression and promotions

Hiring managers love seeing a track record of career growth and progression. If you've been promoted or taken on increasing responsibilities, make it obvious.

One way to do this is by bolding your job titles, like this:

Medical Coder II , ABC Hospital, 2019-Present Medical Coder I , ABC Hospital, 2017-2019

In your bullet points, also highlight how you've taken on more complex assignments or mentored junior coders.

  • Promoted to Medical Coder II after demonstrating advanced coding accuracy and speed
  • Provided training and guidance to a team of 5 junior medical coders

Recruiters often scan your resume quickly, so make your career progression pop with bold titles. Our resume format guide has more tips on structuring your resume to impress hiring managers.

3. Use strong action verbs for medical coding

Start each bullet point with a strong, specific action verb. This makes your contributions clear and impactful. It also keeps your writing concise.

Good action verbs for medical coders include:

  • Collaborated

Avoid starting bullets with weak, vague phrases like "Responsible for" or "Worked on".

Responsible for coding and auditing medical records
Coded and audited 50+ medical records per day with 98%+ accuracy

Action Verbs for Medical Coder

4. Quantify your work experience with metrics

Numbers jump off the page and make your contributions more concrete for hiring managers. Throughout your work experience, find ways to quantify your impact.

Some examples:

  • Coded an average of 200 outpatient records per day, maintaining 95%+ accuracy
  • Reduced denied claims by 15% by improving documentation and coding precision
  • Audited 1000+ coded records per month to ensure compliance with Medicare and Medicaid guidelines

Without metrics, your bullets lack context and impact:

  • Coded outpatient records daily
  • Reduced denied claims by improving documentation
  • Audited coded records to ensure compliance

  Education

Your education section is a vital part of your medical coder resume. It shows employers that you have the necessary training and knowledge to perform the job effectively. Here are some tips to help you craft a compelling education section that will catch the eye of hiring managers.

How To Write An Education Section - Medical Coder Roles

1. Highlight relevant coursework and certifications

When listing your education, be sure to include any relevant coursework or certifications that relate to medical coding. This can include:

  • Anatomy and physiology
  • Medical terminology
  • ICD-10 coding
  • HCPCS coding
  • Healthcare reimbursement methodologies

By highlighting these specific courses and certifications, you demonstrate to employers that you have the specialized knowledge needed for the role.

2. List degrees in reverse chronological order

When formatting your education section, always list your degrees in reverse chronological order, with your most recent degree first. Here's an example of what to do:

  • Bachelor of Science in Health Information Management, XYZ University, Graduated 2021
  • Associate of Applied Science in Medical Coding, ABC Community College, Graduated 2019

Avoid listing your degrees out of order, like this:

3. Keep it concise if you're a senior medical coder

If you're a senior-level medical coder with many years of experience, you can keep your education section brief. Employers will be more interested in your work history and accomplishments. Here's an example:

Bachelor of Science in Health Information Management XYZ University

Notice how the graduation year is omitted to avoid potential age discrimination. In contrast, here's an example of what not to do as a senior medical coder:

Online Course in Medical Billing and Coding, EFG Online School, Completed 2022 Bachelor of Science in Health Information Management, XYZ University, Graduated 1995 Associate of Applied Science in Medical Transcription, ABC Community College, Graduated 1993

  Skills

The skills section of your medical coder resume is a critical component that showcases your expertise to potential employers. It's an opportunity to highlight your proficiencies in coding systems, medical terminology, and relevant software. By strategically crafting this section, you can demonstrate your value and increase your chances of landing an interview.

1. Prioritize relevant medical coding skills

When listing your skills, focus on those that are most relevant to the medical coder position you're applying for. Review the job description carefully and identify the key skills and qualifications the employer is seeking.

Some essential skills to include are:

  • Proficiency in coding systems such as ICD-10-CM , CPT , and HCPCS
  • Knowledge of medical terminology and anatomy
  • Familiarity with electronic health record (EHR) systems
  • Attention to detail and accuracy
  • Strong analytical and problem-solving skills

By highlighting these relevant skills, you demonstrate to the employer that you possess the necessary qualifications for the role.

2. Use industry-specific terminology

Incorporating industry-specific terminology in your skills section shows that you are well-versed in the language of medical coding. This helps you come across as a knowledgeable and experienced professional.

However, be cautious not to overload your skills section with jargon or acronyms that may be unclear to some readers. Strike a balance by using commonly recognized terms and providing brief explanations when necessary.

ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) CPT (Current Procedural Terminology) HCPCS Level II (Healthcare Common Procedure Coding System) Medical terminology Anatomy and physiology

3. Showcase your technical skills

In addition to your coding skills, it's important to highlight your technical proficiencies. Medical coders often work with various software programs and databases, so demonstrating your comfort with these tools can set you apart from other candidates.

Some technical skills to consider including are:

  • Proficiency in EHR systems such as Epic , Cerner , or MEDITECH
  • Familiarity with medical billing software like MediSoft or Kareo
  • Experience with coding auditing tools such as 3M Coding Audit Expert or Optum Insight
  • Knowledge of Microsoft Office suite (Word, Excel, PowerPoint)

4. Be mindful of Applicant Tracking Systems (ATS)

Many healthcare organizations use Applicant Tracking Systems (ATS) to screen resumes before they reach human eyes. These software programs scan resumes for specific keywords and skills related to the job description.

To increase your chances of passing the ATS screening, incorporate relevant keywords from the job posting into your skills section. However, be careful not to engage in 'keyword stuffing' – the practice of overloading your resume with keywords in an unnatural way.

Medical coding, medical coding, medical coding ICD-10, ICD-10, ICD-10, ICD-10 EHR, EHR, EHR, electronic health records, EHR

Instead, integrate keywords naturally into your skills section:

Medical coding (ICD-10-CM, CPT, HCPCS) Electronic health records (EHR) systems Compliance with HIPAA regulations

Skills For Medical Coder Resumes

Here are examples of popular skills from Medical Coder job descriptions that you can include on your resume.

  • Medical Terminology
  • Epic Systems
  • Health Information Management
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Medical Records

Skills Word Cloud For Medical Coder Resumes

This word cloud highlights the important keywords that appear on Medical Coder job descriptions and resumes. The bigger the word, the more frequently it appears on job postings, and the more likely you should include it in your resume.

Top Medical Coder Skills and Keywords to Include On Your Resume

How to use these skills?

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Medical Coder Resumes

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What do employers look for in a medical coding resume?

An optimized Medical Coding resume will get you shortlisted by showing your prowess in both the medical and IT fields. The perfect resume will show the recruiter coding skills laced with a healthy knowledge of medical terminology.

A medical coder has to work with patients so top-notch communication abilities and versatile techniques of procuring patient information will make you shine.

In this guide, we will show you all the tricks of framing that perfect resume to get you right on top of any recruiter’s list. Additionally, we have riddled the blog with medical billing resume sample and medical coder resume examples to help you through the entire process.

Before beginning, we would like you to be aware of what is about to come.

Here is a brief overview of our medical coding resume 2022 Blog:

  • Enter your certification details in your resume for medical coding.
  • State if you have worked on any relevant projects.
  • Stick to reverse chronological format to communicate your details.
  • Provide links to your professional portfolio on personal websites.
  • List your medical coding skills in a separate section.
  • Wrap up your resume by including a strong medical coding resume summary.

That's not all.

This blog contains 10+ entry level medical billing and coding resume sample and section-wise medical biller resume example so you can analyze what we are talking about, in real-time!

By the end of this blog, you will be able to learn how to write a medical billing and coding resume by learning:

  • What is medical coding job description?
  • How do I write a medical coding resume?
  • What to add to a medical coder resume template?
  • How to start medical coding resumes?
  • How to add medical coding experience to a resume?
  • Should I add medical coding qualification and certification details to my resume?

What skills do medical coders need?

  • When to include a resume summary and medical coding resume objective?

However, if you are in a rush and want to get your hands on the perfect resume in minutes, go to Hiration's Online Resume Builder .

We have a fine selection of designs and pre-written medical billing resume samples. All you have to do is edit the information present in our medical coder resume template to fit your career needs, and that’s it!

Job Description of Medical Coding Jobs

Medical coders are health care professionals responsible for creating useful medical codes from physician reports. Medical coders ensuring that all the patients' information is available online and easily accessed by the insurance company and other organizations.

Medical coders not only work in hospitals but are also an essential part of nursing homes, urgent care facilities, treatment centers, and other medical settings.

According to the U.S. Bureau of Labor Statistics , from 2019 to 2029, medical coders might see an 8% increase in job vacancies.

The Medical Coding market size in the US alone is expected to grow in the coming years.

Medical-Coding-Market-Size

SOURCE: Grand View Research

Medical Billing and Coding Skills for Resume

Here is a list of some common medical coding skills:

Medical Coder Salary

  • Payscale.com : $18.90/hour
  • Indeed.com : $47,699 per year
  • Glassdoor.com : $41,246 per year

Medical Coding Salary

Choose the Right Medical Coding Resume Format

How to make a resume for medical coder?

First and foremost, we would like to make you aware of the Applicant Tracking System ( ATS ). Every maneuver we design is in the hopes that your resume will sidestep these bots and land in front of an actual recruiter.

Choosing the right medical coder resume format is a step in this direction. The right resume format can make a world of difference to your job application.

You have three formats to choose from to write your medical coding resume:

  • Reverse-Chronological : This format is the best one in business. It displays your most relevant career information first to the recruiter, thus making it extremely recruiter-friendly. More good news is, it is extremely ATS-compliant. It has the Hiration seal of approval.
  • Functional : We would not advise using a functional resume for a medical coder. Though this format has its benefits for frequent job-hoppers, and people with career gaps. But it can cause a hindrance when matched with an ATS. Avoid using it if you have a normal career trajectory.
  • Combination : This format combines the best of both worlds. If you have advanced in your career and have gathered 15-20 years of experience, this resume format could be the one for you.

Medical-Coding-Resume-Formats

If you are doubtful about whether you have chosen the right format and want some expert opinion, our resume experts at Hiration would love to guide you.

Get your resume reviewed by us to ensure that it is recruiter-friendly and ATS-compliant. We will give you valuable feedback and inform you regarding the changes your resume needs.

Identify Distinct Sections to Organize Your Medical Coding Skills Resume

There are some hard and fast sections that are imperative to your medical coding resume and must be included at all costs.

However, there are some optional sections as well that only you can be the judge of whether they are required in your medical coding resume or not.

Here's a list of all the resume sections you can introduce in your medical biller and coder resume:

  • Personal Information
  • Profile Title
  • Summary/Objective
  • Key Skills/Technical Skills
  • Professional Experience
  • Internship (if any)
  • Certifications (if any)
  • Additional Information (if any)
  • Extracurricular Activities (if any)

Medical-Coding-Resume-Sections

You have to be wise in choosing what optional sections you display in your medical coding resume.

For instance, sections like extracurricular activities are more appropriate for entry level medical coder resumes.

Further, dividing your information and filing it under appropriate headings makes it more readable and easy to navigate.

If your thirst for curiosity is not yet quenched. Go to our Guide to resume sections .

Whether you are wondering how to create resume for new medical coder or you are an experienced professional looking to update your resume. Our tool has something for everyone!

Start Writing Your Medical Coding Resume with the Header

Now that you have decided on the format you are going to use and identified the sections for your resume. It’s time to begin the actual writing process.

Starting with the resume header, firstly give your resume a unique label so that the recruiter can identify whose resume it is as soon as they look at it. You can do so by writing your name as the label.

Your name is the biggest thing in a medical coding resume. Write it in the font size of 16-20 points .

There have been candidates that label their resume as 'CV' or 'resume'. This however is not the correct approach. It’s just stating the obvious and taking up precious space on your resume that could be put to better use.

There are more tips and examples on our Guide to writing a resume header to give you in-depth knowledge of the same.

Here's a medical biller resume example illustrating what your resume header should look like:

medical-coder-resume-header

Medical Coding Resume: Personal Information

Just after you have written your name, the next business to take care of is writing down your correct contact information. This makes sure that if you make your way into any shortlists, the recruiter has viable means of contacting you so you can move up to further rounds.

Here's the information without which medical coding resumes would be incomplete:

  • Updated mobile number: Only provide your mobile number on which you are available day or night
  • Professional email ID: Possibly the most professional and convenient way of communicating with your prospective employers. Show them your professional mannerism by giving out a professional-looking address.
  • Current Location: No need to provide your full address. Only write your city and state if the job you are applying to is in your country of residence. If however, you are looking for opportunities abroad, write your city and country name.
  • Personal Website Link: If you have a well-maintained professional profile in any relevant platforms like Kaggle, GitHub, LinkedIn, etc.

Medical-Coding-Resume-Contact-Details

Hiration Pro Tip : Well-maintained social media profiles or an online portfolio can do wonders for your job application. So, add links to your professional profiles on various websites in the personal information section.

If you still think, there is not much to write in the personal information section. Our guide to resume contact information will have you think otherwise.

To know what an ideal personal information section should ideally look like, take a look at the medical coder resume sample below:

medical-coder-resume-personal-information

All the snapshots of medical coder resume templates in this guide have been made using our Online Resume Builder .

Medical Coding Resume: Profile Title

The people who tell you that they bumped up their title on their resumes and got a high-profile job or a big pay raise are lying! Lying on your resume is absolutely unforgivable and will most definitely cost you your job.

