CERTIFIED CODING SPECIALIST SKILLS, EXPERIENCE, AND JOB REQUIREMENTS
Updated: Nov 12, 2024 - The Certified Coding Specialist proficiently employs published CPT, HCPC, modifiers, and ICD-10 codes to accurately report healthcare services. This role demands an in-depth understanding of medical terminology, anatomy, physiology, as well as knowledge of clinical procedures and legal healthcare practices. Skilled in both written and oral communication, the position effectively resolves conflicts, ensures compliance with federal and payor guidelines, and employs critical thinking to address and solve coding issues.
Essential Hard and Soft Skills for a Standout Certified Coding Specialist Resume
- Medical Coding
- Medical Terminology
- Anatomy and Physiology
- Health Information Systems
- Electronic Health Records (EHR) Proficiency
- Billing and Reimbursement Processes
- Compliance and Regulatory Standards
- Data Analysis
- Documentation Review
- Coding Software Proficiency
- Attention to Detail
- Analytical Thinking
- Problem Solving
- Communication Skills
- Time Management
- Adaptability
- Integrity
- Continuous Learning
- Team Collaboration
- Client Confidentiality
Summary of Certified Coding Specialist Knowledge and Qualifications on Resume
1. BS in Health Information Management with 2 years of Experience
- Possess and provide active and current certification with AAPC or AHIMA.
- Knowledge of medical terminology.
- Knowledge of medical billing.
- Knowledge of anatomy and physiology
- Knowledge of CPT, ICD-10, HCPCS and the correct usage.
- Knowledge of modifiers and appropriate usage.
- Abstracting of operative/procedure reports.
- Skill in using computer programs and applications (Word, Excel, etc.)
- Strong written and verbal communication skills
- Ability to read, understand, and follow oral and written instructions.
- Ability to communicate clearly and concisely.
- Ability to establish and maintain effective working relationships coworkers.
2. BA in Healthcare Administration with 3 years of Experience
- Formal training in ICD and CPT coding
- Experience utilizing ICD and CPT coding principles
- Licensure/Certification: certified coding specialist through AHIMA or Certified Professional Coder through AAPC
- Experience in a risk adjustment coding environment or another healthcare institution input/output coding preferred.
- Knowledge of medical terminology, human anatomy and physiology, and diseases processes.
- Strong analytical and organizational skills.
- Ability to meet strict deadlines with a high level of accuracy
- Ability to prioritize multiple tasks in a highly automated setting and possess strong interpersonal skills.
- Able to concentrate in depth, continuously and manipulate detail to arrive at summary data with application to TH PACE necessary
- Ability to multi-task, work independently and as a team as well as courteously and respectfully with fellow employees, clients, and patients.
- Ability to prioritize workload and manage multiple responsibilities effectively.
3. BS in Medical Informatics with 4 years of Experience
- Experience in using the set of published CPT, HCPC, modifiers, and ICD-10 codes to report services provided.
- Knowledge of medical terminology, anatomy, and physiology, a basic
- Knowledge of clinical procedures, diseases and injuries and other conditions, medical illustrations, clinical documents, legal and ethical aspects of healthcare, and computer-based data management as obtained through on-the-job training.
- Keeps coworkers and management informed and openly offers information in an effective manner.
- Experience in communicating in a manner that can be understood, both in writing and orally.
- Interactively listens and seeks clarification
- Demonstrates effective interpersonal skills, including diplomacy and conflict resolution, and is flexible when dealing with other people and work styles.
- Able to identify existing or potential problems, gather relevant information, and analyze the information to identify possible causes of problems.
- Applies knowledge, experience, and common sense and considers alternatives when deciding on the best potential solutions.
- Demonstrates clear and thorough knowledge of federal guidelines, general coding principles, payor guidelines, and SFM policies.
4. BS in Health Informatics with 3 years of Experience
- Demonstrates consistent reliability in the work that is produced and the behaviors displayed and how it affect the organization.
- Experience in utilizing time management skills to prioritize tasks based on level of importance and produce the expected volume of work without jeopardizing quality.
- Experience in making decisions and behaves in a way that ensures the desired outcome.
- Striving to be open and honest and hold ourselves to the highest standards of ethics, honesty, and transparency in everything we do.
- Certificate through AAPC or AHIMA or Associate’s degree in medical coding
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
- Knowledge of Federal, State, and Local regulations impacting community health centers
- Microsoft Office Suite proficient
- Solid problem-solving and time-management skills
- Great interpersonal skills and highly organized
- Excellent communication skills (written and verbal)
- Strong attention to detail