John J. Jobseeker 123 Success Ave, New York, NY 10017 Phone: (212) 555-1212 E-mail:
[email protected] 1
PROFILE: Highly capable and detail-oriented professional seeking Medical Coding position to utilize and enhance industry knowledge, coding experience and education in a growth oriented company. SKILLS: Medical Billing Medical Coding Medical Insurance Ingenix Encoder Pro
Patient /Customer Relations Administrative Software MS Word, Excel, PowerPoint 3M Physician Coding System
Problem Solving Research & Analysis Problem Solving eClinical Software
EDUCATION/CERTIFICATION/MEMBERSHIPS: Master of Science, Health Information Administration/ New York University Bachelor of Science, Health Information Management/ New York University Certified Coding Specialist (CCS); Certified Professional Coder (CPC) AHIMA, American Health Information Management Association AAPC, American Academy of Professional Coders
New York, NY New York, NY
Professional Experience: Healthcare Resources Agency (2005 - Present) New York, NY Coding Consultant – Diagnosis Auditor (2009 - Present) Conduct on-site clinical chart audits at provider locations within Thurston and Lewis Counties for the purpose of Identify and submit documented diagnoses to Medicare for members Interact with a variety of internal and external health care executives, physicians, provider office personnel and hospital staff Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Medical Coder/Auditor (2006 - 2009) Assigned diagnosis codes compliant with Medicare Advantage Risk Adjustment Audited the medical record for chronic illnesses with HCC and RXHCC Assigned E and O error codes to ICD codes when needed Medical Coder (2005 - 2006) Ensured that record documentation met compliance standards Assigned ICD-9-CM and CPT codes to medical records & assigned charges to CPT codes White Plains Hospital (2002 - 2005) White Plains, NY Medical Record Coder Assigned ICD-9-CM, CPT diagnostic and procedural codes for billing Assigned APC for record of discharges emergency room patients Abstracted patient information from the medical record and codes info Abstracted key data elements according to SIM & Medical record review Ensured compliance with CMC’s Diagnostic Coding Guidelines for Hospital Services
