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Tony Roberts
Medical Insurance Coding Specialist
Summary
Medical Insurance Coding Specialist with over 5 years of experience in the healthcare industry. Proven ability to improve coding accuracy and reduce errors, resulting in increased revenue for healthcare organizations. Expertise in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines. Skilled in utilizing medical terminology, interpreting medical records, and collaborating with physicians to ensure accurate and compliant coding practices.
Education
Coding Associate Degree
November 2014
Skills
- Coding ICD-10-CM and ICD-10-PCS
- Applying CPT Guidelines
- Understanding HCPCS Level II Coding
- Utilizing Medical Terminology
- Interpreting Medical Records
- Proficient in ICD-10-CM and ICD-10-PCS Coding
Work Experience
Medical Insurance Coding Specialist
- Developed and maintained coding manuals and guidelines, ensuring compliance with industry regulations.
- Conducted regular audits to ensure compliance with coding standards and identify areas for improvement.
- Analyzed coding data to identify trends and make recommendations for process improvements.
- Stayed uptodate on industry best practices and regulations through continuing education courses.
Medical Insurance Coding Specialist
- Spearheaded the implementation of a new medical coding software, leading to a 15% increase in coding accuracy.
- Developed and implemented a training program for new coding staff, resulting in a 20% reduction in coding errors.
- Consistently exceeded performance targets, coding over 5,000 claims per month with 99.5% accuracy.
- Collaborated with physicians and nurses to review and verify medical records, ensuring accurate coding and reimbursement.
Accomplishments
- Improved coding efficiency by 15% through the implementation of automated coding tools and optimized workflow processes.
- Developed a training program for new coders, resulting in a reduction of coding errors by 20%.
- Led a team of coders in implementing new coding guidelines, resulting in a 99% compliance rate with industry standards.
- Reduced claim denials by 10% through thorough and accurate coding practices, maximizing reimbursement for healthcare providers.
- Collaborated with physicians and other healthcare professionals to ensure accurate and timely coding of medical services.
Awards
- Received the Excellence in Medical Insurance Coding award for outstanding performance in coding accuracy and compliance.
- Recognized by the American Health Information Management Association (AHIMA) for exceptional contributions to the field of medical insurance coding.
- Received the Certified Coding Professional (CCP) certification from AHIMA, demonstrating advanced knowledge and skills in medical insurance coding.
- Won the Best Practices in Medical Insurance Coding award for innovative approaches to coding complex medical conditions.
Certificates
- Certified Professional Coder (CPC)
- Certified Coding Associate (CCA)
- Certified Medical Insurance Specialist (CMIS)
- Certified Outpatient Coder (COC)
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How To Write Resume For Medical Insurance Coding Specialist
- Highlight your experience and expertise in medical coding, including any certifications or specialized training.
- Showcase your understanding of medical terminology and ability to interpret medical records accurately.
- Demonstrate your ability to work independently and as part of a team, as well as your commitment to accuracy and compliance.
- Quantify your accomplishments whenever possible, using specific metrics to demonstrate the impact of your work.
Essential Experience Highlights for a Strong Medical Insurance Coding Specialist Resume
- Apply ICD-10-CM and ICD-10-PCS coding guidelines to assign appropriate codes to medical records.
- Utilize CPT and HCPCS Level II coding systems to ensure accurate and specific coding of procedures and services.
- Interpret medical records, including physician notes, lab results, and imaging studies, to extract relevant information for coding.
- Collaborate with physicians and nurses to clarify diagnoses, procedures, and other medical details to ensure accurate coding.
- Conduct regular audits to monitor coding accuracy and identify areas for improvement.
- Stay up-to-date on industry best practices and regulatory changes through continuing education courses.
Frequently Asked Questions (FAQ’s) For Medical Insurance Coding Specialist
What are the key skills required for a Medical Insurance Coding Specialist?
Key skills include proficiency in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines, as well as a strong understanding of medical terminology and the ability to interpret medical records accurately.
What is the career outlook for Medical Insurance Coding Specialists?
The demand for Medical Insurance Coding Specialists is expected to grow due to the increasing complexity of healthcare regulations and the need for accurate and timely coding of medical claims.
What is the average salary for a Medical Insurance Coding Specialist?
The average salary for a Medical Insurance Coding Specialist varies depending on experience, location, and employer, but typically ranges from $50,000 to $75,000 per year.
What are the educational requirements for a Medical Insurance Coding Specialist?
Most employers require a high school diploma or equivalent, along with specialized training or certification in medical coding.
What are the certification options available for Medical Insurance Coding Specialists?
There are several certification options available, including the Certified Coding Associate (CCA) from the American Health Information Management Association (AHIMA) and the Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC).