MEDICAL CODER SKILLS, EXPERIENCE, AND JOB REQUIREMENTS
Updated: Dec 18, 2025 - The Medical Coder has experience in accurately translating medical diagnoses, procedures, and services into standardized coding systems while ensuring compliance with healthcare regulations. This role demands strong knowledge of ICD, CPT, and HCPCS guidelines, along with the ability to review clinical documentation thoroughly to support correct reimbursement and reporting. The Coder also needs excellent attention to detail, proficiency with electronic health record systems, and the capability to collaborate effectively with healthcare providers to resolve coding discrepancies.
Essential Hard and Soft Skills for a Standout Medical Coder Resume
- CPT/ICD Coding
- Accurate Coding
- Documentation Review
- Denial Resolution
- Claim Analysis
- Code Sequencing
- Record Abstraction
- Modifier Identification
- Compliance Analysis
- EMR Utilization
- Physician Communication
- Problem Solving
- Detail Orientation
- Clinical Clarification
- Team Collaboration
- Process Improvement
- Confidentiality Practice
- Provider Feedback
- Coding Education
- Independent Productivity


Summary of Medical Coder Knowledge and Qualifications on Resume
1. BS in Nursing with 4 years of Experience
- CCS, RHIT or RHIA (AHIMA), or CPC, COC (AAPC).
- Previous facility-based outpatient experience
- Knowledge of Federal, state, and payer regulations.
- Capable of interpreting medical records, reports, and chart entries.
- Capable of applying judgment and decision-making.
- Basic Microsoft Office skills (Word, Excel, Outlook, etc.).
- Ability to pass coding assessment with a score of 80% or greater.
- Basic background proficiencies with computers, using multiple systems at a time.
- Self-motivated with the ability to work autonomously and in a team in a fast-paced environment.
- Well organized and able to balance multiple projects and priorities.
- Strong oral and written communication skills.
- Able to be flexible and adaptable to change.
2. BA in Health Administration with 2 years of Experience
- Extensive knowledge of Medical Terminology.
- Courses in ICD-9, ICD-10, and CPT Coding, or equivalent combination of education and work experience.
- Certification as an Accredited Records Technician, Certified Procedural Coder, or Clinical Coding Specialist.
- Clinical coding experience.
- Knowledge of computers and Windows-driven software with 10,000 alphanumeric and numeric keying speed.
- High level of analytical and problem-solving skills.
- Ability to promote a favorable company image with patients, insurance companies, and the general public.
- Ability to solve problems associated with assigned tasks.
3. BS in Biology with 1 year of Experience
- Experience coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS.
- Must be able to communicate effectively in English, verbally and in writing.
- Excellent customer service and phone etiquette skills.
- Must be able to maintain a high degree of confidentiality and work well under productivity standards.
- Able to prioritize and balance the workload on short and long-term company needs.
- Must be able to work independently and be able to solve problems efficiently and accurately.
- Able to create channels of communication to obtain information necessary to perform job tasks.
- Strong organizational skills with the ability to prioritize a high-volume workload.
- Helpful attitude, positive teamwork spirit, with a willingness to help.
4. BS in Health Information Management with 3 years of Experience
- Hospital inpatient experience coding.
- Experience in Inpatient, Outpatient, and ED.
- Able to communicate with physicians to clarify diagnoses/procedures and sequencing of diagnoses.
- Ability to demonstrate knowledge of and utilize auditing skills related to coding quality and compliance
- Must maintain a minimum of ten (10) CE units annually.
- Must maintain current coding credential.
- Can abide by the AHIMA coding code of ethics.
- Background knowledge analysis, assembly, terminal digit filing, and the physician’s incomplete processing.
5. BS in Public Health with 5 years of Experience
- Coding/billing follow-up experience in revenue cycle functions for a large multi-specialty physician office or hospital setting.
- Billing and Coding experience in one of the following areas: Pain Management, Neurosurgery, Orthopedics, Anesthesia, and Evaluation & Management.
- Certified Professional Biller CPB, Certified Professional Coder CPC through AAPC, or Certified Revenue Cycle Specialist CRCS through AAHAM.
- Knowledge of eClinicalWorks (ECW).
- Knowledge of general principles of medical billing, including verification, authorization, posting charges, procedures, diagnosis, and medical necessity.
- Understanding of federal and state regulations and billing rules.
- Knowledge and understanding of CPT, HCPCS, CCI, MUE, ICD-10, NCD, informational, and payment Modifiers.
- Knowledge of commercial billing procedures across a variety of payer systems.
- Proficiency in G Suite, Gmail, Google Docs (Word, Excel).
- Must be well organized, detail-oriented, and able to multitask.
- Willingness to participate in goal-setting and educational activities for own growth and advancement.
- Demonstrated skills in verbal and written English communications for safe and effective patient care and to meet documentation standards.
6. BA in Healthcare Management with 4 years of Experience
- Medical coding and/or auditing experience in two or more medical, surgical, and ancillary specialties.
- Relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology.
- Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology.
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) certification.
- Certified Evaluation and Management Auditor (CEMA).
- Active Basic Life Support (BLS).
- Excellent communication skills.
- Ability to develop excellent working relationships with consumers, vendors, and staff.
7. BS in Medical Laboratory Science with 2 years of Experience
- Experience with codes and modifiers for all hospital-based outpatient encounters, including ancillary, emergency department, ambulatory surgery, and recurring accounts.
- Knowledge of ICD-9, ICD-10, and CPT-4 codes.
- CPC, CCS, or HRIT certifications.
- Medical Billing and Coding Certificate.
- Good time management skills, managing your own time and the time of others.
- Good interpersonal communication skills.
- Ability to separate emotional feelings from the real issues at hand.
8. BA in Sociology with 1 year of Experience
- Successful completion of a certification program - Certified Coding Specialist (CCS).
- Strong understanding of physiology, medical terms, and anatomy.
- Proficiency in computer skills, including typing speed and accuracy.
- Good mathematics skills.
- Excellent written and verbal communication skills.
- Outstanding organizational skills.
- Ability to maintain a high level of integrity and confidentiality of medical information.
- Strict attention to detail.
- Customer Service knowledge/training.
- Working knowledge of HIPAA regulations.
9. BA in Psychology with 3 years of Experience
- Experience in examining documents for missing information.
- Experience assigning CPT, HCPCS, ICD-10-CM, and ASA codes.
- Experience assigning APC and DRG codes.
- Experience ensuring documents are grammatically correct and free from typing errors.
- Experience with insurance rejections.
- Experience working with ICD-10.
- Good customer service skills with effective communication.
- Ability to appeal claims that have been denied in error.
- Proven ability to multitask.
10. BS in Health Sciences with 4 years of Experience
- Physician coding experience.
- Previous Epic, Cerner, and or other electronic medical record (EMR) experience.
- Must be certified through the American Health Information Management Association (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT), Registered Health Information Management Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P).
- Must be certified through the American Academy of Professional Coders (AAPC) as one of the following: Certified Professional Coder-Hospital (CPC-H) or Certified Professional Coder (CPC).
- Ability to identify a problem and find solutions effectively.
- Ability to use time efficiently by prioritizing and planning work activities, and be methodical and efficient in structuring tasks to be accomplished.
- Good verbal and written skills to communicate with patients, families, physicians, other health professionals, and vendors.
- Proven excellence in patient safety and care.
11. BS in Microbiology with 2 years of Experience
- Previous multispecialty pro fee coding experience
- Certified Professional Coder AAPC (CPC) or AHIMA (CCS-P).
- Good written and verbal communication skills.
- Basic computer skills.
- Previous experience with Cerner Systems.
- Previous experience with Athena/IDX.
- Previous experience with the OPTUM Encoder Pro application.
12. BA in Gerontology with 1 year of Experience
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
- Knowledge of medical terminology, anatomy, and physiology.
- Ability to use a computer, office equipment, including keyboard skills.
- Ability to work under multiple priorities.
- Ability to work independently or part of a team.
- Must possess strong interpersonal and communication skills, verbal and written.
- Friendly, empathetic, and respectful
- Reliable in work results, timeliness, and attendance.
13. BS in Anatomy & Physiology with 3 years of Experience
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA).
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA).
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA).
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC).
- Ability to communicate in a professional and timely manner with all peers.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office Suite.
- Ability to work independently and in a fast-paced environment.
- Strong analytical and problem-solving skills.
- Excellent organizational skills and attention to detail.
14. BA in Human Services with 7 years of Experience
- Medical coding and/or auditing experience in two or more medical, surgical, and ancillary specialties.
- Experience in a training role (training auditors, coders, and/or providers), or training experience in a military coding environment.
- Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS), Healthcare Common Procedure Coding System (HCPCS), and Current Procedural Terminology (CPT).
- Practical knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic-Related Groupings (DRGs), Ambulatory Payment Classifications (APCs), and Resource-Based Relative Value Scale (RBRVS).
- Advanced knowledge and understanding of industry nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes.
- Advanced knowledge of medical specialties, medical diagnostic and therapeutic procedures, ancillary services (including Laboratory, Occupational Therapy, Physical Therapy, and Radiology), and revenue cycle management.
- Thorough understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud, commercial reimbursement guidelines and policies, coding audit principles and concepts, and potential areas of risk for fraud and abuse.
- Practical knowledge of revenue cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement processes.
15. BS in Kinesiology with 3 years of Experience
- Must be a certified coder through AAPC or AHIMA (CPC, COC, or CCS credentials)
- Working experience with CPT, E&M, HCPCS, and ICD-10 codes.
- Extensive knowledge of government, private, and commercial payer coding, billing, and compliance regulations.
- Advanced technical knowledge in specific surgical and medical specialties.
- Experience in data entry of codes into a practice management (PM) software.
- Highly proficient in Microsoft Excel and PM software systems.
- Detail-oriented with the ability to handle and prioritize multiple tasks.
- Able to learn quickly and take initiative.
- Have a positive attitude.
16. BA in Business Administration with 2 years of Experience
- Healthcare claims experience.
- Certified medical coder, RHIT, RHIA, CCS, CCS-P, or CPC.
- Knowledge of CPT, HCPCS, and ICD-10 coding guidelines.
- Must be proficient in Excel.
- Must work collaboratively in a team environment in making changes to the claims system for CPT, HCPCS, and ICD-10 coding updates and benefit plan coverage.
- Can build relationships and work collaboratively with effective verbal and written communication.
- Ability to assist/create manual documentation as well as provider notifications.
17. BS in Biomedical Sciences with 4 years of Experience
- Coding experience in a health care setting (i.e., hospital, large physician group practice, health plan, etc.).
- Proficient in ICD-9-CM, ICD-10-CM/PCS, and CPT coding system, DRG, APG, MS-DRG, and APCs, and official coding guidelines.
- Ability to plan and prepare for ICD-10-CM/PCS transition.
- Knowledgeable in medical terminology, anatomy and physiology, abnormal lab results, disease processes, and pharmacology-drug names.
- Good computer knowledge and familiarity with systems used in healthcare, proficiency with Microsoft Office.
- Excellent organizational and communication skills.
- Ability to work independently, and in a matrixed, team-oriented, fast-paced project environment.
- RHIA, RHIT, CCS, or CPC certification.
18. BS in Neuroscience with 1 year of Experience
- Successful completion of a certification program.
- Strong knowledge of anatomy, physiology, and medical terminology.
- Working knowledge of medical jargon and anatomy.
- Excellent typing and 10-key speed, and accuracy.
- High level of customer service.
- Superior mathematical skills.
- Familiarity with ICD-9 codes and procedures.
- Solid oral and written communication skills.
- Able to work independently.
19. BS in Biochemistry with 5 years of Experience
- CPC (Certified Professional Coder) or AHIMA CCS-P.
- Strong knowledge of Microsoft Office products (Outlook, Word, Excel, Teams).
- Strong written and verbal communication, analytical, organizational, and time management skills.
- Experience coding in a value-based care medical office environment.
- In-depth knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements.
- Understanding of the application of authoritative guidance to the interpretation and analysis of documentation, coding, and queries.
- Ability to build and maintain effective relationships with internal stakeholders.
- Willingness to consistently provide superior customer service and the ability to react with a professional demeanor.
- Previous eCW experience.
- Experience in a fast-paced, metric-driven operational setting.
20. BS in Physiology with 3 years of Experience
- An active certified coder certification through AHIMA or AAPC (CRC/ CPC/CCS).
- Experience as a certified coder.
- Risk adjustment coding experience.
- Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements).
- Ability to code using an ICD-10-CM code book (without using an encoder).
- Strong clinical knowledge related to chronic illness diagnosis, treatment, and management.
- Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts).
- Personal discipline to work remotely without direct supervision, with exemplary attention to detail and completeness.
- Computer proficiency (including MS Windows, MS Office, and the Internet).
- Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better.
- Strong organization, interpersonal, customer service, communication, and analytical skills.
- Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation.
21. BA in Social Work with 2 years of Experience
- Experience in a medical coding role.
- Hold CPC certification.
- Working knowledge of AthenaNet.
- Ability to prioritize workload.
- Strong reasoning skills.
- Teamwork orientation and the ability to communicate effectively.
- Ability to relate to and work effectively with a wonderfully diverse populace.
- Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility.
22. BS in Nutrition Science with 4 years of Experience
- Experience in general medical or specialty coding.
- Coding certification through AAPC or AHIMA (CPC, CPC-A, CCS, or CCS-P).
- Experience working with EPIC.
- Working knowledge of cardiology.
- Excellent communication skills, both verbal and written.
- Able to work in a fast-paced and stressful environment while maintaining positive energy.
- Able to work under pressure and in situations that benefit from patience, tact, stamina, and endurance.
- Detail-oriented, conscientious, and committed to precision in work results.
- Committed to contributing to a positive environment, even in rapidly changing circumstances.
23. BS in Epidemiology with 1 year of Experience
- Medical Coding Certificate.
- CRC Certification.
- Experience in Medical Coding (ICD-10, CPT, HCPC) and Billing.
- Strong understanding of medical coding and the medical insurance reimbursement process.
- Strong medical terminology.
- Bilingual English and Spanish (must be able to read, write, and speak English).
- Proficient in the use of computers (Windows PC Applications) and HIPAA testing.
- Customer service skills and training.
- Ability to relate and work effectively with others.
24. BS in Clinical Research with 5 years of Experience
- Medical coding experience.
- Familiarity with ICD-10 codes and procedures.
- Experience ensuring correct coding compliance for procedures performed for various specialties.
- Knowledge of medical terminology.
- Able to work in a high-volume medical coding and collections environment while maintaining exceptional standards of excellence.
- Skill in fast data entry and accuracy with excellent typing and 10-key speed, and accuracy.
- Superior mathematical skills.
- Have a high level of customer service.
- Working knowledge of medical terminology and anatomy.
- Experience conducting audits and coding reviews to ensure all documentation is accurate and precise
- Experience collaborating with the billing department to ensure all bills are satisfied promptly.
- Ability to work independently and as a group
- Tactfulness in dealing with patients, co-workers, and other professional offices.
- Be the subject-matter expert for coding staff and leadership, and effectively communicate information to staff and coding leadership.
25. BA in Community Health with 3 years of Experience
- In-depth knowledge of coding in a physician practice setting.
- Ability to work both independently and as part of a team.
- Ability to work well in an environment with firm deadlines and results-oriented.
- Excellent analytical and problem-solving skills.
- Strong computer skills.
- Ability to make timely, independent decisions, taking full ownership of the coding process.
- Excellent oral, written, and interpersonal communication skills.
- Working knowledge of CPT and ICD-10-CM coding.
- Proficient in Microsoft Office Suite.
26. BA in Public Administration with 2 years of Experience
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA).
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC).
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA).
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA).
- Proven written and verbal communication skills.
- Natural curiosity to pursue issues and increase expertise.
- Pursue and design innovative analytical performance metrics.
- Have the courage to promote and defend ideas and analyses.
27. BS in Medical Technology with 4 years of Experience
- Coding certification, such as the American Health Information Management Association (AHIMA), American Association of Processional Coders (AAPC), CPC.
- Knowledge of legal and regulatory government provisions.
- Knowledge of CMS and AMA Coding Guidelines.
- Knowledge of laws that regulate communication and the Privacy Act (HIPAA).
- Maintains positive working relationships with providers, clinical staff, management, and co-workers.
- High level of interpersonal skills.
- Extensive knowledge of E/M coding.
- Critical and analytical thinking.
- Ability to work independently or in a group.
28. BS in Pharmacy Studies with 1 year of Experience
- Must have an AAPC CPC certification.
- Knowledge of CPT, ICD-10, and medical terminology.
- Experience working in Athena.
- Demonstrated proficiency in Microsoft Office Suite, including Word and Excel.
- Strong critical thinking skills and highly detail-oriented.
- Ability to write and speak effectively using appropriate conventions based on the situation.
- Ability to collaborate effectively and work selflessly as part of a team.
29. BS in Allied Health with 3 years of Experience
- Medical billing experience with a high-volume practice or clinic, preferably ambulance experience.
- Ambulance/Medical billing certification.
- Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC).
- Excellent organizational skills and the ability to multitask in a fast-paced environment.
- Good analytical abilities, proven ability to collect and research data, and use intuition and experience to complement data.
- Sound judgment and strong work ethic.
- Strive to make an impact on improving business processes and results.
- Exemplary honesty and integrity.
30. BS in Medical Imaging with 2 years of Experience
- Coding certificate through an American Health Information Management Association (AHIMA) accredited program.
- Related work experience with CPT-4 and ICD-10.
- Working knowledge of 3M software.
- Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Apprentice (CCA), or Certified Professional Coder CPC.
- Overall knowledge of the Ambulatory Patient Classification, including other related fields.
- Thorough knowledge of anatomy and medical terminology.
- Knowledge of medical coding rules and local statutes.
- Strong data entry skills and use telephone.
- Proficient in the use of the Internet.
31. BS in Health Information Management with 6 years of Experience
- Clinical coding experience in inpatient auditing using the Australian Classification.
- HIMAA certification.
- Expert knowledge in abstraction, reviewing, and coding Inpatient medical records using ICD-10-AM, ACHI, and ACS.
- Knowledge of ICD-10-CM, CPT, and HCPCS.
- Working knowledge of coding using electronic platforms and physical medical records.
- Exposure to analyzing documentation and charting deficiencies.
- Good knowledge of Medical terminology, Human Anatomy, and physiology.
- Experience providing feedback/education to the team of clinical coders and training them.
- Able to interview the team of Coders/Documentation experts to identify, draft, review, and train on the best practices required to enhance the overall coding process in the organization.
- Able to ensure that sufficiently coded information is clearly provided in clinical records to enable high levels of data quality.
- Proven ability to handle multiple duties.
- Ability to meet and exceed coding productivity requirements while maintaining quality.
- Must maintain strict confidentiality related to medical records and other data.
32. BA in Health Administration with 3 years of Experience
- Knowledge and experience in ICD-9 and CPT systems.
- Working knowledge of Anatomy and Physiology.
- Ability to interpret medical terminology.
- Knowledge of DRG/APC reimbursement.
- Proficient in coding software.
- Effective written and verbal communication skills.
- Efficient data entry skills and attention to detail.
- Proficiency in the Microsoft Office Suite (Word, Excel, Outlook).
- Ability to meet deadlines with a sense of urgency.
33. BS in Nursing with 2 years of Experience
- Coding experience in Pro-Fee Coding.
- Certification - CPC, CCS, RHIT, CPB, CMCS, or CPMA.
- Firm knowledge of all ICD-10-CM and CPT coding principles and guidelines.
- Thorough knowledge of NCCI Edits.
- Substantial understanding of CMS LCD and NCD Policies.
- Strong written and verbal communication skills.
- Good computer skills (including Microsoft Office and Microsoft 365).
34. BA in Psychology with 4 years of Experience
- Experience working in a hospital or a physician’s office as a medical coder and interacting with physicians.
- Expert knowledge of ICD-10, CPT, and HCPCS.
- Strong knowledge of medical terminology.
- E/M coding experience.
- Strong ability to analyze coding metrics, arrange, and provide face-to-face coding education with providers and staff.
- Experience working remotely.
- Good verbal and written communication skills.
- Detail-oriented with the ability to handle and prioritize multiple tasks.
- Ability to work independently and accomplish targets on time.
35. BS in Medical Laboratory Science with 5 years of Experience
- Completion of classes in Medical Terminology, Anatomy/Physiology, ICD-10, and CPT coding conventions conforming to standards established by the American Hospital Association (Coding Clinic), American Medical Association, CMS, or successful completion of an AAPC or AHIMA-accredited coding certification program.
- Ability to understand the clinical content of a health record.
- Ability to effectively communicate with physicians and other healthcare providers.
- Ability to perform within acceptable established quality standards.
- Must be able to meet production and quality standards established for a Professional Services Coder II.
- Demonstrated knowledge of Anatomy and Physiology, medical terminology, and disease processes.
- Basic knowledge of reimbursement methodologies and conventions.
- Knowledge of rules and guidelines for current coding classifications.
- Demonstrated ability to understand the clinical contents of a health record.
- Demonstrated ability to communicate with physicians to clarify diagnoses and procedures, coding, and documentation requirements, including proper sequencing.
