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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 resolve coding discrepancies.
Highest-signal resume keywords
CPC CertificationCCS-P CertificationCMRS CertificationIn-Depth Knowledge of CPT and ICD CodingExperience in Urology
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 ProcessClaims ResolutionCompliance Monitoring
Soft Skills
Analytical SkillsProblem-Solving SkillsCollaborationConfidentialityTime Management
Tools & Technologies
Electronic Health Record (EHR) SystemsMicrosoft Office Applications
Certifications & Qualifications
CPCCCS-PCMRSAAPC
Industry Keywords
Healthcare ComplianceMedicare GuidelinesMedicaid GuidelinesThird-Party Payer GuidelinesCoding Supervisor
About the role
Key responsibilities & impact- 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
- Ensure accurate coding of diagnoses, procedures, and modifiers
- Work collaboratively with providers to obtain complete documentation supporting coding
- Meet quality and productivity standards and monitor compliance with policies and procedures
- Identify process opportunity trends and recommend efficiency improvements
- Maintain current knowledge of coding guidelines and state and federal regulations
- Ensure adherence to third-party and governmental coding, documentation, compliance, and reimbursement regulations
- Escalate coding issues, trends, discrepancies, and payer changes to the Coding Supervisor
- Participate in special projects, personal development training, and cross training
- Collaborate 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 related duties as assigned
Requirements
What you’ll need- CPC, CCS-P, CMRS or AAPC required
- High School Diploma or equivalent required
- At least 3 years experience required
- 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 manage multiple tasks and competing deadlines accurately
- Ability to develop reports and create professional presentations
- Ability to maintain confidentiality of 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
- 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