So, take one step at a time and apply for jobs based on merit rather than fraud.

Your profile title should be honest and tell the recruiter your exact job title, your functional industry, and your seniority level.

Moreover, this information occupies the second-largest font size in your medical coding resume of 14-16 points .

Here's a medical biller resume example showcasing the profile title of the candidate and what it should look like in your resume:

medical-coder-resume-profile-title

Find out if the profile title you are writing on your resume is suitable for the job you are targeting. Get your resume reviewed today!

Draft the Professional Experience Section of Your Medical Billing Resume

How to write a resume for medical coding experience?

Now let’s get to the actual business. This section will occupy maybe around 70% of the space on your medical coding resume. Needless to say, you need to make it perfect!

The details that will go in this section are:

  • Your past and current employers
  • The duration of each employment
  • Your job profile in each organization
  • Your day-to-day roles & responsibilities

...and much more

Medical-Coding-Resume-Work-Experience-Tips

Basically, you have to put together a career trajectory that will appeal to your prospective new employer and make them want to interview for the job you are eyeing for.

You can take the following measures to ensure that your professional experience section is nothing less than perfect:

  • Frame one-liner medical coding resume bullet points
  • Use the STAR format
  • Practice Grouping & Highlighting

Say with us, points over paragraphs. This is the mantra that you will follow when putting together your medical coding resume bullet points. Anytime the urge to exceed any point to even 2 lines strikes. Repeat the mantra.

Remember, the recruiter will spend an approximately 6-7 seconds on your resume. So, rambling on in your resume, even if you think that portrays your personality better will be your downfall.

Strictly stick to one-liner medical coder resume bullet points. We will show you in the next section another mantra that will make your points impactful!

For now, here are two medical coder examples to further drive our point home:

AVOID THIS:

Medical Coder Resume Example 1

" As a Medical Coder, I was responsible for assigning codes during the medical billing process. I diligently ensured that the accuracy of codes remained at 100% while consistently complying with the government & insurance regulations. I was also responsible for maintaining relationships with 9 insurance companies to make sure that invoices were updated while handling insurance verifications. Moreover, I assigned CPT and ICD codes to the patient's medical records with 98% accuracy".

PRACTICE THIS:

Medical Coder Resume Example 2

  • Assigned 150+ codes in a day throughout the medical billing process
  • Ensured the accuracy of codes to be 100% while also seeing that they were sequenced in compliance with the government & insurance regulations
  • Liaised with 9 insurance companies to update invoices and handle insurance verifications
  • Assigned CPT and ICD codes to patient's medical records with 98% accuracy

Framing Points: Analysis

The two medical coder resume samples illustrated above demonstrate the following:

In conclusion, make your medical coding resume more recruiter and ATS-friendly by using power verbs to start each one-liner point.

STAR FORMAT

So, now you know that you have to formulate one-liner points. That does not mean that you can break down your paragraph into individual sentences and display them as bullet points. You have to put in a little work to make your one-liner points pack a punch.

Here comes another widely used technique, called the STAR format . Use this to structure your work details and make them look flawless.

Here is what STAR means:

  • S or Situation : The situation/backdrop/context of your contributions
  • T or Task : The actual task that was assigned to you
  • A or Action : The strategy you used to execute the assigned task
  • R or Result : The result/outcome of your action in the form of an achievement figure

GROUPING & HIGHLIGHTING

At last, another simple step called highlighting & grouping can enhance your medical coding resume and bring out the best in it.

Under grouping, you simply have to group similar points that can be assembled under the same function. Moreover, under highlighting, the important aspects of each bullet are highlighted by marking them in bold.

Here are two medical coder resume samples to explain this point:

LESS IMPACT:

HIGHER IMPACT:

Medical Coding

  • Ensured the 100% accuracy of codes and in compliance with the government & insurance regulations

Invoice Management & Billing

  • Liaised with 9 insurance companies to update invoices and handle** insurance verifications**

Grouping & Highlighting: Analysis

We can draw the following conclusions from these two medical coder resume examples illustrated above:

Ensure that you include achievement figures where it rightfully belongs.

Medical Coder Sample for Professional Experience

There is always more to learn. Read our guide on work experience in a resume .

Wondering what do employers look for in a medical coder resume? Wonder no more! Here is a sample medical coder resume showcasing the perfect professional experience section:

medical-coder-resume-professional-experience

All the snapshots of medical coder resume samples in this guide have been curated using our Online Resume Builder . Use this tool to access a pre-designed medical coder resume and cover letter.

Medical Coding Resume Keywords

Another practice to follow to make sure your resume gets parsed by any ATS is to keyword-optimize your resume. You can find these medical coder resume keywords in the job description of the job you are targeting.

Before sending your medical coding resume to the recruiter, scan the JD thoroughly to find keywords that are applicable to you. Introduce these keywords organically in your professional experience statements.

Further, later in the resume-writing process, when you will be writing your medical coder resume summary and medical billing and coding skills for resume, sprinkle a healthy dose of the medical coder resume keywords here as well.

List Your Education Details in a Medical Coding Resume

Have you been confused over what to include on a resume for an entry level medical coder? Do not leave out your education section, especially on an entry level medical coder resume.

Here's a list of the details that your education sections need:

  • Name of the school/university you have attended.
  • Name of the courses you have pursued.
  • The location of your school/university.
  • Enrolment and graduation dates in month & year format .

There is more on Hiration's Guide on how to list education on your resume . Head on there to read an exhaustive guide.

Here's a medical coder resume example showcasing the ideal education section for your resume:

medical-coder-resume-education

Medical Coder Resume: Certifications

As a medical coder, your recruiter will expect to see some certifications in your medical coding resume. Especially if you want to have an edge over your competition.

If you have been asking yourself how to create resume for new medical coder, this would be one of the steps to take. Certifications will definitely help you land a job.

Here's a list of the details you should include in the certifications section of your medical billing specialist resume:

  • Name of the Certification.
  • Name of the Certifying Institute.
  • Location of the Certifying Institute.
  • Dates of Enrolment & Completion of the course.

Arrange these details in your medical coding resumes in the below-mentioned format:

{Name of Certification} | {Affiliating Institution} | {Location} | {Date} (month & year format)

Want more information before deciding whether to display certifications in an entry level medical coder resume or not, read up about it in Hiration’s Guide to certifications on resume .

Here's a medical billing and coding resume sample demonstrating the ideal certifications section for your resume.

medical-coder-resume-certifications

All the snapshots of the medical coder resume samples in this blog have been drafted using our Online Resume Builder .

It comes with a pre-designed medical billing specialist resume and cover letter so all you need to do is modify them to suit your needs and that’s it.

Highlight Your Medical Coding Resume Skills

This section can do wonders to solidify your candidacy. You will be picking up this section near the end so that all the information needed to frame this section is already present on your resume.

Scan your professional experience section and pick out your most significant skills. After you have identified them, introduce them in this section.

Moreover, for the sake of the ATS, also consider adding a few keywords present on the JD. However, only those keywords should be added which your career trajectory can justify.

There is more on this in our guide to what skills to put on a resume .

Here's a medical coder resume example showcasing how to correctly endorse your skills in your resume:

medical-coder-resume-skills

Conclude Your Medical Coding Resume with a Summary

A recruiter skims through your medical coding resume to see if you are a candidate worth spending more than a few seconds on.

You can get ahead of them by showing your worth at the beginning itself.

Although it is the last section you are tackling, it will be displayed near the top. So, recruiters will look at this section first to see if you are a desirable candidate.

How can you grab the recruiter's attention? Just smartly curate a 3-5 lines summary of your medical coding resumes that will show the recruiter the impact you can bring to their organization.

Remember that only 3+ years of experienced professionals need a resume summary. If you are drafting a medical coder resume no experience or an entry level medical coder resume, then go with the objective statement.

Divulge into this know-how Guide to writing a resume summary to write perfect resume summaries.

Attached below is a medical billing resume sample showcasing what a well-curated resume summary should look like:

medical-coder-resume-summary

In the meanwhile, let us carry some of the load off. Job hunting is difficult as is! Visit our Online Resume Builder and create the perfect medical biller and coder resume.

Medical Coding Resume Objective

People drafting medical coder resume no experience or entry level medical coder resume should include an objective statement in their resume.

It looks and sounds like a resume summary, however, you are playing up your skills and not your work experience. Show how you can be a valuable addition by highlighting work done in internships, etc.

Read more about resume objectives on our guide to the resume objective section .

Applying to jobs but never getting a callback? Send us your medical coding resumes and we will review them to help you make them perfect.

Use Hiration’s Services to Perfect Your Medical Coding Resume

We are offering you a state-of-the-art resume builder and review services to help you build an impeccable medical biller and coder resume. You have to go no further! Visit our Online Resume Builder and see for yourself.

Resume Review Service

Send us your medical coding resume and rest assured that we will take care to make your resume nothing less than perfect.

The feedback you receive will be based on the following parameters:

  • Compliance with industry norms
  • Content Relevance
  • Design Compatibility
  • ATS Compliance
  • Performance Assessment
  • Conversion Scope
  • Global Compatibility
  • Recruiter Friendliness
  • Resume Formatting (font, margins, the order of sections, etc.)

Online Resume Builder for Your Medical Coding Resume

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Hiration Cover Letters & Other Services

Go to our cover letter builder and check out the medical coding resume cover letter examples.

Hiration's Cover Letter Builder provides:

  • 10+ ready to use templates
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The following features are worth checking out:

  • Digital Portfolio Builder
  • LinkedIn Review
  • Interview Preparation

Medical Coding Sample Resume

Wondering what does a medical billing resume looks like? Here is our medical billing and coding resume template to show you exactly:

  • Assigned 100+ codes in a day during the medical billing process and created a claim to be paid by insurance carriers
  • Ensured codes are 100% accurate and sequenced correctly in accordance with government & insurance regulations
  • Searched for information where the coding is complex and followed up with the doctors in case of insufficient information
  • Communicated with 7 insurance companies regarding the updates in invoices and handled insurance verifications
  • Assigned ICD and CPT codes with 99% accuracy to patient's medical records (100+ daily claims )
  • Performed CAC via radiology information systems and analyzed DRG assignments by deploying ICD-9-CM codes
  • Reviewed the patient's charts & documents for maintaining the accuracy and ensured that all codes are current & active
  • Maintained patient's confidentiality & information security and kept track of their data over multiple visits
  • Certified Professional Coder | American Academy of Professional Coders (AAPC) | Mar '16
  • Top 5 percentile of the class
  • Part of the ChildCare NGO | Apr '17 - Present
  • Donating 10% of the salary each month to provide clothes & shoes to the homeless
  • Educating 250+ children and their families on nutrition and disease prevention
  • Member of the Basketball Team in High School | Apr '14
  • Languages : English, French and Spanish

The given medical coding resume format/medical coding resume template is your best shot for communicating your medical coding skills and expertise to the recruiters.

Key Takeaways

Here are the key takeaways of our medical biller and coder resume blog:

  • An objective for medical coding resume is needed for entry level medical coder resume.
  • Scan the JD for medical coding resume keywords to understand what do employers look for in a medical coding resume. Include these keywords organically in your resume.
  • For new medical coders wondering what to include on a resume for an entry level medical coder. In addition to the standard sections, include your certificates, internships, and other academic information .
  • Use distinct resume sections to organize your information.
  • Instead of writing ‘CV’ or ‘resume’ on top of the medical coding resume, write your name .
  • Do not divulge anything more than your contact information in the personal information section.
  • Write an honest profile title.
  • Do not overlook the education & certification section on your medical coding resume.
  • Use a distinct 'Key Skills' section in your medical coding resume to highlight your medical billing and coding skills for resume.
  • Use grouping & highlighting in addition to one-liners to enhance the effectiveness of your medical coding resume.

With this, you have reached the end of our medical biller and coder resume guide.

We hope that the medical coder resume examples and medical billing resume samples present in this blog made your resume-writing experience easier.

Go to Hiration resume builder and create a professional resume for yourself. Additionally, reach out to us at [email protected] and you can get 24/7 professional assistance with all your job & career-related queries.

resume for medical coder fresher

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Medical Coder Resume Samples

The guide to resume tailoring.

Guide the recruiter to the conclusion that you are the best candidate for the medical coder job. It’s actually very simple. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. This way, you can position yourself in the best way to get hired.

Craft your perfect resume by picking job responsibilities written by professional recruiters

Pick from the thousands of curated job responsibilities used by the leading companies, tailor your resume & cover letter with wording that best fits for each job you apply.

