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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CPT and ICD-10-CM coding, including modifier usage and denial analysis, while maintaining high-quality standards and productivity benchmarks. Proficient in MS Office tools for reporting and performance tracking, with strong communication skills for effective client interaction.
Highest-signal resume keywords
CPT CodingICD-10-CM CodingDenial ExperienceCPC CertificationMS 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
CPT CodingICD-10-CM CodingModifier UsageE&M CodingSurgical CodingAnatomy KnowledgePhysiology KnowledgeDenial AnalysisProblem-SolvingPerformance Tracking
Soft Skills
Excellent Communication SkillsAnalytical Skills
Tools & Technologies
MS ExcelMS PowerPoint
Certifications & Qualifications
CPC CertificationCCS Certification
Industry Keywords
Denial ManagementTelecommutingClient-Specific GuidelinesQuality BenchmarksReimbursement Maximization
About the role
Key responsibilities & impact- Perform accurate CPT / ICD-10-CM coding with appropriate modifier usage
- Review and analyze denied claims and identify root causes
- Initiate outbound calls to provider offices for denial clarification and resolution
- Document call outcomes and update claim status in systems
- Ensure timely follow-up on pending claims to maximize reimbursement
- Adhere to client-specific guidelines and project requirements
- Maintain quality and productivity benchmarks as defined by the client
- Prepare reports and track performance using MS Excel / PPT
Requirements
What you’ll need- Bachelor's Degree
- Denial Experience (EM + Surgery)
- Strong knowledge of CPT, ICD-10-CM, modifiers, E&M, and surgical coding
- Good understanding of Anatomy & Physiology
- Mandatory certification: CPC or CCS (No Apprentice credentials)
- Excellent communication skills with neutral accent (mandatory for calling role)
- Prior experience in voice process is an added advantage
- Ability to work in Eastern (US) shift
- Strong analytical and problem-solving skills
- Proficiency in MS Office (Excel & PowerPoint)
- Ability to understand client requirements and deliver accordingly
- Must be comfortable working in a telecommuting (remote/hybrid) setup as per business requirements
- Must ensure stable internet connectivity and a distraction-free work environment
Benefits
Comp & perks- Telecommuting (remote/hybrid) setup as per business requirements
- Stable internet connectivity and a distraction-free work environment requirement/support for coding and calling responsibilities
