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Coding Specialist Resume OR

Coding Specialist Resume OR

Coding Specialist Resume

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Coding specialist resumes are becoming more common than ever before, with a demand coming from the growing IT staffing market. But a specialist resume is not a standard resume, and requires skilled writers and savvy employers.

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The job summary of a Coding Specialist includes entering and coding patient services into a database and generating invoices for sending to patients. The other primary responsibilities included on the Coding Specialist Resume include the following – translating information into alphanumeric codes; collecting and managing patient account payments, submitting claims to insurance; reviewing delinquent accounts, processing payments, maintaining strict confidentiality, coding patient service; sorting and filing paperwork; ensuring the facilities are reimbursed for all procedures; compiling and analyzing data and statistics and resolving all coding issues.

A certified coding specialist handles the tasks of interpreting medical terminology for the purpose of creating numerical codes for insurance and medical statistics. The codes are use to track the rate of infection, diagnosis and treatment among medical institutions. A certified coding specialist plays an important part of medical documentation process and the health industry as a whole. One can work as a certified coding specialist in hospitals, physician offices, home health care facilities, ambulatory surgical centers, as well as in insurance and drug companies. (Source: www.bestsampleresume.com)

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Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG, APC or payment tier under the Prospective Payment system to guarantee accurate reimbursement on UPMC patients. Review coding for accuracy and completeness prior to submission to billing. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-9-CM and CPT codes including modifiers for correct DRG/APC assignment and accurate reimbursement. Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/ or clarification to accurately complete the coding process. Utilize computer applications and resources essential to completing the coding process efficiently, such as QuadraMed encoder, Cerner and MARS to ensure timely billing.

Code Inpatient, SDS and ED charts as necessary. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology and pathology. Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, emergency room record to accurately assign a diagnosis and / or procedure. Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes (Source: www.velvetjobs.com)

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