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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in E/M coding audits, compliance evaluation, and clinical documentation accuracy, with a strong focus on AMA CPT E/M guidelines and CMS policies. Proficient in data analysis and reporting, ensuring audit readiness and effective communication of findings.
Highest-signal resume keywords
Active CPMA CertificationE/M Coding ExperienceCoding Audit ExperienceProficiency in Microsoft OfficeAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
E/M Coding AuditsClinical Documentation ReviewCompliance EvaluationData AnalysisAudit ReportingCPT E/M GuidelinesICD-10-CMHCPCSModifier RulesPayer-Specific Requirements
Soft Skills
Strong Communication SkillsInterpersonal SkillsProblem-Solving SkillsOrganizational SkillsAbility to Multi-Task
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft OutlookReporting ToolsData Analysis Tools
Certifications & Qualifications
CPMACPCCCSRHITRHIA
Industry Keywords
Audit CalibrationCompliance RisksProtected Health InformationHIPAAAudit Readiness
About the role
Key responsibilities & impact- Conduct routine E/M coding audits across assigned specialties, providers, and client accounts
- Review clinical documentation and coded encounters for accuracy, documentation alignment, and compliance
- Evaluate patient status, place of service, level of service, modifiers, and add-on or prolonged services
- Apply AMA CPT E/M guidelines, CMS policies, ICD-10-CM, HCPCS, modifier rules, and payer-specific requirements
- Complete assigned audit volumes within established turnaround expectations and quality standards
- Perform assigned audits independently and escalate complex scenarios or conflicting guidance
- Participate in audit calibration activities
- Document audit findings, discrepancy identification, root causes, and corrective recommendations
- Prepare individual audit reports and summary submissions
- Maintain organized audit records and files
- Compile audit data for trend analysis and reporting
- Communicate findings to audited coders and providers
- Provide E/M coding and documentation feedback and assist with audit-driven education
- Re-audit previously identified findings to assess corrective action effectiveness
- Identify patterns and recurring documentation gaps and report observations
- Remain current with AMA CPT E/M, CMS, payer, and regulatory updates
- Flag potential compliance risks and emerging accuracy issues
- Support audit readiness activities and audit program documentation
- Maintain confidentiality and safeguard protected health information under HIPAA
Requirements
What you’ll need- Active CPMA plus one or more of the following required: CPC, CCS, RHIT, RHIA
- 5+ years of E/M coding experience with at least 1 year of coding audit experience; 2+ years preferred
- Working knowledge of current AMA CPT E/M and CMS documentation guidelines
- Proficiency in Microsoft Office applications (Excel, Word, Outlook)
- Experience with reporting and data analysis tools preferred
- Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment
- Strong communication and interpersonal skills
- Exceptional attention to detail and organizational skills
- Ability to work independently while contributing to a team-oriented environment
- Demonstrated problem-solving skills with a proactive and solution-driven approach
Benefits
Comp & perks- Health insurance
- Dental insurance
- Vision insurance
- Employee assistance plan
- Paid family leave
- Short-term disability insurance
- Life insurance
- 401(k) plan with employer match
- Flexible spending accounts
- Employee discount program
- Employee referral program