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  • Perform compliance audits for designated providers/centers consistent with established audit protocol
  • Participates in provider/client/network meetings, which may include provider education through written communication
  • Assist in providing coding training to new physicians
  • Work overtime as requested by management
  • Maintains accurate productivity logs and provides this information to management in a timely fashion
  • Provide real time support and coordination with Primary Care Providers and MRA Coders as it relates to coding for HEDIS and STARS
  • Assist Management in assigned tasks and projects as necessary
  • May be asked to participate in hospital revenue cycle or work flow enhancement/continuous improvement initiatives
  • Work with nationally recognized HIM professionals and a coding team of more than 250 colleagues in 35 states
  • Works closely with the client’s HIM and other support departments
  • Works with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
  • Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital laws and guidelines for release of information
  • Work with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business
  • Maintain strict patient and provider confidentiality in compliance with all federal, state, and hospital
  • Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD - 10 - CDM, HCPCS and CPT codes
  • Communicate recommendations and/or suggestions to improve performance efficiencies
  • Possess a strong work ethic and high level of professionalism
  • Accurately codes office procedures for providers to ensure proper reimbursement
  • Maintain up - to - date Coding knowledge by reviewing materials disseminated by Department Manager
  • Engage in provider/ department contact and education as the primary liaison for clarification of documentation and coding
  • Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete
  • Proficient knowledge of medical terminology, ICD-9 and CPT coding
  • Strong medical coding skills and knowledge
  • Strong ICD10 coding knowledge
  • Gainshare bonus of up to 16% of salary (Gainshare is a bonus program given to all employees based on company profitability)
  • Strong knowledge of GEM mapping
  • Knowledge of and ability to use computer systems and other office equipment
  • Ability to perform detail-oriented work
  • Strong medical skills and knowledge
  • Ability to speak in a group setting. Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
  • Strong attention to detail

15 Medical Coder resume templates

Medical Coder Resume Sample

Read our complete resume writing guides

How to tailor your resume, how to make a resume, how to mention achievements, work experience in resume, 50+ skills to put on a resume, how and why put hobbies, top 22 fonts for your resume, 50 best resume tips, 200+ action words to use, internship resume, killer resume summary, write a resume objective, what to put on a resume, how long should a resume be, the best resume format, how to list education, cv vs. resume: the difference, include contact information, resume format pdf vs word, how to write a student resume, certified medical coder resume examples & samples.

  • 3+ years of Certified Medical Coder experience in an Acute Care and/or Outpatient setting
  • AHIMA, RHIA or RHIT and/or CCP / CCS
  • Knowledge of coding guidelines, payor guidelines, federal billing guidelines
  • Knowledge of anatomy, physiology & disease processes

Medical Coder Resume Examples & Samples

  • Prior experience with coding, reimbursement, and follow-up with insurance companies
  • Solid time management skills
  • 1+ year of Medical Coding experience
  • ICD-9-CM and CPT Coding experience
  • Orthopedic Coding experience
  • Certified Medical Coder with either CPC or CPC-A with high degree of competency
  • Knowledge/experience with ICD-9 and CPT coding
  • High school diploma or equivalent GED required
  • Experience with MicroSoft Office

Cpc Fee for Service Medical Coder Resume Examples & Samples

  • · Certified Professional Coder (AAPC or AHIMA)
  • 1 or more years of data analysis experience
  • Strong knowledge of Microsoft Office XP products (Word, Excel, Access)
  • · Familiarity with eClinicalWorks EMR/PM (Desired)
  • Proficient with Medicare Fee For Service, Medicaid and Commercial payers guidelines and regulations
  • Strong knowledge of claims forms, CPT, ICD and HCPCS codes for Primary Care
  • A thorough knowledge of Federal, State and Local regulations related to billing and insurance
  • Knowledge of HMO (managed care - capitation) and Fee For Service (FFS) reimbursement models
  • Experience with and exposure to compliance matters
  • Specific knowledge of the regulations and guidelines as they relate to documentation and coding
  • Competency with Microsoft Office
  • Solid ability to organize and prioritize workload to manage multiple tasks and meet deadlines
  • Coding certifications (CPC, CCS, CCS-P, CPMA, CEMC or CENTC); compliance certifications (CHC, CPCO) and/or Bachelor's degree
  • 2 years coding experience
  • Revenue management and/or healthcare industry experience

FFS Certified Medical Coder Resume Examples & Samples

  • Certified Medical Coder with either CPC or CCS with high degree of competency in this area
  • Prior experience with Medical Office Practice Management System (EMR)
  • Associates or Bachelors’s Degree
  • Strong knowledge of ICD-9/10 coding
  • HIMA, RHIA or RHIT CCP, and/or CCS
  • 2 years of hospital coding experience
  • Ability to research coding related issues
  • Hospital inpatient coding experience within the past 2 years and be knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
  • Ability to read, analyze and interpret medical records
  • Knowledge of 3M database
  • Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered
  • Provide Cardiology coding support for cardiology procedures including cardiac cath, echo cardiogram, cardiac stress test, etc
  • Requires understanding of the Hierarchical Conditions Category Model (HCC) for Medicare Risk Adjustment
  • Deliver provider support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
  • Coordinate with clinical leadership in development of provider training plans and for active support in the training process
  • Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management
  • Monitor Coding changes to ensure that most current information is available
  • Provide coding support to Central Billing Office as requested
  • Other duties as may be assigned
  • ICD-10 Proficiency Certification required
  • Certified Medical Coder with either CPC, CCS-P
  • Knowledge and experience in health care/managed care environment
  • Direct Cardiology coding experience ideal
  • Certified Cardiology Coder (CCC) preferred
  • Experience with HEDIS performance measures and Medicare STAR ratings

Certified Medical Coder / CPC / Educator Resume Examples & Samples

  • Prior work experience with curriculum design combined with stand up and delivery of complex content - specific to medical coding
  • Medical coding certification (AHIMA or AAPC)
  • Computer literate (MS Word, Power Point, Excel)
  • Ability to travel within the assigned region as necessary
  • Prior coding experience in managed care at least 5 years preferred
  • MRA/HCC coding for CMS model
  • Ability to work remote and independently
  • Drug Screen and Background Check
  • Certified Risk Coder
  • 3-5 years of Medical Coding experience
  • Certified Professional Coder (CPC)
  • Understand the importance of accuracy related to charge entry
  • Knowledge of standard governmental billing requirements, Payer requirements, and HIPPA regulations
  • Knowledge of insurance guidelines especially Medicare and state Medicaid
  • Hematology and Oncology coding certification

Outpatient Certified Medical Coder Resume Examples & Samples

  • 2+ years of Coding experience and knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
  • RHIT/RHIA, CCS, AHIMA or CCP certification
  • Knowledge of Coding, Payor, and Federal Billing guidelines
  • Knowledge of Anatomy, Physiology & Disease processes
  • Competence in Coder training
  • CCS and knowledgeable with 3M/HDS coding application
  • 2+ years of work experience in a Healthcare-setting or equivalent education
  • American Academy of Professional Coders (AAPC) Certified Professional Coder –Apprentice (CPC-A) or American Health Information Management Association (AHIMA) Certified Coding Associate (CCA)
  • Knowledge Medical Terminology and Human Anatomy
  • Computer savvy (40 wpm)
  • (AHIMA) RHIA, RHIT, CCS, CCS-P, approved ICD-10-CM trainer, or approved ICD-10-CM/PCS trainer
  • Certified Medical Coder with either CPC, CCS, COC or CSSP with high degree of competency in this area
  • Prior 1 - 2yrs coding experience
  • Strong knowledge or certification in ICD-10 coding
  • Previous MRA or Chronic Care coding
  • Ability to visit and educate Clinic Staff
  • 3 years of Medical Coding experience in an acute care setting
  • Knowledge of coding guidelines, payer guidelines, and federal billing guidelines
  • Knowledge of coding laws and federal law
  • Competent in Coder Training
  • CCS experience and knowledgeable with 3M/HDS coding application
  • Knowledge of anatomy, physiology and disease processes
  • Knowledge of medical terminology $
  • Inpatient experience
  • CPC or CCS-P Coding Certification or CPC-A with coding experience
  • Ability to drive to provider offices throughout Polk, Osceola, Orange, and Sumter Counties and be on site at provider offices approximately 75% of the time
  • Prior experience in a fast paced insurance or health care setting
  • 1+ year of related Coding experience (CPT, ICD-9, and ICD-10)
  • Outpatient Coding experience
  • Solid research and analytical skills
  • Data entry background
  • Experience following-up with insurance companies
  • Prior experience with Managed Care Companies
  • Experience with credentialing
  • Working knowledge of Next Gen or Electronic Health record system
  • CPC, CRC, or CCS-P Coding Certification or CPC-A with coding experience
  • Minimum of 18 months of prior medical coding experience
  • Ability to drive to provider offices in the Memphis and surrounding areas approximately 3-4 days weekly
  • 2+ years of Medical Coding experience
  • Bachelor’s Degree in business administration or related field preferred/or a combination of advanced training and experience
  • 2 years of experience with coding and reimbursement activities
  • Demonstrated knowledge of ICD-9 & CPT4 Coding
  • Demonstrated knowledge of computerized billing systems
  • Knowledge of third party insurance billing policies, procedures, regulations and billing requirements and government reimbursement programs
  • CPC, CRC, or CCS-P Coding Certification
  • CPC-A certification with coding experience
  • Ability to drive to provider offices and be in the field approximately 50%
  • CPC - A coding certificaiton with coding experience
  • 2+ years of medical coding experience

Certified Medical Coder Front Line Leader Resume Examples & Samples

  • Responsible for MRA aspects of market management, including managing the MRA coder team
  • Executes MRA initiatives within the local market
  • Coordinates and deploys MRA training policies/objectives to the local team
  • Plans and directs MRA training techniques and suggests enhancements to existing training programs within existing markets
  • Use detailed analysis/consideration of financial and operational implications to make recommendations to the MSO and physician groups
  • Medicare Risk Adjustment, Documentation and Medicare Advantage experience
  • Knowledge of HCC/Risk coding
  • Professional coding certification such as CPC, CCS-P, CRC, or RHIT
  • Demonstrated experience partnering with senior leadership on strategic initiatives
  • Proven planning, preparation and presentation skills
  • Demonstrated ability to manage multiple projects and meet deadlines
  • Comprehensive knowledge of all Microsoft Office applications
  • Ability to travel throughout the local market approximately 2-3 days weekly with occasional overnight travel
  • Strong collaboration and relationship building skills
  • LPN, RN, or medical school graduate
  • HEDIS experience
  • Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance
  • Comprehensive knowledge of Medicare policies, processes and procedures

Medical Coder Liaison Resume Examples & Samples

  • Evaluate the element of the medical record for diagnosis code selection
  • Must have 3+ years of coding experience
  • Effective Communication and Professionalism
  • 3+ years of Coding experience
  • Certification in American Health Information Management Association (AHIMA): RHIA, RHIT, CCS, CCS-P, CCA; American Academy of Professional Coders (AAPC): CPC-H
  • Solid assessment and documentation skills
  • Successful completion of a Coding certificate program with AHIMA approval status
  • CPC, CRC.CCS-P Coding Certification
  • CPC-A with coding experience
  • 18+ months of prior medical coding experience
  • Meidcare knowledge
  • CPC, CRC or CCS-P Coding Certification
  • 18+ months of medical coding experience
  • Prior experience in a fast paced insurance, health care, or physician office setting
  • Medicare knowledge
  • HCC coding experience not required, but is a plus
  • Associate degree is a plus
  • 2+ years of ICD.10 coding experience
  • ICD.10 coding certification
  • Experience within Pathology
  • Associate's and/or Bachelor's Degree in Health Information Management
  • AHIMA certification; Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P)
  • Knowledge of ICD-CM (current edition) and ICD-PCS coding systems
  • Microsoft Office/Suite proficient (Excel and Word
  • 5+ years of Medical Coding experience or related work experience
  • Knowledge of 3rd party payer requirements and Federal / State guidelines and regulations pertaining to Coding and Billing practices

Remote Medical Coder Resume Examples & Samples

  • Be a key player in the revenue cycle process by working closely with the client’s HIM and other support departments
  • Be an active participant in client and Precyse staff meetings, training and conference calls, often using online technology
  • Learning is a daily part of your role with Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
  • You’re a key player in Precyse's Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
  • Our coding colleagues work for Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to Precyse
  • Active RHIA, RHIT, CCS, CCS-P, CPC or CPC-H
  • A minimum of two (2) years’ experience coding patient records in a hospital HIM department
  • Must have a thorough knowledge of medical terminology, anatomy and physiology
  • Must be able to pass a pre-employment assessment
  • Work closely with the client’s HIM and other support departments
  • Active RHIA, RHIT, CCS, CCS-P, CPC, COC, CIC, or CPC-H
  • Experience coding Inpatient Acute Facility and/or Outpatient medical records
  • Be an active participant in client and nThrive staff meetings, training and conference calls, often using online technology
  • Learning is a daily part of your role with nThrive – keep your coding knowledge base current with nThrive Education, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues
  • This education is being used by some of the top health systems in the country
  • Work with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states
  • You’re a key player in the nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
  • Our coding colleagues work for nThrive, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
  • Experience coding Inpatient Acute and/or Outpatient medical records
  • Must have a thorough knowledge of medical terminology, anatomy, and physiology

