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Revenue Cycle Coder, CPC
Proliance Surgeons. Review, audit, and interpret medical record documentation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and billing, particularly with ICD-10, CPT-4, and HCPCS codes, while maintaining compliance with carrier policies and guidelines. Strong communication and organizational skills support effective collaboration with providers and leadership to enhance coding accuracy and resolve claims issues.
Highest-signal resume keywords
ICD-10 CodingCPT-4 CodingHCPCS CodingProfessional Coder CertificationOrthopedic Coding 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
Medical Record Documentation ReviewCoding Software ProficiencyClaim Denial ResolutionRoot-Cause AnalysisAttention to Detail
Soft Skills
Excellent Written CommunicationExcellent Verbal CommunicationSelf-Motivated Team PlayerExcellent Organization SkillsInterpersonal Communication Skills
Tools & Technologies
Microsoft ExcelMicrosoft OutlookAdobeEHR Navigation
Certifications & Qualifications
Professional Coder CertificationICD-10 Certification
Industry Keywords
Medical BillingOrthopedic ClinicsPayer-Specific RequirementsMedicare GuidelinesNCCI Compliance
About the role
Key responsibilities & impact- Review, audit, and interpret medical record documentation
- Identify pertinent diagnoses and procedures and apply correct ICD-10, CPT-4, and HCPCS codes
- Use coding software and coding reference materials appropriately
- Follow up with providers regarding insufficient, missing, or unclear documentation
- Assist providers with coding and documentation guideline questions
- Provide feedback, identify education opportunities, and communicate coding trends to leaders
- Maintain current knowledge of carrier policies and guidelines, including Medicare, NCCI, and payer-specific requirements
- Review and resolve suspended charges caused by claim edits or payer rejections
- Review, correct, and appeal coding-related denials
- Share denial trends with leadership and team members to support root-cause analysis and continuous process improvement
- Correct and/or appeal denied claims caused by coding errors
- Perform other duties as assigned
Requirements
What you’ll need- Minimum 3 years coding/medical billing experience
- Professional coder certification with credentialing from AHIMA and/or AAPC, maintained annually
- ICD10 certified and/or extensive work experience
- Prior orthopedic coding experience strongly preferred, particularly supporting high-volume orthopedic and surgical clinics
- Strong understanding of physiology, medical terms, and anatomy
- Thorough attention to detail
- Excellent written and verbal communication skills
- Self-motivated team player able to multi-task and prioritize
- Excellent organization and interpersonal communication skills
- Strong computer skills
- Experience with Microsoft Excel, Outlook, and Adobe
- Working experience navigating EHRs to abstract documentation
- Must reside in WA, FL, NC, AZ, ID, OH, OR, TN, TX, or RI to be eligible for remote hire
- Ability to work Monday–Friday, 8am–5pm PST
Benefits
Comp & perks- Full-time Monday–Friday schedule, 8am–5pm PST
- Remote work arrangement for eligible residents
- Reasonable accommodations may be made to enable differently abled persons to perform essential functions