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Top 50 Medical Coder Skills

Below we've compiled a list of the most important skills for a Medical Coder. We ranked the top skills based on the percentage of Medical Coder resumes they appeared on. For example, 11.8% of Medical Coder resumes contained Cpt-4 as a skill. Let's find out what skills a Medical Coder actually needs in order to be successful in the workplace.

These Are The Most Important Skills For A Medical Coder

1. Cpt-4
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high Demand
Here's how Cpt-4 is used in Medical Coder jobs:
  • Analyzed procedural and operative records to identify and independently assign ICD-9 and CPT-4 codes following established policies/procedures.
  • Assign codes to patient records for services rendered utilizing applicable classification systems (ICD-9-CM, CPT-4, etc.)
  • Review medical records to determine the ICD-9-CM, CPT-4 to be utilized in accordance with coding and reimbursement guidelines.
  • Code medical records with ICD-9 and CPT-4 coding as well as maintain accuracy and productivity goals.
  • Determine and assign appropriate diagnostic (ICD-9) and procedural (CPT-4) codes.
  • Assigned appropriate CPT-4 and ICD-9 codes by interpreting patients medical charts.
  • Assigned diagnoses/procedures codes in accordance to ICD-9CM/ CPT-4 coding principles.
  • Coded charts in accordance with ICD-9-CM and CPT-4 coding guidelines.
  • Coded records using ICD-9CM and CPT-4 coding procedures.
  • Conducted ICD-9-CM and CPT-4 training for staff.
  • Identify ICD-9 diagnosis and CPT-4 procedure codes.
  • Utilized ICD-9 and CPT-4 coding systems.
  • Used icd-9-cm and cpt-4 coding guidelines.
  • Review progress notes and abstracted ICD-9, CPT-4 and HCPCS codes.
  • Assign all appropriate ICD-9 and CPT-4 codes for all charges.
  • Code or verify ICD-9 and CPT-4 codes.
  • Assign ICD-10 and CPT-4 codes to Emergency Room, diagnostic, Obstetrics and baby accts on a back up basis
  • Identified and applied accurate, specialty specific ICD-9-CM and CPT-4 codes to all submitted physician charge encounters.
  • Assign ICD-9 and CPT-4 codes to ER charts for the purpose of hospital based physician billing -Query physicians
  • Coded Worker compensation, Urgent care charts for multi States for ICD-9 and CPT-4.

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2. Medical Records
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high Demand
Here's how Medical Records is used in Medical Coder jobs:
  • Reviewed medical records for determination and accurate assignment of all documented procedures and diagnoses codes based on National Coding Guidelines.
  • Arranged medical records in reverse chronological order after discharge.
  • Audited medical records for documentation error and procedure review.
  • Abstract pertinent information from patient medical records.
  • Followed protocol to acquire medical records.
  • Reviewed Medical Records to identify diagnosis/procedures.
  • Code and abstract outpatient medical records
  • Perform ongoing analysis of medical record charts for the appropriate coding compliance and document requested information from the medical records.
  • Reviewed Medical Records to track variances, admission criteria, outcome criteria, and appropriateness of admission criteria.
  • Locate and pull medical records for claim corrections, claim clarification, and billing inquiries.
  • Review patient medical records and assign the appropriate ICD-9 and CPT codes for patient records.
  • Maintained facility census, charge tickets, UR tracking, medical records, etc.
  • Assign proper ICD-10, CPT and E/M codes to patient medical records.
  • Assign proper diagnoses and procedure codes to patient medical records.
  • Review medical records and super-bill documentation for completeness and accuracy to support billed services.
  • Review applicable charts and medical records documentation thoroughly to ascertain all dx/procedure.
  • Review and interpret medical records, accurately assigning ICD-9 and CPT codes for cancer pts.
  • Backed for Medical Records, AP and Front desk as needed.
  • Performed Patient Chart Reviews * Abstracted medical records with ICD-9-CM and ICD 10, CPT, and DRG codes.
  • Review medical records & abstract HCC codes Responsible for abstracting, coding, and sequencing the classification of diagnosis Hcc records.

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829 Medical Records Jobs

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3. Emergency Room
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high Demand
Here's how Emergency Room is used in Medical Coder jobs:
  • Provided coding for multiple hospital emergency room charts for numerous physicians.
  • Coded complicated and complex medical specialty clinics and Emergency Room.
  • Abstracted clinical information from physicians' documentation within emergency room medical charts to accurately code the appropriate CPT and ICD10 codes.
  • Maintained Emergency Room accounts to ensure coding was kept current, focusing on abstracts > 14 days old.
  • Average of 300 charts/day, ICD-10 and CPT codes, of multiple emergency room sites and payers.
  • Maintained company coding standards for quality, policies and procedures pertaining to coding emergency room charts.
  • Used ICD-9 and CPT codes to ensure proper billing for emergency room visits.
  • Entered the charges for the Emergency Room and Urgent Care.
  • Performed billing and coding procedures for emergency room services.
  • Assign ICD 9-CM/CPT codes for Emergency Room encounters.
  • Coded emergency room charts at 200 per day.
  • Apply CPT codes for emergency room visits.
  • Audited and coded Emergency Room visits.
  • Code emergency room medical charts Decipher medical charts
  • Applied Medical Systems - Durham, NC Performed billing and coding procedures for emergency room, and outpatient services.
  • Assign ICD 9-CM/CPT codes for Emergency Room, Inpatient Neonatology, and Pain Management specialties.
  • worked in the diabetes, emergency room and OB-GYN clinics.
  • Code Emergency Room and Physical/Speech Therapy Accounts Code entry level outpatient surgeries (Colonoscopies, EGDs, Cataract, etc.)
  • Coded Same Day Surgeries - Coded Emergency Room records - Coded Observation records - CPT coding - Remote for over 8 years
  • Code Emergency Room Records Code Ancillary Records Utilize Quadramed and 3M Encoder, Optum CAC

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13 Emergency Room Jobs

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4. Patient Care
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high Demand
Here's how Patient Care is used in Medical Coder jobs:
  • Assessed patient care plans and completed follow-up for additional information as warranted.
  • Provided accurate and timely patient care reporting, establishing medical necessity.
  • Initiate corrective action with physicians/health care staff to clarify diagnoses or obtain additional data to improve patient care and cost control.
  • Read and analyze medical records to identify all diagnosis, operations and procedures related to the current episode of patient care.
  • Dedicated member of the Brain Injury team, the Patient Care committee, and the Employee Enrichment committee.
  • Code information from the medical records of patients to generate a clinical patient care database for the facility.
  • Contacted various outside organizations such as insurance companies and physicians in support third party claims and patient care.
  • Managed staff recruiting, hiring and training on office procedures and high quality patient care.
  • Possess the ability to share this knowledge with physicians and other patient care team members.
  • Check Electronic Patient Care Report (EPCR) records for completeness of content.
  • Work closely with physicians and nurses to provide optimal quality patient care.
  • Interacted with other staff members and departments regarding patient care and concerns.
  • Applied appropriate ICD-9 and CPT codes by interpreting patient care records.
  • Abstract diagnosis codes and procedure code from the patient care report.
  • Served as HIPAA Compliance Officer and Patient Care Coordinator.
  • Scheduled appointments for patient care and surgeries.
  • Assign diagnosis codes based on Paramedics/EMT patient care reports, and physician certification statements, in support of existing diagnoses.
  • Review, and complete billing documents on ePCR Billing Software by using data provided on patient care reports.
  • Worked on QClaim software by sending and extracting files to process Patient Care Reports electronically.
  • Performed data entry using Medisoft and Patient Care Programs * Accountable for administrative duties including filing, faxing and copying documents

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95 Patient Care Jobs

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5. CPC
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high Demand
Here's how CPC is used in Medical Coder jobs:
  • Selected and assigned codes from current version of several coding systems to include ICD-9, DSM, CPT, and HCPCS.
  • Certified in ICD-10 and very knowledgeable in CPT, ICD-9, ICD-10 and HCPCS coding guidelines.
  • Coded, abstracted and assigned ICD-9-CM, CPT-4 and HCPCS codes for outpatient ambulance services.
  • Assign ICD 10 CM/PCS, CPT, and HCPCS Level II codes to patient's electronic health record using CAC.
  • Make great use of my guidelines such as ICD-9, CPT, and HCPCS level II.
  • Provide ICD 9 CM, HCPCS, and CPT codes for outpatient clinic charts.
  • Provide ICD9 CM, HCPCS, and CPT codes for ER facility coding.
  • Use appropriate CPT, HCPCS, and ICD 9 codes for billing purposes.
  • Assign appropriate ICD-9, CPT, and HCPC's codes.
  • Utilized HCPCS level III, ICD-9 and-3 for the coding.
  • Utilized CPT/ICD-9, Modifiers, E/M Codes, and HCPCS.
  • Processed Billing data, CPT, & HCPCS coding.
  • Assign appropriate ICD-10, CPT and HCPCS codes in a multi-speciality setting for the VHA.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Serve as an expert on ICD-9-CM, ICD-10-CM/PCS, CPT, HCPC and DRG/APC assignments, issues and projects.
  • Certified Professional Coder-CPC (Remotely) Assign ICD-10 and CPT codes to outpatient accounts Review electronic medical records for proper documentation
  • Assigned CPT, ICD-9 and HCPCs codes based on documentation and specific clinical findings of radiological procedures.
  • Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding conventions -Submit claims to insurance for reimbursment
  • Certified Professional Coder-CPC Auditing Medicare risk adjustments-HCC and RxHCC coding Assign ICD-9 codes to outpatient accounts
  • Assigned appropriate ICD-9 CPT and HCPC's codes Reviewed accounts for correct coding E/M coding and auditing Epic Software

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54 CPC Jobs

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6. Surgery
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high Demand
Here's how Surgery is used in Medical Coder jobs:
  • Included ancillary, ER, limited Outpatient Surgery/Physician Practice.
  • Major Responsibility: Code vascular surgery reports.
  • Coded Outpatient surgery, observation and endoscopy.
  • Designed and implemented a Same Day Surgery Boot Camp for outpatient surgery coders.
  • Work part-time as remote coder performing coding for all outpatient Ambulatory Surgery cases.
  • Used crosswalk to translate highest RVU CPT surgery codes to anesthesia CPT codes.
  • Coded surgery operative notes using ICD-9 and CPT codes for billing purposes.
  • Back up coder for Same Day Surgery, OBS, and Inpatient.
  • Abstracted and coded Emergency Department, Ambulatory Surgery and Day Hospital abstracts.
  • Code outpatient surgery, diagnostic, laboratory, and obstetric encounters.
  • Reviewed charts for correct admit/discharge dates and entered proper surgery dates.
  • Used ICD-9 and CPT codes to code outpatient surgery procedures.
  • Coded for surgeries done at hospitals and outpatient surgery centers.
  • Code clinical visits, surgery charges and laboratory procedures.
  • Coded outpatient surgeries as fill-in for regular surgery coder.
  • Specialize in General Surgery and Bariatric coding and medical billing.
  • Assign ICD-9, CPT, and E/M codes to outpatient/inpatient pediatric pulmology, neurosurgery, emergency and orthopedic medical records.
  • Provided ICD-9-CM and CPT remote coding support for inpatient, ambulatory surgery and emergency records.
  • Developed Inpatient coder 6/2001 -Present Performed a comprehensive range of coding including inpatient, eds, outpatient surgery.
  • General Surgery Vascular Surgery Bariatric Surgery Endovascular Surgery Colon Surgery Endocrine Surgery Venous Surgery

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72 Surgery Jobs

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7. Insurance Companies
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high Demand
Here's how Insurance Companies is used in Medical Coder jobs:
  • Queried physicians for clarification of coding information spoke directly with physicians and insurance companies when necessary.
  • Performed follow-up communications with patients and insurance companies regarding outstanding balances.
  • Contacted Insurance Companies to verify patients insurance and updated referrals.
  • Assisted processing paperwork to insurance companies during inventory period.
  • File completed coded cases electronically to insurance companies.
  • File claims with insurance companies/specialty programs.
  • Appeal any coding related denied claims from various insurance companies * Document process and procedures and train new and existing employees.
  • Submit claims to insurance and ensure claims have been accepted or denied by following up with insurance companies.
  • Post charges to be billed out to insurance companies or patients for reimbursement and according to health plans.
  • Input correct ICD-9 & CPT Codes to proper insurance companies, including modifiers, for reimbursement.
  • Called commercial and private insurance companies for verification and approval of patient length of stay.
  • Interpreted services and transposed data to a code provided to insurance companies for prompt payment.
  • Interact with insurance companies and with patients to ensure accurate, streamlined billing and payment.
  • Answer phone calls from patients, referring doctors, and insurance companies.
  • Worked with insurance companies regarding contract issues and reimbursement disputes.
  • Created electronic claims and transmitted to insurance companies.
  • Respond to inquiries from insurance companies.
  • Obtain surgery precertification & verify benefits from insurance companies.
  • Work denials in EPIC workques to get maximum payment from insurance companies and patients.
  • Called insurance companies for prior authorizations for hospital stays and diagnostic testing.

