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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 ExperiencePerformance Metrics TrackingQuality Assurance Reviews
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 AuditingQuality AssurancePerformance MonitoringProcess ImprovementBenchmarking AnalysisCoding ReviewsTraining DevelopmentCorrective Actions ImplementationCoding Compliance
Soft Skills
Team LeadershipEffective CommunicationCollaborationProblem SolvingCoaching
Certifications & Qualifications
CPCCOCAAPC CertificationAHIMA Certification
Industry Keywords
HIPAA ComplianceOIG ComplianceSurgical Coding OperationsRadiation Oncology CodingOutpatient CodingAPC CodingASC 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 and communicate updates, performance results, challenges, and 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 improvements
- Support development and implementation of best practices in surgical coding operations
- Ensure adherence to HIPAA, OIG, and other compliance and confidentiality regulations
- Track performance metrics and prepare reports for senior management
- Coordinate between audit teams, management, and clients
- Participate in client calls and internal reviews
- Lead training sessions on current coding audits for multiple specialties
- Develop curricula, training handbooks, presentations, process manuals, and training materials
- Perform quality assurance reviews, random chart audits, coding reviews, and training programs
- Review and respond to coding questions
- Research updated coding information and coding issues
- Ensure billed services are accurately coded
- Perform benchmarking analysis and provide 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
- 7+ years relevant coding experience
- 3+ Years After Certification is must
- Auditing experience – desired
- Radiation Oncology coding/auditing experience – desired