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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare coding, billing, and revenue integrity, with a strong focus on education, compliance, and process improvement. Capable of analyzing data to drive actionable recommendations and enhance revenue outcomes through collaboration with clinical and operational teams.
Highest-signal resume keywords
Healthcare Coding ExpertiseRevenue Cycle OperationsICD-10-CM KnowledgeProfessional Certification (CPC, CCS, COC, RHIT, RHIA)Presentation and Facilitation Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare CodingBillingRevenue IntegrityICD-10-CMCPTHCPCSDocumentation RequirementsReimbursement MethodologiesData AnalysisRoot Cause Analysis
Soft Skills
Relationship BuildingInfluencingCustomer FocusCritical ThinkingCollaboration
Certifications & Qualifications
CPCCCSCOCRHITRHIA
Industry Keywords
Revenue CycleComplianceOperational DataAudit ReviewProcess Improvement
About the role
Key responsibilities & impact- Serve as the go-to Revenue Integrity resource for providers in Department of Medicine, Department of Surgery, or Ancillary Services.
- Troubleshoot revenue-related issues and clarify billing and coding questions.
- Identify opportunities to improve workflows and revenue outcomes.
- Build collaborative relationships with physicians, advanced practice providers, administrative leaders, and operational teams.
- Develop and deliver provider-focused education programs on coding updates, documentation requirements, reimbursement methodologies, and regulatory changes.
- Lead one-on-one and group training sessions for clinical stakeholders.
- Analyze provider-level trends, audit findings, charge capture opportunities, and reimbursement patterns.
- Conduct root cause analyses of coding, billing, and charge capture discrepancies.
- Partner with stakeholders to implement sustainable corrective actions.
- Review revenue integrity, compliance, and operational data to identify documentation gaps and workflow inefficiencies.
- Represent Revenue Integrity in multidisciplinary meetings and present findings, recommendations, and action plans to physician and executive leadership.
- Collaborate with Coding, Billing, HIM, Finance, Compliance, and Operational teams on strategic initiatives, regulatory readiness, and continuous process improvement.
- Report to the Director, Revenue Integrity.
Requirements
What you’ll need- Minimum of 5 years of experience in healthcare coding, billing, revenue integrity, revenue cycle operations, or related disciplines.
- Strong working knowledge of ICD-10-CM, CPT, HCPCS, documentation requirements, and healthcare reimbursement methodologies.
- Professional certification such as CPC, CCS, COC, RHIT, RHIA, or equivalent credential strongly preferred.
- Experience presenting to physicians, clinical leadership, and executive stakeholders in a healthcare setting.
- Demonstrated success leading education, audit review, compliance, or process improvement initiatives that resulted in measurable operational outcomes.
- Exceptional executive presence with the ability to influence, educate, and build credibility with physicians, senior leaders, and cross-functional stakeholders.
- Strong presentation and facilitation skills, including the ability to deliver impactful provider education and training programs.
- Advanced analytical and critical thinking skills with the ability to translate data into actionable recommendations.
- Excellent relationship-building capabilities with a customer-focused approach to stakeholder engagement and problem resolution.
- Ability to navigate complex healthcare environments, manage competing priorities, and drive change through collaboration and influence.
- Ability to work Monday–Friday, 9:00 AM–5:00 PM EST.