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13 Insurance Companies Jobs

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8. Clinical Staff
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high Demand
Here's how Clinical Staff is used in Medical Coder jobs:
  • Performed qualitative/quantitative analysis of records to assure completeness also briefed physicians and other clinical staff concerning clinical documentation and coding guidelines.
  • Collaborate with clinical staff on use of medications and documentation according to HIPAA/governmental regulations for Meaningful Use.
  • Assisted clinical staff to achieve departmental goals through physician education of coding/compliance guidelines and insurance requirements.
  • Demonstrated excellent communication skills both verbally and written when dealing with either business or clinical staff.
  • Developed relationships with podiatrists and clinical staff to improve communication and increase accuracy.
  • Communicate clearly with physician and clinical staff regarding coding and documentation issues.
  • Facilitated and lead educational sessions with providers and clinical staff.
  • Provided education to clinical staff concerning Trailblazer Health documentation requirements.
  • Communicated with physicians and clinical staff on documentation issues.
  • Communicate with clinical staff on missing documentation.
  • Managed and served as a coding educator for providers and clinical staff, by actively maintaining Changes especially for Medicare advantage.
  • Assist with revenue reports, keeping physicians and clinical staff and coders abreast of all coding guidelines.
  • Communicate with physicians and clinical staff regarding the proper coding and education of medical records.
  • Attend all IDT team meetings with physicians and other clinical staff as requested.
  • Advise doctors and clinical staff on current coding trends and regulations.
  • Put together presentations & present to the clinical staff.
  • Assisted clinical staff with coding issues and decisions.
  • Assisted back clinical staff and physicians when needed.
  • Developed strong communication skills through various interactions with clinical and non-clinical staff Knowledge of HIPPA guidelines
  • Work with clinical staff to analyze reports to identify improvement opportunities.

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12 Clinical Staff Jobs

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9. Icd-10-Cm
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high Demand
Here's how Icd-10-Cm is used in Medical Coder jobs:
  • Utilized knowledge of CPT and ICD-10-CM and ICD-9-CM to properly translate performed services into numerical code for insurance company reimbursements.
  • EXPERIENCE IN: ICD-9-CM Medical Terminology Insurance Claims ICD-10-CM Medical Practice Operations Medical Records Software CPT Patient Billing Customer Service
  • Advanced knowledge of medical codes involving selections of most accurate and descriptive codes using the ICD-9-CM and ICD-10-CM.
  • Code emergency department medical records utilizing ICD-10-CM, CPT, ICD-10-PCS, Epic, and 3M software.
  • Utilize specialty software to assign correct ICD-10-CM or CPT procedure and diagnosis codes for insurance billing.
  • Use ICD-10-CM and ICD-10-PCS codes, coding clinics, and guidelines to ensure correct coding.
  • Insure accuracy of insurance claims by verifying correct ICD-9-CM, ICD-10-CM, and CPT codes.
  • Assigned ICD-10-CM CPT, and PCS codes using the classification system and 3M software.
  • Remained up to date on coding guidelines including ICD-10-CM anatomy and physiology training.
  • Maintained 86% accuracy for assigning standard ICD-10-CM, CPT, PCS codes.
  • Code urgent care medical records utilizing ICD-10-CM, Epic, and 3M software.
  • Use CPT and ICD-10-CM codes for inpatient, outpatient and physician visits.
  • Trained in ICD-10-CM and ICD-10-PCS, including experience with dual coding.
  • Complete 1 year of Mandatory ICD-10-CM training via MedLearn system.
  • Supplied correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided.
  • Provide ICD-9-CM, ICD-10-CM, AND CPT codes to Business Services for cycle billing of services.
  • Abstracted ICD-10-CM, PCS, CPT codes into EPIC and Quantum billing systems.
  • Code diagnosis and procedures using ICD-9-CM, ICD-10-CM Demonstrates a thorough understanding of all coding guidelines and reimbursement system.
  • Assign billing codes for surgical and office procedures for 24-doctor practice Utilize ICD-10-CM and medical terminology
  • Performed dual coding ICD-9- CM/ICD-10-CM for one year in preparation for transition to ICD-10-CM.

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10. Medicare
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high Demand
Here's how Medicare is used in Medical Coder jobs:
  • Maintained Medicare bad-debt cost report by tracking billings; monitoring collections; compiling information.
  • Developed clinic documentation guidelines for Medicare's Physician Quality Reporting Initiative (PQRI).
  • Coded monthly reoccurring visits and verify coverage of chemotherapy drugs by Medicare guidelines.
  • Research Medicare accounts that lack appropriate documentation for meeting medical necessity standards.
  • Follow HealthEast guidelines and Medicare requirements to ensure timely filing.
  • Code Pathology reports and put together Medicare report
  • Code inpatient (Medicare and commercial insurance), SDC, Rehab (RCR) and Ancillary accounts for reimbursement
  • Assist with billing issues *Enter all information for UDS IRF-PAI and submit to Medicare.
  • Set up Medicare revenue codes in compliance with CPT code changes effective 1/1/2011.
  • Check medical necessity for Medicare patients and filling out ABN if necessary.
  • Managed and processed Medicare Part B claims through on-the-job training.
  • Adjust physician fee schedules according to Medicare price guidelines.
  • Perform medical necessity checks for all Medicare patients.
  • Verified commercial insurance policies as well as Medicare.
  • Assured correct APC assignment for Medicare accounts.
  • Conducted Initial Medicare Surveys for new medical facilities that opened in West Virginia Conducted JCAHO Validation surveys at JCAHO accredited hospitals.
  • Researched and communicated on Federal and Medicare Regulations.
  • Audit a daily Medicare report for all hospitalist charges entered the previous day involving a physician assistant.
  • Corrected denied Medicare claims by reviewing EMR for payable diagnosis' using Medicare LCDs.
  • Code Medicare Advantage for United HealthCare * ICD-9 Coding * HCC knowledgeable

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143 Medicare Jobs

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11. Radiology
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high Demand
Here's how Radiology is used in Medical Coder jobs:
  • Account types: Same day surgery, OB, Radiology, Labs, Diagnostics, Observations, and Cancer Center.
  • Prepared medical coding for Radiology reports using ICD-9 coding; frequently contacted clients and patients to confirm critical information.
  • Provided help to other departments when needed focusing mainly on Emergency Room, Pediatrics, and Diagnostic Radiology.
  • Code Outpatient related documents more focused on radiology using ICD-9-CM, CPT, and HCPCS codes.
  • Coded outpatient encounters in Emergency Room, Wound Care Center, Laboratory, and Radiology.
  • Assisted clients with accurate coding with specialties in ancillary, radiology and oncology charts types.
  • Experience in outpatient coding neurology, neurosurgery, pediatrics, psychology, and radiology.
  • Scheduled patient referrals for specialists, radiology, or other necessary care.
  • Code Physician charges for cardiology, pathology, and diagnostic radiology.
  • Assigned CPT and ICD9 codes to all types of radiology procedures.
  • Train and audit new radiology medical coders.
  • Maintained daily coding of Radiology charts.
  • Coded outpatient and radiology charts.
  • Utilized American College of Radiology website, attended monthly webinars and conferences and consistently reviewed available medical resources for additional guidance.
  • Perform outpatient coding for various record types including cardiac and radiology interventional coding and other ambulatory cases.
  • Coded radiology reports for application of the appropriate CPT and ICD9 codes Abstract and data entry of medical data
  • Review procedure radiology reports, including interventional, and apply appropriate CPT-4, HCPCS, and ICD-9 codes.
  • coded surgery, radiology, wound care charts.
  • Assisted on sleep management, med onc, gastroenterology, radiology.
  • Code and enter charges for all interventional radiology accts

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9 Radiology Jobs

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12. Icd-9-Cm
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high Demand
Here's how Icd-9-Cm is used in Medical Coder jobs:
  • Utilize clinical knowledge to accurately assign ICD-9-CM/ICD-10-CM codes from medical record documentation.
  • Assign CPT procedure codes, ICD-9-CM modifiers based on documentation, payer requirements, and government teaching practice billing office policies.
  • Performed Chart Audits, Data Entry, CPT/ICD-9-CM Codes and PHI, Gained Billing Software Knowledge, Receptionist Duties and Customer Service
  • Review the medical records and accurately code the appropriate diagnoses and procedures using ICD-9-CM and/or CPT coding conventions.
  • Manage chart completion (ICD-9-CM and CPT coding per medical record) and the proper use of templates.
  • Demonstrated proficiency in ICD-9-CM and CPT coding classification systems; diagnosis and procedure selection; and sequencing guidelines.
  • Assign ICD-9-CM diagnosis codes, surgical CPT codes then assign anesthesia codes based on service.
  • Code the narrative diagnoses & procedures into ICD-9-CM and CPT coding via automated techniques.
  • Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.
  • Recorded ICD-9-CM codes for the charts in Emerald Medical Record Management system.
  • Assigned and identified patient information through accurate ICD-9-CM and CPT codes.
  • Manage chart completion (ICD-9-CM and CPT coding/abstracting).
  • Coded outpatient records using ICD-9-CM and CPT-4 classification systems.
  • Performed ICD-9-CM Inpatient and Outpatient coding and DRG assignment.
  • Apply ICD-9-CM/ICD-10-CM Official Guidelines for Coding and Reporting.
  • Classify disease and conditions across all body systems Recognize components of ICD-9-CM/ICD-10-CM coding conventions and apply them to accurate code look-up.
  • Attended seminars for updates on ICD-9-CM Ensure accuracy and integrity of medical record abstract data prior to billing interface.
  • Code medical records for ER edit and post charges for procedures and infusions using ICD-9-CM and CPT
  • Assigned ICD-9-CM, ICD-9-PCS and CPT codes for inpatient and outpatient accounts.
  • Maintained coding accuracy by assigning proper ICD-9-CM risk adjusted codes physician charts.