Medical Coder & Educator Resume Examples & Samples

  • Review, research and respond to practice billing and coding questions via Ask The Expert (SalesForce) platform within a designated timeframe
  • Collaboration with Radiation and Imaging team, participate in project calls and dashboard creation
  • Collaboration with Innovative Practice services to include answering coding questions and attending meetings
  • Research related to government regulations and commercial payer policies. Prepares and disseminates monthly newsletter
  • Coding changes/annual webinar
  • 2 years project management experience
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
  • Clinical and/or coding expertise in the application of medical and reimbursement policies within the claim adjudication process through file review. This could include Medical
  • Director/physician consultations, interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies and consideration of relevant clinical information
  • Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns
  • Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding & billing
  • Identifies aberrant billing patterns and trends, evidence of fraud, waste or abuse, and recommends providers to be flagged for review
  • Maintains and manages daily case review assignments, with a high emphasis on quality
  • Provides clinical support and expertise to the other investigative and analytical areas
  • Participates in training of new staff, and serves as a clinical resource to other areas within the clinical investigative team
  • 2+ years of current CPT/HCPCS coding experience (entering codes, auditing etc.)
  • Possess an unrestricted nursing license (RN/LVN/LPN) or a current certified coder (CPC/CCS/RHIT etc.)
  • Ability to work 8:00 am to 4:30 pm CST Monday through Friday and overtime as business needs require
  • Healthcare Claims experience
  • Managed Care experience
  • Investigational and/or Auditing experience
  • Understanding of ICD-10 Coding in relation to DRGs
  • Travel up to three days per week to providers offices
  • 2+ years of coding experience
  • AAPC (CPC) or AHIMA (CCS) certification
  • Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook and navigate in a Windows environment
  • Travel up to 3 days per week to providers offices
  • Managed Care / IPA / Health plan experience
  • Bilingual Spanish

Senior Medical Coder Resume Examples & Samples

  • *This is an office based position***
  • Support the Risk Adjustment Department in the processing of attestations as well as coding and documentation education to our provider network
  • Travel up to 25% - Orange County and Long Beach,CA
  • CCS or CPC credentials through AHIM or AAPC
  • ICD10 Certification
  • Travel up to 25% in Orange County and Long Beach, CA
  • Adjudication of claims with zero critical errors
  • Completion of claims in queue within specified time frame
  • Setting productivity benchmark
  • Good written Communication Skills
  • Eye for Details
  • Analytical Skills
  • Professional demeanor
  • Ability to work accurately and efficiently at all times, including those of high processing volume
  • Ability to multi-task and manage time efficiently under the pressure of deadlines
  • Sensitivity to the confidential nature of the data and proprietary company information
  • Flexibility to work in shifts
  • Good Leadership skills (Leader without Title)
  • Review and assign accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (eg, inpatient hospital)
  • Develop policy and work with Managed Care and Medical Affairs on trends that require payor interaction
  • Update education through online information as well as courses available in order to maintain strong coding skills and knowledge of legal compliance standards
  • Create and maintain reports for coder use in tracking productivity, denials, level of service changes made by coders, and to comply with internal audit standards
  • Reviews all physician documentation to ensure compliance with third party and regulatory guidelines
  • Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine
  • Understanding of how to integrate medical coding and payment policy changes into a practice's reimbursement processes
  • Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services
  • ICD-10-CM Official Guidelines for Coding and Reporting
  • CPT® coding guidelines and parenthetical notes
  • Modifier use
  • Services covered under Medicare Parts A, B, C and D
  • Apply coding to payment policy
  • Place of service reporting
  • Fraud and Abuse
  • Ability to apply the above skills and knowledge in audit settings and educate on findings
  • Minimum of 2+ years knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture

Medical Coder, Cdst-tricare Resume Examples & Samples

  • Maintain thorough knowledge of coding policies and procedures, and medical terminology/technology
  • Is able to determine benefit and coverage based on TRICARE policy and UHCMV guidelines
  • Consistently meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • Attend and participate in Prior Authorization List (PAL) Committee and Episode of Care (EOC) Committee and collaborate with PGBA on ensuring coding in CRT is consistent with PGBA processing of referrals/authorizations
  • Work closely with Utilization Management team to ensure timely updates of CRT for change orders and contract modifications
  • Work closely with IT developers on enhancements and releases
  • Able to recode authorization/referral requests to ensure TRICARE coverage and consistency in claims payment (unlisted codes, etc)
  • Assist with annual review of Prior Authorization List and support coding changes as required
  • 1+ years of experience in a medical office or similar setting, in a medically related role such as customer service, administrative support, medical care or clerical related role, or an Associate's Degree (or higher)
  • Certified Medical Coder ( CPC, etc) with current certification
  • TRICARE knowledge and experience
  • Graduate of an Accredited Medical Coding School
  • Ability to navigate a PC to open applications, send emails, and conduct data entry
  • Ability to create, copy, edit, send and save using Microsoft Word, Excel, and Outlook
  • Ability to obtain favorable adjudication following submission of Department of Defense eQuip Form SF86
  • Associate's Degree (or higher) or some college
  • Hospital coding experience
  • Military Service experience
  • Demonstrated attention to detail
  • Certified Medical Coder with either CPC or CCS with high degree of competency in this are
  • 1-2 years prior coding experience in a medical office or hospital environment
  • Strong knowledge of ICD-10 coding
  • Understand CPT and ICD coding
  • Evaluates the medical record for procedures and diagnoses documented in the medical record and accurately assigns ICD-10, HCPCSs, Modifiers, and CPT codes, based on National Coding Guidelines
  • Abstract data elements
  • Assists in the identification and recommendation of system edits
  • Code within timeframes established by Allina hosptial coding standards
  • Knowledge of APC classification
  • Will be reviewing provider dictation and charge entry done by business ops personnel to make certain that correctCPT codes are billed and appropriate diagnoses assigned in accordance with Provider dictation
  • Communicate effectively with providers
  • Reports for coder use are created and maintained in both business software applications and are used for tracking productivity, denials, and level of service changes made by coders
  • Update education through online information as well as courses available to them in order to maintain strong coding skills and knowledge of legal compliance standards
  • Knowledge of Medicare/CMS requirement and Allina Policy; will perform the job in accordance with Allina’s Standards of Business Conduct, which include principles of legal compliance, ethics and integrity, confidentiality, protection of assets and avoidance of conflict of interest and inappropriate business relationships
  • Certified as a professional coder (CPC or CCS-P)
  • 1+ year of medical record coding and record review experience
  • Knowledge of ICD-10 and experience working in a managed care health plan organization
  • Enjoy the benefits and learning experience of being exposed to different HIM environments
  • Be an active participant in client and MedAssets-Precyse staff meetings, training and conference calls, often using online technology
  • Learning is a daily part of your role with MedAssets-Precyse – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
  • You’re a key player in MedAssets-Precyse's Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
  • Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to MedAssets-Precyse
  • A passion for coding and the desire to work for a company that values you!
  • 2+ years of experience coding patient records in a hospital HIM departmentt

M HIS Senior Medical Coder Resume Examples & Samples

  • Review physician documentation and code diagnoses and procedures using current ICD-10-CM and CPT-4 coding conventions to assure the specificity of diagnoses, procedures and modifiers assignments as appropriate for optimal reimbursement for hospital and/or professional charges
  • Accurately code procedures and diagnosis according to specific policies and procedures
  • Assist with denials related to coding issues as necessary
  • Participate in Quality Management activities, as appropriate
  • Provide client support as needed
  • Perform related work as required and/or assigned. Maintain a 3% error ratio or below for Quality Assurance
  • High School Diploma or higher from an accredited institution
  • AAPC and or AHIMA certification
  • Minimum of one or more (1+) year(s) of experience with medical coding in Radiology setting
  • Associate's Degree in Health Information Management or higher from an accredited university
  • Certified Interventional Radiology Coder (CIRCC)
  • Extensive knowledge of CPT, ICD-10 coding systems and Coding guidelines
  • Capable of working under time restraints. Excellent oral and written communication skills
  • Ability to plan, organize and prioritize job duties under general supervision
  • Excellent customer service and customer relations skills
  • Time management skills to meet client productivity goals
  • Highly motivated, independent and innovative
  • Support clinical code reviews
  • Provide support for onsite audit reviews regarding clinical documentation
  • Provide support of new and established group coding for Care Management
  • Create and maintain project plans and documentation related to clinical editing
  • High school education or equivalent experience
  • Certified coder via AHIMA or AAPC or an RN
  • Knowledge of physician coding methodologies including CPT, HCPCS, facility coding methodologies
  • Experience with Windows applications - MS Office, PowerPoint-Creating/Managing Presentations, Excel- Creating/Updating spreadsheets, formulas, and Word- Creating/Updating documents
  • Experience leading and facilitating virtual meetings
  • Excellent verbal and written communication/presentation skills
  • Ability to review medical record documents to derive at accurate and appropriate ICD10 codes for claims
  • Ability to contact physician’s office to ask additional questions or seek additional information/ records to derive at valid ICD10 code (Strong communication skills and phone etiquette)
  • Ability to collaborate with AR team on denials related to diagnosis codes
  • Certified medical coder

Medical Coder Ii Flexible Schedule Hrs Per Week Resume Examples & Samples

  • Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment
  • Participate in special projects and/or completes other duties as assigned
  • 1- 2 yrs medical coding; Endocrinology preferred
  • Solid problem solving and time management skills
  • Working knowledge of CPT, ICD-10, or ICD-9
  • Previous HEDIS experience
  • Open to Registered Nurse (RN) or Licensed Practical Nurse (LPN)
  • Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA,
  • Knowledge/experience with ICD-10 and CPT coding
  • This role requires travel within the general/local area
  • Support the Risk Adjustment Department in the review of provider medical records for compliant documentation and coding
  • Identify appropriate assignment of ICD - 10 Codes for Professional services
  • Coding and Documentation Education to our PCP Network
  • HCC education to our Provider and Specialist Network
  • Support the Coding Processors in the review of PCP completed attestation forms
  • Ad Hoc projects as they come up
  • 3+ years coding experience; outpatient or inpatient
  • CCS or CPC credentials through AHIMA or AAPC
  • ICD - 10 Certification
  • EHR experience
  • Computer proficiency; can type, create, edit, search web browsers, toggle between multiple screens, use Word, Outlook, Excel and navigate in a Windows environment
  • Access to reliable transportation that will enable you to travel to Physician offices and company meetings
  • HCC experience
  • Managed care experience

Medical Coder Ii Pulmonology New Hire Bonus Resume Examples & Samples

  • Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines
  • Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided
  • Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account
  • Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty
  • Associate degree in related field preferred
  • 2-4 years coding experience required. Pulmonology experience preferred

Medical Coder Representative Resume Examples & Samples

  • Performs various clerical functions as requested by the supervisor or group lead
  • Responsibilities include: Applying CPT-4 and ICD-9 codes by translating dictated pathology reports, in a timely and accurate manner
  • Responds to accounts receivable department when coding discrepancies need reviewed due to payor denials
  • Understand and follow all department and company SOP’s
  • Perform special projects as assigned by the manager
  • Ability to work independently and on a team
  • Updated Medical Coding Certification is mandatory
  • Minimum of 1 years of coding experience in an MLTC preferred but not required
  • Thorough knowledge of ICD-9 and working knowledge of ICD-10 coding is required
  • Performs clinical coverage review of post-service, pre-payment claims, which requires interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with aberrant billing patterns
  • Performs clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing
  • Possess an unrestricted Nursing License (RN/LVN/LPN) or are a current Certified Coder (CPC/CCS/RHIT etc.)
  • Ability to work 8:00 am to 5:00 pm CST Monday through Friday and available to work overtime as business needs require
  • Experience with MS Excel with the basic ability to create and save a report
  • Accurately abstract information from the medical records and accurately assign ICD10 CM with appropriate modifiers and CPT codes
  • Ability to communicate effectively and courteously with staff and others
  • Must be well organized and detail oriented
  • Dependable, self-starter, and deadline driven
  • Ability to work well independently as well as in a team setting to achieve organizational goals
  • Certified Professional Coder (CPC) and ICD-CM certification proficient are required
  • One to two years of coding experience required
  • Specialty coding experience in GENERAL SURGERY and/or UROLOGY preferred
  • Knowledge of legal and regulatory government provisions
  • Knowledge of insurance rules and guidelines
  • Must maintain absolute confidentiality

Medical Coder Quality Analyst Resume Examples & Samples

  • 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
  • 2+ 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
  • Current CPC Certification
  • Behavioral Health experience
  • Serves as a resource on moderately complex issues related to coding / billing
  • Abstracts from patient charts/medical records all billable services in assigned specialties. Staff will translates these services into the correct CPT (Procedure) and ICD (Diagnosis) codes with all necessary and applicable modifiers
  • Staff will conduct training sessions for physicians and staff clinicians in individual or group settings on coding rules and federal regulations. Meets with providers in assigned area on a regular basis to review coding guidelines and identify any updates and changes. Staff will meet with physicians in the clinical setting as needed for documentation instruction
  • Provides education to physicians and staff clinicians in accordance with National Correct Coding Initiative (NCCI) guidelines
  • Provides documentation and coding audits of all billing providers within the practice based on documentation guidelines, Medicare Teaching Guidelines and NCCI coding initiatives
  • Identifies bundled charges and bills appropriately according to University compliance guidelines, federal regulations and NCCI coding initiatives
  • Prior experience as a Medical Coder I or equivalent work experience
  • Progressive Offers
  • Medical, dental, vision and life insurance benefits
  • Ongoing training and opportunities for career advancement
  • Award winning, inclusive environment with Employee Resource Groups
  • 401(k) plan
  • Tuition assistance
  • Employee discounts
  • Child care subsidy
  • Enter medical billing information into medical audit system (ICD9 diagnosis codes, CPT4 procedure codes)
  • Ensure billing codes correspond accurately with the claim notes
  • Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable
  • Provide fee schedule reimbursement date for subrogation claims
  • Ensure AOB (Assignment of Benefits) has been submitted to provider
  • Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquiries
  • Providing timely bill processing
  • Sort incoming bills by coder and distribute accordingly
  • Review unmatched bills and correctly identifying the claim
  • Mail EOB (Explanation of Benefits) statements to providers
  • H. S. Diploma or GED
  • Strong data entry skills, communication & customer service skills
  • Prior CPT-4 and ICD-9 coding experience preferred
  • Prior experience as a Medical Coder I or equivalent work
  • Solid PC skills

Inpatient Certified Medical Coder Resume Examples & Samples

  • 2+ years of Coding experience in a Hospital setting
  • RHIT / RHIA, CCS, AHIMA or CCP certification
  • Knowledge of Coding guidelines, Payor guidelines, Federal Billing guidelines
  • Knowledge of Medical terminology
  • Knowledgeable of 3M database
  • Microsoft Office/Suite proficient (Excel, Word, etc.)

