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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 ReviewsTeam Leadership
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 TrackingBenchmark AnalysisCoding Quality Assurance
Soft Skills
Team ManagementCommunicationProblem SolvingCollaborationTraining Development
Certifications & Qualifications
CPCCOCAAPC CertificationAHIMA Certification
Industry Keywords
HIPAA ComplianceOIG ComplianceSurgical Coding OperationsAudit DiscrepanciesProcess Enhancements
About the role
Key responsibilities & impact- Supervise and manage the daily activities of surgery coding and audit teams, including in-house and contract auditors
- Allocate workload, monitor performance, and ensure timely completion of assigned tasks
- Conduct regular team meetings 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 and recommend process enhancements
- Support 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 performance metrics and prepare reports for senior management
- Address audit discrepancies, process deviations, and non-compliance issues
- Coordinate with management and clients on communication and issue resolution
- Participate in client calls and internal reviews
- Support audit planning and resource allocation
- Lead training sessions on current coding audits for multiple specialties
- Develop curricula, training handbooks, presentations, process manuals, and training materials
- Perform quality assurance reviews and random chart audits
- Review and respond to coding questions
- Research updated coding information and coding issues
- Conduct coding reviews and training programs to assure coding quality
- Ensure billed services are accurately coded
- Perform analysis of benchmarking profiles
- Provide continual coding and payer updates
Requirements
What you’ll need- Medical Coding or Auditing experience in Surgery Coding (outpatient, Prof, APC, ASC etc.)
- CPC, COC or other AAPC/AHIMA coding certification
- Auditing experience – desired
- Radiation Oncology coding/auditing experience – desired
- 7+ years relevant coding experience
- 3+ Years After Certification is must
- Bachelor's Degree
- Hybrid work arrangement