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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of medical coding, including Medicare and Commercial Risk Adjustment, with a strong ability to communicate complex information effectively. Possesses excellent organizational skills and the ability to work independently in a fast-paced remote environment.
Highest-signal resume keywords
Current Coding Certification5 Years Coding ExperienceMedicare Risk Adjustment KnowledgeHealth Plan Risk Adjustment Data Validation Audit ExperienceAdvanced Knowledge of Medical Terminology
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding CertificationMedicare Risk AdjustmentFacility Coding ExperienceData Entry ProductionQuality Assurance ReviewMedical TerminologyAnatomy KnowledgePharmacology KnowledgeOfficial Coding Resources UtilizationProblem Solving Skills
Soft Skills
Excellent Verbal CommunicationExcellent Written CommunicationStrong Organizational SkillsAttention to DetailAdaptability
Tools & Technologies
Coding SoftwareRemote Collaboration Tools
Certifications & Qualifications
CPCCPC-PCPC-HCPC-ICRCCCSRHITRHIA
Industry Keywords
Risk AdjustmentHierarchical Condition CategoryHealth Plan CodingE-VerifyData Validation Audit
About the role
Key responsibilities & impact- Assist Managers with clinical pends
- Assist with over-read feedback
- Assign manual assignments
- Assist with individual data entry production (MRR or OR1)
- Review reports daily for QA scores during the season(s) for abstractors, coders, and HPs
- Ensure collaboration among cross-functional teams for product release rollouts
- Perform additional duties as necessary to meet client obligations
- Interact with management and remote coding personnel
- Explain complex information
Requirements
What you’ll need- Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
- Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
- Additional experience in facility (OPPS/IPPS) coding experience is preferred
- Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred
- Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers
- Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
- Ability to interact with management and remote coding personnel
- Possess strong organizational skills and attention to detail
- Ability to adapt to changing priorities while managing a wide range of projects
- Adaptive and flexible to new ideas and change
- Advanced knowledge of medical terminology, anatomy and pharmacology
- Advanced skills utilizing official coding resources for research and problem solving
- Advanced skills and knowledge of computers, use of required software to perform job functions
- Excellent written and communication skills and the ability to explain complex information
- Must pass E-Verify requirements for new hires
Benefits
Comp & perks- Competitive salary
- Medical, Dental and Vision benefits
- 401k match
- Generous PTO plan