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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in dental coding and clinical procedures, ensuring compliance with Current Dental Terminology (CDT) and ADA standards. Possesses strong analytical and communication skills to effectively train staff and respond to client needs.
Highest-signal resume keywords
Dental Coding KnowledgeClinical Role ExperienceExcellent Written And Verbal Communication SkillsAnalytical Thinking SkillsProject Management Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Dental CodingKnowledge Of Dental ProceduresStatistical KnowledgeDetail OrientedMathematical Skills
Soft Skills
Excellent Communication SkillsAbility To Work As Part Of A TeamAnalytical ThinkingAbility To Meet DeadlinesTraining Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft Outlook
Certifications & Qualifications
Dental Coding Certificate
Industry Keywords
Current Dental Terminology (CDT)ADA ComplianceClinical ClaimsProvider AppealsQuality Committee Participation
About the role
Key responsibilities & impact- Perform daily reviews and audits of client data for completeness and coding accuracy
- Utilize dental coding knowledge to ensure reimbursement appropriateness when making recommendations on clinical claims
- Ensure requirements for Current Dental Terminology (CDT), ADA, and related concessions are met
- Perform duties according to structured algorithms or written guidelines
- Handle moderately complex issues and refer medical necessity procedures to higher-level staff for approval or denial
- Respond to provider appeals involving non-clinical issues
- Respond to client logics and record reviews involving non-clinical issues
- Assess and respond to client and provider educational needs
- Monitor acceptance rates for assigned clients and help management detect negative deviations
- Provide feedback to Management and Development on editing and efficiency improvements
- Pass client feedback to relevant teams
- Participate in the Quality Committee as required
- Complete responsibilities outlined in the annual Performance Plan
- Report to a department head or manager
Requirements
What you’ll need- High school diploma, GED or equivalent work experience
- Minimum of 3 years work experience in a clinical role in the dental office, as a Dental Assistant or Dental Hygienist
- Dental coding certificate preferred; credential or ability to sit for it
- General knowledge of dental procedures, conditions, and treatment practices
- Excellent written and verbal communication skills
- Ability to think logically and process sequentially with a high level of detailed accuracy
- Excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc.
- Ability to conduct training for internal staff and clients efficiently and effectively
- Ability to work as part of a team
- Analytical thinking skills
- Statistical knowledge
- Technical expertise
- Detail oriented
- Ability to meet deadlines
- Mathematical skills
- Project management skills
- Must be able to perform duties with or without reasonable accommodation
- Must be able to provide a dedicated, secure work area
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance coverage
- 401(k) savings plan
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service
- Overtime pay eligibility for nonexempt employees for hours worked in excess of 40 hours per week, or as otherwise required by applicable state law
- Remote work arrangement
- Dedicated, secure work area
- High-speed internet access/connectivity and office setup and maintenance