Works on complex assignments requiring research and recommendation of coding reimbursement department. Our guide shows you how to add bootcamp to resume highlights and gives you the tools you need to land your first coding job. Build a digital presence by writing articles on famous developer’s communities or taking on side gigs that can make yourself more known to your peers in the industry. Crafting a Medical Coding Specialist resume that catches the attention of hiring managers is paramount to getting the job, and LiveCareer is here to help you stand out from the competition. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders, Builds and supports effective relationships with internal and external stakeholders and organizations. This includes: following defined procedures regarding the installation software and hardware, providing feedback to others responsible for monitoring project status, assuring system integrity, and preparing status reports for department management and all other Associates involved, Education: High School Diploma required. Apply to Coding Specialist, Reimbursement Specialist, Document Specialist and more! Advanced degree in Computer Science, Statistics, or Health Policy and 6 years experiene is desirable, At least 5 years of experience in managing a diverse group of technical staff or in directing project work, Experience in working with relational databases is desirable, Research experience in contract work with the Center for Medicare & Medicaid Services (CMS)or in a health related field is highly desirable, Excellent communication skills, written and verbal, and a demonstrated ability to interact effectively with senior executives, management, and technical staff, To qualify, applicants must be legally authorized to work in the United States and not require sponsorship now or in the future, Educate practitioners / clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process; ensure all Market Leaders are utilizing established tools and are able to downstream this education in their prospective markets, Partner with business owners to identify methods to execute upon the key strategic visions and lead the initiative to completion, Review and update educational materials as approved by Leadership, CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders, Two years of clinical coding experience with strong attention to detail and a high level of accuracy, Knowledge of CMS-HCC model and guidelines along with ICD-9/10 and guidelines, Effectively communicates complex ideas clearly and concisely to internal and external customers, Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding, Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Hardworking and motivated medical coder with 5+ years of experience seeking a full-time position. Coders' sample resumes reflect the following responsibilities: converting project specifications and statements of problems and procedures to computer code using the following languages: HTML, XML, PHP, JavaScript, Ajax, SQL, and LDAP, amongst others; and … Incorporates best practices and responds to emerging trends to enhance operations, programs, and/or services. Coded patient charts using CPT and ICD-9 books. Assist management in the formation of quarterly and yearly goals and other special projects as requested, Maintains a professional appearance and demeanor, Thorough knowledge and significant experience in ICD-10/CPT4 coding, DRG assignment, APC assignment, PPS payment systems and CMS compliance issues, Assists in the orientation of others and actively participates in mentoring, Is cooperative in interactions, treating customers with courtesy, respect and compassion, Strives to prevent/resolve customer concerns to the customer's satisfaction, Is responsible for ongoing development of his/her work skills through the use of available resources (i.e. Hospital based coding experience preferred, Instruction in ICD-10 may be considered in lieu of ICD-10 experience, Proficient in the use of CPT, ICD9 and HCPCS coding principles, Should be knowledgeable with Hierarchical Condition Categories (HCC) both CMS and HHS, Demonstrated experience conducting Medical Record audits and ability to interpret and apply Federal and State regulations, coding and billing requirements, Provides feedback and audit reports to Leadership from E&M, CPT and ICD9/ICD10 audits conducted by NCAT auditors using all state/federal and 3rd party payor regulatory standards for both inpatient and outpatient, CCS is preferred, CCS-P and CPC, RHIT and/or AHIMA certifications including ICD10 trainers will also be strongly considered, 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, Will be reviewing Provider dictation and charge entry done by Business Ops personnel to make certain that correct cpt codes are billed and appropriate diagnoses assigned in accordance with Provider dictation, Need to establish and maintain effective communication with providers and management; strong knowledge of Medical Terminology, Knowledge of Medicare/CMS requirement and Allina Policy; will perform the job in accordance with Allinas 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, 75% Data / documentation and coding validation and analysis. Provides support to management, Guides the development and implementation of short and long-range goals and objectives for the designated business entitys coding and abstracting programs. Negotiates contracts with external vendors for products and/or services and monitors/evaluates quality and/or performance. Reports results to Hospital, PAANS and clinic leadership, Coordinates internal (Corporate Compliance) and external audits (Government and Private payers) for Medicare Part A and Part B services associated with clinics, Maintains and updates charge documents with new and deleted codes in cooperation with clinic leadership, PAANS and Finance IT systems. For ideas, check out this sample resume for an entry-level computer programmer that Isaacs created below, or download the entry-level computer programmer resume … to appropriate