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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding accuracy and quality assurance, with a strong focus on analyzing coding variances and compliance under HIPAA regulations. Proficient in collaborating with stakeholders to enhance coding logic and workflow improvements while maintaining high productivity and documentation standards.
Highest-signal resume keywords
AHIMA Coding CredentialAAPC Coding CredentialCoding ExperienceAuditing ExperienceElectronic Health Records Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM CodingCPT CodingHCPCS CodingCoding Variance AnalysisQuality Assurance ReviewsAudit DocumentationTechnology-Assisted CodingData ReviewWorkflow ImprovementCompliance Analysis
Soft Skills
CollaborationAnalytical SkillsProblem-SolvingCommunicationTime Management
Tools & Technologies
Coding PlatformsAudit ToolsSpreadsheet SoftwareElectronic Health Records
Certifications & Qualifications
AHIMA Coding CredentialAAPC Coding Credential
Industry Keywords
HIPAA RegulationsOutpatient ChartsSDSEDAncillary ServicesObservationsIVRRemote Working ExperienceQuality ControlPatient Information Management
About the role
Key responsibilities & impact- Complete scheduled quality assurance reviews for clients
- Review Autonomous Coding records for accuracy, completeness, and appropriateness of AI-generated ICD-10-CM, CPT, and HCPCS code assignments
- Compare AI-generated results with human-coded results and source documentation
- Document coding variances and rationale for final determinations
- Analyze variance patterns, false positives, false negatives, and workflow exceptions
- Escalate compliance, configuration, or performance concerns
- Collaborate with customers, the Innovations team, Coding Operations, and other stakeholders
- Clarify requirements, review findings, resolve discrepancies, and recommend coding logic, workflow, and quality-control improvements
- Support solution validation, user acceptance testing, release readiness, and post-implementation monitoring
- Maintain reproducible audit documentation and summarize accuracy, variance, and trend results
- Communicate quality issues to management and respond to client QA needs
- Handle patient information appropriately under HIPAA requirements
- Attend educational conference calls
- Maintain required productivity, quality, turnaround-time, and documentation standards
- Maintain an audit accuracy rate of 95% or better
- Perform other duties within the project scope
Requirements
What you’ll need- Approved AHIMA or AAPC coding credential
- Minimum 5 years of coding experience
- Experience with all aspects of outpatient charts, including SDS, ED, Ancillary, Observations, and IVR
- Minimum 2 years of auditing experience
- Experience auditing technology-assisted, computer-assisted, or autonomous coding results preferred
- Ability to interpret audit findings, analyze coding variances, and communicate evidence-based recommendations
- 2 years of remote working experience preferred
- Proficiency with electronic health records, encoder or coding platforms, audit tools, and spreadsheet-based data review preferred
- Knowledge of HIPAA Privacy and Security Regulations
- Coding credential requirements must be maintained
- Strong collaboration, analytical, problem-solving, communication, presentation, time-management, and organizational skills
- Ability to self-motivate and self-direct
- Commitment to a team environment and company Core Values
Benefits
Comp & perks- Part-time employment
- Fully remote work
- Home office environment
- Equal opportunity employment