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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in IP DRG coding and auditing, ensuring compliance with HIPAA and OIG requirements while mentoring and training coding staff. Proficient in applying IPPS methodology and achieving quality and production targets.
Highest-signal resume keywords
CCS - Certified Coding SpecialistCIC - Certified Inpatient CoderIP DRG Coding Experience3M Software ExposureMicrosoft Excel 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
Inpatient Medical Record ReviewClinical Documentation SupportCoding SpecificityDischarge Disposition VerificationAuditing ExperienceIPPS Methodology ApplicationQuality Target AchievementSOP ComplianceTrend IdentificationProductivity Logging
Soft Skills
Good CommunicationFlexibility
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft Word3M SoftwareNLP Tool
Certifications & Qualifications
CCS - Certified Coding SpecialistCIC - Certified Inpatient Coder
Industry Keywords
HIPAA ComplianceOIG RequirementsClinical Documentation SpecialistsCoding Staff MentoringQuality Audits
About the role
Key responsibilities & impact- Perform in-depth reviews of select inpatient medical records
- Ensure assigned codes and DRG are supported by clinical documentation
- Ensure diagnoses and procedures are coded with required specificity
- Verify discharge disposition and POA correctness
- Apply IPPS methodology
- Mentor and train other coders
- Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists
- Follow every aspect of SOP
- Complete received audits with quality
- Achieve quality and production targets
- Follow project-related protocols and instructions
- Escalate issues and identify trends
- Update productivity, clarification, and other applicable logs daily
- Check with Manager/TL regarding clarifications
- Respond promptly to all manager emails
- Ensure team compliance with HIPAA and OIG requirements
Requirements
What you’ll need- Bachelor's in nursing (preferable) / Bachelor's in science
- Mandatory CCS - Certified Coding Specialist certification
- Mandatory CIC - Certified Inpatient Coder certification
- Minimum 2 years’ experience in IP DRG coding or auditing
- Auditing experience on IP DRG
- Knowledge of Microsoft Outlook, Excel, and Word
- Exposure to 3M software and NLP tool
- Good Excel skills
- Flexibility
- Good communication
- 40 hours per week, full-time employee