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13. HCC
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high Demand
Here's how HCC is used in Medical Coder jobs:
  • Audited and captured Medicare risk population Hierarchy of Chronic conditions in accordance to Medicare HCC program documentation requirements.
  • Support Supervisor, Quality HCC in scheduling/training activities.
  • Coded outpatient and inpatient records utilizing complete code capture method (CCC) and HCC coding, audited HCC chart codes.
  • Contracted to assist in a temporary project including HCC, Inpatient and Outpatient coding while using 3M and coding manuals.
  • Code with accuracy, quality, and assign appropriate HCC diagnosis codes based on documentation for Outpatient/Office exams.
  • Review medical encounters to extract ICD-9 and ICD-10 diagnosis codes for HCC (Risk Adjustment Coding).
  • Review medical record information to identify all appropriate coding based on CMS HCC categories.
  • Contract medical coder for MediConnect Global, where I worked on seasonal HCC projects.
  • Identified HCC codes and Analyzed and/or reviewed detailed and highly complex code edits.
  • Dictate whether the best DOS is selected with the highest revenue generated HCC.
  • Participated in ongoing AAPC sponsored training through OS2 for HCC coding.
  • Partner with Wellness Clinicians to support and enhance Quality HCC initiatives.
  • Correlate activities, processes and HCC results/ metrics to evaluate outcomes.
  • Experience in HCC Risk Adjustment Coding.
  • position (through Insight Global) whereas my duties consisted of assigning HCC risk adjustment codes to Medicare charts for reimbursement.
  • Worked with many types of EMRs, coding all retrospective ICD-9/ICD-10 codes that mapped to an HCC chronic condition category.
  • Maximize physician reimbursement and determine documentation support and correlation (HPI, PMH, assesments) to validate HCC usage.
  • Track all HCC activities for provider network and ensure that all tasks are completed in a timely manner.
  • Apply correct dx coding along with HCC coding and billed chemo drugs and administrations, work denials.
  • Understand the concept of HCC coding Code the common conditions that map to an HCC/RxHCC

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67 HCC Jobs

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14. Facility
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high Demand
Here's how Facility is used in Medical Coder jobs:
  • Understand and comply with Correct Coding Initiative edits for hospital/facility outpatient encounters.
  • Calculated facility Evaluation and Management services through use of CCS algorithm.
  • Coded Outpatient facility and Outpatient physician offices and clinics.
  • Worked on out-patient services and facility coding
  • Assisted in the implementation and customization of E-Clinical Works Software, to adapt to the needs of our clinic and facility.
  • Translate medical jargon and abbreviations into their expanded forms to ensure the accuracy of patient and health care facility records.
  • Assign ICD-9, CPT, and HCPCS codes for both Facility and Physician coding in the Emergency Department setting.
  • Applied codes in order for facility to be paid for physician time spent at nursing home facilities.
  • Attended monthly meetings with the lead Emergency Department teaching physicians to review policy and facility changes.
  • Impact facility flow, through timely coding, and ensuring minimal impact on facility Account Receivables.
  • Utilize hospital ER coding for abstracting and billing of professional and facility codes.
  • Upgraded the main electrical power distribution systems throughout a steel mill facility.
  • Code and abstract, and audit Hospital facility charges.
  • Communicate through facility based emails and by phone.
  • Performed an array of administrative duties to include determining insurance eligibility in the medical care outpatient facility.
  • Review, analyze and code diagnostic Radiology and Lab tests Outpatient Facility/Pro Fee Coding for MD Anderson Cancer Clinics
  • Helped establish pilot program for this facility to help prevent readmissions from nursing homes to the hospital.
  • Coded all inpatient/outpt surgical/facility procedures for proper selection of CPT codes and ICD9/ICD10 coding for claims submissions.
  • Perform yearly audits for all General Practitioners in a multi-specialty medical facility including inspecting patient records with corresponding billing levels.
  • Perform retrospective audits of inpatient charts for CSG s client, a multi facility healthcare system.

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143 Facility Jobs

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15. Audit
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average Demand
Here's how Audit is used in Medical Coder jobs:
  • Perform ongoing audits of outpatient, inpatient, office setting, procedure, infusion and research documentation and coding.
  • Review charts for complete documentation and conducts charge audits of correct CPT submission.
  • Perform all related internal, concurrent, prospective and retrospective coding audit activities.
  • Audited new coders and overseas coders on HCC projects for various insurance companies.
  • Assisted the Tumor Registrar with backlogged claims; audited OB/GYN clinic encounters.
  • Audited documentation; provided feedback to insurance plans for HCC/Risk adjustment reviews.
  • Meet with physicians to communicate findings of audits and offer education.
  • Audited chart notes and op reports for documentation and revenue capture.
  • Audit HCC coding five charts per hour with 95% accuracy.
  • Maintained 95% accuracy in all quality assurance audit reviews.
  • Initiate, perform and document yearly coding audits for physicians.
  • Coded and audited outpatient clinics within Malcolm Grow Hospital.
  • Coordinated chart audits and provided feedback to providers.
  • Audit charts for all CERT reviews.
  • Perform follow up audits as necessary.
  • Coded, Abstracted, Billed and Audited Emergency Department Electronic Health Records Provided Reports of Emergency Department Activity
  • Audited the electronic health record to be sure Doctors were assigning the proper level of Evaluation and Management codes Data Entry
  • Complete monthly audits for Hearing, Physical Therapy, Immunization and other clinics.
  • Audited providers documentation Updated Coding Training Manual Started in the department as a Trainer for all providers.
  • Code backlog * Concurrent Coding (on units) * Documentation Specialist * Audit * Mentor new coders

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148 Audit Jobs

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16. Procedure Codes
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average Demand
Here's how Procedure Codes is used in Medical Coder jobs:
  • Reviewed inpatient electronic medical records and assign diagnoses and procedure codes for proper hospital reimbursement.
  • Assigned ICD-9-CM and CPT-4 diagnoses and procedure codes based on the coding guidelines and documentation in the inpatient/outpatient medical record.
  • Reviewed hospital outpatient medical record documentation to select and sequence the appropriate ICD-9 and/or ICD-10 and CPT procedure codes.
  • Assign correct diagnosis and procedure codes when required, appending modifiers to accounts following guidelines for outpatient coding.
  • Reviewed and abstracted information from patient's health record to assign the appropriate ICD-9 and procedure codes.
  • Assigned diagnosis and procedure codes to the most appropriate services being performed in an outpatient setting.
  • Assign diagnosis and procedure codes to cases after thorough screening of medical records and other documentation.
  • Review inpatient charts to assign diagnosis and procedure codes utilizing 3M, RecordsOne, and Epic.
  • Researched patient medical records in order to assign the correct procedure codes and to verify diagnosis.
  • Enter diagnostic and procedure codes for billing into Next Gen, EPM, and EMR.
  • Assign and code all ICD-10 diagnoses as well as applicable CPT procedure codes and Modifiers.
  • Assign appropriate diagnosis codes using ICD-9-CM and procedure codes using CPT and HCPCS.
  • Utilize encoder for the selection of the ICD 9 diagnoses and procedure codes.
  • Identify primary and secondary diagnoses, and assign ICD-9 CM procedure codes.
  • Record all diagnostic procedures and assigns appropriate procedure codes.
  • Assigned diagnostic and procedure codes to charts.
  • verify dental procedures, personal information, insurance eligibility, correct procedure codes.
  • assign, and audit diagnostic and procedure codes to voice recognition generated radiology reports for Radiology group pro-fee.
  • Assigned appropriate diagnostic/procedure codes to patient record utilizing ICD-9 and CPT grouping systems.
  • Assigned ICD-9 codes and CPT-4 procedure codes for eleven facilities *Knowledge of IDX computer system *Requested medical records *Ordered annual code books

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215 Procedure Codes Jobs

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17. Internal Medicine
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Here's how Internal Medicine is used in Medical Coder jobs:
  • Coded for several specialties such as Internal Medicine, OB/GYN and Vascular Surgery professional inpatient/outpatient services.
  • Recognized and assigned appropriate codes to all cardiology and internal medicine charges.
  • Assign appropriate medical codes for Internal Medicine and Endocrinology.
  • Assisted Internal Medicine Management in new process developments.
  • Coded for specialties such as Renal Transplant, General Surgery, General Internal Medicine, UroGynocology, Plastics and many more.
  • Reviewed and coded Neurology, ENT, Plastic Surgery, Family practice, Internal Medicine, and Vascular of Medicine.
  • Level E/M visits to ensure all charges are captured for Family and Internal medicine along with multiple specialties.
  • Interpreted and processed billing information for Inpatient charts for Internal Medicine and General Surgery patients in ICU.
  • Work rejection reports, aging reports and A/R reports for Internal medicine and Pediatric department.
  • Coded Internal Medicine, Infectious Disease, EKG's, and Radiology for multiple Physicians.
  • Code all outpatient charge services of internal medicine.
  • Research insurance claim denials for internal medicine.
  • Coded Inpatient and Outpatient Internal Medicine services.
  • Maintained and supported clinical coding for several outpatient, internal medicine and pediatric clinics.
  • Performed daily coding for Internal Medicine physicians, Endoscopy Procedures Sleep Study, Neuropsychology.
  • Performed ICD-9 and CPT coding for Gastro, Internal Medicine, Orthopedics, Emergency Department, and General Surgery.
  • Perform entire billing process for a big group of Internal Medicine providers on eThomas.
  • Learned several specialties including family practice, hospitalist, hospice, and internal medicine.
  • Coded for one Hospitalist, all Radiology & 4 Internal Medicine Physicians.
  • Full Time Inpatient/Outpatient Coding for Internal Medicine, Psychiatry and Pulmonology.

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18. Diagnosis
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Here's how Diagnosis is used in Medical Coder jobs:
  • Frequent contact with Medical/Dental staff for assistance in assignment, sequencing or specificity of diagnosis and procedures.
  • Worked with physicians and profession staff to obtain any necessary clarification concerning diagnosis and procedures.
  • Review all admission data to determine the etiologic diagnosis for all inpatients admitted to rehabilitation.
  • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.
  • Review medical record documentation for accuracy of diagnosis and professional fee coding.
  • Communicate with providers for diagnosis and medical decision making clarification.
  • Complete appropriate paperwork and documentation regarding claim/encounter diagnosis information.
  • Abstract and code diagnosis and documentation information.
  • Abstract and code diagnosis and documentation information and daily use of Encoder and Coding Clinic for accurate coding.
  • Serve as an expert resource for accurate assignment of CPT procedure diagnosis coding for appropriate reimbursement.
  • Check and verify all diagnosis meets medical necessity and appropriate ABN are signed and in system.
  • Abstract essential health care information, such as allergies, medications, diagnosis, etc.
  • Coded services visit using the EMR database and assigning the appropriate diagnosis and procedural codes.
  • Reviewed patients medical charts transcribed by the physicians for accurate and timely coding diagnosis.
  • Document and assign final diagnosis and procedures codes.
  • Review medical charts Ensure correct diagnosis summation for billing purposes
  • Clarify information or diagnosis by communicating with Healthcare providers.
  • Demonstrate analytical and problem solving skills regarding review of submitted diagnosis codes versus actual services provided to the patient.
  • Review outpatient plans of care and input impairment and diagnosis codes into PATCOM and/or Optum compliance check systems.
  • Applied ICD-9 diagnosis codes to highest level of specificity.

