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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding and auditing within a physician billing environment, with a strong command of ICD-10, CPT-4, and HCPCS coding standards. Proficient in delivering educational support to providers and collaborating effectively with healthcare professionals.
Highest-signal resume keywords
ICD-10 CodingCPT-4 CodingHCPCS CodingCoding Certification (RHIT, CCS, CPC)Reimbursement Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding ExperienceE/M Guidelines UnderstandingData Entry ProficiencyBilling Platforms KnowledgeClaim Workflows UnderstandingAnalytical SkillsExcel Proficiency
Soft Skills
CollaborationProvider Education
Tools & Technologies
Epic
Certifications & Qualifications
AAPC CertificationAHIMA CertificationAuditing Certification (CCA, CPMA)
Industry Keywords
Physician BillingMedicare Part BMedicaidThird-Party PayersRevenue Cycle
About the role
Key responsibilities & impact- Review and audit documentation and coding across multiple specialties
- Ensure accuracy through appropriate use of CPT, ICD-10-CM, HCPCS, and modifiers
- Deliver audit reports
- Provide provider education
- Support coders in addressing identified compliance opportunities
- Perform coding responsibilities as needed to support team priorities
- Collaborate with physicians and healthcare providers
Requirements
What you’ll need- 3–5 years of coding experience in a physician billing environment
- Strong working knowledge of ICD-10, CPT-4, and HCPCS coding
- Understanding of current E/M guidelines and specifications
- Experience with reimbursement and billing across Medicare Part B, Medicaid, and other third-party payers highly valued
- Familiarity with data entry in a physician billing setting
- Understanding of billing platforms and claim workflows within the revenue cycle
- Strong analytical skills
- Intermediate to advanced Excel proficiency
- High school diploma or equivalent
- Additional coursework through recognized coding seminars or programs
- Current coding certification from AAPC or AHIMA, such as RHIT, CCS, CPC, etc.
- Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force
- Experience with Epic is a plus
- Auditing certification (CCA, CPMA, or Certified Professional Medical Auditor) is a plus
Benefits
Comp & perks- Opportunities to expand your skillset and mentor others
- Autonomy and project ownership with support
- Collaborative, innovative, and people-centered culture