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Coder
Solaris Health. Code all cases accurately and efficiently to the highest level to ensure maximum reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding, including CPT, HCPCS, and ICD coding, while ensuring compliance with healthcare regulations and guidelines. Proficient in collaborating with healthcare providers and staff to maintain accurate documentation and improve coding processes.
Highest-signal resume keywords
CPC CertificationCCS-P CertificationCMRS CertificationIn-Depth Knowledge Of CPT And ICD CodingExperience In Urology Or Physician Practice Environment
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical CodingCPT CodingICD CodingHCPCS CodingDiagnosis CodesModifiersMedical TerminologyRevenue Cycle ProcessCompliance MonitoringChart Documentation Review
Soft Skills
Analytical SkillsProblem-Solving SkillsAttention To DetailCollaborationCommunication
Tools & Technologies
Electronic Health Record (EHR) SystemsMicrosoft Office Applications
Certifications & Qualifications
CPCCCS-PCMRSAAPC Certification
Industry Keywords
MedicareMedicaidManaged CareThird-Party Payer GuidelinesHealthcare ComplianceHIPAASolaris Health Code Of Conduct
About the role
Key responsibilities & impact- Code all cases accurately and efficiently to the highest level to ensure maximum reimbursement
- Ensure quality and productivity standards are met
- Accurately code diagnoses, procedures, and modifiers according to established coding guidelines for government and third-party payers
- Review chart documentation for accuracy and completeness
- Identify inconsistencies in chart documentation and work with staff and the Coding Supervisor to resolve issues
- Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues
- Collaborate with providers to obtain complete documentation supporting coding
- Monitor compliance with policies, procedures, coding guidelines, and regulations
- Identify process improvement opportunities and recommend efficiency improvements
- Inform the Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes
- Participate in special projects, personal development training, and cross training
- Work with peers and functional areas of the Coding and Revenue Integrity department
- Maintain patient confidentiality and report suspected compliance concerns or violations
- Complete Annual Compliance Training
- Perform other position-related duties as assigned
Requirements
What you’ll need- CPC, CCS-P, CMRS or AAPC certification required
- High School Diploma or equivalent required
- At least 3 years experience
- Entry level Medical Billing and Coding Terminology preferred
- Experience in Urology or physician practice environment preferred
- In-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology
- Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process
- Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications
- Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines
- Knowledge of governmental regulations and healthcare compliance requirements
- Strong analytical and problem-solving skills
- Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail
- Ability to develop reports and create professional presentations
- Ability to maintain confidentiality in handling sensitive information
- Ability to work independently and collaboratively across teams and departments
- Ability to recognize coding issues and prevent untimely claim submission and denials
- Ability to comply with HIPAA, Solaris Health Code of Conduct, and applicable laws and regulations
Benefits
Comp & perks- Competitive pay
- PTO
- Holiday pay
- Comprehensive benefits package
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Pet insurance
- Health savings account
- Paid sick time
- Paid time off
- Paid holidays
- Profit sharing
- Retirement plan
- Personal development training
- Cross training