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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding diagnoses and procedures using ICD-10-CM, PCS, and CPT codes, while maintaining high-quality standards and productivity rates. Engages effectively with clients and providers to ensure accurate coding and compliance with industry standards.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingClinical Documentation ReviewAHIMA CredentialAAPC Credential
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Diagnosis CodingProcedure CodingMS-DRG ValidationAPC ValidationData AbstractionClaims Scrubber MitigationCoding Conventions KnowledgeQuality AssuranceProduction Rate MaintenanceCoding Experience
Soft Skills
Client InteractionTeam CollaborationAdaptability
Certifications & Qualifications
AHIMA CredentialAAPC Credential
Industry Keywords
Inpatient CodingProfessional ClaimsTechnical ClaimsHealthcare CodingClinical Data
About the role
Key responsibilities & impact- Reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs
- Reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes for professional and technical claims and data needs
- Validates MS-DRG and APC calculations
- Abstracts clinical data
- Mitigates diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits
- Interacts with client staff and providers as needed
- Assigns ICD-10-CM and PCS codes for inpatient visits or ICD-10-CM codes, professional and technical EM levels, and surgical CPT codes for physician visits
- Maintains commercially reasonable production rates and a consistent 95% or greater quality level
- Tolerates short-term assignments for up to two different clients
- Participates in client and Savista meetings and training sessions
- Maintains current working knowledge of coding conventions
- Performs other related duties as required
Requirements
What you’ll need- An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential
- One year of relevant, productive coding experience for the specific patient type being hired and within the last six months
- Passing score of 80% on specific pre-employment tests assigned
