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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM/PCS coding, compliance with CMS guidelines, and conducting quality audits. Proven ability to mentor coding staff and collaborate with clinical teams to ensure accurate documentation and coding practices.
Highest-signal resume keywords
ICD-10-CM/PCS CodingCCS CertificationAuditing Experience on IP DRG3+ Years of Experience After CCS CertificationMicrosoft 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
ICD-10-CM CodingICD-10-PCS CodingDRG ClassificationCoding Quality AuditsDocumentation Gap AnalysisRegulatory ComplianceCoding EducationAudit ReportingSOP AdherenceQuality and Production Targets
Soft Skills
Good CommunicationFlexibilityMentoringCollaborationFeedback Delivery
Tools & Technologies
3M SoftwareNLP ToolsMicrosoft OutlookMicrosoft ExcelMicrosoft Word
Certifications & Qualifications
CCS Certification
Industry Keywords
IPPS MethodologyCMS GuidelinesHIPAA ComplianceOIG RequirementsClinical Documentation Improvement
About the role
Key responsibilities & impact- Conduct comprehensive reviews of inpatient medical records to validate ICD-10-CM/PCS codes and DRG classifications
- Ensure compliance with IPPS methodology, CMS guidelines, and official coding rules
- Verify diagnoses, procedures, POA indicators, and discharge disposition
- Identify documentation gaps and collaborate with clinical teams for clarification
- Mentor, coach, and support coding staff
- Deliver feedback and ongoing education to coders and CDI specialists
- Perform routine coding quality audits and recommend corrective actions
- Analyze audit findings and prepare detailed reports
- Stay updated on regulatory changes, payer guidelines, and industry best practices
- Participate in cross-functional meetings with coding, CDI, compliance, and operations teams
- Follow SOPs, project protocols, and instructions
- Complete audits with quality and achieve quality and production targets
- Escalate issues and identify trends
- Update productivity and clarification logs daily
- Consult managers or team leads for clarifications
- Respond promptly to manager emails
- Ensure team compliance with HIPAA and OIG requirements
Requirements
What you’ll need- Nursing education is mandatory
- CCS (Certified Coding Specialist) certification is mandatory
- 3+ years of experience after CCS certification
- Auditing experience on IP DRG
- Knowledge of Microsoft Outlook, Excel, and Word
- Exposure to 3M software and NLP tools
- Good Excel skills
- Flexibility
- Good communication
- Ability to work 40 hours per week as a full-time employee