Health Information Medical Coder Remote Resume Examples & Samples

  • AHIMA credential required: RHIA, RHIT or CCS
  • Must be skilled in inpatient rehabilitation coding with at least 3 years of recent experience in this type of coding
  • This is a remote coder positon
  • Accurately code pathology reports using the correct ICD and CPT code
  • Quality of coded accessions above 90 percent
  • Productivity Goal of a minimum of 24 per hour (after training)
  • Verify that accounts have accurate CPT coding on hospital reporting
  • Correctly work amendments and addendums
  • Denials and appeals sent from AR representatives
  • Make phone calls and send faxes to doctor offices for updated clinical information as needed
  • Responsible for filing and maintaining confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors and AmeriPath
  • Billing edits specific to business unit and coding procedures
  • Reconciliation measures
  • Audits of coded work/processes
  • Comply with all State, Federal, and professional regulations as well as departmental policies and procedural manuals
  • Adherence to HIPAA Regulations
  • 2+ years of experience in CPT and ICD coding
  • Experience using a computer and Microsoft Office (Word, Excel, and Outlook)
  • AAPC Certified Medical Coder
  • 1+ year in Pathology coding
  • Experience in GE Centricity
  • Experience in Onbase scanning system
  • Ability to read, analyze and interpret pathology reports

Optum Data Management Medical Coder Resume Examples & Samples

  • Create medical codesets for a variety of decision support solutions
  • Provide medical coding expertise in the development and implementation of licensed solutions and projects related to health care cost, risk and quality - of - care
  • Consult with internal and external customers or project teams in the use of the drug hierarchy and drug or lab test code sets
  • Develop update processes for codesets to support ongoing operations & management of analytic products
  • Provide coding expertise to projects led by data science and machine - based learning teams
  • Provide occasional project management when necessary
  • Medical coding certification
  • 1+ years as an inpatient facility - based medical coder in the United States
  • 3+ years working with healthcare / clinical claims data
  • Experience using Access (ability to write queries, import files and manipulate data)
  • Experience using Excel (ability to filter, sort, basic functions)
  • Experience using MS - DRGs or other types of global payment systems
  • Experience using online - coding references such as Encoder - Pro
  • Must live in Twin Cities, MN or be willing to relocate
  • Some experience with managing small projects
  • Experience working within a managed care environment from either a payer or a provider perspective
  • Experience with the billing bundled payments
  • Experience using drug and lab test taxonomies
  • Possess recent knowledge and / or experience using other coding systems such as SNOMED or LOINC
  • Demonstrated strong organization skills (e.g., prioritize and manage multiple tasks, meet deadlines, complete complex long - term projects)
  • Utilize your strong interpersonal skills to work cohesively in a team environment

Hospice Medical Coder Resume Examples & Samples

  • LPN or LVN licensed in the state where program is located
  • Certified Medical Coder Required
  • Graduate of accredited practical nurse or vocational nursing program
  • Minimum of one-year general nursing experience
  • Community health/Hospice or medical/surgical experience
  • Self-directed with ability to work with little supervision
  • Demonstrate excellent observation, good nursing judgment and communication skills
  • Ability to provide good written documentation in a timely manner
  • 1 year of experience
  • ICD-10 experience mandatory
  • Understanding of ICD-9 codes and how they will translate to the new ICD-10 code set
  • Proficiency in assigning accurate medical codes for diagnoses, procedures and services performed in the outpatient setting
  • Proficiency across a wide range of services, which include evaluation and management, anesthesia, surgical services, radiology, pathology and medicine
  • HCS-D certification or agreement to complete within 6 months

Senior Inpatient Medical Coder Resume Examples & Samples

  • Adhere to and maintain required levels of performance in both Coding accuracy and productivity
  • Identify appropriate assignment of CPT and ICD-10 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting
  • Abstract additional data elements during the Chart Review process when coding, as needed
  • Maintain a thorough understanding of assigned Client Coding specifics
  • Review and maintain a record of charts coded, held, and/or missing
  • 3+ years of Inpatient medical coding experience (hospital, facility, etc.)
  • Experience working in a 200 bedside acute care hospital

Medical Coder Analyst, Claims Resume Examples & Samples

  • Undergraduate degree in healthcare management, healthcare informatics, human biology, economics, or other related fields
  • We will also consider candidates with an associate’s degree and significant experience working as a medical coder
  • Certified as Coding Associate Certification (CAA), or equivalent
  • 5+ years of experience working as a medical coder
  • Passion for collaborating with others to identify disease concepts through medical codes and using the medical coding data in novel ways
  • Experience in preparing for transition to ICD-10
  • Experience maintaining code lists and using data management tools such as Excel, Tableau, and other is highly preferred
  • Strong problem solver with ability to research and frame answers to ambiguous coding questions
  • Self-starter able to work independently and deliver quality end-products in an entrepreneurial environment
  • Of mature disposition and personable; history of working as a team player in a dynamic and changing environment
  • Able to work well within teams across continents/time zones
  • Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety literature/policies
  • Coding Technical Skills –Regulatory coding (ICD-10-CM and HCPCS/CPT) and associated reimbursement knowledge
  • Organization– Able to work independently; proactively prioritizes needs and effectively manages resources and time
  • Other General Technical Skills –
  • Minimum (2) years experience in outpatient coding and/or Health Information Management REQUIRED
  • Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-A, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA)
  • Position will require some weekly travel to offices within assigned area
  • Knowledge of MRA and HEDIS
  • Knowledge of ICD-10
  • Assign primary and secondary diagnosis and E/M level of service for both professional and facility components
  • Assigning appropriate disposition codes
  • Assigning appropriate physician number to each chart
  • Assigning appropriate ICD-9 and CPT codes (s) per client and payer specifications
  • Coding assigned facilities in a timely manner while adhering to quality standards
  • Entering down coded records into the coding system
  • Building strong knowledgebase of proprietary coding system
  • Reporting coding issues to the Coding Production Manager as appropriate
  • Assigns CPT procedure codes for clinician services to assure appropriate billing and reimbursement
  • Assigns diagnostic (ICD-9-CM and/or procedural codes (ICD-9-CM & CPT) on all medical record types at an advanced level to ensure proper reimbursement and accurate data base information
  • Assigns modifiers to codes
  • Input charges for all urgent care and clinic centers on a daily basis
  • Obtain insurance referrals and verify insurance coverage on a daily basis
  • File claims to the appropriate insurance company on a daily basis
  • Post all copayments and self-pay payments and reconcile on a daily basis
  • Send refunds to both patientand insurance carrier if there is an overpayment
  • Reviews charts and provides one-to-one and group educational feedback to the clinicians
  • Interacts with clinician and other clinic/corporate departments to assure compliance and appropriate billing practices
  • Gather data and prepare information/reports as requested by Division Director of Medical Billing
  • Handle billing correspondence
  • Maintains confidentiality in all aspects of the job
  • Minimum 3 years specialty billing/coding in the area of internal medicine, family medicine and/or emergency medicine
  • Ability/knowledge to code multiple specialties
  • Knowledge of patient insurances. Ability to provide instruction to the patients and their families regarding insurance coverage procedures
  • Ability to perform standard office procedures according to established protocols
  • Experienced and comfortable providing education to providers one on one and in group setting on a frequent basis and work with the providers to optimize their billing
  • PC skills, with emphasis on Windows applications, and ability to use a mouse
  • Keyboarding/data entry skills
  • Thorough knowledge of medical terminology, anatomy, physiology and disease process
  • Ability to work independently yet in conjunction with a team
  • Ability to adapt to a changing and growing atmosphere
  • Good time management and organizational skills
  • Knowledge of medical reimbursement methodologies
  • Courteous and professional demeanor
  • Willingness to work as a team player to meet common goals of the department
  • Demonstrates excellent verbal and written communication skills
  • Ability to maintain a professional demeanor and composure when handling difficult clients/stressful situations
  • Promote positive department morale through effective teamwork
  • The employee must have the ability to work overtime hours when necessary
  • Willingness to learn new skills and help in different areas

Medical Coder Supervisor Resume Examples & Samples

  • Monitor and plan for incoming coding volume
  • Schedule and monitor weekly and daily workflows for coders to insure compliance with month end schedule
  • Maintain employee PTO schedules and request overtime as needed
  • Monitor completion and submission of daily production reports by each coder and prepare weekly production status report
  • Coordinate with trainer to ensure updates to Contract Information Sheets, Coding Contract Information Sheets, Revenue Center Listings, Coding Sheets, and Policy & Procedure manuals are distributed and reviewed by staff
  • Assist manager with maintenance of manuals, newsletters, reference materials, etc
  • Assist with interviewing applicants for potential employment, process all new employee paperwork
  • Assist with annual review evaluations for all Coding department employees
  • Assist with coding and/or correcting charts sent for review from other departments
  • Act as technical resource to coders on issues regarding coding or MRTS
  • Review & monitor employee hours in Kronos
  • Works with manager to develop and implement corrective action and/or disciplinary action
  • Establish and monitor QA production schedule for seniors
  • Review patient complaints from the Patient Services Department
  • Proficiency in ICD-9 and ICD-10 diagnostic coding and CPT procedural coding
  • Extensive knowledge of medical terminology, regulatory requirements, and physician billing and reimbursement
  • Effective organizational, analytical, and communication skills
  • Working knowledge of Microsoft Word and Excel
  • Minimum high school diploma or equivalent, B.S. or B.A. preferred or equivalent of management/supervisory experience in physician billing related field
  • CPC or CCS-p certification preferred
  • 1-2 years in a work leader, auditor, or supervisory position
  • 2-4 years previous medical coding experience, emergency medicine experience preferred
  • Manages Clerk(s), Coder(s), and Senior Coder(s)
  • Review medical records and assign the appropriate Evaluation & Management codes, procedure codes, diagnosis code and modifiers using ICD-10-CM, CPT-4 and HCPCS coding guidelines
  • Communicate coding problems or irregularities to the Billing Operations Manager
  • Communicate with the physicians regarding chart documentation questions and issues
  • Note and communicate trends in physician documentation with the Medical Director over the specific market and/or clinic
  • Assist in providing annual coding refresher training to all physicians
  • Maintain working knowledge of medical terminology, coding guidelines and regulations
  • Posts all time of service payments and researches batches that are out of balance
  • Works closely with the Accounts Receivable and Customer Service representatives to assist with payment denials, appeals and patient related coding questions
  • Works in a team-oriented environment to achieve organizational goals
  • Attends training sessions and meetings as required
  • Performs other duties as requested
  • Coding credential required (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H)
  • 3+ years' PCP / Outpatient coding experience
  • Adhere to and maintains required levels of performance in both coding accuracy and productivity
  • Identify appropriate assignment of CPT and ICD - 9 Codes for Physician and facility services provided in an observation service setting, and outpatient setting
  • Maintain up - to - date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
  • 2+ years' experience outpatient coding
  • Experience with MS Office (i.e. Word, Excel, Outlook)
  • Familiarity with the multiple computer systems used in HIM (Encoder, EMR, EPIC, Billing / CDI Systems)
  • Coding Certification
  • High School Diploma/GED or higher from an accredited institution
  • Minimum of three (3) years of combined experience in physician and facility Diagnostic Radiology and/or Interventional Radiology coding and auditing
  • Certification in AAPC and/or AHIMA
  • ICD-10 trained
  • Associate’s Degree in Health Information Management
  • Hold a certification of any of these credentials; CPC, CPMA, CCS, CCS-P, RHIT, RHIA, RRC, CIRCC
  • Experience in both vascular and non-vascular interventional radiology coding
  • Strong attention to detail, capable of working under time restraints
  • Must have good research skills
  • Excellent customer service and customer relation skills
  • Highly motivated, independent and innovative. Strong team player
  • Identify errors, problems, or issues and present to Coding management for resolution
  • Attend departmental and training meetings a scheduled
  • Extensive knowledge of ICD-9 and ICD-10 diagnostic coding and CPT-4 procedural coding
  • Typing speed of 35-45 WPM
  • Select and sequence ICD-9, ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Acute Inpatient , Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Emergency Department, Ancillary (Diagnostic)/ Recurring; Interventional Radiology; Injection and Infusion, Hospital Clinic; Wound Care, Physician Pro Fee; Technical Fee; Evaluation and Management and any associated charge capturing with any patient type
  • Performs coding to maintain work volume to include claim edit resolution and data quality reviews on outpatient encounters to: validate the ICD-10—CM, CPT and HCPCS level II code assignments, modifiers, APC groupings, missed secondary diagnosis and procedures
  • Ensure compliance with CMS’s Diagnostic Coding Guidelines for Hospital-based Outpatient Services
  • Monitors daily workload for coders and assures distribution of work is appropriate to ensure timely coding to meet Service Level Agreement
  • Reports issues to management as appropriate which impact operational flow of work
  • Assists with training and orientation of new coding colleagues, development of coding job aides to improve understanding of coders as appropriate and requests from Patient Financial Services or Care Management
  • Completes reports and distributes as requested
  • Complete assigned work functions utilizing appropriate resources
  • Laws and guidelines for release of information
  • Participate in client and Precyse staff meetings, trainings, and conference calls as requested and/or
  • Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines,
  • Government regulations, protocols and third-party requirements regarding coding and/or billing
  • Participate in continuing education activities to enhance knowledge, skills, and maintain current
  • Credentials
  • Support Precyse’s Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA
  • Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information
  • Radiology Certified Coder (RCC)
  • Minimum of two years technical coding experience that includes complex outpatient ambulatory services and ancillary coding or demonstrated level of higher proficiency such as
  • Interventional radiology, wound care, oncology and relevant hands-on coding experience
  • CRC – Certified Risk Adjustment Coder
  • Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective
  • October 1, 2015)
  • Proficient computer knowledge including MS Office (Outlook, Word, Excel, Power Point)
  • Must display excellent interpersonal and problem solving skills with all levels of internal and external customers
  • Medical Coding and Billing
  • Clinical Workflow knowledge
  • Proficient in Microsoft Word, Outlook, and Excel
  • High level of organization with the ability to multi-task effectively
  • Self-motivation with a proven ability to learn quickly, multi-task, and work independently
  • Flexibility to respond in a fast-paced, diverse, and changing environment
  • Organized, disciplined and detail oriented
  • 2 years of relevant and recent work experience in the medical coding field
  • ICD-10 CM Certified
  • EHR knowledge strongly preferred

