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Coder, Provider Practice – Primary Care/Rural Health
Sanford Health. Serve as a resource for providers regarding covered indications and supporting documentation .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM, HCPCS, and CPT coding, ensuring compliance with official standards while effectively supporting providers in documentation and appeals management. Proficient in analyzing medical records and conveying coding guidelines to enhance documentation accuracy.
Highest-signal resume keywords
ICD-10-CM CodingHCPCS CodingCPT CodingCPC CertificationMedical Documentation Review
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM CodingHCPCS CodingCPT CodingModifier AssignmentDiagnostic Code AssignmentProcedure Code AssignmentCharge Capture ValidationAppeals ManagementData AnalysisMedical Terminology
Soft Skills
Problem-SolvingTime ManagementOrganizational SkillsIndependent WorkMultitasking
Tools & Technologies
Coding SoftwareElectronic Health Records
Certifications & Qualifications
CPC CertificationRHIA CertificationRHIT CertificationCCS CertificationCCS-P CertificationCCS-H CertificationCOC Certification
Industry Keywords
HealthcareMedical CodingDocumentation ComplianceProvider SupportAmbulatory Surgery Centers
About the role
Key responsibilities & impact- Serve as a resource for providers regarding covered indications and supporting documentation
- Support technical and professional services in provider clinics, Ambulatory Surgery Centers, and hospital professional services
- Understand and support Medicare and Commercial Carrier workflows for daily coding, denial review, and appeals management
- Prepare supporting documents and information for appeals
- Monitor and validate physician charge capture
- Participate in coding team meetings and serve as a subject matter expert
- Review medical documentation and assign modifiers, diagnostic codes, and procedure codes
- Perform ICD-10-CM, HCPCS, and CPT coding according to official standards and compliance guidelines
- Review and audit medical record documentation to substantiate appropriate service reimbursement
- Convey coding guidelines to physicians and healthcare providers to improve documentation accuracy
Requirements
What you’ll need- Associate degree in Health Information Technology or Certification in Coding required
- Specific knowledge of diagnostic and procedural terminology
- Successful coursework from an accredited institution in ICD diagnosis, CPT, HCPCS coding schemes, medical terminology or human anatomy/physiology preferred
- RHIA, RHIT, CPC, CPC-A, CCS, CCS-P, CCS-H, or COC certification required
- If not certified at hire, certification must be obtained within one year of the date of hire
- Knowledge of ICD-10-CM, HCPCS, and CPT coding
- Computer skills
- Ability to interpret, analyze, and abstract data/documentation
- Problem-solving, time management, and organizational skills
- Ability to work independently, multitask, and make informed and accurate recommendations to medical professionals
Benefits
Comp & perks- Remote work
- Flexible schedule
- Excellent team work