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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM/PCS coding and DRG classifications, ensuring compliance with IPPS methodology and CMS guidelines. Proficient in conducting audits, mentoring coding staff, and collaborating with clinical teams to enhance documentation accuracy.
Highest-signal resume keywords
ICD-10-CM/PCS CodingCertified Coding Specialist (CCS)IP DRG Auditing3M Software ExposureHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10-CM/PCS CodingIP DRG AuditingCoding Quality AuditsDocumentation Gap AnalysisRegulatory Compliance
Soft Skills
Good CommunicationMentoringCollaborationFlexibility
Tools & Technologies
Microsoft OutlookMicrosoft ExcelMicrosoft Word3M SoftwareNLP Tool
Certifications & Qualifications
Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)
Industry Keywords
IPPS MethodologyCMS GuidelinesPOA IndicatorsDischarge DispositionOIG Compliance
About the role
Key responsibilities & impact- Conduct comprehensive reviews of inpatient medical records to validate ICD-10-CM/PCS codes and DRG classifications
- Ensure compliance with IPPS methodology, CMS guidelines, and official coding rules
- Verify diagnoses, procedures, POA indicators, and discharge disposition
- Identify documentation gaps and collaborate with clinical teams for clarifications
- Mentor, coach, and support coding staff
- Deliver feedback and ongoing education to coders and CDI specialists
- Perform routine coding quality audits and recommend corrective actions
- Analyze audit findings and prepare detailed reports
- Stay updated on regulatory changes, payer guidelines, and industry best practices
- Participate in cross-functional meetings with coding, CDI, compliance, and operations teams
- Follow SOPs, complete audits with quality, and achieve quality and production targets
- Follow project protocols and instructions; escalate issues and identify trends
- Update productivity and clarification logs daily
- Coordinate with managers or team leads on clarifications and respond promptly to manager emails
Requirements
What you’ll need- Bachelor's in nursing preferable / bachelor’s in science
- Mandatory CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification
- Minimum 2 years’ experience in IP DRG coding or auditing
- Auditing experience on IP DRG
- Knowledge of Microsoft Outlook, Excel, and Word
- Exposure to 3M software and NLP tool
- Good Excel skills
- Flexibility
- Good communication
- Ability to follow HIPAA and OIG compliance requirements
Benefits
Comp & perks- Full-time employee schedule of 40 hours per week
