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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in inpatient medical record coding, ensuring compliance with HIPAA and OIG regulations while achieving quality and production targets. Proficient in mentoring coding staff and conducting audits to maintain coding accuracy and specificity.
Highest-signal resume keywords
CCS CertificationIP DRG Coding ExperienceAuditing ExperienceMicrosoft Excel ProficiencyHIPAA Compliance Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Inpatient Medical Record ReviewCoding SpecificityDischarge Disposition VerificationQuality AuditsDRG AssignmentClinical Documentation ReviewCoding EducationTrend Identification
Soft Skills
Good Communication SkillsFlexibility
Tools & Technologies
3M SoftwareNLP ToolMicrosoft OutlookMicrosoft Word
Certifications & Qualifications
CCS CertificationCIC Certification
Industry Keywords
IPPS MethodologyCoding ComplianceClinical Documentation SpecialistsSOP Requirements
About the role
Key responsibilities & impact- Perform in-depth reviews of selected inpatient medical records
- Ensure assigned codes and DRGs are supported by clinical documentation
- Ensure diagnoses and procedures are coded with required specificity
- Verify discharge disposition and POA accuracy
- Mentor and train other coders
- Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists
- Follow all SOP requirements
- Complete audits with quality
- Achieve quality and production targets
- Follow project protocols and instructions
- Escalate issues and identify trends
- Update productivity, clarification, and other applicable 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- Bachelor's degree in Nursing (preferable) or Bachelor's degree 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
- Knowledge of IPPS methodology
- Good Excel skills
- Flexibility
- Good communication skills
- Compliance knowledge regarding HIPAA and OIG
Benefits
Comp & perks- Full-time employee status
- 40 hours per week