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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in surgical coding and auditing, ensuring compliance with HIPAA and OIG regulations while leading teams to achieve accuracy and productivity benchmarks. Proficient in developing training materials and conducting quality assurance reviews to enhance coding operations.
Highest-signal resume keywords
Surgical Coding ExperienceCPC CertificationAuditing ExperienceQuality Assurance ReviewsProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Surgery CodingCoding AuditsPerformance Metrics TrackingCorrective Actions ImplementationChart AuditsBenchmarking AnalysisCoding Questions ResolutionCoding Information ResearchBilled Services CodingTraining Development
Soft Skills
Team ManagementCommunicationProblem SolvingCollaborationLeadership
Certifications & Qualifications
CPCCOCAAPC CertificationAHIMA Certification
Industry Keywords
HIPAA ComplianceOIG ComplianceSurgical Coding OperationsAudit DiscrepanciesQuality AssuranceTraining SessionsResource AllocationClient CoordinationProcess ManualsRadiation Oncology Coding
About the role
Key responsibilities & impact- Supervise and manage daily activities of surgery coding and audit teams, including in-house and contract auditors
- Allocate workload, monitor performance, and ensure timely completion of tasks
- Conduct team meetings, communicate updates, review performance, and address challenges or process changes
- Ensure coding audits meet accuracy, quality, and productivity benchmarks
- Review audit results, identify trends, and implement corrective actions
- Collaborate with Quality Assurance and Training teams on coaching and retraining
- Monitor workflows, identify bottlenecks, and recommend process improvements
- Support development and implementation of best practices in surgical coding operations
- Ensure coordination between coding, auditing, and training functions
- Ensure adherence to HIPAA, OIG, and other compliance and confidentiality regulations
- Track key performance metrics and prepare reports for senior management
- Address audit discrepancies, process deviations, and non-compliance issues
- Coordinate between audit teams, management, and clients
- Participate in client calls and internal reviews
- Support audit planning and resource allocation
- Lead coding-audit training sessions across multiple specialties
- Develop curricula, training handbooks, presentations, process manuals, and other training materials
- Perform quality assurance reviews, coding reviews, random chart audits, and benchmarking analysis
- Review and respond to coding questions
- Research updated coding information and coding issues
- Ensure billed services are accurately coded
- Provide coding and payer updates
Requirements
What you’ll need- Medical Coding or Auditing experience in Surgery Coding (outpatient, Professional, APC, ASC, etc.)
- CPC, COC, or other AAPC/AHIMA coding certification
- 7+ years relevant coding experience
- 3+ years after certification is required
- Auditing experience preferred
- Radiation Oncology coding/auditing experience preferred