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240 Diagnosis Jobs

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19. Data Entry
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Here's how Data Entry is used in Medical Coder jobs:
  • Input data extracted alpha and numeric into a database/data entry screen.
  • Coded legal documents by reading documents and extracting important information for the client for quick retrieval and data entry.
  • Set standards for data entry to effectively capturing our encounters each day by using a batching process.
  • Worked closely with our IS department on system issues that effect coding and data entry.
  • Performed data entry that had to be 100% accurate and within a strict deadline.
  • Answered numerous coding questions and offered advice when needed for on-site data entry technicians.
  • Trained on multiple abstract systems; excellent key pad and data entry.
  • Research and data entry for all GM and Delphi manufacturing plants.
  • Executed computer data entry using RPMS for Indian Health Services.
  • Completed data entry of information using the Concordance Program.
  • File all insurance billing and data entry.
  • Home Based Marketing Research and Data Entry
  • Assist with charge/payment data entry.
  • Assisted with data entry and insurance verifications as needed to help office staff with medical claims.
  • Developed a centralized department for the coding and data entry at 1101 Madison Clinic.
  • completed various types of data entry.
  • Entered data from preview screenings Translated responses into database using proprietary coding software Extensive data entry - alpha numeric/10-key
  • Color coding maps of residents address Customer service Data entry
  • Audited Charts to insure accuracy Perform office duties ( Fax, Data entry)
  • Code ambulance claims ICD-10 Data entry

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39 Data Entry Jobs

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20. E/M
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Here's how E/M is used in Medical Coder jobs:
  • Reviewed inpatient and outpatient EMR and/or handwritten notes to audit physician-assigned E/M level to ensure documentation was compliant with coding guidelines.
  • Audited E/M coding samples from Pediatric Emergency Department visits * Assist Director of Revenue Cycle and Lead Coders with special projects.
  • Code ED and urgent care accounts, injections and infusions, procedures, apply E/M levels and post charges.
  • Designated appropriate E/M level of service, and surgical, radiology, ultrasound and moderate sedation codes.
  • Increased revenue by finding errors in the EHR documentation software which was calculating E/M levels incorrectly.
  • Reviewed relevant clinical data/ Medical Records to select and sequence the appropriate E/M outpatient visit coding.
  • Apply applicable E/M, procedure, HCPCS and ICD-9 and ICD-10 codes to patient encounters.
  • Experience with direct physician interaction with educating them on proper ways to pick E/M levels.
  • Code injections and infusions, code procedures and apply E/M levels.
  • Code and Audit E/M levels for physician using 1997 Medicare Guideline.
  • Identify procedures and E/M services with a higher degree of accuracy.
  • Assess Pennsylvania (4x4) regulations when coding E/M level.
  • Code patient charts; outpatient, clinic and E/M.
  • Assign appropriate, accurate E/M levels for emergency department.
  • Assign E/M, hospital, observation codes and charges.
  • Code all CPT procedures and E/M codes.
  • Research, analyze and re-code national medical necessity and local medical review denials for Medicare/Medicaid patients as appropriate for resubmission.
  • Worked remotely as a Certified Professional E/M Coder for multispecialty, auditing CPT & ICD-9 codes on inpatient and outpatient charts.
  • Code: E/M, Observation, Critical Care etc Procedures coded EKG readings, wound repairs, ultrasounds
  • Assign proper E/M levels to Drs.

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21. Cardiology
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Here's how Cardiology is used in Medical Coder jobs:
  • Coded invasive cardiology, neurosurgery, orthopedic spine surgery and ophthalmology cases.
  • Code outpatient Cardiology office visits.
  • Code invasive surgical cardiology procedures.
  • Code inpatient and outpatient cardiology and vascular services Verify insurance and register patients Handle A/R follow up and self pay collections
  • Specialized in emergency room, laboratory, minor surgery, infusion, clinics, cardiology and radiology coding.
  • Experienced in a variety of specialties, including: Podiatry, Dermatology, Endocrinology, and Cardiology.
  • Review Cardiology Specialty Outpatient Medical Records, Identify and Abstract ICD-9 & CPT codes.
  • Audited and made corrections to CPT application of inpatient Cardiology accounts.
  • Correct claim edits and bill physician claims for cardiology services.
  • Enter Cardiology Nuclear charges by report.
  • Coded E&M, ICD-9 and CPT for a 20 plus Cardiology Practice.
  • Coded medical information for numerous DoD military health care system outpatient clinics to include Gastrology, Emergency Services, Cardiology clinics.
  • Perform coding of diagnostic and interventional radiology, cardiology, and general surgery.
  • Coded Interventional Cardiology Patient encounters and billed encounters.
  • Work at front desk of the Cardiology Department 2 days + per week Currently prepping for the CPC certification exam
  • Assign ICD-10 and/or CPT codes to Interventional Radiology, Cardiology, in the Out Patient setting.
  • Apply appropriate CPT and ICD-9 codes to cardiac catheterization and non-invasive cardiology testing accounts.
  • Code Interventional radiology on cardiology, vascular and endovascular surgery cases and its diagnostics.
  • Charge review, edits, and denials across cardiology services also.
  • Reviewed and assigned facility CPT codes for interventional cardiology procedures: Pediatric Catheterization Adult Catheterization Electrophysiology

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8 Cardiology Jobs

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22. Urology
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Here's how Urology is used in Medical Coder jobs:
  • Charge entry for Surgeries/Office Visits relating to Orthopedic, Neurology, Physical Therapy, Ophthalmology and General Surgery for several practices.
  • Coded for orthopedics, urology, gynecology, endoscopy, ophthalmology, cosmetic, neurology and pain management.
  • Performed medical procedure coding for Dermatology, ENT, Orthopedics and Neurology and Rehabilitation Departments.
  • Code orthopedic and neurology surgery reports.
  • Utilize ICD-9-CM & CPT code sets to work a daily inpatient census, claims manager, and coder edits for Neurology.
  • Coded Family Practice, Internal Medicine and After Hours Charges, as well as Pulmonary, Cardiology & Neurology.
  • Worked exclusively with ENT, urology, general surgery, family practice, pediatrics, anesthesia, and urgent care
  • Coded all outpatient services for OB, GYN, Urology, Midwives, Reproductive Medicine, GYN/Oncology.
  • Expanded duties included learning complexities of coding for Ophthalmology, Emergency Department, Cardiology, and Neurology.
  • Audited charts in the presence of the Neurology Doctor informing them about any coding corrections.
  • Coded for the largest Urology group in Austin CPT and ICD-9 medical charges.
  • Review medical records to assign correct ICD-10 & CPC codes for Urology physicians.
  • Coded inpatient and outpatient Medical records for 3 Urology Physicians.
  • Code OB, GYN, and Neurology cases
  • Coded cardiothoracic, orthopedics, pediatrics (including NICU), OB/GYN, neurology, general surgery, and transplants.
  • Abstract coding in Urology, Breast Cancer and Surgical specialty ICD 9 and CPT Coding with EMR and Cerner
  • Managed all coding for in-patient charges for OB/GYN, Urology, Orthopedics, and Gastroenterology.
  • Assign CPT codes for Neurosurgery/Neurology (i.e.
  • Coded and billed charges for multi-specialty: Podiatry, Cardio-thoracic, Urology, General Surgery and Plastic Surgery.
  • Chart types: Emergency Orthopedic Gastroenterology, Pain management Urology Podiatry Ophthalmology

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23. DRG
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Here's how DRG is used in Medical Coder jobs:
  • Optimize DRG assignment and establish an accurate and comprehensive database within JCAHO standards, professional and regulatory agency guidelines.
  • Performed concurrent interim DRG assignment for specified in-house admissions.
  • Created relative weight table to establish correct DRG reimbursement based on Kentucky Medicaid rates in excel format for the company.
  • Attend seminars for updates on ICD-9-CM and complete DRG assurance clinical documentation program with CMBS and ECM software systems.
  • Maintain CMI while coding admit DRG within 24 hours of admit and discharge DRG within 72 hours of discharge.
  • Perform internal audits on coder 1 charts that includes assessment of DRG assignment and ICD 9 CM codes.
  • Coded diagnoses for appropriate DRG and reimbursement and abstracted information from patient's record for statistical purposes.
  • Ensured the correct (MS-DRG) Medicare Severity Diagnostic Related Group was assigned upon admission.
  • Analyze medical records to validate ICD-9-CM coding and MS-DRG assignment on acute inpatient hospital claims.
  • Attend seminars for updates on ICD-10-CM and completing DRG assurance clinical documentation program.
  • Assign the patient to diagnosis-related groups (DRG's).
  • Assured data quality and optimum DRG assignment.
  • Abstracted medical records with ICD-10-CM, CPT, and DRG coding.
  • Consult with attending physicians for clarification of questionable documentation issues relative to coding and DRG assignments.
  • Demonstrate coding skills and experience with complex inpatient coding, MS-DRGs, CDMP documentation improvement program.
  • Maintained departmental quality control standards * Promoted to inpatient DRG coder in 2006.
  • Correct CPT and ICD 9cm coding errors Submit reimbursement claims to insurance companies and government entities Efficient knowledge in DRG coding.
  • Participate in quality improvement peer review for coding abstracting and DRG/APC assignments performed within the HIM department.
  • Conducted peer review on specific "Focus DRG's" Mostly Inpatient throughout tenure.
  • Review documentation to optimize MS-DRGs and APC groups.

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334 DRG Jobs

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24. Medicaid
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Here's how Medicaid is used in Medical Coder jobs:
  • Verify Medicaid eligibility using EPACES.
  • Followed Medicare and Medicaid billing guidelines
  • Assist with processing Medicare, Medicaid, workers compensation, PPO, CMO, HMO and other insurance procedures.
  • Communicate with physicians, coders, and other essential parties for charge editing when submitting to Medicare and Medicaid.
  • Maintain coding consistency, productivity and accuracy in all coding guidelines for CMS Centers for Medicaid, Medicare.
  • Review for presence and completeness of the documentation according to Medicare, Medicaid or other carrier requirements.
  • Billed and processed Medicare, Medicaid, private payer claims and conducted medical records audits.
  • Abstract and code HCC diagnoses and documentation information for Medicare Advantage and Medicaid.
  • Make telephone calls to third-party payers (primarily Medicare and Medicaid).
  • Audit of reimbursements for commercial health plans, including Medicare and Medicaid.
  • Generate claims billing (Medicare/ Medicaid/3 rd party insurance/patient billing).
  • Handle all Medicaid denials and appeals process and posting of payments.
  • Helped write the RFP for a renewal contract with Medicaid.
  • Identify data for database tables through State Medicaid research.
  • Trained other employees on Medicaid systems.
  • Coordinated patient coverage with the Medicaid and Medicare programs Reconciled billing issues with Medicaid and Medicare.
  • Recommend resolutions in keeping with the Centers for Medicare & Medicaid Services (CMS) and company policy.
  • Worked with various insurance companies such as Medicare, Medicaid, Commercial insurance and Workman's Compensation.
  • Review complex edits Focus on Medicare, Medicaid, and Tricare in aging categories for resolution of problem accounts.
  • Filed claims to third party payers BCBS, Cigna, Aetna, Humana, Medicare and Medicaid.

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86 Medicaid Jobs

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25. Accuracy Rate
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average Demand
Here's how Accuracy Rate is used in Medical Coder jobs:
  • Maintained a minimum of 96% quality audit accuracy rate while completing special projects including claims and coding related audit support.
  • Code an average of 150 encounters per day while maintaining an accuracy rate of 95%.
  • Maintained a 95% or better accuracy rate on an average of 350 Patients daily.
  • Maintained accuracy rate of 95-98% and productivity of 30 outpatient records per day.
  • Maintained a 98% or Better accuracy rate on more than 100 Records daily.
  • Manage corrective action plans to attain coding accuracy rate of industry standards.
  • Demonstrate a 95% accuracy rate in assigning diagnosis and procedural codes.
  • Maintained 96% accuracy rate of leveling E&M services.
  • Assigned appropriate medical codes with a 95% percent accuracy rate.
  • Received quarterly incentives for accuracy rate of 95% or higher.
  • Achieve and maintain a 95% or higher accuracy rate.
  • Maintained records with a 95% or better accuracy rate.
  • Maintained 97% accuracy rate on all coded data.
  • Maintained 95% accuracy rate in coding ED visits.
  • Maintain a 97% or above accuracy rate.
  • Maintained a 95% DRG accuracy rate.
  • Maintained above 96% accuracy rate.
  • Maintained above average coding accuracy rate Communicated documentation deficiencies with medical staff
  • Last Coding Proficiency Test was a 98% accuracy rate out of 50 coded encounters.)
  • Key with 98% accuracy rate on a pc, and have less than 2% errors.

