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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 maintaining high-quality standards in coding practices.
Highest-signal resume keywords
CCS CertificationIP DRG Coding ExperienceAuditing 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
IP DRG CodingAuditingClinical Documentation ReviewCoding SpecificityDischarge Disposition VerificationPOA AccuracyIPPS MethodologySOP ComplianceQuality AuditsProductivity Logging
Soft Skills
Good CommunicationFlexibilityMentoringTeam CollaborationFeedback Provision
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft Word3M SoftwareNLP Tool
Certifications & Qualifications
CCS (Certified Coding Specialist)CIC (Certified Inpatient Coder)
Industry Keywords
HIPAA ComplianceOIG RequirementsInpatient CodingClinical Documentation SpecialistsQuality Targets
About the role
Key responsibilities & impact- Perform in-depth reviews of selected inpatient medical records
- Ensure assigned codes and DRG are supported by clinical documentation
- Ensure diagnoses and procedures are coded with the required specificity
- Verify discharge disposition and POA accuracy
- Apply IPPS methodology
- Mentor and train other coders
- Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists
- Follow SOPs, project protocols, and instructions
- Complete audits with quality and achieve quality and production targets
- Escalate issues and identify trends
- Update productivity, clarification, and other applicable logs daily
- Consult the Manager/Team Lead for clarifications
- Respond promptly to 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) or 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