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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CPT and ICD-10 coding, ensuring accurate coding of medical records while adhering to compliance regulations. Proficient in analyzing documentation for improvement opportunities and maintaining high accuracy in coding output.
Highest-signal resume keywords
CPT CodingICD-10 CodingCPC CertificationExperience in Evaluation and ManagementKnowledge of CMS Regulations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingDocumentation ReviewCoding AnalysisModifier AssignmentQuality AssuranceData CollectionChart CodingRegulatory ComplianceMedical TerminologyAnatomy and Physiology
Soft Skills
Analytical SkillsCommunication SkillsAbility to Work IndependentlyAttention to DetailAbility to Work Under Pressure
Tools & Technologies
Electronic Health Record SystemsCoding/Billing PlatformsMicrosoft Office Applications
Certifications & Qualifications
CPC CertificationCCS-P Certification
Industry Keywords
CPT StandardsICD-10-CM GuidelinesDocumentation ComplianceReimbursementMedical Services Coding
About the role
Key responsibilities & impact- Apply appropriate CPT and ICD-10 codes to individual patient medical records
- Review medical record documentation to determine appropriate code assignments
- Provide physicians with feedback regarding documentation improvement opportunities
- Analyze CPT E&M, procedure, and ICD-10 diagnosis codes for billing purposes
- Complete coding functions for assigned charts daily and distribute coded charts through the workflow
- Complete documentation deficiency data collection and physician query forms
- Identify non-billable or missing accounts
- Code a minimum of 135–150 charts per day at 96% or greater accuracy
- Deliver work within one business day of availability
- Communicate workflow variations and escalate issues affecting daily coding or month-end close
- Complete timecards and production records daily
- Participate in quality assurance, peer review, departmental meetings, and company meetings
- Maintain knowledge of CMS regulations, ICD-10-CM guidelines, CPT standards, Brault policies, and compliance requirements
- Assign correct modifiers and apply surgical package rules
- Code other medical services including X-rays and EKGs
- Ensure coded data accurately reflects patient treatment and meets regulatory requirements
- Escalate incomplete, missing, unbillable, clerical-error, and late-chart problems
- Provide coverage for other client datasets and perform other duties as requested
Requirements
What you’ll need- Completion of a defined training program resulting in a CPC or CCS-P by an accredited institution (AAPC, AHIMA)
- Minimum of three years of experience in evaluation and management and CPT coding
- Background in ED, Urgent Care, ICU and/or hospitalist coding preferred
- Extensive knowledge of disease entities and disease process, medical terminology, anatomy, physiology, medication purposes and administration, and common medical procedures
- Analytical skills and ability to translate medical record documentation into specific codes
- Ability to work at a fast pace while maintaining concentration and accuracy
- Ability to communicate the relationship between coding and documentation with physicians
- Ability to work independently with minimal supervision, under pressure, and under deadlines
- Computer keyboarding skills and experience with MS Office
- Excellent understanding of ethical coding, reimbursement, and documentation compliance
- Experience with Electronic Health Record systems (EHR), coding/billing platforms, and Microsoft Office Applications
Benefits
Comp & perks- Participates in in-services and continuing education activities
- Team activities for quality assurance and peer review
- Fully remote work arrangement
