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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical validation audits and medical documentation interpretation, ensuring compliance with HIPAA and OIG requirements. Possesses strong analytical skills and comprehensive clinical knowledge, with a focus on multi-specialty surgery coding.
Highest-signal resume keywords
Bachelor's Degree In NursingActive NCLEX CertificationCPC Certification3 Years' Experience In Multi-Specialty Surgery CodingStrong Written And Oral Communication 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
Clinical Validation AuditsMedical Documentation InterpretationMulti-Specialty Surgery CodingAnalytical ThinkingCritical ThinkingAuditingDenial ManagementComputer Skills
Soft Skills
Strong Communication SkillsTeam Compliance
Tools & Technologies
Productivity LogsClarification Logs
Certifications & Qualifications
Active NCLEX CertificationCPC CertificationCPMA Certification
Industry Keywords
HIPAA ComplianceOIG ComplianceLife Science DegreeParamedical DegreeTelecommuter Policy
About the role
Key responsibilities & impact- Performs clinical validation audits and interpretation of medical documentation to ensure capture of all relevant coding
- Follows every aspect of SOP without fail
- Completes received audits with quality
- Achieves quality and production targets
- Follows project-related protocols and instructions
- Escalates issues and identifies trends
- Updates productivity, clarification, and other applicable logs daily
- Checks with Manager/TL regarding clarifications
- Answers all emails from Manager promptly
- Ensures team compliance with HIPAA and OIG requirements
Requirements
What you’ll need- Bachelor’s degree (or equivalent) in Nursing
- NCLEX certification – Active (USRN)
- All certifications/License should be active
- Life science/Paramedical Degree
- CPC/CPMA
- USRN + CPC+ 3 years' experience in multi-specialty surgery coding including IVR, General surgery, Infusion and Injection and Radiation oncology
- Experience in auditing and denial management is optional
- Able to apply analytical and critical thinking to record reviews
- Required comprehensive clinical knowledge and strong clinical experience
- Computer skill sets
- Strong written (documentation) and oral communication skills
- High Speed internet connection at home, must be broadband
- Must understand and adhere with telecommuter policy
Benefits
Comp & perks- 40 hours per week as Full-time employee
- Weekends Off
- High Speed internet connection at home, must be broadband
- Shift time: 8:00 PM IST - 5:00 PM IST (may change based on project requirements)