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Newton Thompson
Medical Insurance Coder
Summary
Highly skilled Medical Insurance Coder with over 10,000 processed medical insurance claims per month. Proficient in utilizing ICD10CM, CPT, and HCPCS coding systems to assign appropriate codes to medical procedures and diagnoses. Proven ability to verify medical necessity of services, review medical records, and obtain additional documentation when necessary. Demonstrated expertise in conducting audits and investigations to identify and resolve coding errors, improving claim reimbursement rates. Committed to staying updated on industry regulations and coding changes through continuing education and professional development. Experience in working effectively in a team environment and collaborating with physicians, nurses, and other healthcare professionals. Proficient in utilizing medical coding software, such as EncoderPro and 3M CodeManager, to streamline the coding process. Adheres to HIPAA regulations and maintains patient confidentiality throughout all processes.
Education
Bachelor of Science in Health Information Management
March 2018
Skills
- ICD-10-CM and ICD-10-PCS Coding
- CPT and HCPCS Coding
- DRG Assignment
- Medical Terminology
- Anatomy and Physiology
- Insurance Billing and Reimbursement
Work Experience
Medical Insurance Coder
- Stayed updated on industry regulations and coding changes through continuing education and professional development.
- Worked effectively in a team environment and collaborated with physicians, nurses, and other healthcare professionals.
- Utilized medical coding software, such as EncoderPro and 3M CodeManager, to streamline the coding process.
- Adhered to HIPAA regulations and maintained patient confidentiality throughout all processes.
Medical Insurance Coder
- Processed over 10,000 medical insurance claims per month, ensuring accuracy and compliance with regulatory standards.
- Utilized ICD10CM, CPT, and HCPCS coding systems to assign appropriate codes to medical procedures and diagnoses.
- Verified medical necessity of services, reviewed medical records, and obtained additional documentation when necessary.
- Conducted audits and investigations to identify and resolve coding errors, improving claim reimbursement rates.
Accomplishments
- Successfully coded and processed over 10,000 medical claims per month, resulting in a 99.5% accuracy rate
- Developed and implemented a new coding system that reduced coding errors by 15%
- Trained and mentored new coding staff, improving their productivity and accuracy
- Participated in regular audits to ensure coding compliance and accuracy
- Stayed uptodate on the latest coding guidelines and regulations
Awards
- Certified Professional Coder (CPC) credential from the American Health Information Management Association (AHIMA)
- Certified Coding Associate (CCA) credential from the American Health Information Management Association (AHIMA)
- Certified Inpatient Coder (CIC) credential from the American Health Information Management Association (AHIMA)
- Certified Outpatient Coder (COC) credential from the American Health Information Management Association (AHIMA)
Certificates
- Certified Professional Coder (CPC)
- Certified Coding Associate (CCA)
- Certified Health Information Coder (CHIC)
- Certified Inpatient Coder (CIC)
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How To Write Resume For Medical Insurance Coder
- Highlight your experience and skills in medical coding, including specific examples of your accuracy and efficiency.
- Demonstrate your knowledge of industry regulations and coding changes, and emphasize your commitment to continuing education.
- Showcase your ability to work independently and as part of a team, and highlight your communication and interpersonal skills.
- Quantify your accomplishments whenever possible, using specific metrics to demonstrate your impact on claim reimbursement rates or other key performance indicators.
Essential Experience Highlights for a Strong Medical Insurance Coder Resume
- Processed over 10,000 medical insurance claims per month, ensuring accuracy and compliance with regulatory standards.
- Utilized ICD10CM, CPT, and HCPCS coding systems to assign appropriate codes to medical procedures and diagnoses.
- Verified medical necessity of services, reviewed medical records, and obtained additional documentation when necessary.
- Conducted audits and investigations to identify and resolve coding errors, improving claim reimbursement rates.
- Stayed updated on industry regulations and coding changes through continuing education and professional development.
- Worked effectively in a team environment and collaborated with physicians, nurses, and other healthcare professionals.
- Utilized medical coding software, such as EncoderPro and 3M CodeManager, to streamline the coding process.
Frequently Asked Questions (FAQ’s) For Medical Insurance Coder
What are the key responsibilities of a Medical Insurance Coder?
The key responsibilities of a Medical Insurance Coder include processing medical insurance claims, assigning appropriate codes to medical procedures and diagnoses, verifying medical necessity of services, conducting audits and investigations, staying updated on industry regulations, and working effectively in a team environment.
What are the most important skills for a Medical Insurance Coder?
The most important skills for a Medical Insurance Coder include proficiency in medical coding systems, knowledge of medical terminology, and attention to detail. Additionally, strong communication and interpersonal skills are essential for success in this role.
What are the career prospects for a Medical Insurance Coder?
Medical Insurance Coders are in high demand due to the increasing complexity of the healthcare system and the need for accurate and efficient coding. With experience, Medical Insurance Coders can advance to roles such as coding manager or coding auditor.
What is the average salary for a Medical Insurance Coder?
The average salary for a Medical Insurance Coder varies depending on experience, location, and employer. According to the American Health Information Management Association (AHIMA), the median salary for Medical Insurance Coders is around $56,000 per year.
What are the educational requirements for a Medical Insurance Coder?
Most Medical Insurance Coders have a high school diploma or equivalent. Some employers may prefer candidates with a college degree in health information management or a related field.
What are the certifications available for Medical Insurance Coders?
There are several certifications available for Medical Insurance Coders, including the Certified Coding Associate (CCA) and the Certified Coding Specialist (CCS) from AHIMA. These certifications demonstrate a coder’s knowledge and skills and can enhance their career prospects.