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26. Oncology
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Here's how Oncology is used in Medical Coder jobs:
  • Provided coding and auditing education to a large Hematology and Oncology practice.
  • Attended Radiation Oncology conferences to keep updated on Radiation Oncology policies.
  • Process evaluation and management billing for large Oncology practice.
  • Participated in physician teaching of radiology oncology procedure codes.
  • Assign diagnosis to recurring Radiation/Oncology visits.
  • Assign ICD-9-CM, ICD 10 and/or CPT-4 code(s) and sequence diagnosis and procedures codes for Radiology Oncology patients.
  • Coded all outpatient therapy accounts to include recurring outpatient radiation oncology and Clinic accounts, Outpatient Rehab & Cardiac Rehab.
  • Performed coding for oncology, diabetes, and cardiovascular trials for multiple sponsors following sponsor guidelines and ClinDatrix standards.
  • Experience: Responsible for coding all Oncology surgeries, E&M and procedures as well as Consults.
  • Posted all charges for our two locations while working for 21st Century Oncology.
  • Assigned radiation treatment CPT and ICD-9 codes for inpatient and outpatient oncology patients.
  • Coded Outpatient surgeries, ER's, Oncology, Radiology, Gen.
  • Research and respond to all RAC audit requests related to radiation oncology.
  • Maintain production standard for Hematology Oncology as well as other coding areas.
  • Validate & assigning diagnoses for Neoplasm/Oncology for health records.
  • Cross-trained - Cardiovascular, Respiratory, Oncology, CNS.
  • Experienced Medicare coder/biller for Hematology/Oncology specialties * Responsible for submitting claims for both inpatient and outpatient departments.
  • Performed coding for several physicians; ophthalmology, orthopedist, oncology, dermatology, phlebology.
  • Placed at Oncology Specialities as a medical coder.
  • Chart Analysis Assigning ICD-10 diagnosis and HCPCS codes to Hematology and Oncology accounts EPIC experience Prepping Encounters LCD Knowledge

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18 Oncology Jobs

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27. Hipaa
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Here's how Hipaa is used in Medical Coder jobs:
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Maintain confidentiality according to HIPAA guidelines.
  • Maintain a working knowledge of all health information management issues such as HIPAA and all health regulations.
  • Process and maintain release of information requests according to HIPAA * regulations and company policies and procedures.
  • Reconcile clinical notes, patient encounter form, and health information for compliance with HIPAA rules.
  • Ensured strict compliance with HIPAA requirements and worked as integral part of organizational team.
  • Comply with privacy and HIPAA laws to protect privacy and confidentiality.
  • Adhered to all HIPAA privacy and security policies and practices.
  • Reviewed patient records and kept current with all HIPAA regulations.
  • Be consistent with all Compliance and HIPAA policies and procedures.
  • Ensured compliance of federal, state and HIPAA guidelines.
  • Maintain strict patient confidentiality and follow all HIPAA standards.
  • Completed several training courses on HIPAA and OSHA.
  • Maintain strict policy and procedures according to HIPAA.
  • Maintain HIPAA privacy standards to protect patient information.
  • Assisted in maintaining OSHA and HIPAA regulations.
  • Comply with HIPAA laws and regulations.
  • Maintain internal control processes for all activities in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
  • Code Emergency Room Records for expanding East Side Hospital -Maintain HIPAA standards.
  • Certificate of Completion CMS1500 (08/05) & HIPAA MOSS & MEDICIN

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98 Hipaa Jobs

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28. Anesthesia
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Here's how Anesthesia is used in Medical Coder jobs:
  • Abstracted and assigned diagnosis and anesthesia /surgical CPT to anesthesia charges for professional billing.
  • Resolve Pain Management and anesthesia denials.
  • Perform ICD-9 and CPT coding for anesthesia services to include assignment of appropriate modifiers, PQRS codes and critical care charges.
  • Maintain coding knowledge by conducting research and following up on coding updates and changes for anesthesia and E/M billing.
  • Perform coding, compliance and related duties for anesthesia and pain management physician practices using established billing office policies.
  • Code medical records with ICD-9 coding (in Anesthesia), maintaining 95% accuracy and achieving productivity goals.
  • Review medical records to capture physician services utilizing current ICD-10, CPT and Anesthesia Crosswalk Classification systems.
  • Apply CPT, ICD-10 and ASA codes to medical claims for radiology, anesthesia and pathology specialties.
  • Abstracted medical records with use of ICD-9-CM, CPT, and Anesthesia Crosswalk coding manuals.
  • Assigned ICD-9, CPT codes from x-ray reports, medical records, and anesthesia records.
  • Provided billing and coding services for anesthesia and pain management for third party billings.
  • Prepare monthly surgical, anesthesia, and E-code case reviews for Pro-care meetings.
  • Apply ICD-9 and ASA codes to medical claims for anesthesia specialty.
  • Extract the correct anesthesia codes based on the surgical operative notes.
  • Coded Anesthesia charges from the records the doctors turned in.
  • Review anesthesia report and assign correct CPT-ASA and ICD-9 codes.
  • Verify type of anesthesia, time, drugs used, and checked for other work done by CRNAs to code.
  • Included matching anesthesia record with surgical operative record to bill for base and time units for 11 anestheologists.
  • Code anesthesia records, Medicare follow up, collect payment, and take phone calls
  • trained for physical status modifier that indicates the complexity of the anesthesia service.

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5 Anesthesia Jobs

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29. Charge Entry
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Here's how Charge Entry is used in Medical Coder jobs:
  • Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
  • Scheduled appointments, applied payments to patients' accounts using charge entry.
  • Administered charge entry; researched and resolved billing issues with claims.
  • Log batches and assign to each charge entry clerk.
  • Code physician nursing home encounters and charge entry.
  • Request missing chart/documentation from clinics for charge entry.
  • Charge entry as well as claim submission.
  • Code physician hospital inpatient and charge entry.
  • Charge entry of codes for billing.
  • Perform charge entry of physician services.
  • Charge entry for group practice department.
  • Charge entry and billing experience.
  • Charge entry of CPT and ICD-9/ICD-10 codes.
  • Performed coding and charge entry procedures by following coding guidelines and reimbursement reporting requirements.
  • Charge Entry for the Seton Heart Institute and Seton Healthcare Family CBO; entered new patients into the database.
  • Charge entry for all these practices Utilize HCPCS level II, ICD-9, and CPT for coding activities.
  • Reviewed and corrected edit workque's for the Emergency Dept and Urgent Care charge entry.
  • Charge entry and payment posting Resolved claim and coding issues.
  • Charge Entry Patient and Insurance Follow up
  • Created training spreadsheets and workflows for billing database, charge entry and insurance verifications.

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61 Charge Entry Jobs

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30. Trauma
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low Demand
Here's how Trauma is used in Medical Coder jobs:
  • Provided technically complex medical record coding for inpatient medical conditions for Level I Trauma Center.
  • Assess critical care/trauma for qualifying encounters.
  • Level III Tier III Remote Inpatient Coder for Trauma 1 level hospital and help with the smaller hospitals within the system.
  • Coded for the emergency department of an acute care, level III trauma hospital system.
  • Worked on High dollar trauma charts and outpatient, inpatient, ambulatory surgery.
  • Worked doing Emergency room coding, professional side E/M with trauma 2 centers.
  • Process and submit physician payment requests for Trauma Sub Specialty physicians.
  • Continue coding surgical and trauma office charges and data entry.
  • Have worked contract with different hospitals, trauma centers included.
  • Bay Medical/Sacred Heart is a level I trauma center.
  • Level 1 Trauma University setting Acute Care Inpatient Coding
  • Abstract and code ICD 10 CM, PCS and CPT on ER and Trauma 1.
  • Do remote inpatient coding for Memorial Healthcare in a Trauma 1, teaching hospital.
  • Level One Trauma Center, Coder / Abstractor.
  • Coded outpatient day surgery, emergency room, medical necessity, charge verification using Meditech and 3M, Level II Trauma hospital
  • Completed 7 week Coder Development Program onsite, then remotely coded inpatient high dollar accounts for Level 1 Trauma facilities.
  • Coded and Abstracted inpatient charts from Pediatric to CARDIOTHORACIC Service SURGERY and not excluding and not limited to TRAUMA SERVICES.
  • resigned - relocated to South FL] Transcribed emergency room trauma reports into patient invoices.
  • Code for Tufts Medical Center Trauma I facility, MS-DRGs, APR-DRGs and AP-DRGs using Cerner and 3M and Optum 360
  • Worked with Epic,Lynxs,ras I , Level 1 coding and trauma

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31. Meditech
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low Demand
Here's how Meditech is used in Medical Coder jobs:
  • Entered data into hospital computerized Meditech/3M encoder and abstracting system.
  • Utilized Meditech to retrieve patient information.
  • Use of the Meditech system to effectively manage collections from various payers with an emphasis in Medicare and Medicaid reimbursement.
  • Coded outpatient ancillary, day surgery, observation, emergency room, etc., using Meditech and 3M, audited charts
  • Use of HPF, Meditech and medical record systems.
  • Charge entry on Meditech and NextGen systems.
  • Abstract patient information into the Meditech system.
  • Performed Dual Coding using Meditech and 3M
  • Experienced in 3M Encoder and Meditech.
  • Coded psychiatric inpatient records with Meditech and 3M Encoder Maintained excellent rapport with colleagues and physicians
  • Processed medical charts in a timely manner utilizing Meditech, HPF, 3M., and EPIC.
  • Use of Meditech, NextGen, GE Centricity EMR and Microsoft Office.
  • Cash posting in Meditech using an established list of CDM #'s.
  • Utilize Meditech, 3M, and Optum encoder to correctly process accounts.
  • Assisted in department conversion to an electronic medical record system (Meditech) and digital imaging system (Stentor).
  • Utilized ECW (E-Clinical Works), Meditech and Chartmax softwares to code, bill, review and audit charts.
  • Assigned ICD-9-CM and CPT codes to clinical records 685 bed Hospital; 3M Encoder Meditech abstracting system
  • Worked in AllScripts, Medisoft, Meditech and Epic programs Currently studying for ICD-10CM proficiency.
  • Assist with charge entry of ICD-9/CPT codes into Meditech, Avicode and Allscript system.
  • Use of 3M encoder, Meditech, Allscripts and Medassets software.

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23 Meditech Jobs

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32. Family Practice
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low Demand
Here's how Family Practice is used in Medical Coder jobs:
  • Coded urgent care and family practice patient encounters using practice management software and EMR/EHR systems, billing/reimbursement and claim rejection support
  • Worked in fast paced medical office with multiple physicians specializing in General Family Practice services.
  • Coded Patient encounters for Family Practice and Pediatric encounters and billed encounters.
  • Certified Professional Coder 2011-2014 Internal Medicine, Family Practice Various Radiology
  • Code Family Practice/Internal Medicine encounter forms.
  • Coded numerous physician specialties such as Radiology, Pathology, Physical Therapy, Orthopedics' and Family Practice.
  • Experience coding for Family Practice, Pediatric, Internal Medicine, in-patient Pediatric and NICU physician charges.
  • Work with a family practice of 22 Physicians tracking and submitting all inpatient and outpatient charges.
  • Reviewed coding on family practice and dermatology claims prior to submission for accuracy in code selection.
  • Code for GYN Oncology, and Family Practice.
  • Have also been trained in Family Practice.
  • Code ER encounters, code family practice clinics, E/M, CPT and ICD-10.
  • Provide timely and efficient coding services for multi-specialty providers including Family Practice and OB.
  • Maintained 100% on my annual review audit for 7 Family Practice Providers as well as 1 Dietician.
  • Code Family practice and Internal medicine, Urology clinics / surgeries and Cardiology clinics/surgeries, Gastro.
  • Code specialties of, Internal Medicine, Family Practice, Hospitalist, and Urgent Care.
  • Coded hospitalist, internal medicine, OB-GYN, lab, and family practice.
  • Owned hospitalist, internal medicine, and family practice coding
  • Assigned to Infectious Disease, Hyberbarics, ENT, Family Practice, and Internal Medicine.
  • Coded for multi-speciality medical practices including, family practice, internal medicine, and physical therapy.

