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Nicolas Jackson
Medical Billing Coder
Summary
Highly accomplished Medical Billing Coder with 5+ years of experience in the healthcare industry. Proven ability to accurately code over 10,000 medical claims per month, resulting in a 99% clean claim rate. Proficient in utilizing various medical billing software and maintaining a detailed understanding of medical terminology, anatomy, and physiology.
Recognized for exceptional attention to detail and a commitment to delivering high-quality work. Collaborated with providers to resolve coding discrepancies and ensured timely claim submission. Stayed abreast of industry best practices and regulatory changes through regular training and audits.
Seeking a challenging role where I can leverage my expertise to contribute to the efficiency and accuracy of medical billing processes.
Education
Associate Degree in Health Information Management
December 2015
Skills
- Medical Coding
- ICD-10-CM/PCS Coding
- CPT Coding
- HCPCS Coding
- E/M Coding
- Payer Billing Rules
Work Experience
Medical Billing Coder
- Verified insurance eligibility and processed patient payments.
- Collaborated with providers to resolve coding discrepancies and ensure timely claim submission.
- Participated in regular training and audits to stay abreast of industry best practices and regulatory changes.
- Maintained a detailed understanding of medical terminology, anatomy, and physiology.
Medical Billing Coder
- Accurately coded over 10,000 medical claims per month, resulting in a 99% clean claim rate.
- Utilized a variety of medical billing software, including EncoderPro, Availity, and GE Centricity.
- Thoroughly reviewed medical records to extract relevant patient information for coding purposes.
- Assigned appropriate ICD10 and CPT codes based on medical documentation.
Accomplishments
- Challenge Implemented new software system for medical billing Action Led the team in training and implementing the software Result Improved billing accuracy by 15% and reduced processing time by 20%
- Challenge Identified billing errors leading to significant financial losses Action Analyzed billing data and implemented corrective measures Result Reduced errors by 30% and recovered $500,000 in lost revenue
- Challenge Reduced patient wait time for billing inquiries Action Developed and implemented an online billing portal Result Increased patient satisfaction and reduced administrative workload by 25%
- Challenge Streamlined insurance claim submission process Action Automated claim filing using EDI technology Result Reduced claim submission time by 40% and increased firstpass acceptance rate by 10%
- Challenge Improved medical coding accuracy and compliance Action Participated in industry workshops and obtained certification Result Achieved 99% coding accuracy and reduced denials by 15%
Awards
- Awarded Medical Billing Coder of the Year by the American Health Information Management Association (AHIMA)
- Recognized as Top Performer in medical billing accuracy and efficiency by [Company Name]
- Received Certificate of Excellence for exceptional contributions to the field of medical billing
Certificates
- Certified Professional Medical Coder (CPC)
- Certified Professional Coder (CPC-A)
- Certified Outpatient Coder (COC)
- Registered Health Information Technician (RHIT)
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How To Write Resume For Medical Billing Coder
- Highlight your skills and experience: Showcase your proficiency in medical coding, ICD-10-CM/PCS, CPT, HCPCS, and E/M coding, as well as your knowledge of payer billing rules.
- Quantify your accomplishments: Use numbers to demonstrate your impact, such as the percentage of clean claims you have processed or the amount of revenue you have generated for your organization.
- Demonstrate your attention to detail: Emphasize your ability to accurately interpret medical records and assign the correct codes.
- Showcase your commitment to professional development: Highlight your participation in training and audits to stay up-to-date with industry best practices and regulatory changes.
Essential Experience Highlights for a Strong Medical Billing Coder Resume
- Accurately code over 10,000 medical claims per month, resulting in a 99% clean claim rate.
- Utilize a variety of medical billing software, including EncoderPro, Availity, and GE Centricity.
- Thoroughly review medical records to extract relevant patient information for coding purposes.
- Assign appropriate ICD10 and CPT codes based on medical documentation.
- Verify insurance eligibility and process patient payments.
- Collaborate with providers to resolve coding discrepancies and ensure timely claim submission.
- Participate in regular training and audits to stay abreast of industry best practices and regulatory changes.
Frequently Asked Questions (FAQ’s) For Medical Billing Coder
What are the key skills and qualifications required to become a Medical Billing Coder?
To become a successful Medical Billing Coder, you typically need a strong understanding of medical terminology, anatomy, and physiology, as well as proficiency in medical coding systems such as ICD-10-CM/PCS, CPT, HCPCS, and E/M coding. Additionally, you should possess excellent attention to detail, analytical skills, and the ability to work independently and as part of a team.
What is the job outlook for Medical Billing Coders?
The job outlook for Medical Billing Coders is expected to grow faster than average in the coming years. This is due to the increasing demand for healthcare services and the need for accurate and efficient medical billing processes.
What are the career advancement opportunities for Medical Billing Coders?
With experience and additional training, Medical Billing Coders can advance to roles such as Medical Coding Auditor, Medical Coding Manager, or Health Information Manager.
What is the average salary for a Medical Billing Coder?
The average salary for a Medical Billing Coder can vary depending on experience, location, and employer. According to the U.S. Bureau of Labor Statistics, the median annual salary for Medical Records and Health Information Technicians, which includes Medical Billing Coders, was $43,630 in May 2021.
What are the challenges faced by Medical Billing Coders?
Medical Billing Coders may face challenges such as keeping up with changes in medical coding systems and regulations, ensuring the accuracy of medical claims, and resolving coding discrepancies with providers and insurance companies.
What are the benefits of becoming a Medical Billing Coder?
Becoming a Medical Billing Coder offers benefits such as job security, career advancement opportunities, and the satisfaction of contributing to the healthcare industry.
How can I prepare for a career as a Medical Billing Coder?
To prepare for a career as a Medical Billing Coder, you can pursue an associate degree or certificate in health information management or medical coding. You can also gain experience through internships or entry-level positions in the healthcare industry.
What is the role of a Medical Billing Coder in the healthcare system?
Medical Billing Coders play a crucial role in the healthcare system by ensuring that medical claims are coded accurately and submitted to insurance companies for reimbursement. They help to streamline the billing process, reduce errors, and improve the efficiency of healthcare providers.