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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in consultative coding management, ensuring compliance with clinical documentation standards and fostering collaboration among diverse teams. Proven ability to develop strategies that enhance coding accuracy and improve clinical documentation practices.
Highest-signal resume keywords
CPC CertificationManagement ExperienceMedicare Risk Advantage KnowledgeClinical Documentation ImprovementMicrosoft Office Suite
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Consultative CodingClinical DocumentationQuality Improvement InitiativesCoding Strategies DevelopmentCompliance MonitoringProblem List CleanupTraining and ReportingAudit CollaborationMarket-Specific Strategies
Soft Skills
Team LeadershipCollaborationRelationship BuildingCommunication
Certifications & Qualifications
CPC CertificationRHIA CertificationRHIT CertificationCCS Certification
Industry Keywords
PHI ComplianceHIPAA ComplianceOnshore and Offshore CodingClinical CodingHealthcare Documentation
About the role
Key responsibilities & impact- Manage a diverse team of consultative coders
- Ensure clinical documentation supports accurate coding and reflects disease prevalence within the population
- Partner with the Divisional Coding Leader to develop market-specific strategies
- Promote accurate clinical documentation
- Ensure compliance with state, federal and internal policies and procedures
- Foster collaboration across onshore and offshore coding, audit, and education teams
- Cultivate relationships with physicians and advanced practice providers as the point of contact for documentation and coding questions
- Develop consultative coding strategies to meet market needs
- Share knowledge and best practices with coding and market leadership
- Recommend strategies to improve clinical documentation and coding for pre- and post-visit coding
- Establish relationships with post-visit/offshore coding leadership
- Develop continuous quality improvement initiatives
- Monitor special handling of mergers and acquisitions
- Oversee Problem List cleanup as outlined by compliance
- Ensure consistent PCO process training and reporting
Requirements
What you’ll need- Bachelor's Degree or equivalent experience
- 6+ years of technical experience including Microsoft Office Suite
- 2+ years of management experience
- CPC (Certified Professional Coder) Certification
- RHIA, RHIT, CCS, CPC Certification
- Medicare Risk Advantage based knowledge and experience
- Must currently reside in Florida, Georgia, North Carolina or South Carolina
- Must be able to travel approximately 25%
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Home or Hybrid Home/Office work arrangements
- Dedicated workspace and internet requirements to support remote work
- Occasional travel to Humana offices for training or meetings