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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of ICD-10-CM and CPT-4 coding guidelines, with a strong ability to analyze clinical data and ensure accurate coding for inpatient and outpatient encounters. Proficient in collaborating with healthcare teams to resolve documentation issues and improve coding practices.
Highest-signal resume keywords
ICD-10-CM CodingCPT-4 CodingCertified Coding Credential (CPC, CCS, CCS-P)Epic ExperienceCodeAssist Administration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingClinical Data AnalysisBilling Rejection InvestigationCoding Documentation ReviewRegulatory ReportingStatistical AnalysisCharge Master MaintenanceCoding Edits ReviewRoot Cause AnalysisQuality and Productivity Standards
Soft Skills
MentoringTrainingCollaborationProblem-SolvingCommunication
Tools & Technologies
ExcelEpicHISCodeAssist3M CEE
Certifications & Qualifications
CPCCCSCCS-P
Industry Keywords
Inpatient EncountersOutpatient EncountersRadiology CodingClinical DocumentationReimbursement
About the role
Key responsibilities & impact- Review inpatient and outpatient encounters and assign accurate ICD-10-CM and CPT-4 codes
- Analyze medical records, diagnoses, procedures, complications, and treatment details to capture complete and appropriately specific clinical data
- Identify and correct improper codes for medical and legal accuracy, regulatory reporting, reimbursement, research, planning, and statistical analysis
- Investigate coding inconsistencies, inaccuracies, omissions, billing rejections, and denials, providing supporting documentation and follow-up
- Partner with HIM leadership, physicians, Revenue Integrity, Patient Billing, and Radiology leadership to resolve documentation and coding issues
- Lead, train, and mentor Clinical Data Specialists; review their work and explain coding rationales
- Serve as a primary administrator for CodeAssist; collaborate with 3M CEE, submit technical tickets, and assist with system testing, coding-rule adjustments, and connection issues
- Collaborate with Nuclear Medicine, General Radiology, Interventional Radiology, and Breast modalities to improve coding and documentation
- Support special projects including charge master maintenance, charge mapping, fee coordination, coding updates, rejection correction, and year-end code changes
Requirements
What you’ll need- High school diploma or GED required
- Four to seven years of professional coding experience required
- Current certified coding credential required, e.g., CPC, CCS, CCS-P
- Advanced knowledge of ICD-10-CM and CPT-4 coding guidelines
- Experience reviewing inpatient and outpatient encounters, Radiology medical records, billing rejections, coding edits, and clinical documentation preferred
- Proficiency using coding, clinical, billing, and reporting systems, including Excel
- Experience with Epic, HIS, CodeAssist or comparable platforms is highly relevant
- Ability to interpret complex clinical information and produce accurate, compliant coding
- Ability to guide coders through constructive review, practical training, and clear explanations of coding decisions
- Ability to investigate root causes and recommend systematic improvements
- Ability to meet established quality and productivity standards and maintain accurate reporting