Office Based Certified Medical Coder Resume Examples & Samples

  • Perform Coding duties as appropriate according to pre - determined schedules
  • Participate in Coding department meetings
  • 3+ years of coding experience in Family Practice/Internal Medicine
  • Experience Coding from paper charts as well as EMR
  • MS Office experience required i.e. Word, Excel, Outlook
  • Accurately analyzes provider documentation and ensure that appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes
  • Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
  • Evaluates medical records for consistency and adequacy of documentation
  • Maintains compliance standards as per the policies and reports compliance issues as required
  • Bachelor’s degree in any stream (preferably Life Science)
  • Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) with knowledge of HCPCS, ICD, CPT, and DRG preferred
  • Minimum one year of experience in medical coding
  • Knowledge of ICD-10 coding preferred
  • Analytical thinking and problem solving skills
  • Excel proficiency
  • Ability to work independently and accomplish targets in a timely manner

Medical Coder, Pathology Resume Examples & Samples

  • Effectively communicates with superiors, peers, billing reps, and others, as appropriate, on regular basis, assuring proper flow of information
  • Active AAPC coding certification CPC or CCS
  • AAPC ICD - 10 certification
  • Working knowledge of medical terminology
  • 2+ years experience in medical coding
  • 2+ years of related work in billing or laboratory testing
  • Pathology coding experience
  • Maintain current working knowledge of ICD-9 and ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing
  • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials
  • Management when there is a compliance concern or incident; demonstrating knowledge of HIPAA
  • Privacy and Security Regulations as evidenced by appropriate handling of patient information
  • Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic)
  • Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee
  • Evaluation and Management
  • As well as ICD-9/10 and CPT/HCPCS code sets (knowledge of ICD-10 code set required effective
  • Ability to consistently code at 95% threshold for both accuracy and quality while maintaining
  • Client-specific and/or Precyse production and/or quality standards
  • Proficient computer knowledge including MS Office (Outlook, Word, Excel)
  • Must display excellent interpersonal and problem solving skills with all levels of internal and
  • And experience
  • 2+ years of Hospital Inpatient Coding experience
  • Knowledgeable regarding assignment of DRG codes, invasive procedures and co-morbidities which may affect DRG reimbursement, CPT and ICD 9/10 code
  • Working knowledge of Medical Terminology

Specialty Practice Medical Coder Resume Examples & Samples

  • 2+ years of specialty Practice Coding experience
  • ICD-10 certification
  • Knowledge of Anatomy and Medical Terminology
  • Working knowledge of Regulatory requirements related to Healthcare Operations and their impact on Practice Operations
  • Associate's and/or Bachelor's Degree in a related field
  • Experience with ENT, Neurology, Plastic Surgery, etc

Medical Coder Outpatient Resume Examples & Samples

  • Prior work experience utilizing ICD10 codes
  • Knowledge of legal, regulatory and policy compliance issues related to medical coding and documentation and billing procedures
  • Ability to analyze, problem-solve, and work independently
  • Ability to provide guidance and training to professional and coding staff
  • Knowledge of University policies and procedures is necessary
  • Prior Evaluation and Management or Emergency Medicine coding experince preferred
  • Preferably 3 years of data management experience and the majority of this with medical coding
  • Preferably 2 years of experience in Information Technology
  • Preferably knowledge of Clinical Development
  • Preferably experience in project management
  • Works closely with the client’s HIM and other support departments
  • Learning is a daily part of your role with nThrive – keep your coding knowledge base current with Precyse University, available to all coding colleagues. We will provide full ICD-10 training and ongoing courses with AHIMA and AAPC approved CEUs at no cost to our colleagues. This education is being used by some of the top health systems in the country
  • Works with nationally recognized HIM professionals and a coding team of more than 375 colleagues in 41 states
  • You’re a key player in nThrive Compliance Program, demonstrating knowledge of HIPAA Privacy and Security Regulation information, promoting confidentiality in handling patient information
  • Our coding colleagues work for MedAssets-Precyse, coding records for multiple clients where the hospital has outsourced either all or a part of the coding functions to nThrive
  • Experience coding Inpatient Acute and/or Outpatient records
  • A minimum of two (2) years’ + experience coding patient records in a hospital HIM department
  • Previous inpatient and outpatient coding experience with experience in Medicare and Medicaid coding preferred
  • RHIA, RHIT, CCS, CCS-P, CCA, or CPC credentials required
  • Basic knowledge of medical terminology, anatomy and physiology, and coding systems
  • Adheres to and maintains required levels of performance in both coding accuracy and productivity
  • Identify appropriate assignment of CPT and ICD-10 Codes for physician and facility services
  • Provide documentation feedback to Providers, as needed, and query physicians when appropriate
  • Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by CDQI Management and Optum
  • Travel to provider offices for feedback and training three days per week on average
  • 1+ year coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting
  • Familiarity with multiple computer systems used in HIM

Medical Coder, Contingent Worker Resume Examples & Samples

  • Medical Coding Certificate
  • Two years’ experience using ICD-10-CM
  • Computer competency
  • 2+ years of experience in Medical Coding (ICD-10, CPT, and HCPCS) Testing required
  • If selected for this role, you will be required to complete and pass a background check/investigation for AHCA compliance
  • Bi-lingual English/Spanish highly desired
  • Coding credential required (CCS, CCS-P, CPC)
  • 2+ years of coding experience using CPT/ HCPCS/ ICD-10 codes in an inpatient or outpatient setting
  • 2 + years of experience with HCC
  • Experience coding from paper charts as well as EMR
  • Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources
  • Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information
  • Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers
  • Selects the appropriate reimbursement grouper based on financial class for the particular account
  • Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications
  • Abstracts and enters demographic, clinical and related patient information into the computer system
  • Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping
  • Reconciles, identifies and retrieves medical records to be coded
  • Maintains a 95% ongoing accuracy rate
  • Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity
  • Assists in the orientation and development of new coding personnel
  • Assumes professional responsibility for development of skills and ongoing education to maintain certification
  • Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature
  • Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the Operations Manager to find solutions and implement changes to increase productivity and department efficiency
  • Performs all duties and interacts with others in a professional manner
  • Two years of Outpatient Coding experience required
  • Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
  • Comprehensive understanding of ICD10 and CPT coding
  • Demonstrated ability to create strong working relations with physicians and practices
  • Capable of working independently as well as in a team environment

Medical Coder / Call Center Collections Resume Examples & Samples

  • Certified Coder
  • 2 Years Experience in Field
  • Call Center Experience
  • Collections Experience

Medical Coder, Pathology Telecommute Resume Examples & Samples

  • Responsibilities include: Applying CPT - 4 and ICD - 10 codes by translating dictated pathology reports, in a timely and accurate manner
  • Responds to accounts receivable department when coding discrepancies need reviewed due to payer denials
  • Active AAPC coding certification CPC or Active AHIMA coding certification CCS
  • Experience working in a measured production and quality based environment
  • Compile, abstract and maintain patient medical records to document condition and treatment. Actively code diagnoses (ICD-9) based on medical record documentation
  • Review records for completeness, accuracy and compliance with regulations. Protect the security of medical records to ensure that confidentiality is maintained
  • Participate in inter-rater reliability testing/peer review exercises, as requested
  • Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD-9, ICD-10) information
  • Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes
  • Understands and applies appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding
  • Knowledge of anatomy, physiology and medical terminology
  • Excellent verbal, math and written communication skills
  • ------------------------------------------------------------------------------------
  • Responsible for conducting non-routine audits, documenting & communicating findings and recommendations, explaining regulatory requirements, and overseeing the corrective actions for audits
  • Conduct risk assessments and preparation of work plans
  • Develop an understanding of the operations, system processes and procedures used in areas being audited
  • Review and test for compliance with institutional policies and procedures, applicable laws and regulations through the inspection of physical operations, processes, retrieval and review of documents and investigation of irregularities and errors
  • Compile information and/or prepare reports and analyses setting forth results of compliance audits with appropriate recommendations; perform subsequent audits to ensure complete and appropriate corrective action
  • Develop recommended corrective actions to address issues detected
  • Actively participates in exit conferences, providing clarification and supporting information necessary
  • Bachelors degree and coding certifications REQUIRED**
  • Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion
  • Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record
  • Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary
  • Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility
  • Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students
  • Proficiency in Microsoft Office: Excel, Word, Access; Outlook; Internet
  • Business analysis knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills
  • Customer service: Skilled to communicate with all levels of management, internal and external customers
  • Ability to work well as a member of a team or independently
  • Business Communication: Must be able to effectively communicate across technical and business constituencies in writing effective business specifications and requirements
  • Managed Care Coding experience required; knowledge of industry and regulatory requirements regarding coding required; risk adjustment experience preferred
  • Two to five years related experience required
  • Coding Certification required; CPC or equivalent certification by AAPC
  • Strong understanding of all coding guidelines including NCCI edits
  • Must be ICD10 certified
  • Experience reviewing medical documentation according to both Medicare and Medicaid regulations
  • Risk Adjustment Coding experience preferred
  • AA/AS - Associates Degree or equivalent required
  • BA/BS - Bachelors Degree or equivalent preferred
  • This is not a remote or work from home position. Position requires working in our Queens office
  • Must perform all essential duties and responsibilities of the Medical Coder position
  • Respond to Revenue Integrity Report findings and make applicable coding additions or corrections
  • As delegated, review Compliance audit findings, respond and/or correct billing system within allotted timeframe for coding corrections
  • Conduct training and maintain training checklists and reference material in cooperation with Management
  • Perform QA ailment hold review and related training as needed. Report findings to Management
  • Act as a resource to Medical Coder/Charge Poster teams for policy and/or process related coding questions
  • Be “Super User” for all related Revenue Integrity systems. (Intergy, Clinical R&V, G4 Studio, OWAN)
  • Review Medicare Local Coverage Determinations (LCDs) and Medicare bulletin updates and Medicare NCCI
  • Detail oriented and possesses excellent analytical skills
  • Work under limited supervision with ability to understand and meet deadlines as workload necessitates
  • Ensure applicable laws and regulations of working with confidential information are adhered to
  • Meet department productivity standards
  • Consistently reports to work on time and prepared to perform duties of position
  • Demonstrate flexible and efficient time management and ability to prioritize workload
  • Communicate regularly with Management about Department issues or process improvement initiatives
  • Medical Billing/Coding Diploma or Certificate Required
  • 2 or more years of coding experience in hospital or medical office setting required
  • Excellent computer skills including Microsoft Office especially Word and Excel
  • Strong command of English language
  • Ability to communicate clearly and effectively verbally and in writing
  • Confirm patient demographic, insurance and referring physician information is accurately entered into practice management system
  • Confirm insurance verifications and authorizations, as required
  • Communicate with Financial Counselors regarding insurance authorizations and referrals
  • Review daily physician schedules and evaluate office consults and office visits for appropriate complexity using CPT coding guidelines
  • Enter all CPT and ICD-9 coding into practice management system timely and accurately for code capture
  • Enter all word codes into practice management system per company policy and procedures
  • Follow established check and balance systems to ensure complete and accurate code capture
  • Respond to audit findings and make applicable coding additions or corrections
  • Update practice management system patient’s account notes with any changes made to patient information or as otherwise dictated by company policy and procedure
  • Confirm all documentation required for coding is complete and meets required regulations
  • Must be able to plan and prioritize workflow
  • Experience in hospital or medical office setting

