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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in quality assurance reviews, coding accuracy, and compliance with coding guidelines, while providing effective training and support to coding consultants. Maintains high standards of productivity and quality in coding practices, ensuring adherence to HIPAA regulations and coding credential requirements.
Highest-signal resume keywords
AHIMA Coding CredentialAAPC Coding CredentialICD-10-CM CodingCPT CodingHCPCS Coding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality Assurance ReviewsCoding AuditingData AbstractionError Trend AnalysisCompliance MonitoringCoding SupportProductivity StandardsCoding Accuracy RateElectronic Medical Record SystemsQuality Improvement Action Plans
Soft Skills
Collaboration SkillsAnalytic AbilitiesProblem-Solving TechniquesTime ManagementCommunication Skills
Certifications & Qualifications
AHIMA CredentialAAPC Credential
Industry Keywords
HIPAA RegulationsICD-10-CM GuidelinesCPT GuidelinesHCPCS GuidelinesCMS Directives
About the role
Key responsibilities & impact- Complete regularly scheduled quality assurance reviews for clients
- Complete onboarding quality assurance reviews for newly hired consultants
- Provide training for newly hired coding consultants as needed
- Communicate quality issues to management
- Assist with identification, drafting, implementation, and monitoring of quality improvement action plans
- Maintain reports and accuracy rates for coding consultants and clients
- Respond to client quality-assurance needs at management’s direction
- Provide educational sessions on error trends to coding consultants
- Notify management of compliance concerns or incidents
- Handle patient information appropriately while maintaining confidentiality and discretion
- Attend educational conference calls
- Provide coding support to the business as needed
- Perform other project duties as needed
- Maintain required productivity and quality requirements
- Maintain coding credential requirements
- Complete quality assurance reviews of outpatient coding specialists or external providers across facility-based chart types
- Validate accurate data abstraction into client electronic medical record systems
- Follow ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS coding guidance
- Track and trend educational opportunities and report quality results
- Provide educational support and training to coders and providers
- Maintain a coding auditing accuracy rate of 95% or better while meeting productivity standards
Requirements
What you’ll need- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 4 years’ coding experience required
- Specialty experience may be preferred as per specific client needs
- Minimum 2 years of auditing experience preferred
- Recommend at least 2 years of remote experience
- Applicants for U.S. based positions must be legally authorized to work in the United States
- Verification of employment eligibility will be required at the time of hire
- Visa sponsorship is not available
- Knowledge of HIPAA Privacy and Security Regulations
- Knowledge of Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding
- Knowledge of AMA CPT Guidelines and CMS directives
- Strong collaboration skills
- Strong analytic and problem-solving abilities and techniques
- Consistent initiative with strong drive for results and success
- Commitment to a team environment
- Well-developed written, verbal, and presentation communication skills
- Deep listening and attention to detail
- Ability to self-motivate and self-direct
- Strong time management and organizational skills
- Commitment and adherence to company Core Values
- High level of integrity and ethical judgment
- Communication, consistency and reliability, and meeting standards
Benefits
Comp & perks- Excellent salary
- Full benefits package
- 401(k) with company match
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Long-term disability insurance
- PTO policy
- Remote work from a home office environment