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33. Pediatrics
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low Demand
Here's how Pediatrics is used in Medical Coder jobs:
  • Code outpatient medical records, including: Internal medicine, Pediatrics, Gynecology Dermatology.
  • Coded Pediatrics hospital visits including attendance at deliver and initial birth care.
  • Certified Professional Coder: Review, Code and Process physician and facility charges for High Street Health Center Pediatrics Outpatient Clinic.
  • Preform audits on charts daily, HCC Medicare coding, Home health coding, Coding for Pediatrics and Family Medicine.
  • Resolve delayed payments from insurance companies, coded family practice, Orthopedics, pediatrics, OB, Internal Medicine.
  • Coded special complex surgical procedures for the Obstetrics and Gynecology, Urology Oncology, and Pediatrics departments.
  • Designed and implement charge tickets as requested throughout the department of pediatrics, and perform yearly revision.
  • Assigned ICD-9 and CPT codes for all specialties including Adult Medicine, Pediatrics and Radiology.
  • Experienced Medical Coding for primary care physician office (geriatrics and pediatrics).
  • Enter charges for multiple physicians with specialties in family practice, pediatrics, Ob Gyn, podiatry, and internal medicine.
  • Code outpatient charge services of internal medicine, such as Cardiology, Renal, Neuorology, Pediatrics and Asthma Allergy.
  • Identified and applied EMS and pediatrics specific ICD-9-CM and CPT-4 coding including appropriate modifiers to all physician charges.
  • Assigned ICD-10, CPT, and HCPCS codes for Internal Medicine and Pediatrics 4-day turnaround.
  • Coded superbills for Family Practice, Pediatrics and Internal Medicine.
  • Coded ICD9 and CPT codes for Pediatrics Clinic.
  • Pain and Pediatrics specialties coding 4.
  • General Surgery, Gastroenterology and Urology Coder for Family Practice, Pediatrics, Internal Medicine and Physical/Occupational Therapy
  • Served as back up for Eye Health, Gastroenterology, Pediatrics, Urgent Care and Behavior Health.
  • Perfomed coding for different speciality Surgery, OBG, Anesthesia, Radiology, Pediatrics, Internal medicine
  • Code and enter charges for Pediatrics/Nursing Homes/Pulmonary/ENT/Facial Plastic Surgery/Dermatology Including injection/administration/PFTs Work with adjudicator to solve insurance/payment issues

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34. Orthopedics
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low Demand
Here's how Orthopedics is used in Medical Coder jobs:
  • Coded outpatient professional services including: orthopedics, pulmonary, podiatry, dermatology, cardiology, chiropractic and others.
  • Code and enter charges for various practices including but not limited to Outpatient Procedures, Orthopedics, Plastic Surgeries, etc.
  • Managed large work load of coding for three orthopedics surgeons on a daily basis.
  • Assisted with Internal Medicine, Pain Management, GI coding, Radiology and Orthopedics.
  • Analyzed medical records and assigned codes, identifying diagnoses, abstracting code for orthopedics from medical records in a timely manner.
  • Handle charts relevant to OB, Newborn, Orthopedics, Cardiology, GI, Endoscopy, Oncology and Psychiatry 8.
  • Perform coding quality audits on multi-specialty outpatient records to include Emergency Department, Orthopedics, General Surgery, OB/GYN.
  • Coded injections & infusions, spine & neck surgeries, same day surgeries, orthopedics, and bariatrics.
  • Experienced Specialties: Vascular, OB Gyn, Women Services, Neurosurgery, Orthopedics and General Surgery
  • Assisted in the creation of fee tickets and workque edits specific to orthopedics.
  • Performed quarterly E/M audits for Orthopedics.
  • Coded Multi-Specialty Charts Processed Medicare Denial Claims and Advanced Beneficiary Notices Implemented the Current Procedural Terminology to Code Surgeries in Orthopedics

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3 Orthopedics Jobs

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35. Gastroenterology
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low Demand
Here's how Gastroenterology is used in Medical Coder jobs:
  • Coded Gastroenterology Patient office and minor surgery encounters and billed invoices.
  • Audited Gastroenterology office, ASC, and inpatient fee tickets for correct ICD-9 and CPT codes via GE Logician EMR.
  • Worked denied medical claims for the UNC Gastroenterology, Geriatrics, Genetics, and Carolina Advanced Health Clinics.
  • Code OP surgery procedures for gastroenterology, ophthalmology, and primary care encounters.
  • Processed and coded operations reports for orthopedic, OBGYN, urology, gastroenterology departments.
  • Coded for Allergy, Cardiology clinic, Rheumatology, Internal Medicine, Geriatrics, Gastroenterology
  • Code for multiple specialties including Dermatology, Pulmonology, Gastroenterology and Allergy.
  • Desert Sun Gastroenterology: coding/abstracting for Gastroenterology Surgery, and procedures.
  • Coded for Gastroenterology, Biatric Surgery and General Surgery.
  • Coded Professional fee CPTs for Same Day Surgeries, including specialties: Gastroenterology, ENT, Cardiology, and Pain Management.
  • Coded for orthopedics, Podiatry, Ophthalmology/Optometry, gastroenterology, Psychology, and alldepartment outpatient surgeries (professional fees only).
  • Worked Trauma Unit, ICU, Nephrology, Internal Medicine, Cardiology, Neurology, Gastroenterology, etc.
  • Coded Internal Medicine, Gastroenterology, Pediatrics, Urgent Care, and Hospitalists.
  • Analyze and assign accurate procedure and diagnosis codes for Peripherals, Cardiac Catheterization, Electrophysiology, Gastroenterology and Electrocardiography procedures.
  • experience with Internal Medicine, Interventional Cardiology, Gastroenterology, Orthopedics, Pain Management & General Surgery
  • Coded procedures and office visits for Gastroenterology, Internal Medicine, Bariatric, Cardio/EKG.
  • General surgical coding including Otolaryngology, Cardiology, Gynolocology, Interventional Radiology, Anesthesiology, Gastroenterology, Orthopedic and Dental procedures.
  • Experience in coding many specialties such as ER, gastroenterology, nephrology, rheumatology, hematology/oncology and pulmonology.
  • Code inpatient and outpatient gastroenterology reports Code gastroenterology procedures Code other specialty areas as needed Train new coders as needed

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36. Cerner
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low Demand
Here's how Cerner is used in Medical Coder jobs:
  • Abstracted pertinent information from clinic notes in Cerner PowerChart to ensure accurate application of ICD-9 codes of the highest specificity.
  • Review clinical documentation via EMR (Cerner & NexGen system) for appropriateness and completeness on one time Assessments.
  • Experienced in MEDITECH and Cerner software and input information into computerized patient record system.
  • Use Cerner System & 3m encoder for coding and Abstracting outpatient charts.
  • Utilize HMS and Cerner Electronic Health Records and 3M Encoder/Grouper systems.
  • Transitioned from scanned paper records to Cerner Electronic Health Record.
  • Used 3M encoder, Cerner and other coding systems.
  • Helped to implement new Cerner RCI Interface System.
  • Experienced in 3M software (CAC, Encoder, HDM) and Cerner Applications.
  • Code daily on a computerized system using various applications including IDX, Encoder Pro, MedAssets, Star and Cerner Powerchart.
  • Keyed and completed computerized medical record abstract using 3M, CAC, HBO Star, Cerner, and Centricity.
  • Reviewed Cerner reports to identify patient visits with charges that have not been released to billing.
  • Use Allscripts and Cerner software to input information into computerized patient record system.
  • Code patient charts remotely using Cerner, CAC & Allscripts.
  • Experience in 3M, PowerChart, Cerner and Citrix.
  • Helped clinic with coding backlog due to change to ICD 10 Remote Contractor Proficient in Cerner CommunityWorks EHR
  • Utilize 3M and 3M 360 Encompass, Cerner (Powerchart) and previously, McKesson (HPF) and Meditech.
  • Experience using Multiple EHR'S (Epic, Mosaiq, Cerner, etc.
  • Utilize PowerChart/Cerner and Oneview to review documentation to support profee inpatient E&M level for mutiple specialites.
  • Utilized Cerner Sorian, MS4, Artiva, Excel, Outlook, Optum, eFR, Claims Administrator.

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7 Cerner Jobs

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37. Hippa
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low Demand
Here's how Hippa is used in Medical Coder jobs:
  • Maintain patient information assurance and confidentiality in accordance to HIPPA standard.
  • Maintained confidentiality and protected sensitive data to comply with HIPPA.
  • Maintain confidentiality; and adhere to HIPPA guidelines/regulations.
  • Maintained HIPPA guidelines and confidentiality.
  • Ensured each team member coded 20 records per day IAW with HIPPA, Privacy Act, and Air Force medical standards.
  • Reconcile clinical notes, health information for compliance with HIPPA rules and JCAHO standards.
  • Maintained the confidentiality of all information acquired as pertained within the HIPPA act.
  • Adhere to the HIPPA confidentiality standards and other EHS standards in place.
  • Maintain a high level of professionalism and directly following HIPPA guidelines.
  • Advanced knowledge of lab procedures and compliance with HIPPA and CLIA.
  • Comply with HIPPA guidelines and meet productivity on a weekly basis.
  • Processed release of information for requested patients following strict HIPPA guidelines.
  • Comply with HIPPA regulations, patient and physician confidentiality.
  • Follow HIPPA and OSHA Rules and Regulations.
  • Complied with all HIPPA and OSHA regulations.
  • Maintain confidential medical records, HIPPA compliance.
  • Ensured compliance with HIPPA training.
  • Have trained fellow employees in proper documentation, HIPPA trained and in constant training in new billing & coding requirements..
  • Preformed work within Care Radius software Adhered to all HIPPA and operational procedures
  • Generated correspondence associate with claims following "HIPPA" rules and regulations.

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38. Operative Reports
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low Demand
Here's how Operative Reports is used in Medical Coder jobs:
  • Analyzed and reviewed procedural documents and operative reports to determine proper submission of charges to insurance companies and 3rd party payers
  • Abstracted key information from operative reports.
  • Perform transcription of operative reports.
  • Code physician surgery charges from operative reports, post payments, insurance billing, work outstanding insurance claims, collections.
  • Reviewed and appealed claims with CMS, Medicaid and insurance carriers Reviewed and reconciled monthly operative reports to billing records.
  • Abstract coding from Operative reports and to ensure accurate billing to resolve claim denials and medical-necessity and bundling issues.
  • Abstract billing charges from operative reports and encounter forms with appropriate ICD-10, CPT-4 codes, with fees.
  • Provide the coding for all types of outpatient operative reports for multiple ambulatory surgery centers.
  • Coded hard copy operative reports and encounter forms with over 97% accuracy.
  • Read and interpreted anesthesia notes and operative reports with attention to details.
  • Assigned appropriate ICD-9 and CPT codes for office consultations and operative reports.
  • Assign appropriate CPT codes with proper modifiers from operative reports provided.
  • Scanned and routed face sheets and operative reports into patient charts.
  • Print Operative Reports and review for accuracy.
  • Resolved complex billing denials related to coding errors by submitting Operative Reports to the insurance company for claim reconsideration.
  • Code physician operative reports for Cardiothoracic, Vascular and Transplant.
  • Code and audit inpatient and outpatient E&M and operative reports for orthopaedic trauma surgeons and anesthesia.
  • Review operative reports and provider's coding for appropriate diagnostic and procedure codes in a timely manner.
  • Abstracted medical records with ICD-9-CM, CPT, and HCPCS Audited operative reports and chart documentation.
  • Code vascular interventions from operative reports as a backup to the interventional coder.

