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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including CPT, ICD-10-CM, and HCPCS, with a strong focus on quality auditing and compliance. Proven ability to lead teams, conduct training, and implement process improvements in high-compliance healthcare environments.
Highest-signal resume keywords
CCS – Certified Coding SpecialistCIC – Certified Inpatient CoderCPC – Certified Professional CoderIVR Specialty ExperienceQuality Auditing Experience
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 CodingHCPCS CodingQuality Control (QC)Data AnalysisQuality AuditingProblem-SolvingAnalytical SkillsTeam Education and TrainingCompliance Knowledge
Soft Skills
Team-Handling SkillsMotivational SkillsCommunication Skills
Tools & Technologies
Microsoft Excel
Certifications & Qualifications
CCS – Certified Coding SpecialistCIC – Certified Inpatient CoderCPC – Certified Professional Coder
Industry Keywords
HIPAA ComplianceOIG ComplianceHealthcare CodingSLA-Driven EnvironmentsClinical Documentation
About the role
Key responsibilities & impact- Perform detailed quality audits of coded medical records for accuracy, compliance, official coding guidelines, and payer-specific requirements
- Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes
- Identify coding errors, trends, and improvement areas; provide actionable feedback and recommendations to the coding team
- Collaborate with coding managers and training teams on process improvement and coding education initiatives
- Stay current with coding standards, payer regulations, and compliance requirements
- Handle and guide the team to achieve production and quality goals
- Manage inventory and planning
- Follow project protocols and instructions
- Handle team clarifications and proactively address team issues
- Research grey areas and develop solutions
- Motivate and guide team members
- Escalate issues and identify trends
- Respond promptly to manager emails
- Ensure team-wide HIPAA and OIG compliance
Requirements
What you’ll need- Bachelor's Degree in Science or Nursing
- One or more mandatory certifications: CCS – Certified Coding Specialist, CIC – Certified Inpatient Coder, or CPC – Certified Professional Coder
- 3+ years of experience after certification
- 4–6 years of coding experience with quality experience
- IVR specialty experience mandatory, including complex-level IVR coding, cardiovascular surgery, and general surgery
- Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role
- QC experience
- Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting
- Experience working in SLA-driven, high-compliance healthcare environments
- Expert-level proficiency
- Team-handling skills
- Problem-solving skills
- Analytical skills
- Ability to conduct team education and training
- Ability to address client emails and queries
- Knowledge of HIPAA and OIG compliance