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Coder, Women's Health and Allergy/Immunology
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 regulations and accurate documentation for reimbursement. Capable of providing guidance to healthcare providers and managing appeals processes effectively.
Highest-signal resume keywords
ICD-10-CM CodingHCPCS CodingCPT CodingCertification in CodingMedical 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
Diagnostic CodingProcedural CodingModifier AssignmentCharge Capture ValidationData InterpretationAppeals ManagementCoding Guidelines CommunicationCompliance DeterminationMedical Terminology KnowledgeHuman Anatomy Knowledge
Soft Skills
Problem-SolvingTime-ManagementOrganizational SkillsIndependent WorkMulti-Tasking
Tools & Technologies
Coding SoftwareElectronic Health Records
Certifications & Qualifications
RHIARHITCPCCPC-ACCSCCS-PCCS-HCOC
Industry Keywords
Medicare WorkflowsCommercial Carrier WorkflowsDenial ReviewAppeals PreparationHealthcare Compliance
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
- Determine compliance with laws, regulations, standards, policies, and procedures
- Perform accurate and timely ICD-10-CM, HCPCS, and CPT coding
- Review and audit medical records 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
- One of 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
- Ability to interpret, analyze, and abstract data/documentation
- Good problem-solving, time-management, and organizational skills
- Computer skills
- Ability to work independently, multi-task, and make informed and accurate recommendations to medical professionals
Benefits
Comp & perks- Flexible schedule, Monday through Friday
- 8 Hours - Day Shifts
- 40 scheduled weekly hours