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Auditor Coding Specialist
Trinity Health. Code and abstract patients’ records for professional billing .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding and abstracting patient records for professional billing, with a strong understanding of ICDM 9, CPT coding, and health insurance provider regulations. Proficient in compliance with federal and state regulations, along with effective communication skills to assist with coding inquiries and insurance denials.
Highest-signal resume keywords
Coding CertificationICDM 9 CodingCPT CodingMedical TerminologyComputer Information Systems
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICDM 9 CodingCPT CodingMedical TerminologyAnatomy and Physiology KnowledgeCoding and Sequencing of DiagnosesInsurance Provider RulesProcess Improvement RecommendationsInsurance Denial AssistanceCompliance with RegulationsMandatory Reporter Training
Soft Skills
Effective Communication SkillsIndependent Decision-MakingTactful Interaction
Certifications & Qualifications
Coding Certification
Industry Keywords
Professional BillingPatient Medical RecordsInsurance Industry RegulationsCorporate Compliance PoliciesRemote Work Arrangement
About the role
Key responsibilities & impact- Code and abstract patients’ records for professional billing
- Review patient medical records retrospectively and concurrently for coding and sequencing of diagnoses and procedures for reimbursement
- Respond to and assist with coding requests and questions from billers
- Serve as a resource for difficult coding questions
- Assist with insurance denials for correction and re-filing
- Recommend process improvements to management, particularly related to registration and charge posting
- Perform work in compliance with federal, state, and insurance industry regulations
- Follow established hospital corporate compliance policies
- Stay current with insurance carrier rules and changes through carrier-specific and MCI education opportunities
Requirements
What you’ll need- 100% remote work arrangement
- Full-time, 80 hours biweekly, day shift
- Coding certification required
- Minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations
- High school diploma or GED required
- One to two years post high school education preferred
- Knowledge of anatomy and physiology and medical terminology required
- Proof of completion of Mandatory Reporter abuse training specific to population served within three months of hire
- Knowledge of physician EM coding desired
- Working knowledge of computer information systems required
- Professional, appropriate, effective, and tactful written, verbal, and nonverbal communication skills
- Ability to work independently, make appropriate decisions within hospital and departmental guidelines, and require little assistance from Manager
Benefits
Comp & perks- Equal Opportunity Employer
- Person-centered care commitment
- Mandatory Reporter abuse training completion opportunity within three months of hire
- MCI education opportunities
- Carrier-specific education opportunities