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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including CPT, ICD-10-CM, and HCPCS codes, while ensuring compliance with coding guidelines and payer-specific requirements. Proven ability to conduct quality audits, provide actionable feedback, and collaborate on process improvements within a coding team.
Highest-signal resume keywords
CPC CertificationICD-10-CM CodingCPT CodingQuality AuditsMedical Coding Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingIVR CodingGeneral Surgery CodingCardiovascular CodingCoding ComplianceCoding GuidelinesQuality Control ChecksDocumentation ReviewError IdentificationProcess Improvement
Soft Skills
Written CommunicationOral CommunicationCollaborationFeedback ProvisionProblem Solving
Tools & Technologies
High-Speed Broadband InternetComputer Skills
Certifications & Qualifications
CPC CertificationCPMA Certification
Industry Keywords
HIPAA ComplianceOIG ComplianceQuality Team ExperienceLife Science DegreeParamedical Degree
About the role
Key responsibilities & impact- Perform detailed quality audits of coded medical records for accuracy, compliance, official coding guidelines, and payer-specific requirements
- Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes
- Identify coding errors, trends, and improvement areas
- Provide actionable feedback and recommendations to the coding team
- Collaborate with coding managers and training teams on process improvement and coding education initiatives
- Stay current with coding standards, payer regulations, and compliance requirements
- Lead and manage QC checks
- Follow SOPs, project protocols, and instructions
- Complete received audits with quality and achieve quality targets
- Escalate issues and identify trends
- Update productivity, clarification, and other applicable logs daily
- Check with Manager/TL regarding clarifications
- Respond promptly to manager emails
- Ensure team compliance with HIPAA and OIG requirements
Requirements
What you’ll need- Life science/Paramedical Degree
- CPC/CPMA certification
- Minimum 3+ years of post-certification coding experience
- 6 years to 9 years’ experience in Medical coding IVR and General surgery
- Computer skill sets
- Experience in IVR coding, including cardiovascular and general surgery
- Working in Quality team is an added advantage
- Strong written (documentation) and oral communication skills
- Must work 40 hours per week as a full-time employee
- Availability for 08:00AM to 05:00PM IST shift
- High-speed broadband internet connection at home
- Must understand and adhere to telecommuter policy
Benefits
Comp & perks- 40 hours per week as Full time employee
- Weekends Off
- High Speed internet connection at home, must be broadband
- Hybrid work arrangement
