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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 ICD-10 and CPT coding, while effectively collaborating with physicians to ensure accurate documentation and compliance. Proficient in performing coding evaluations and appeals, with a focus on enhancing physician awareness of documentation requirements.
Highest-signal resume keywords
ICD-10 CodingCPT CodingMedical Coding CredentialsCoding Evaluation And ManagementAppeal Activities
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 Record Documentation ReviewDiagnosis CodingProcedure CodingCharge CorrectionsCase Report Preparation
Soft Skills
CollaborationCommunicationProblem-Solving
Certifications & Qualifications
AHIMA CCAAHIMA CCSAHIMA CCS-PAAPC CPCAAPC CPC-AAAPC CPC-HAAPC CPC-H-A
Industry Keywords
Payer IssuesInsurance AppealsDocumentation RequirementsBilling ProcessMedical Terminology
About the role
Key responsibilities & impact- Review medical record documentation to select comprehensive diagnoses and procedures describing patients' conditions and treatment
- Perform advanced coding and appeal activities
- Investigate payer issues
- File appeals to insurance companies in a timely manner
- Handle charge corrections
- Meet with physicians to review documentation, resolve coding, and secure signatures for unsigned dates of service
- Tag files for follow-up
- Act as lead person and assist coders and IBC staff with medical terminology and policy interpretation
- Assist efforts to increase physician awareness of documentation requirements
- Prepare case reports and initiate follow-up for the billing process
- Perform other duties as assigned
Requirements
What you’ll need- High school diploma or equivalent high school certification or combination of education and/or experience
- Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials)
- Knowledge of ICD-10 and CPT coding
- Coding evaluation and management to appropriate CPT codes
- Coding diagnoses to appropriate ICD-10 codes
- Preferred: Previous coding experience or experience equivalent to an associate’s degree in a related field
- Preferred: Associate degree in Medical Coding & Billing
- Driver's license is not required
Benefits
Comp & perks- Up to 22 days of vacation
- 10 recognized holidays
- Sick time
- Competitive health insurance packages with priority appointments and lower copays/coinsurance
- Free Metro transit U-Pass for eligible employees
- Defined contribution 403(b) Retirement Savings Plan, with employee and university contributions starting at 7%
- Wellness challenges
- Annual health screenings
- Mental health resources
- Mindfulness programs and courses
- Employee assistance program (EAP)
- Financial resources
- Access to dietitians
- 4 weeks of caregiver leave to bond with your new child
- Family care resources for continued childcare needs
- Adult care resources
- Tuition coverage for the employee and family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years