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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive knowledge of medical coding, compliance with HIPAA and CMS regulations, and the ability to mentor and train coding staff. Proficient in auditing coded data for accuracy and ensuring adherence to industry coding standards.
Highest-signal resume keywords
Medical Coding ExperienceCPC CertificationHIPAA ComplianceMEDITECH ExperienceMicrosoft Office Suite Proficiency
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 CodingAuditingAbstractingCoding ProceduresRegulatory CompliancePerformance TrackingIssue ResolutionCoding StandardsTraining and MentorshipData Accuracy
Soft Skills
Communication SkillsAttention to DetailTeam CollaborationIndependent JudgmentEthical Behavior
Tools & Technologies
Electronic Medical Record SystemsRelevant Software ApplicationsVideo Conferencing ToolsVirtual Workspaces
Certifications & Qualifications
CPCCCACCSCICCOC
Industry Keywords
Outsourced Coding ServicesCoding CompliancePayer-Specific GuidelinesCoding DiscrepanciesMedical Office Experience
About the role
Key responsibilities & impact- Oversee a team of medical coders delivering Outsourced Coding Services
- Provide guidance, support, training, and mentorship to coding staff
- Foster a collaborative and productive team environment
- Review and audit coded data for accuracy, completeness, and compliance
- Ensure correct coding for diagnoses, procedures, and services
- Ensure compliance with HIPAA, CMS, payer-specific guidelines, and industry coding standards
- Monitor coding changes and regulatory updates
- Train staff on coding procedures, regulations, and best practices
- Provide professional development opportunities and support certification maintenance
- Resolve coding issues and discrepancies with physicians, providers, billing, and other departments
- Serve as point of contact for complex coding inquiries
- Track coder performance and provide feedback, coaching, and corrective action
- Ensure coders meet accuracy standards
Requirements
What you’ll need- High school diploma, GED, or equivalent
- Certification requirement: CPC, CCA, CCS, CIC or COC
- 7+ years medical coding experience
- University/college degree, or experience in medical records, claims or billing areas is an asset
- Previous medical office experience preferred
- MEDITECH experience preferred
- Able to work with minimal supervision and considerable latitude for independent judgement
- Ability to assist and mentor less experienced team members
- Extensive knowledge of coding, abstracting and relevant regulations
- Experience with relevant software applications and electronic medical record systems
- Proficiency with Microsoft Office Suite products
- Ability to audit, identify, resolve, or escalate issues
- Exceptional verbal and written communication skills
- Strong attention to detail
- Commitment to ethical behavior and compliance with laws and regulations
- Comfortable working remotely with video conference calls and virtual shared workspaces
- Able to communicate tactfully and firmly with patients, providers, medical records staff, and third-party insurers
- Must have a private, secure workspace at home and sufficient internet speed
- W2 project-based consultants must provide a computing device meeting industry standards and security best practices
Benefits
Comp & perks- Multiple health and dental plans
- Vision benefits
- Total wellness program
- Employee assistance program for employee and family
- Retirement savings plans
- Company-paid disability and life insurance
- Pre-tax savings opportunities (HSA and/or FSA)
- Professional development offerings
- Opportunities for remote work
- Generous paid-time-off program
- Flexible schedule accommodations