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30 Operative Reports Jobs

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39. EHR
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low Demand
Here's how EHR is used in Medical Coder jobs:
  • Receive, Review, Code and analyzes the surgical record, super-bills, or EHR s for accurate CPT/ ICD-10-CM/ICD-9CM/HCPS coding.
  • Experienced with the initiation and utilization of Electronic Health Records/Electronic Medical Records (EHR/EMR) in the clinical and hospital setting.
  • Abstract and enter required data elements into specific modules within Encoder and EHR system.
  • Use of 3M Encoder, EPIC and McKesson EHR/EMR software and other related programs.
  • Accessed client EHR (Vision & Epic) to ensure complete & accurate coding.
  • Worked in EHR and coding engine systems pertaining to the specific site being coded.
  • Audit EHR to ensure accurate HCC codes are captured.
  • Analyze complete medical record documentation via EHR's.
  • Processed Physician Fee Slips linking patient EHR.
  • Review EHR documentation to determine appropriate E&M, CPT, ICD-9 and HCPCS codes.
  • Work within an EHR, Power chart, Excel, X-claim Denial system.
  • Charge entry, next gen, EHR and encoder pro.
  • Utilize ICD-9, CPT-4, EHR, and 3M software.
  • Helped create the EHR data base for the practice.
  • Certified professional coder, review the EHR for correct ICD 10 procedural coding, task the provider for missing diagnosis coding
  • Booked new patient appointments in EHR system when needed Various other tasks that were assigned, as the clinic needed
  • Analyze EHRs and assign ICD-9 codes and CPT codes to inpatient and outpatient records.
  • Create Reports, Excel, Amkai software EHR.
  • Use of Allscripts EHR PM and EHR Clinical, Allscripts Sunrise, and Affinity.
  • CAC-Certified Ambulance Coder) *Analyzed Outpatient Charts/Applied Medical Codes *Insurance Verification *Entered Data into EHR *Other assigned duties

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18 EHR Jobs

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40. Physical Therapy
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low Demand
Here's how Physical Therapy is used in Medical Coder jobs:
  • Verified eligibility as well as obtained all authorizations for treatment in Chiropractic, Physical Therapy and Psychology.
  • Conducted medical necessity checks and insurance verification for outpatient physical therapy, prior to appointments.
  • Improved overall profits by discovering backlog of insurance claims within physical therapy department.
  • Monitor tracking of authorization approvals and denials for physical therapy.
  • Scheduled patient physical therapy appointments for outpatient services.
  • Analyzed and coded outpatient records, physical therapy, nursing home and Medicare charts/labs; provided internal customer service for medical records
  • Learned 2 new area's of coding to an already broad knowledge base, including X-ray and physical therapy.
  • Worked with patients and assisted with nursing and physical therapy including casting, injections, and patient care.
  • Billed and coded for EMS, Hospital, Anesthesiology, Physical Therapy, as well as Primary Care.
  • Matched or exceeded all internal audits scoring 100% in E&M as well as Physical Therapy.
  • Code Ed records, surgical outpatient, ancillaries and wound care and physical therapy charts.
  • Coded some ancillary department records (Physical Therapy, Radiology, ER)
  • Code sleep studies, EMS services and physical therapy.
  • Coded for outpatient, emergency and physical therapy.
  • SOP, OBS, ED, Ancillary (all types), Wound Care, Physical Therapy, and Cancer Care.
  • Code E/M, chiropractic procedures, physical therapy procedures for a variety of spinal disorders and musculoskeletal conditions.
  • Helped sucessfully to set up a new coding business, specializing in Physical Therapy, and Internal Medicine
  • Audit tickets for 4 Physical Therapy departments Review on average 150 tickets daily.
  • Coded for Orthopedics, Physical Therapy, Hospitalists, and Critical Care.
  • Assigned ICD-9 codes * Assured completion of physical therapy notes * Performed inpatient chart analysis and release of health information

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41. Patient Accounts
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low Demand
Here's how Patient Accounts is used in Medical Coder jobs:
  • Interfaced with Central Business office to accurately bill and maintain patient accounts in order maximize reimbursement.
  • Initiated and reviewed retrospective physician queries to properly code outpatient accounts.
  • Post charges and payments to patient accounts and submit claims to Third Party Payers, Medicare and Medicaid.
  • Reviewed patient clinical information and assigned ICD-9-CM and CPT codes to inpatient and outpatient accounts.
  • Use 3M encoder to assign appropriate ICD-9-CM and CPT codes to all outpatient accounts.
  • Assigned ICD-9-CM and CPT codes to inpatient and outpatient accounts to determine reimbursement rate.
  • Provide ICD-9-CM and CPT coding with experience in both inpatient and outpatient accounts.
  • Maintain 100% proficiency while coding approximately 1550 outpatient accounts each month.
  • Coded house physician visits, received patient calls inquiring on patient accounts.
  • Handle unpaid claims and request copay upfront on delinquent patient accounts.
  • Organize tickets from different clinics to bill patient accounts.
  • Analyze account receivables, patient accounts and financial reports.
  • Updated patient accounts and information on a daily basis.
  • Update patient accounts, including insurance and demographics.
  • Coded inpatient accounts for Baptist South Florida.
  • Code and abstract inpatient and outpatient accounts.
  • Coded outpatient charts for hospital reimbursement which included communicating regularly with physician offices and the patient accounts department.
  • Code daily from reports of unbilled patient accounts from Patient Financial Services.
  • Full time employee responsible for coding inpatient and outpatient accounts.
  • Delete and Merging of patient accounts *Missing Charges report *Daily Ingenix report *Coding edits *Correcting and reposting charges

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35 Patient Accounts Jobs

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42. Physician Documentation
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low Demand
Here's how Physician Documentation is used in Medical Coder jobs:
  • Reviewed all questionable physician documentation prior to code assignment and administered queries and or education as needed.
  • Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.
  • Coded and abstracted inpatient medical records for integrity of data and facilitated improved physician documentation.
  • Converted physician documentation into payable codes for submission to various insurance carriers including Medicare.
  • Coded pediatric clinical visits for integrity of data and facilitated improved physician documentation.
  • Audited physician documentation for compliance with the requirements by standard coding practices.
  • Review all physician documentation to ensure compliance with third party and regulatory guidelines
  • Conduct specific review of Graduate Medical Education rules for physician documentation.
  • Perform detailed audits on billed insurance charges and physician documentation.
  • Monitor accuracy of physician documentation and coding for compliance.
  • Audited encounters for accurate physician documentation and E/M levels
  • Provide physician documentation deficiencies feedback and physician education.
  • Perform internal audits of physician documentation to assure accurate coding as well as compliance with both payer and corporate policies.
  • Identified, documented, and closed out physician documentation deficiencies, Nov. 2012 - Nov. 2013.
  • Identified, documented, and closed out physician documentation deficiencies, March 2012 - March 2015.
  • Audit encounters for accurate physician documentation and E/M levels VA (Veterans Affairs) Remote Coder
  • Identified,documented, and closed out physician documentation deficiencies.
  • Analyze charts for physician documentation deficiencies.
  • applied appropriate diagnosis and procedure codes per Physician documentation according to CMS (Centers for Medicare & Medicaid Services) coding guidelines
  • Participated in a clinical documentation program with nursing staff to ensure accurate physician documentation and DRG assignment.

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43. Surgical Procedures
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low Demand
Here's how Surgical Procedures is used in Medical Coder jobs:
  • Analyzed documentation for surgical procedures for neurosurgery and orthopedic surgeries.
  • Obtain prior insurance authorization for all surgical procedures.
  • Determined global period for surgical procedures coded.
  • Abstracted evaluation and management services, as well as surgical procedures by reviewing office notes, operative reports and pathology reports.
  • Coded adverse events, lab data, medical history, surgical procedures, and disease terms in ClinTrial database.
  • Code all surgical procedures for outpatient, inpatient, ER, observation and ambulatory surgical locations.
  • Utilized the proper CPT/ICD-9 coding system in classifying surgical procedures for insurance billing purposes.
  • Apply diagnoses and surgical procedures according to ICD-10 and CPT procedural guidelines.
  • Coded surgical procedures typical to the ED setting.
  • Coordinate all surgical procedures for the office.
  • Assigned CPT codes for surgical procedures.
  • Review provided documentation to determine principal diagnosis, co morbidities and complications, secondary conditions and surgical procedures.
  • Reviewed, analyzed and managed coding of diagnostic and surgical procedures contained in outpatient medical records.
  • Provide accurate coding of office and surgical procedures to ensure optimal reimbursement *ICD-9 and CPT-4 coding from charge tickets
  • Certified Professional Coder Assign CPT and ICD 9 codes to surgical procedures including complex spine surgeries and trauma.
  • Coded for surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc.
  • Insure that all modifiers are applied to the proper surgical procedures.
  • Managed all coding and charge entries for surgical procedures Experience with Misys, Tiger, and EMR computer systems.
  • Code neurosurgical procedures for large Neurology/Neurosurgery group Code E/M visits for multiple specialties Maintain client communication log to resolve coding questions
  • contract ended) Contract coder of orthopedic surgical procedures

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8 Surgical Procedures Jobs

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44. Productivity Standards
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low Demand
Here's how Productivity Standards is used in Medical Coder jobs:
  • Meet all regulatory guidelines and standards applicable in the coding industry reaching and maintaining department set productivity standards.
  • Demonstrated ability to code accurately, efficiently, while meeting and exceeding productivity standards
  • Meet quality and productivity standards and deadlines/turnaround times established by company policies.
  • Demonstrate ability to meet or exceed departmental quality and productivity standards.
  • Uphold productivity standards/daily quota set by management.
  • Exceeded coding accuracy and productivity standards.
  • Maintained accuracy and productivity standards.
  • Maintained quality and productivity standards.
  • Completed 12-week training course in 4 weeks while exceeding both QA and productivity standards for a 6-month employee.
  • Implement and maintain Facility Policies, Procedure, and Productivity Standards withing Company and Client Standards.
  • Exceeded productivity standards and accuracy while adhering to the AHIMA and AAPC code of ethics.
  • Meet appropriate coding productivity standards within the time frame established by management staff.
  • Maintained daily productivity standards as follows: 25-30 outpatient charts per hour.
  • Obtained proficiency while meeting productivity standards of 9-12 charts per hour.
  • Time management, meeting monthly closing schedules and productivity standards.
  • Audit all Medicare accounts Key achievements: Performed above established productivity standards.
  • Maintain quality and productivity standards according to the compnay guidelines.
  • Utilized federal and state procedures and guidelines to assure accuracy of coding, abstracting, and productivity standards.
  • Meet and maintain coding productivity standards on a daily basis while being accurate.
  • Abstract and code data and other pertinents in the hospital mainframe Meet established quality, productivity standards and medical necessity.

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45. Aapc
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low Demand
Here's how Aapc is used in Medical Coder jobs:
  • Obtained Professional Coder Certification through AAPC.
  • Required to complete CEU's in order to maintain AAPC membership and stay up to date on coding techniques and guidelines.
  • Received my Certification in ICD 9 and CPT coding for Radiology December 1998.-AAPC Took payments and patient information.
  • Batched reports ICD 10 Medical Certification-May 2015-AAPC Skills Used Computer skills Phone skills Fax and Printer skills.
  • Achieved Training with Dennis Beck, Mag Mutual and passed The AAPC Test in Dec.2002
  • Completed 3M ICD-10 and AAPC, American Academy of Procedural Coder, training programs.
  • Developed the coding program, using AMA, AHIMA and AAPC standards.
  • Completed and ICD-10 Training Seminar and certification assessment given through AAPC.
  • Proctored AAPC exams for in house Baylor Scott & White employees.
  • Hold certifications of ICD-10 Proficiency from both AHIMA and AAPC.
  • Received certificate of ICD-10-CM proficiency from AAPC September 2015.
  • Maintained coding credentials through AAPC.
  • Code per CMS guidelines, AAPC, LCD's, NCD's, CCI, NCCI.
  • Adhere to the AAPC Code of Ethics
  • Adhere to the AAPC Code of Ethics Abreast on CMS Coding Guidelines as it pertains to CMS Risk Adjustment
  • code and QA contracts, education of students looking to become certified through the AAPC PMCC curriculum
  • Continue my education with Webniar's, AAPC meetings, Seminars, etc.
  • Participated in online ICD-10 training through 3M and AAPC webinars.
  • Completed AAPC ICD 10 proficiency Exam.
  • Certified Professional Coder-AAPC Certified Interventional Coder-Medical Asset Management Inc.

