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Senior HIM & Coding Consultant
PCG Consulting Group InternationalSenior HIM & Coding Consultant supporting hospital revenue recovery initiatives. Validate clinical documentation and assess coding accuracy to improve financial performance in healthcare organizations.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in Health Information Management and hospital coding, with a strong focus on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding practices. Proven ability to enhance coding accuracy and revenue cycle performance through collaboration and process improvement initiatives.
Highest-signal resume keywords
Health Information Management (HIM)ICD-10-CM CodingCPT CodingClinical Documentation Improvement (CDI)Revenue Cycle Optimization
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICD-10-PCS CodingHCPCS CodingMS-DRGs KnowledgeAPCs KnowledgeCoding ComplianceDocumentation AuditsCoding ValidationReimbursement MethodologiesAnalytical SkillsDocumentation Skills
Soft Skills
Communication SkillsCollaboration SkillsProblem-Solving Skills
Tools & Technologies
EHR PlatformsParagonEpicCernerMeditech
Certifications & Qualifications
RHIARHITCCSCCS-PCPC
Industry Keywords
Revenue IntegrityHealthcare ConsultingCoding PracticesBilling ComplianceClaim Reconstruction
About the role
Key responsibilities & impact- Review clinical documentation to ensure coding accuracy and billing compliance.
- Evaluate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding practices.
- Assess documentation quality and identify coding gaps affecting reimbursement.
- Support claim reconstruction by validating coded encounters and supporting documentation.
- Collaborate with HIM, Coding, Clinical Documentation Integrity (CDI), Revenue Integrity, and Patient Financial Services teams.
- Review denied claims and identify documentation or coding issues contributing to payment delays.
- Recommend process improvements that enhance coding accuracy and revenue cycle performance.
- Assist with documentation audits and coding validation efforts.
- Produce findings and recommendations for project leadership.
Requirements
What you’ll need- 7+ years of Health Information Management (HIM) and hospital coding experience.
- Extensive knowledge of: ICD-10-CM ICD-10-PCS CPT HCPCS MS-DRGs APCs
- Strong understanding of hospital revenue cycle operations and reimbursement methodologies.
- Experience with Clinical Documentation Improvement (CDI) initiatives.
- Experience working with acute care hospitals or integrated health systems.
- Strong analytical, communication, and documentation skills.
- Preferred Qualifications RHIA, RHIT, CCS, CCS-P, CPC, or other HIM/coding certifications.
- Experience with revenue cycle optimization or recovery initiatives.
- Experience with hospital EHR platforms such as Paragon, Epic, Cerner, or Meditech.
- Healthcare consulting experience.
- Knowledge of Revenue Integrity and coding compliance.
Benefits
Comp & perks- Occasional onsite meetings in the Chicago metropolitan area as project needs require