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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 and billing, particularly in ICD-10-CM, CPT, and HCPCS coding systems, while effectively delivering training and mentoring to outpatient coders. Proficient in analyzing coding errors and trends to enhance training content and ensure compliance with regulatory requirements.
Highest-signal resume keywords
ICD-10 Coding ExpertiseCPT Coding KnowledgeCCS or CPC CertificationTraining Facilitation SkillsAnalytical Skills
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 CodingBilling Training DevelopmentCoding Error AnalysisOutpatient Clinical CodingModifier ApplicationComplex Outpatient Services CodingQuality Review ConductingPerformance Data TrackingRegulatory ComplianceAudit Trend Analysis
Soft Skills
Strong Communication SkillsOrganizational SkillsTime-Management SkillsMentoring SkillsCollaboration Skills
Tools & Technologies
LMSMS TeamsExcelPowerPointOutlookWordVirtual Meeting Platforms
Certifications & Qualifications
CCS CertificationCPC Certification
Industry Keywords
ICD-10-CMHCPCS CodingCPT CodingMedicare OPPSAPCMedicare LCDMedicare NCDAudit ConceptsRevenue Cycle ConceptsBusiness of Medicine
About the role
Key responsibilities & impact- Deliver onboarding training for new outpatient coders and refresher training for tenured coders
- Develop and maintain medical coding and billing training content and modules, including ICD-10-CM, CPT, E/M coding, Business of Medicine, edit resolution, and revenue cycle concepts
- Analyze coding errors and audit trends to identify root causes and deliver targeted training or remediation
- Mentor outpatient coders and provide coaching and performance feedback
- Conduct quality reviews related to initial audits and appeals to support training insights and skill reinforcement
- Identify opportunities beyond standard audit findings that may result in additional recoveries and incorporate learnings into training
- Maintain current knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines
- Track and consolidate learner performance data from quizzes, exams, and assessments
- Present summarized learner-performance insights during weekly meetings
- Perform responsibilities in accordance with company compliance, information security, and regulatory requirements
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree or equivalent
- CCS or CPC certified
- Minimum 5 years coding experience in professional or hospital coding
- Thorough understanding of ICD-10 coding, HCPCS/CPT coding systems, Medicare OPPS, and APC
- Experience with and expertise in Medicare LCD and NCD
- Demonstrated training facilitation skill, including instructor-led, virtual, and blended training for adult learners
- Strong knowledge of outpatient clinical coding, including CPT, ICD-10-CM, modifiers, and documentation requirements
- Proficiency in modifier application following Medicare and NCCI guidelines
- Ability to code complex outpatient services, including interventional radiology, ambulatory surgery, emergency room, and observation
- Ability to explain complex coding guidelines and audit concepts clearly and practically
- Strong communication and facilitation skills for engaging learners and managing virtual group dynamics
- Analytical skills to identify knowledge gaps, recurring errors, and training opportunities from audit trends
- Ability to collaborate with Quality, Audit, and SME partners in a remote environment
- Strong organizational and time-management skills
- Comfort using virtual meeting platforms, LMS, and MS Teams
- Personal computer skills required
- Experience with Excel, PowerPoint, Outlook, and Word
- A brief coding/auditing assessment may be included in the interview process
Benefits
Comp & perks- Exciting, fast-paced, and innovative environment
- Opportunity to work closely with experienced healthcare consultants
- Exposure to many aspects of clients’ businesses
- Teamwork and time-management development opportunities
- Mentoring program with guidance/coaching from a senior-level advisor
- Growth and development opportunities
- 100% remote work
- Up to 10% annual travel for team meetings and limited client onsite engagements
