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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding practices and quality assurance processes, with a strong focus on Medicare and Commercial Risk Adjustment. Proficient in analyzing error trends and providing training support while maintaining confidentiality of patient health information.
Highest-signal resume keywords
Professional Coding Certificate (AHIMA/AAPC)5 Years Coding ExperienceMedicare and Commercial Risk Adjustment KnowledgeQuality Assurance and Control ActivitiesMicrosoft Office Proficiency
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 Guidelines KnowledgeError Trend AnalysisQuality Assurance ReviewsAction Plan DevelopmentPerformance Checks
Soft Skills
Effective CommunicationIndependent WorkCollaboration SkillsTeaching and Training Ability
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft PowerPointAdobe Pro
Certifications & Qualifications
Professional Coding Certificate (AHIMA/AAPC)
Industry Keywords
Hierarchical Condition Category (HCC)Coding Error TrendsPatient Health Information ConfidentialityQA DiscrepanciesReveleer Coding Guidelines
About the role
Key responsibilities & impact- Complete overread of chases for coders in production
- Support the initial QA process during onboarding
- Communicate coding error trends to the Training and QA team
- Assist in creating action plans to mitigate QA discrepancies
- Assist coders in resolving coding queries based on Reveleer Coding Guidelines, AHA Coding Clinics, and CMS Coders Guidance on Medical Review
- Create and maintain quality control activities, including bi-monthly performance checks and monthly quality assurance reviews
- Track QA scores and ensure corrections are completed promptly
- Identify outliers requiring retraining and set action plans
- Conduct one-on-one or group teaching in coordination with the training team
- Pull reports to analyze error trends and present findings to the internal team
- Collaborate and consult with QA teams to ensure adherence to policies and procedures
- Provide additional support as necessary to meet customer obligations
Requirements
What you’ll need- Must have a professional coding certificate through AHIMA/AAPC
- Minimum of 5 years coding experience
- Specific knowledge of Medicare and Commercial Risk Adjustment, such as Hierarchical Condition Category (HCC)
- Strong computer skills
- High-speed internet access at home
- Commitment to confidentiality of patient health information
- Professional, articulate, and able to work independently
- Skilled in Microsoft Office applications, including Excel, Word, and PowerPoint
- Knowledgeable in Adobe Pro
- Ability to collaborate effectively with QA teams and staff at all levels
Benefits
Comp & perks- Medical, Dental and Vision benefits
- 401k with Employer Match
- Generous PTO plan
- Competitive salary