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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical coding, including ICD-10 and CPT/HCPCS code sets, while ensuring compliance with regulatory standards and maintaining data integrity. Proficient in utilizing coding guidelines and maintaining confidentiality in accordance with HIPAA regulations.
Highest-signal resume keywords
ICD-10 CodingCPT/HCPCS CodingAHIMA Credential (RHIA, RHIT, CCS, CCA) or AAPC Credential (COC, CCS-P, CPC)Clinical Documentation ReviewMicrosoft 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
Diagnostic CodingProcedural CodingData AbstractionAPC ValidationQuality Coding StandardsMedical TerminologyAnatomy and Physiology KnowledgePharmacology KnowledgePathophysiology KnowledgeCoding Guidelines Compliance
Soft Skills
Interpersonal SkillsProblem-Solving Skills
Tools & Technologies
RcxCernerNextGenMicrosoft ExcelMicrosoft WordMicrosoft Outlook
Certifications & Qualifications
AHIMA Credential (RHIA, RHIT, CCS, CCA)AAPC Credential (COC, CCS-P, CPC)
Industry Keywords
Clinical DocumentationRegulatory CompliancePatient ConfidentialityHealthcare CodingProduction Coding Environment
About the role
Key responsibilities & impact- Review clinical documentation to assign and sequence diagnostic and procedural codes for designated patient types
- Validate APC calculations to accurately capture documented diagnoses and procedures for hospitals
- Review and assess documentation for accurate abstraction of clinical data and regulatory and compliance requirements
- Select and sequence ICD-10 and/or CPT/HCPCS codes for ancillary, recurring, hospital, clinic, physician professional fee, technical fee, and evaluation and management patient types
- Review facility records to ensure APC assignments and/or Evaluation and Management codes reflect documented diagnoses and procedures
- Abstract clinical data to support diagnoses, procedures, and discharge disposition
- Act as a resource for client staff regarding data integrity, clarification, and compliant coding practices, including provider queries
- Maintain patient and provider confidentiality in compliance with HIPAA guidelines
- Participate in client and Savista meetings, trainings, conference calls, and continuing education activities
- Maintain current knowledge of coding guidelines, government regulations, protocols, and third-party coding and billing requirements
- Interact with client staff and providers as needed
Requirements
What you’ll need- Candidates must successfully pass pre-employment skills assessment
- An active AHIMA credential including RHIA, RHIT, CCS, CCA, or an active AAPC credential including COC, CCS-P, CPC, or related specialty credential
- Two years of recent and relevant hands-on coding experience
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, ICD-10, and CPT/HCPCS code sets
- Ability to consistently code at a 95% quality threshold while maintaining client-specific and/or Savista production and/or quality standards
- Proficient computer knowledge including Microsoft Office, Outlook, Word, and Excel; ability to enter data, sort, and filter Excel files
- Excellent interpersonal and problem-solving skills with internal and external customers
- Recent and relevant experience in an active production coding environment strongly preferred
- Associate degree in HIM or healthcare-related field, or equivalent combination of education and experience preferred
- Experience using Rcx, Cerner, or NextGen is a plus
