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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced knowledge of ICD-10-CM coding, medical terminology, and compliance with federal regulations while ensuring high accuracy in coding practices. Proficient in utilizing various systems for medical record management and quality improvement initiatives.
Highest-signal resume keywords
ICD-10 ProficiencyCertified Professional Coder (CPC)Medical Record Review/Audit ExperienceAdvanced Medical Terminology KnowledgeBilingual (Spanish)
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 CodingICD-10-CM CodingCoding AccuracyMedical Chart AuditingProcess Improvement PlanningHealthcare Coding StandardsHCC Risk Adjustment ModelsMedicare Reimbursement RequirementsManaged Care MethodologyNational RAD-V Experience
Soft Skills
Attention to DetailEffective CommunicationTime ManagementCollaborationAdaptability
Tools & Technologies
Coding SoftwareElectronic Health Records (EHR)Remote Work ToolsQuality Improvement Systems
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Risk Coder (CRC)Certified Coding Specialist (CCS)Certified Coding Specialist - Physician-based (CCS-P)Professional Coder Specialist (PCS)
Industry Keywords
HIPAA ComplianceCMS GuidelinesHealthcare FieldMedical RecordsFinancial Coding
About the role
Key responsibilities & impact- The role of the Certified Medical Coder is to review and code medical records in their entirety, assigning appropriate ICD-10-CM codes (as defined by ICD-10-CM Guidelines and CMS) from any/all CMS acceptable documents to be used for financial purposes.
- Ensures adherence to Lucet and Departmental Policies and Procedures.
- Demonstrate advanced knowledge of medical coding across multiple specialties or provide subject matter expertise in a critical specialty area.
- Ensure accurate, complete, and compliant assignment of diagnosis codes while maintaining a minimum of 95% coding accuracy and completeness.
- Maintain current knowledge of ICD-10-CM guidelines, HCC risk adjustment models, Medicare reimbursement requirements, and applicable federal regulations.
- Adhere to HIPAA standards and confidentiality requirements while actively participating in training, education programs, and professional development opportunities.
- Utilize multiple systems and tools to research medical records, manage priorities effectively, and meet productivity expectations in a remote work environment.
- Support quality improvement initiatives, respond promptly to communications, attend required meetings, and contribute to process enhancement efforts.
Requirements
What you’ll need- 2 years prior work experience in the healthcare field specifically related to coding is preferred.
- Must be in good standing with either AAPC and/or AHIMA and hold an active CPC, CRC, CCS, CPC-P, CCS-P or PCS with high degree of competence in this area a plus
- ICD-10 Proficiency is required.
- Experience in review/audit of medical records coding and development of process improvement plans required
- Prior medical chart auditing/quality experience preferred.
- Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.
- Experience with hospital coding is preferred
- Managed Care methodology experience a plus.
- National RAD-V experience a plus.
- Bilingual (Spanish) is strongly desired
- Ability to pass background check upon hire and throughout employment
Benefits
Comp & perks- Comprehensive health benefit options: Medical, dental, and vision coverage
- 401(k) with competitive employer match
- Company-paid life and disability insurance
- Paid parental leave and wellbeing incentives
- Generous paid time off, including volunteer time
- Flexible spending accounts for healthcare and dependent care
- Professional development opportunities and tuition reimbursement
- Remote work flexibility (role-dependent)
