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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding compliance and accuracy, with a strong focus on ICD-10, HCPCS/CPT, and Medicare guidelines. Proven ability to coach and support coding teams while driving quality improvements and addressing training needs.
Highest-signal resume keywords
CCS CertificationCPC CertificationICD-10 KnowledgeEncoder Tools ProficiencyCoding 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
Coding AuditsData ValidationRoot Cause AnalysisDocumentation SkillsOutpatient CodingModifier ApplicationMedicare/NCCI RulesQuality ImprovementProcess ImprovementTraining Needs Assessment
Soft Skills
CommunicationOrganizationProblem-SolvingTeam CollaborationIndependence
Tools & Technologies
OptumTrueCode3MWebstratMicrosoft Office
Certifications & Qualifications
CCSCPC
Industry Keywords
Medicare OPPSAPCsLCD GuidelinesNCD GuidelinesInterventional RadiologyAmbulatory SurgeryEmergency Room CodingObservation Coding
About the role
Key responsibilities & impact- Review coding audits to ensure findings are accurate, consistent, and compliant
- Validate coded data against medical documentation
- Provide coaching and support to coders to enhance accuracy and confidence
- Deliver feedback from audit reviews and identify training needs or process gaps
- Contribute to improving audit methods, processes, and documentation
- Collaborate with peers and leadership to drive quality improvements
- Provide root cause analyses for coding discrepancies
- Support compliance with company and regulatory standards
- Take on additional tasks and challenges as needed in a dynamic environment
Requirements
What you’ll need- High School Diploma (required)
- CCS or CPC certification (required)
- At least 5 years of coding experience across both professional and hospital settings
- Deep knowledge of ICD-10, HCPCS/CPT, Medicare OPPS, and APCs
- Skilled in using encoder tools (Optum, TrueCode, 3M, Webstrat)
- Familiarity with Medicare LCD and NCD guidelines
- Ability to code complex outpatient services, including interventional radiology, ambulatory surgery, ER, and observation
- Expertise in applying modifiers and following Medicare/NCCI rules
- Strong documentation skills with the ability to reference official coding guidelines
- Excellent communication, organization, and problem-solving abilities
- Ability to work independently or as part of a team
- Proficiency with Microsoft Office, including Excel, PowerPoint, Outlook, and Word
- Must be U.S.-based
Benefits
Comp & perks- Remote work flexibility
- Opportunities for growth and mentorship through a structured coaching program
- Collaborative culture where ideas and insights are valued
- Opportunities for advancement
- Fast-paced, innovative work environment
- Chance to impact healthcare delivery nationwide