Medical Coder / Educator Resume Examples & Samples

  • Certified Professional Coder Certification (AAPC)
  • Extensive travel outside the office is required and a valid driver’s license is required. Travel could be up to 50%
  • Must have reliable transportation with valid driver’s license and insurance
  • Strong written and verbal communication skills; strong work analytical, organizational and time management skills are required
  • Professional demeanor and appearance, strong work ethic, reliable, resourceful, enthusiastic, team player with a positive attitude
  • Comprehensive knowledge of Microsoft Word and Excel and Access
  • Bachelor’s Degree in Business or a related field
  • Prior Coding experience, preferably in a medical office
  • Extensive knowledge of multiple types of Current Procedural Terminology and Healthcare Common Procedure coding systems
  • Knowledge and experience in a health care environment/managed care
  • Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether a) the diagnosis codes are supported by the documentation and agree with ICD 10 Guidelines for Coding and Reporting
  • Review all medical record documentation for HEDIS and STARs capture and closure. Participate in and support internal and external prospective and retrospective reviews and audits
  • Educate and advise providers and their staff on proper code selection, documentation guidelines as well as assist with training and education for new hires
  • Identify training needs, prepare summary reports and conduct coaching as appropriate for clinicians and other staff to improve the quality of the documentation to accurately reflect the burden of illness for our patients
  • Serve as project and process SMEs when needed
  • High school education or GED
  • AAPC or AHIMA certified medical coder with a minimum of CPC credential and not limited to CRC, CPC-P, CCS and COC
  • 3+ years of experience in medical coding
  • 1+ years of HCC coding experience
  • Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision
  • Basic Microsoft office skills: Word, Excel, PowerPoint
  • Ability to travel locally to various IPA sites
  • Advanced understanding of medical terminology, pharmacology, body systems / anatomy, physiology and concepts of disease processes
  • 1 year of HCC coding in Medicare
  • Ability to code from a variety of electronic medical records systems
  • This position is responsible for the accurate coding of medical records according to current ICD 9/10 guidelines as well as reporting to leadership on various coding metrics
  • Review insurance payments and denials and recommends coding corrections
  • National coding certification from AAPC or AHIMA to include one or more of the following: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
  • Experience working with the Affordable Care Act and Medicare Advantage (preferred)

GI Medical Coder Resume Examples & Samples

  • Interpret medical record data in order to process physician and/or facility charges
  • Three years of medical chart abstraction and coding experience or relevant work experience required
  • Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases
  • Bachelor's degree in health sciences, health management, or nursing
  • 5 years of ICD-9 coding or medical record audit experience in a consultative role
  • CPC or CPMA from an accredited source or equivalent certification
  • Provide clinical coding expertise assuring that the ICD-10 CM/PCS code set and other coding is implemented in a consistent, justifiable manner
  • Review clinical documentation and diagnostic results to extract data, and apply the appropriate ICD-CM/PCS and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Codes inpatient and outpatient conditions and procedures as documented in ICD-CM Official Guidelines for Coding and Reporting
  • Resolve errors associated with billing and claims processing; identify and report error patterns; and design workflow changes to reduce errors
  • Coordinate and facilitate annual code updates with program staff
  • Assist in reviewing and validating MMIS ICD-10 modifications
  • Coordinate with program and operations staff, and MMIS IT to update, and maintain ICD logic; and help resolve mapping discrepancies
  • Reviews provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Resolve questions with provider
  • Verify and abstract specific clinical and demographic data, APR-DRG assignment, and APG/EAPG outpatient assignment
  • Assure appropriate diagnosis and grouper assignment. Extract required information from source documentation and enter into system
  • Identify and report non-payment Provider Preventable Conditions (PPC)
  • Review error reports; correct or complete missing data elements
  • Act as a resource for staff on coding issues, monitor changes in regulations that impact clinical documentations, reimbursement and coding and disseminate changes in coding rules
  • Ensure that computer systems are updated with annual code changes and updates
  • Produce clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services
  • Review training and communications materials and billing instructions, and oversee staff training
  • Three to five years of coding experience in a health care setting (i.e. hospital, large physician group practice, health plan, etc.)
  • Proficient in ICD-9-CM ICD-10-CM/PCS and CPT coding system, DRG, APG, MS-DRG and APCs and official coding guidelines
  • Ability to plan and prepare for ICD-10CM/PCS updates
  • Knowledgeable in medical terminology, anatomy and physiology, abnormal lab results, disease processes, and pharmacology-drug names
  • Basic computer knowledge and familiarity with systems used in healthcare, proficiency with Microsoft Office
  • Ability to work independently, and in a matrixed, team oriented, fast paced project environment
  • RHIA, RHIT, CCS, or CPC certification
  • Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines
  • Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed
  • 2 + years of experience in Medical Billing
  • Able to respect and maintain patient confidentiality at all times
  • Bi-lingual English/Spanish desired
  • 5 years of experience in Medical Coding (ICD-10, CPT, HCPC) and Billing

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Medical Coder resume examples for 2024

A medical coder's resume should highlight a strong understanding of medical terminology, ICD-10-CM, and CPT-4, as well as experience with coding rules, medical documentation, and billing. They should also demonstrate proficiency in data entry and the ability to work with physicians and other healthcare professionals to ensure accurate coding and reimbursement. Additionally, they should be familiar with HIPAA standards and have strong productivity standards.

Resume

Medical Coder resume example

How to format your medical coder resume:.

  • Use the job title 'Medical Coder' on your resume to match the application. Avoid using a different title even if it was your formal job title
  • Highlight achievements in your work experience such as increased accuracy or optimization of reimbursement. Avoid simply listing responsibilities
  • Fit your resume on one page as suggested by recruiters and hiring managers. Focus on relevant and important information for medical coder positions

Choose from 10+ customizable medical coder resume templates

Choose from a variety of easy-to-use medical coder resume templates and get expert advice from Zippia’s AI resume writer along the way. Using pre-approved templates, you can rest assured that the structure and format of your medical coder resume is top notch. Choose a template with the colors, fonts & text sizes that are appropriate for your industry.

Medical Coder Resume

Medical Coder resume format and sections

1. add contact information to your medical coder resume.

Medical Coder Resume Contact Information Example # 1

Montgomery, AL 36043| 333-111-2222 | [email protected]

2. Add relevant education to your medical coder resume

Your resume's education section should include:

  • The name of your school
  • The date you graduated ( Month, Year or Year are both appropriate)
  • The name of your degree

If you graduated more than 15 years ago, you should consider dropping your graduation date to avoid age discrimination.

Optional subsections for your education section include:

  • Academic awards (Dean's List, Latin honors, etc. )
  • GPA (if you're a recent graduate and your GPA was 3.5+)
  • Extra certifications
  • Academic projects (thesis, dissertation, etc. )

Other tips to consider when writing your education section include:

  • If you're a recent graduate, you might opt to place your education section above your experience section
  • The more work experience you get, the shorter your education section should be
  • List your education in reverse chronological order, with your most recent and high-ranking degrees first
  • If you haven't graduated yet, you can include "Expected graduation date" to the entry for that school

Check More About Medical Coder Education

Medical Coder Resume Relevant Education Example # 1

High School Diploma 2011 - 2013

Medical Coder Resume Relevant Education Example # 2

High School Diploma 2005 - 2007

3. Next, create a medical coder skills section on your resume

Your resume's skills section should include the most important keywords from the job description, as long as you actually have those skills. If you haven't started your job search yet, you can look over resumes to get an idea of what skills are the most important.

Here are some tips to keep in mind when writing your resume's skills section:

  • Include 6-12 skills, in bullet point form
  • List mostly hard skills ; soft skills are hard to test
  • Emphasize the skills that are most important for the job

Hard skills are generally more important to hiring managers because they relate to on-the-job knowledge and specific experience with a certain technology or process.

Soft skills are also valuable, as they're highly transferable and make you a great person to work alongside, but they're impossible to prove on a resume.

Example of skills to include on an medical coder resume

CPC is a digital marketing metric that measures the amount of money paid for each click in a pay-per-click (PPC) marketing campaign. Several factors determine your cost per click, including your maximum bid, Quality Score, and ad rank from other advertisers bidding on the same keyword. When using cost-per-click advertising, it is important to understand how to create your ad, choose the price you want to pay each time the ad is clicked, and how you will not only drive traffic to your website but increase conversion as well. Cost per click (CPC) is calculated by dividing ad costs by the number of clicks an ad generated.

Clinical documentation is a record specifying an instance of administered clinical therapy, clinical care, or a clinical test. Clinical reports should be exact, opportune, and reflect all instructions and advisements given to a patient.

Medicare is a federal government insurance program that offers health care coverage to people who are 65 and above. In some cases, younger people with disabilities whose status is identified by the SSA can also avail the insurance program. Medicare covers the health expenses of people who are not able to afford it plus it protects the payee from rising health care costs.

Procedure codes are usually referred to as the medical classification that is used to identify surgical, medical, or diagnostic interventions like durable medical equipment, surgeries, medications. These codes can be structured alphanumerically, alphabetically, or numerically depending on where they are being used.

Productivity standards are referred to as performance thresholds or requirements that must be met to satisfy organizational expectations. Productivity is calculated by measuring the number of units produced in relation to the number of working hours spent on the production.

Top Skills for a Medical Coder

  • CPC , 11.3%
  • Medical Terminology , 8.0%
  • ICD-10-CM , 7.4%
  • AHIMA , 6.7%
  • Other Skills , 66.6%

4. List your medical coder experience

The most important part of any resume for a medical coder is the experience section. Recruiters and hiring managers expect to see your experience listed in reverse chronological order, meaning that you should begin with your most recent experience and then work backwards.

Don't just list your job duties below each job entry. Instead, make sure most of your bullet points discuss impressive achievements from your past positions. Whenever you can, use numbers to contextualize your accomplishments for the hiring manager reading your resume.

It's okay if you can't include exact percentages or dollar figures. There's a big difference even between saying "Managed a team of medical coders" and "Managed a team of 6 medical coders over a 9-month project. "

Most importantly, make sure that the experience you include is relevant to the job you're applying for. Use the job description to ensure that each bullet point on your resume is appropriate and helpful.

  • Maintained top accuracy and productivity records for ICD-9, CPT and HCPCS coding exceeding 98%.
  • Conducted Initial Medicare Surveys for new medical facilities that opened in West Virginia Conducted JCAHO Validation surveys at JCAHO accredited hospitals.
  • Started my career coding inpatient records and assigning DRG's.
  • Assigned ICD-9-CM and CPT-4 diagnoses and procedure codes based on the coding guidelines and documentation in the inpatient/outpatient medical record.
  • Verified each patients insurance; both Medicaid and private insurance
  • Communicated with primary care providers over phone to retrieve medical records via fax while adhering to HIPAA guidelines.
  • Ensured accurate provider pricing, demographics and payment of claims in accordance with contracted rates.
  • Trained new and existing employees on policies and procedures relating to release of information.
  • Tracked Release Of Information (ROIs) records while following ROI protocols to ensure patient confidence.
  • Maintained 8% monthly deficiency rating remaining compliant with JCAHO standards.
  • Provided guidance to other Administrative Assistants for time and attendance procedures.
  • Utilized medical databases and automation systems including CHCS, AHLTA, ESSENTIS, TRAC2ES, and DEERS.
  • Ensured department operations were in accordance with the MWR Policies and Procedures.
  • Performed contacts to organizations for securing information and updated all Standard Operating Procedures (SOP's) relating to Youth Center.
  • Demonstrated awareness of agency mission, organizational goals, values, policies and procedures.
  • Assigned codes and modifiers with ICD-9-CM, CPT and HCPCS Level II Codes when appropriate.
  • Reviewed instances that were potentially reimbursable, including Medicare and other third party payers, by applying correct coding principles.
  • Reviewed Outpatient encounters to ensure coding accuracy Working knowledge of diverse medical terminology Knowledge of EMR/EHR.
  • Attended state and local AHIMA, Medicare, CPT-4 and ICD-9 meetings/seminars.
  • Utilized HCPCS level III, ICD-9 CM codes, CPT 4 codes, 3M coding software, EPIC, Encoder Pro.

5. Highlight medical coder certifications on your resume

Specific medical coder certifications can be a powerful tool to show employers you've developed the appropriate skills.

If you have any of these certifications, make sure to put them on your medical coder resume:

  • Certified Billing and Coding Specialist (CBCS)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Registered Health Information Technician (RHIT)
  • Certified Medical Coder (CMC)
  • Medical Assistant
  • Certified Code Specialist
  • Registered Health Information Administrator (RHIA)
  • Certified Professional Medical Auditor (CPMA)
  • Certified Outpatient Coding (COC)

6. Finally, add an medical coder resume summary or objective statement

A resume summary statement consists of 1-3 sentences at the top of your medical coder resume that quickly summarizes who you are and what you have to offer. The summary statement should include your job title, years of experience (if it's 3+), and an impressive accomplishment, if you have space for it.

Remember to emphasize skills and experiences that feature in the job description.