personnel for follow-up and resolution. Accurately entered procedure codes, diagnosis codes and patient information into billing software. Keep Regional Coding Operations Manager informed of any issues that prevent timely submission of claims, Assist individual market coding staff with day-to-day coding duties, as needed, including but not limited reviewing provider documentation to ensure assignment and sequencing of procedural and diagnostic codes to ensure accurate and timely submission of claims, Participate with special projects and other duties as assigned, Expert working knowledge of CPT-4, ICD9, ICD-10-CM and HCPCS codes as well the National Correct Coding Initiative (NCCI) edits, Remains current on reimbursement regulations and coding guidelines and keeps the market informed of changes, Ability to convey information in a clear, concise and accurate manner, Obtains necessary CEU’s to maintain required competencies, licenses and certification, Demonstrates proficiency using Microsoft products (Excel, Word, PowerPoint) and a medical management system, Works with all team members to promote a harmonious work environment and encourages an open and honest exchange of ideas with all internal and external customers, Demonstrates the ability to gather and analyze data in order to solve problems and develops an alternative course of action and/or alternative solution, when necessary, Maintains a strong work ethic and demonstrates a high level of professionalism; and, Ability to work independently, prioritize work and complete projects/tasks in a timely manner, Completion of college level courses in medical coding/billing, medical terminology, anatomy and physiology, highly desirable, Must be certified through the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Preferred OR, 5+ years of progressive coding and management experience, Responsible for executing transactional processes, Check and review invoices for VAT coding compliance, according Cargill internal policy, Daily communication with Tax personnel, Business units on questions arising within VAT coding issues, Participate trainings and process improvement projects within Global Business Services, Ensure all internal controls are in place and monitored according Cargill policies, Respond to BU to deliver error free process, Bubuilding supportive relationships with peers and colleagues, This role will report to the Indirect Tax Supervisor, Finance Shared Services in Sofia, Bulgaria, Problem-solving skills with an ability to identify and resolve problems in a timely manner, Demonstrate commitment to internal control, Strong sense of ownership and follow-through, Strong listening and communication skills, Ability to adapt to change and learn quickly, Good working knowledge of MS Office (Word / Excel), Working Knowledge of ERP (JDE/SAP) would be preferred, Coding Technical Skills - extensive regulatory coding (ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge, Critical Thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action, Building Trust - interacts with others in a way that gives them confidence in one’s intentions and those of the organization, Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values, Managing Conflict - dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people, Energy - consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time, Stress Tolerance - maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization, Planning and Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task, Communication - communicates clearly, proactively and concisely with all key stakeholders, Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations, Work Independently - is self-supporting; not needing to rely on others to complete a job, Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time, PC Skills - demonstrates proficiency in Microsoft Office applications and others as required, Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems, Project Management - assesses work activities and allocates resources appropriately, Coach, Mentor and Educate - provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem, Minimum 7 years' recent inpatient/outpatient hospital coding experience required, Experience managing a large coding team or coding review team strongly preferred, Bachelor’s Degree in Nursing required (Associate’s Degree or Nursing Diploma from accredited nursing school with 2 or more years of additional experience may be substituted in lieu of a bachelor’s degree) and current RN license in good standing, A graduate of allied health care related course with commensurate experience in data management, Minimum of 5 years coding experience required, At least 2 years of Coding in Clinical Research/Data Management, Strong knowledge of ICH guideline, or adequate background and have attended seminars for MedDRA and WHODD use, Knowledge of coding tool Central coding, INFORM a plus, Proficiency on all related regulations, GCP, and Good Clinical DM Practice, Computer proficiency and knowledge of medical terminology, Develop and execute business unit strategy, plans and programs, both short and long range, to ensure profit growth and expansion, Drive P&L performance of top and bottom line targets, Set product strategy and execute on sales targets (multi-million dollar sales targets) for the facility coding product line, Analyze activities, costs, operations, and forecast data to achieve business unit goals and objectives, Recognize the achievement and contributions of others, Evaluate individual performance including holding team members accountable to agreed-upon deliverables, Provides direct supervision to assigned employees through leadership, coaching, training and development, allocating work assignments, review of progress in achieving objectives, managing employee compensation, performance appraisals, diversity, disability, all relevant employee data, etc. Assist the doctors and maintaining the relationship and arranging breakfast/lunches for the modalities... 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