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