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346 Aapc Jobs

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46. Proper Documentation
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low Demand
Here's how Proper Documentation is used in Medical Coder jobs:
  • Review records for admit/discharge dates of service for accuracy, proper documentation and qualifying physician signature.
  • Conduct coaching session for primary care managers on proper documentation of patient medical records.
  • Position Details: Performed medical coding, checked records for completeness and proper documentation
  • Review chart for proper documentation and accuracy of diagnosis for requested testing procedures.
  • Trained Clinical Documentation Specialists to obtain proper documentation for accurate coding.
  • Educate Physicians and other clinicians by advocating proper documentation practices.
  • Explore and identify trend in coding/denials and proper documentation.
  • Educated physicians on proper documentation.
  • Work closely with physicians to educate and keep updated on new laws regarding proper documentation for efficient and successful billing.
  • Provide training for new employees, medical/nursing staff and outside commercial contractors on proper documentation and completion of charge tickets.
  • Evaluated source materials for proper documentation according to Health Care Finance Administration and third party payer guidelines.
  • Shadow the assigned doctor during each visit, ensuring proper documentation of the visit.
  • Educate staff on proper documentation of charts, as well as strict HIPPA compliance.
  • Obtained proper documentation and assigned accurate ICD-9, CPT-4, and modifier codes.
  • Educate the Physician in medical records standards and proper documentation techniques.
  • Provide and arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques.
  • Assigned appropriate E/M codes to daily inpatient charts Assisted attending and resident physicians on proper documentation and reimbursement issues
  • Educate providers on proper documentation Compile weekly reports for missing charge tickets and unsigned documentation.
  • Specialize in Coding HCC relevant conditions Ensure proper documentation is noted in order to a capture conditions
  • Audit medical documentation Train providers on proper documentation Provide ongoing coding education Verify insurance and obtain proper authorization Some supervisory support

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47. CCI
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low Demand
Here's how CCI is used in Medical Coder jobs:
  • Follow NCCI and Medicare/insurance requirements.
  • Process appeals utilizing CPT, CMS, and NCCI guidelines, Local Coverage Determinations, and accrediting organization directives per specialty.
  • Code editing inquiry team, research codes, apply policy and NCCI regulations, contact and educate providers, reprocess corrected claims
  • Review and correct claims for errors such as failed LCD/NDC and NCCI edits, invalid codes, and no specified codes.
  • Experience with using CCI edits, NCD/LCD, anatomy and physiology, and medical terminology on daily basis.
  • Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
  • Submitted corrected claims once the error has been identified and updated per the CCI Edits.
  • Checked with 3m coding for CCI bundling also ASC Coding today for CCI bundling.
  • Used online resources such as Encoder Pro for Medicare compliance and CCI edits.
  • Charge Ticket/Surgical Chart Abstraction for each Anesthesia/Surgical Procedure, Review of CCI Edits.
  • Applied knowledge of coding principles of Correct Coding Initiatives (CCI).
  • Use of editing software in order to follow CCI/ CMS guidelines.
  • Utilize Encoder Pro for CCI edits, global days, etc.
  • Resolve CCI edits before chart claims went out.
  • Review on compliance audit charts with CCI edits.
  • Verify the proper utilization of NCCI edits.
  • Participated in a project to aid the city of Orlando, FL geocode traffic accidents.
  • Helped develop training manuals in regards to correct coding based on NCCI edits.
  • Review -NCCI edits and unbundle global services.
  • position * Diagnostic coding, Procedural ICD-9 Coding using knowledge from CCI edits and Medicare guidelines.

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22 CCI Jobs

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48. Ensure Accuracy
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low Demand
Here's how Ensure Accuracy is used in Medical Coder jobs:
  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
  • Perform quality control over-read reviews of previously completed record reviews to ensure accuracy, completeness.
  • Performed quality review audits on completed records to ensure accuracy and corrected any discrepancies.
  • Utilized practice management database to audit office encounters to ensure accuracy of claims reimbursement.
  • Identify and research needed information to ensure accuracy and completeness of medical record.
  • Conduct quality assessments of coded records to ensure accuracy and completeness.
  • Utilized medical terminology to ensure accuracy of billed amount.
  • Assign applicable codes and audit medical records to ensure accuracy and completeness using ICD-10, CPT, and PCS codes.
  • Assign and sequence CPT and ICD-9 on all Chemotherapy Infusions according to guidelines to ensure accuracy and optimal reimbursement.
  • Request clarification from providers when the treatment is not clear in the documentation to ensure accuracy in coding.
  • Monitor HCC coding performed by outside vendors to ensure accuracy and make corrections as needed.
  • Assisted in the development of coding protocols to ensure accuracy of the coding process.
  • Pulled orders according to the order form and recheck them to ensure accuracy.
  • Performed DRG Audits on colleagues to ensure accuracy standards were being met.
  • Reviewed charts to ensure accuracy of RAC audits
  • Research coding issues to ensure accuracy.
  • Interacted with physicians and personnel regarding confidential medical records to ensure accuracy in coding and collection process.
  • Assist Team Leader, Billing & Collections in posting charges and EOBs to ensure accuracy of payment.
  • Review HCFAs prior to claims submission to ensure accuracy of codes, modifiers and units billed.
  • Reviewed charges to ensure accuracy of hard coded Chargemaster entries.

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3 Ensure Accuracy Jobs

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49. Appropriate Codes
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low Demand
Here's how Appropriate Codes is used in Medical Coder jobs:
  • Abstract information from documentation *Assign appropriate codes to diagnoses *Review electronic health records to ensure accuracy
  • Identified documentation deficiencies and determined the most appropriate codes to support patient records.
  • Reviewed medical records to apply appropriate codes, determined eligibility and benefits allowed.
  • Spend 60% or greater of each workday in review of provider documentation and application of appropriate codes and modifiers.
  • Review patient charts to ensure CPT and ICD 9 codes are billed correctly and that documentation supports appropriate codes.
  • Review medical records of discharged patients to determine and verify all diagnoses and operative procedures and assign appropriate codes.
  • Created spreadsheet for each participant and worked with our Medical Director to ensure appropriate codes were being coded.
  • Abstract into the database clinical and demographic data from patient medical record in order to assign appropriate codes.
  • Worked with Professional Billing staff to review denied claims to ensure appropriate codes being billed.
  • Verified and abstracted all medical data to assign appropriate codes for hospital outpatient records.
  • Abstract clinical information from medical records and assign appropriate codes to patient records.
  • Assign the appropriate codes from medical charts based of patient diagnosis.
  • Identify and abstract appropriate codes based on CMS HCC categories.
  • Verified correct ICD9 and ICD 10 appropriate codes were used.
  • Answer phones and give appropriate codes to other departments.
  • Entered appropriate codes into the database for reporting.
  • Verify and assign appropriate codes from dictation.
  • Assign appropriate codes to diagnoses.
  • Volunteer Position Reviewed and abstracted pertinent medical information from the medical record to assign the appropriate codes for Emergency Department visits.
  • Identified and applied appropriate codes from specific dictionaries to Case Report Forms that require manual coding (e.g.

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50. Hedis
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Here's how Hedis is used in Medical Coder jobs:
  • Performed internal chart audits for documentation and coding accuracy for HEDIS performance measures.
  • Coded medical charts through CMCR/Medicare Data Quality Operations/HEDIS systems.
  • Maintained an aggregate quality score of 98% for completion and accuracy for Data entry, Audit accuracy and HEDIS.
  • Completed full chart audits to obtain accurate risk score, HEDIS Data, and potential Lost HCC for an MSO.
  • Experience in HEDIS abstraction and over-read for multiple measures, maintaining accuracy rates, and adhered to NCQA guidelines.
  • Utilized various software applications (e.g., Quality Reporter, Excel and Word) to support HEDIS operations.
  • Captured all HCC ICD-9 codes and HEDIS quality indicators for each reporting period per CMS requirements.
  • Perform Audits based on full charts review to increase MRA and HEDIS scores.
  • Assist quality /compliance department with annual HEDIS review.
  • Follow up on HEDIS Measurements and patient conditions.
  • Perform HEDIS and Focused audits as assigned.
  • Handled PIA/RA/HCC coding projects and HEDIS abstraction
  • Assess compliance with each HEDIS specification.
  • Extracted data for HEDIS project.
  • Risk Adjustment, HCC and Full code capture, HEDIS
  • Review all medical record documention using Healthcare Effectiveness Data and Information Set(HEDIS).
  • Promoted to Quality assurance manager and dealt with medical records in Hedis and Optum.
  • Report and Coding HEDIS ( Healthcare Effectiveness Data and Information Set) measures.
  • Code E/R, E/M, Pro Fee and Facility Same Day Surgery Hedis, HCC.
  • Perform coding abstractions from assigned medical records Input information into database system Meet project deadlines HEDIS Measures training

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20 Most Common Skills For A Medical Coder

Cpt-4

15.4%

Medical Records

10.0%

Emergency Room

6.0%

Patient Care

5.8%

CPC

5.8%

Surgery

5.5%

Insurance Companies

4.8%

Clinical Staff

4.8%

Icd-10-Cm

4.8%

Medicare

4.6%

Radiology

4.6%

Icd-9-Cm

4.5%

HCC

3.5%

Facility

3.5%

Audit

3.3%

Procedure Codes

3.3%

Internal Medicine

2.7%

Diagnosis

2.5%

Data Entry

2.4%

E/M

2.2%
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Typical Skill-Sets Required For A Medical Coder

Rank Skill
1 Cpt-4 11.8%
2 Medical Records 7.7%
3 Emergency Room 4.6%
4 Patient Care 4.5%
5 CPC 4.4%
6 Surgery 4.2%
7 Insurance Companies 3.7%
8 Clinical Staff 3.7%
9 Icd-10-Cm 3.7%
10 Medicare 3.6%
11 Radiology 3.5%
12 Icd-9-Cm 3.5%
13 HCC 2.7%
14 Facility 2.7%
15 Audit 2.6%
16 Procedure Codes 2.5%
17 Internal Medicine 2.1%
18 Diagnosis 1.9%
19 Data Entry 1.8%
20 E/M 1.7%
21 Cardiology 1.4%
22 Urology 1.4%
23 DRG 1.4%
24 Medicaid 1.3%
25 Accuracy Rate 1.3%
26 Oncology 1.0%
27 Hipaa 1.0%
28 Anesthesia 1.0%
29 Charge Entry 1.0%
30 Trauma 0.9%
31 Meditech 0.9%
32 Family Practice 0.8%
33 Pediatrics 0.8%
34 Orthopedics 0.7%
35 Gastroenterology 0.7%
36 Cerner 0.7%
37 Hippa 0.6%
38 Operative Reports 0.6%
39 EHR 0.6%
40 Physical Therapy 0.6%
41 Patient Accounts 0.6%
42 Physician Documentation 0.6%
43 Surgical Procedures 0.5%
44 Productivity Standards 0.5%
45 Aapc 0.5%
46 Proper Documentation 0.5%
47 CCI 0.4%
48 Ensure Accuracy 0.4%
49 Appropriate Codes 0.4%
50 Hedis 0.4%
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3,072 Medical Coder Jobs

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