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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and clinical documentation improvement, with a strong focus on ICD-10-CM, CPT coding, and compliance standards. Capable of evaluating AI-generated coding recommendations and providing feedback to enhance accuracy.
Highest-signal resume keywords
Medical Coding ExperienceICD-10-CM ProficiencyCPT Coding KnowledgeActive CPC CredentialAnalytical 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
Medical CodingClinical Documentation ImprovementICD-10-CMCPT CodingCoding AuditsDocumentation ComplianceRevenue Cycle ManagementCoding GuidelinesClinical ValidationDenials Management
Soft Skills
Analytical SkillsWritten Communication Skills
Tools & Technologies
EpicHealthcare Documentation Systems
Certifications & Qualifications
CPCCCSCDIPCCDS
Industry Keywords
US Medical Coding StandardsMedical NecessityPayer RequirementsDocumentation ComplianceInpatient CodingOutpatient CodingDRG
About the role
Key responsibilities & impact- Review patient medical records and clinical documentation
- Validate diagnosis and procedure coding accuracy
- Review ICD-10-CM, ICD-10-PCS, and CPT coding assignments as applicable
- Identify missing documentation, coding discrepancies, and clinical inconsistencies
- Review clinical documentation for accuracy, completeness, and compliance
- Evaluate AI-generated coding and CDI recommendations
- Develop complex medical coding and documentation scenarios for AI training
- Review billing, denials, and revenue cycle-related cases
- Provide expert feedback and corrections to improve AI model accuracy
Requirements
What you’ll need- Minimum 3 years of medical coding, CDI, or related revenue cycle experience
- Active or current recognized professional credential appropriate to the specialty, such as CPC, CCS, CDIP, or CCDS
- Strong understanding of US medical coding and clinical documentation standards
- Experience with ICD-10-CM, CPT, and related coding guidelines
- Knowledge of medical necessity, payer requirements, and documentation compliance
- Strong analytical and written communication skills
- Must have 4 hours of PST overlap
- Preferred: Experience with inpatient or outpatient coding
- Preferred: Knowledge of DRG, denials management, and clinical validation
- Preferred: Experience with coding audits and documentation improvement
- Preferred: Familiarity with Epic or other healthcare documentation systems
Benefits
Comp & perks- Flexible Spending Account: Pre-tax benefit for Medical and Dependent care
- Paperless pay statement: View and manage your paycheck online
- Medical benefits
- Vision benefits
- Dental benefits