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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in surgery coding, including adherence to CPT, ICD-10-CM, and HCPCS standards, while effectively leading a coding team to ensure compliance and accuracy. Proficient in payment integrity processes and healthcare regulations, with strong analytical and communication skills to enhance operational efficiency.
Highest-signal resume keywords
Surgery Coding ExpertiseCPT, ICD-10-CM, HCPCS KnowledgeCCS, CPC, CPMA CertificationEHR Systems ExperienceHealthcare Regulations Knowledge
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 CodingAuditing MethodologiesPayment Integrity PrinciplesQuality Metrics MonitoringCoding Discrepancy Identification
Soft Skills
Analytical SkillsProblem-Solving SkillsCommunication SkillsTeam ManagementStakeholder Management
Tools & Technologies
Coding SoftwareEHR Systems
Certifications & Qualifications
CCSCPCCPMA
Industry Keywords
HealthcareHIPAAHITECHCMSMedicareLCDsNCDsCommercial Payer Guidelines
About the role
Key responsibilities & impact- Lead and manage the surgery coding team to ensure accurate, compliant, and timely auditing of medical records
- Oversee daily workflow, allocate tasks, and monitor productivity and quality metrics
- Conduct regular audits and quality checks to ensure adherence to CPT, ICD-10-CM, and HCPCS coding standards
- Provide training, mentorship, and performance feedback to team members
- Stay updated on coding changes, payer policies, and regulatory guidelines, and cascade updates to the team
- Collaborate with analytics, compliance, and operations teams to resolve coding issues and improve processes
- Monitor KPIs and implement performance improvement strategies to enhance efficiency and accuracy
- Apply payment integrity principles to identify coding discrepancies, documentation gaps, and revenue leakage opportunities
Requirements
What you’ll need- Bachelor's degree in Healthcare, Life Sciences, or Health Information Management (or related field)
- Mandatory certification such as CCS, CPC, or CPMA
- Extensive experience in medical coding with strong expertise in surgery coding
- In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding systems
- Strong understanding of payment integrity processes and auditing methodologies
- Experience working with EHR systems and coding software
- Knowledge of healthcare regulations including HIPAA, HITECH, CMS, Medicare, LCDs, NCDs, and commercial payer guidelines
- Excellent analytical and problem-solving skills with attention to detail
- Strong communication and stakeholder management skills
- Ability to manage teams, prioritize tasks, and perform in a fast-paced environment
