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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 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 CertificationKnowledge 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 CodingModifier CodingMedical TerminologyChart Documentation ReviewClaims ResolutionRevenue Cycle ProcessProcess ImprovementCompliance Monitoring
Soft Skills
Analytical SkillsProblem-Solving SkillsAttention To DetailCollaborationCommunication
Tools & Technologies
Electronic Health Record (EHR) SystemsMicrosoft Office Applications
Certifications & Qualifications
CPCCCS-PCMRSAAPC
Industry Keywords
Healthcare ComplianceMedicare GuidelinesMedicaid GuidelinesThird-Party Payer GuidelinesHIPAA Compliance
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
- Code diagnoses, procedures, and modifiers accurately according to established coding guidelines
- Work collaboratively with providers to obtain complete documentation supporting coding
- Meet quality and productivity standards and monitor compliance with policies and procedures
- Identify process improvement opportunities and recommend efficiency improvements
- Maintain current knowledge of coding guidelines and relevant state and federal regulations
- Ensure adherence to third-party and governmental coding, documentation, compliance, and reimbursement regulations
- Participate in special projects, personal development training, and cross-training
- Inform the Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes
- Collaborate with peers and functional areas of the Coding and Revenue Integrity department
- Maintain patient confidentiality and report suspected 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 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
- 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 with accuracy and attention to detail
- 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
- Compliance with HIPAA, Solaris Health Code of Conduct, and applicable policies and regulations
- Timely completion of Annual Compliance Training
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