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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10 and CPT/HCPCS coding, ensuring compliance with Medicare, Managed Care, and Commercial Insurance guidelines. Proficient in navigating electronic medical records and managing insurance denials while maintaining high accuracy and quality standards.
Highest-signal resume keywords
ICD-10 CodingCPT/HCPCS CodingAHIMA CredentialAAPC CredentialEncoder System Experience
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 CodingCPT/HCPCS CodingMedical TerminologyAnatomy and PhysiologyInsurance Denial ManagementQuality and Accuracy CodingData EntryExcel ProficiencyEPIC ExperienceCerner Experience
Soft Skills
Interpersonal SkillsProblem-Solving SkillsOrganization SkillsTime Management
Tools & Technologies
MS OfficeARIA System
Certifications & Qualifications
AHIMA CredentialAAPC Credential
Industry Keywords
CMS GuidelinesLCDsNCDsE&M CodingClient-Specific Standards
About the role
Key responsibilities & impact- Verify and sequence ICD-10 and/or CPT/HCPCS codes from patient medical records and/or procedure reports for submission
- Apply ICD-10 hierarchy coding according to official guidelines and linking requirements
- Apply column 1 and column 2 rules for ICD-10 coding
- Navigate and research CMS guidelines, LCDs, and NCDs
- Communicate clearly and precisely with providers during the querying process
- Apply Medicare, Managed Care, and Commercial Insurance coding guidelines for E&M and procedures
- Navigate electronic medical records for billing, coding, and insurance denials
- Work insurance denials for follow-up and collaborate with the Accounts Receivable Team
- Review and submit 64 encounters per day or eight charts per hour; denials workload is five charts per hour
- Work with professional office, hospital outpatient, and inpatient services
- Participate in client and Savista staff meetings, trainings, and conference calls
- Maintain current knowledge of ICD-10 and/or CPT/HCPCS, coding guidelines, government regulations, protocols, and third-party requirements
- Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials
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 coding experience
- Knowledge of medical terminology, anatomy and physiology, and ICD-10 and CPT/HCPCS code sets
- Ability to consistently code at 95% threshold for quality and accuracy while maintaining client specific and/or Savista production and/or quality standards
- Proficient computer knowledge including MS Office, with ability to enter data, sort and filter Excel files, and use Outlook, Word, and Excel
- Excellent interpersonal and problem-solving skills with all levels of internal and external customers
- Outstanding organization skills and time management
- Recent and relevant experience in an active coding production environment strongly preferred
- Experience utilizing an encoder system
- EPIC and Cerner experience preferable
- Proficient in ARIA system