Common medical coder resume skills

  • Medical Terminology
  • Clinical Documentation
  • Procedure Codes
  • Productivity Standards
  • Diagnosis Codes
  • Home Health
  • Accuracy Rate
  • Medical Billing
  • Emergency Room
  • Cycle Management
  • Good Time Management
  • Medical Necessity
  • Surgical Procedures
  • Rehabilitation
  • Professional Work
  • Interventional Radiology
  • Physician Documentation
  • Charge Entry
  • Billing System
  • Orthopedics
  • Outpatient Services
  • Patient Accounts
  • Patient Charts
  • Internal Medicine
  • Physical Therapy
  • Gastroenterology

Medical Coder Jobs

Links to help optimize your medical coder resume.

  • How To Write A Resume
  • List Of Skills For Your Resume
  • How To Write A Resume Summary Statement
  • Action Words For Your Resume
  • How To List References On Your Resume

Medical Coder resume FAQs

How do i put a cpc certification on my resume, what is a medical coder's job description, what should a medical coder put on a resume, what skills do you need to be a medical coder, search for medical coder jobs.

Updated March 14, 2024

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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Top 17 Medical Coder Resume Objective Examples

Photo of Brenna Goyette

Updated July 10, 2023 14 min read

A resume objective is a short statement that expresses your professional goals and highlights your relevant qualifications for the medical coder position. It should be concise and tailored to both the job description and the company. When writing a resume objective, focus on your skills, knowledge, and experience that make you an ideal candidate. For example, if you have experience with coding systems like ICD-10 or CPT, you can highlight this in the objective. Additionally, if you are proficient in using medical terminology or have specialized training in coding practices, emphasize those too. Ultimately, your goal is to demonstrate why you’re the best person for the job and why hiring you would benefit the organization. Examples of effective resume objectives for a medical coder include: “Highly organized individual with 5 years of experience in ICD-10 coding seeking to leverage expertise in providing accurate records management at ABC Healthcare Center”; or “Motivated professional with advanced knowledge of CPT codes looking to apply expertise as a Medical Coder at XYZ Clinic."

Medical Coder Resume Example

or download as PDF

Top 17 Medical Coder Resume Objective Samples

  • To obtain a Medical Coder position in a healthcare facility where my coding experience, knowledge and skills can be utilized to contribute to the organization’s success.
  • Seeking a Medical Coding position with a reputable health care organization that offers opportunities for growth and advancement.
  • To secure a Medical Coding role with an established company where I can utilize my knowledge and expertise to help improve patient outcomes.
  • To join an innovative healthcare team as a Medical Coder and help optimize patient care through accurate coding.
  • Looking for a challenging Medical Coding position in which I can apply my extensive experience in medical coding and billing.
  • Eager to join an esteemed healthcare organization as a Medical Coder and use my expertise to ensure accuracy of medical codes.
  • To obtain a Medical Coding role with an organization that values quality, accuracy, and timely delivery of services.
  • Seeking an opportunity as a Medical Coder in order to make use of my knowledge in medical terminology, anatomy, physiology, pharmacology, pathology, etc.
  • Aiming to work as a Medical Coder at XYZ Healthcare Facility where I can utilize my coding skills and experience to ensure accurate data entry.
  • Desire to become part of an esteemed healthcare team as a Medical Coder and use my expertise in data entry to maximize efficiency of services provided.
  • Passionate about utilizing my skillset as a certified medical coder for the benefit of the patients within the organization’s network of providers.
  • Looking for an opportunity as a Medical Coder where I can apply my strong attention to detail and commitment to accuracy while ensuring compliance with regulations.
  • To join ABC Healthcare Center as a certified Medical Coder and leverage my expertise in coding standards, procedures, protocols, etc., for optimal results.
  • To obtain employment as a Medical Coder at XYZ Clinic where I can apply my knowledge of medical terminology, anatomy & physiology towards improving patient care outcomes.
  • Seeking employment at ABC Hospital/Clinic where I can utilize my comprehensive understanding of current medical coding guidelines & regulations while providing quality service delivery.
  • Aiming for an opportunity as Certified Professional (CPC) or Certified Professional Biller (CPB) with ABC Health Care Organization so that I may contribute towards improved patient outcomes through accurate code assignment & documentation review processes

How to Write a Medical Coder Resume Objective

Writing a resume objective for a medical coder is an important step in the job search process. A good objective statement should give potential employers an insight into your qualifications, experience and career aspirations. It should also be tailored to the specific job you are applying for. Here are some tips on how to write an effective medical coder resume objective:

1. Begin by emphasizing your qualifications and experience. Start off by mentioning your certifications, such as Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Certified Medical Coding Specialist (CMCS). Include any relevant industry experience and any other specialized skills that you possess that could benefit the employer.

2. Focus on what you can bring to the role. Employers want to know how hiring you can benefit their organization, so make sure to detail how your unique qualifications will help them achieve their goals. Explain why you believe you are the best fit for the position and how your skills can help improve patient care or streamline processes.

3. Highlight any additional skills that could be useful in a medical coding role. For example, if you have knowledge of coding systems like ICD-10, mention it in your objective statement as this could give you an edge over other applicants who don’t have such knowledge or experience.

4. Make sure to keep it short and concise – no more than two sentences long! Employers receive hundreds of resumes each day, so they don’t have time to read lengthy objectives – make sure yours stands out by being clear and concise yet still conveying all the necessary information about yourself and what makes you a good candidate for the role.

By following these tips, you can create an effective medical coder resume objective that will help get your foot in the door for interviews with potential employers!

Related : What does a Medical Coder do?

Key Skills to Highlight in Your Medical Coder Resume Objective

In the competitive field of medical coding, it's crucial to make your resume stand out from the crowd. One way to do this is by highlighting key skills in your resume objective. This section provides potential employers with a snapshot of what you can bring to their organization. The skills you list should not only showcase your proficiency and experience in medical coding but also demonstrate your ability to contribute positively to the workplace. In this section, we will discuss some of the essential skills that can make your medical coder resume objective more compelling and attractive to prospective employers.

ICD-10 (International Classification of Diseases, 10th Revision) is a critical skill for a Medical Coder as it is the system used globally to classify and code all diagnoses, symptoms, and procedures recorded in conjunction with hospital care. Proficiency in ICD-10 demonstrates the candidate's ability to accurately record and interpret medical information, which is crucial for billing, research, and health statistics. This skill can help enhance the efficiency and accuracy of healthcare services provided by an institution. Therefore, including this skill in a resume objective can make the candidate more desirable to potential employers.

Current Procedural Terminology (CPT) is a key skill for a Medical Coder as it involves the coding system used to categorize and bill medical procedures and services. This knowledge is crucial in ensuring accurate billing, reducing errors, and facilitating smooth communication between healthcare providers and insurance companies. A proficiency in CPT demonstrates an understanding of medical terminology, attention to detail, and the ability to process large amounts of data accurately - all essential qualities for a Medical Coder. Therefore, mentioning this skill in a resume objective can highlight one's expertise in the field and increase their chances of securing the job.

The Healthcare Common Procedure Coding System (HCPCS) is a collection of codes that represent procedures, supplies, products and services which may be provided to Medicare beneficiaries and to individuals enrolled in private health insurance programs. Knowledge and proficiency in HCPCS is crucial for a Medical Coder as it ensures accurate coding of patient records for billing purposes. This skill shows potential employers that the candidate has the necessary expertise to handle and manage healthcare data effectively, reducing errors and ensuring compliance with medical coding standards.

4. HIPAA compliance

A Medical Coder must have knowledge of HIPAA compliance because they handle sensitive patient information daily. Understanding and adhering to the regulations set by the Health Insurance Portability and Accountability Act (HIPAA) ensures that a medical coder maintains confidentiality and integrity of patient data. This skill is crucial for a resume objective as it demonstrates the candidate's commitment to protecting patient privacy and their ability to work within legal and ethical boundaries in healthcare.

5. EHR navigation

Electronic Health Record (EHR) navigation is a crucial skill for a Medical Coder because it involves managing and organizing patient data, which is a significant part of their job. This skill shows potential employers that the candidate can efficiently access and interpret patient information to accurately code medical procedures and diagnoses for billing purposes. It also indicates that the applicant is familiar with digital healthcare systems, improving workflow efficiency and accuracy in documenting patient care.

6. Medical terminology

Understanding medical terminology is crucial for a Medical Coder as they are responsible for translating patient information, diagnoses, and medical procedures into a coded language used within the healthcare industry. This skill is needed to ensure accuracy in coding and billing, which directly impacts the financial operations of healthcare providers. Including this skill in a resume objective demonstrates the candidate's ability to perform their job effectively and accurately.

7. Anatomy knowledge

A Medical Coder needs a strong knowledge of anatomy to accurately translate diagnoses, treatments, and procedures documented by healthcare professionals into universal medical codes. This skill is necessary for the resume objective as it demonstrates the candidate's ability to perform accurate coding, which is crucial for billing purposes, medical records and statistical reports. It also ensures appropriate reimbursement from insurance companies and helps in maintaining patient's confidentiality and data accuracy.

8. Billing software (e.g., Kareo)

A Medical Coder's job involves translating patient information into standardized codes used for billing purposes. Proficiency in billing software like Kareo is essential as it allows for accurate, efficient coding and billing processes. This skill demonstrates the candidate's ability to handle the technical aspects of the role, ensuring precise data entry and management, which can lead to improved revenue cycle management for the healthcare facility.

9. Insurance guidelines

A medical coder needs to have a thorough understanding of insurance guidelines because they are responsible for translating medical procedures, diagnoses, and equipment into universal medical alphanumeric codes. These codes are used for billing purposes and must comply with all insurance guidelines to ensure accurate reimbursement. If a medical coder does not understand these guidelines, it could lead to incorrect coding, claim denials or delays in payment, which can negatively impact the financial health of the healthcare provider. Therefore, demonstrating this skill on a resume can show potential employers that the candidate is capable of performing their duties accurately and efficiently.

10. Coding accuracy

A Medical Coder's main responsibility is to accurately translate patient information, medical procedures, and physician diagnoses into universal medical codes. This skill is crucial for a resume objective as it directly pertains to the core function of the job. It demonstrates the candidate's ability to perform their role effectively and efficiently, reducing errors that could lead to billing issues or miscommunication in medical records. High coding accuracy also ensures compliance with healthcare regulations and helps maintain high standards of patient care.

Top 10 Medical Coder Skills to Add to Your Resume Objective

In conclusion, your medical coder resume objective should effectively highlight your key skills to make you stand out among other candidates. It is not just about listing your abilities, but also demonstrating how these skills have been applied in your previous roles and how they can be of value to the potential employer. Remember, your objective is a brief yet powerful statement that reflects your professional goals while showcasing why you are the best fit for the job. Tailoring it to align with the specific needs of the job you're applying for can significantly increase your chances of landing an interview.

Related : Medical Coder Skills: Definition and Examples

Common Mistakes When Writing a Medical Coder Resume Objective

Writing a medical coder resume objective can be an important first step in getting your dream job. Unfortunately, many people make mistakes that can prevent them from getting the job they want. In this essay, we will discuss some of the most common mistakes when writing a medical coder resume objective and how to avoid them.

One of the most common mistakes when writing a medical coder resume objective is to focus too much on yourself. Many people make the mistake of writing their resume objective as if it were a personal statement, making it all about themselves and their qualifications instead of focusing on what the employer is looking for. Your resume objective should be tailored to the specific position you are applying for, and should focus on how you can contribute to the organization’s success.

Another common mistake when writing a medical coder resume objective is being too generic or vague. You want your resume objective to stand out from other applicants by showcasing your unique qualifications and skills that make you stand out from other candidates. Be sure to include specific details such as experience with certain coding software or knowledge of specific coding languages in order to demonstrate your expertise in this field.

Finally, many people also make the mistake of assuming that employers know exactly what they are looking for in terms of skills and qualifications without actually communicating these expectations clearly in their resume objectives. It is important to be clear about what you can offer an employer in terms of knowledge and experience so that they can easily see why you would be an asset to their organization.

By avoiding these common mistakes when writing a medical coder resume objective, you can increase your chances of landing your dream job! Remember to keep it focused on your contributions rather than yourself, be specific with details, and communicate clearly what makes you stand out from other applicants. Good luck!

Related : Medical Coder Resume Examples

Medical Coder Resume Objective Example

A right resume objective for a Medical Coder should focus on helping the employer achieve their goals by demonstrating how your skills and experience make you an ideal candidate, while a wrong resume objective would focus solely on what you want to gain from the position.

Editorial staff

Photo of Brenna Goyette, Editor

Brenna Goyette

Brenna is a certified professional resume writer, career expert, and the content manager of the ResumeCat team. She has a background in corporate recruiting and human resources and has been writing resumes for over 10 years. Brenna has experience in recruiting for tech, finance, and marketing roles and has a passion for helping people find their dream jobs. She creates expert resources to help job seekers write the best resumes and cover letters, land the job, and succeed in the workplace.

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    1. Tailor your summary to the medical coding job description. When crafting your medical coder resume summary, it's essential to align your skills and experiences with the requirements listed in the job description. This demonstrates to the employer that you have the specific qualifications they are seeking.

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    We can help. According to Monster's Salary Tools, the median pay for a medical coder is $21.26 per hour, while it's $16.84 per hour for a medical biller. You can also get pay details for medical coders and medical billers in your area by just adding the job title and the city you're in to Monster's Salary Tools.

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    The most successful resume samples for Medical Coders emphasize familiarity with medical terminology, organizational skills, communication abilities, techniques for obtaining patient information, and IT skills. Postsecondary certificates in health care related field are common experience in Medical Coder resumes.

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