Medical Coder
Professional Resume Example
Professional Summary
Highly accurate and credentialed Medical Coder with 5+ years of experience specializing in inpatient and outpatient coding. Proficient in ICD-10-CM, CPT, and HCPCS coding, with a strong commitment to compliance with CMS, AHA, and AMA guidelines. Proven ability to maintain high productivity and quality benchmarks, contributing to significant reductions in claim denials and improved revenue cycle management.
Work Experience
Senior Medical Coder
Apex Health Solutions
- Assigned precise ICD-10-CM, CPT, and HCPCS codes to an average of 180 outpatient encounters daily, consistently achieving 98.5% accuracy rates.
- Reviewed complex physician documentation for coding completeness and accuracy, reducing claim denial rates by 15% through proactive identification of discrepancies.
- Queried providers for clarification on 40+ diagnoses and procedures weekly, improving documentation specificity by 20% and enhancing revenue capture.
- Ensured strict coding compliance with CMS, AHA, and AMA guidelines across all records, maintaining a 100% audit pass rate for the past three years.
- Collaborated with Clinical Documentation Improvement (CDI) specialists on 50+ cases monthly, improving DRG assignments and case mix index by 8%.
Medical Coder
UnityPoint Health
- Coded an average of 120 inpatient and outpatient records daily using ICD-10-CM and CPT, maintaining a consistent 97% accuracy.
- Abstracted clinical data from electronic health records (EHRs), consistently exceeding productivity benchmarks by 10%.
- Identified coding errors and provided feedback to the coding team, contributing to a departmental accuracy improvement of 5%.
- Participated in annual coding update trainings, integrating new guidelines effectively to ensure 100% compliance with regulatory changes.
- Maintained Confidentiality and HIPAA standards across all patient records, processing over 1,500 patient charts monthly with no breaches.
Skills
Education
Associate of Science in Health Information Technology
Gateway Technical College
Certifications
- • Certified Professional Coder (CPC) – AAPC
- • Certified Coding Specialist (CCS) – AHIMA
- • Certified Outpatient Coder (COC) – AAPC
Frequently Asked Questions
Which certifications are most valuable for a Medical Coder?
The CPC (Certified Professional Coder) from AAPC and CCS (Certified Coding Specialist) from AHIMA are foundational. Specialty certifications like COC (Outpatient) or CIC (Inpatient) can further enhance your resume, demonstrating niche expertise and commitment to the field.
How can I best showcase my compliance knowledge on my resume?
Highlight specific regulatory bodies you adhere to (e.g., 'Ensured compliance with CMS, AHA, AMA guidelines'). Mention achieving high audit pass rates, participating in compliance training, and contributing to reduced claim denials due to coding accuracy and regulatory adherence.