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Senior Associate, Coding Auditor
Gainwell Technologies. Perform audits of medical record documentation to determine the accuracy of principal and secondary diagnosis, including MCC and CC, and procedure codes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in ICD-10 coding and medical record auditing, with a strong understanding of coding guidelines and regulatory mandates. Proven ability to mentor and train new auditors while maintaining high productivity and quality standards.
Highest-signal resume keywords
ICD-10 Coding ExpertiseMedical Record AuditingAHIMA or AAPC CertificationCPT Coding MethodologyAPR-DRG Understanding
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 CMICD-10-PCSAPC CodingASC CodingHCPCS CodingCPT CodingMedical Record DocumentationAudit DeterminationProductivity StandardsQuality Performance
Soft Skills
MentoringFeedbackEducation
Tools & Technologies
HMS Auditing Systems
Certifications & Qualifications
CPCCCSCOCRHIARHIT
Industry Keywords
Coding GuidelinesRegulatory GuidelinesContinuing Education UnitsMCCCCInpatient ClaimsOutpatient Claims
About the role
Key responsibilities & impact- Perform audits of medical record documentation to determine the accuracy of principal and secondary diagnosis, including MCC and CC, and procedure codes
- Adhere to official coding guidelines, coding clinics, regulatory guidelines, and mandates
- Apply advanced ICD-10 coding expertise to substantiate conclusions
- Use HMS proprietary auditing systems to document audit determinations and rationale
- Consistently achieve productivity and quality performance standards established by management
- Cross-train to perform reviews of multiple claim types and meet client needs
- Assist management with training new Coding Auditors through daily monitoring, mentoring, feedback, and education
- Maintain current knowledge of coding guidelines and complete required CEUs
- Attend training and scheduled meetings to enhance clinical policy, procedure, rule, and regulation knowledge
Requirements
What you’ll need- 1+ years active professional credentials through AHIMA or AAPC: CPC, CCS, COC, RHIA, RHIT; required
- 3+ years coding inpatient or outpatient claims; required
- Demonstrated proficiency in medical record auditing and ICD-10 CM, ICD-10-PCS, APC, ASC, HCPCS, and CPT coding methodology
- Demonstrates a thorough understanding of the APR-DRG, AP-DRG, and MS-DRG
- Demonstrated experience in medical record coding and auditing
- Must maintain coding certification through required continuing education units (CEUs)
Benefits
Comp & perks- Benefits on first day of employment
- Clear path to advancement with training and leadership
- Remote (work from home) environment within the United States