- Working knowledge of hospital and/or physician clinic-based revenue cycle.
- Working knowledge of professional services coding and billing in a multi-specialty environment.
- Working knowledge of government and other payer coding, billing, and collection rules and regulations.
36. BS in Public Health with 3 years of Experience
- Certified Professional Coder (CPC) designation.
- Experience as a Certified Professional Coder.
- Knowledge of medical terminology.
- Knowledge of medical billing and/or collections.
- Experience with Microsoft Office, including Outlook, Word, and Excel
- Demonstrated knowledge of coding, billing, and collections.
- Must be detail-oriented with strong organizational and analytical skills.
- Demonstrated ability to proactively identify problems, as well as recommend and/or implement effective solutions.
- Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
- Demonstrated ability to work with and maintain confidential information.
- Excellent verbal and written communication skills.
- Flexibility to adapt to a changing and fast-paced environment.
37. BS in Health Sciences with 2 years of Experience
- Knowledge of medical terminology, anatomy, and physiology to code patient medical records utilizing established but specialized technical coding processes.
- Knowledge of the fundamentals of DRG assignment and optimization.
- Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians.
- Good analytical skills to compile and process patient information abstracted from patient records.
- Familiarity with computer data entry.
- Accurate typing skills of at least 40 w.p.m.
- Strong interpersonal and communication skills (both verbal and written) to interact with staff, physicians, and others.
38. BS in Anatomy & Physiology with 1 year of Experience
- Experience with authorization background.
- Strong Excel spreadsheet experience.
- Kinnser (EMR) knowledge.
- Knowledge of home health and/or insurance payers.
- Good organizational and communication skills.
- Motivated and a self-starter.
- Accuracy and attention to detail.
- Strong interpersonal and customer service skills.
39. BA in Sociology with 4 years of Experience
- Medical coding experience in ophthalmology/glaucoma specialty.
- CPC (Certified Professional Coder certification).
- NextGen working knowledge.
- Experience in interacting with physicians regarding coding requirements.
- Ability to complete detail-oriented work on time.
- Ability to maintain confidentiality and handle sensitive information with solid judgment and discretion.
- Strong computer and communication skills.
- Ability to maintain a professional, positive attitude.
40. BA in Healthcare Management with 6 years of Experience
- Active RHIA or RHIT or CCS, CCA, COC (formerly CPC-H), CCS-P, CPC.
- Recent and relevant hands-on coding experience with all record types: Acute Inpatient, Observation/Rehabilitation/Psychiatric/SNF, Ambulance and Ambulatory Surgery, Wound Care, Emergency Department, Ancillary (Diagnostic) Recurring, Interventional Radiology, Hospital Clinic, Physician Pro Fee, Technical Fee, Evaluation and Management.
- Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD and CPT/HCPCS code sets.
- Ability to consistently code at a 95% threshold for both accuracy and quality while maintaining client-specific and/or production and/or quality standards.
- Proficient in computer knowledge, including MS Office (Outlook, Word, Excel).
- Excellent interpersonal and problem-solving skills with all levels of internal and external customers.
- Certified Gastroenterology Coding Specialist (CGCS) or CIC.
41. BS in Biomedical Sciences with 2 years of Experience
- Experience with commercial claims and/or medical/surgical products or Medicare advantage or Medicare fee for service program coverage, the Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-9, ICD-10) information.
- Knowledge of coding International Classification of Diseases, 9th Revision (ICD-9) codes.
- Ability to understand and apply appropriate Centers for Medicare & Medicaid Services (CMS) guidelines to coding.
- Knowledge of anatomy, physiology, and medical terminology.
- Coding software familiarity.
- Excellent verbal, math, and written communication skills.
- Good data entry skills with a detail-oriented approach.
42. BA in Human Services with 4 years of Experience
- Experience in a physician's office and/or an Outpatient Clinic.
- Abstract surgical experience.
- Coding denial work experience.
- Coding and/or billing knowledge.
- Must have thorough knowledge of ICD-10, CPT-4, and HCPCS coding.
- Functional knowledge of medical terminology, anatomy and physiology, medical procedures, medical conditions and illnesses, and treatment practices.
- Knowledge of Medicare and other insurance carriers’ coding and compliance guidelines and policies.
- Proficient in MS Office skills, particularly Word, Excel, and Outlook.
- Excellent organizational and prioritization skills.
- Ability to work and thrive under pressure while handling multiple priorities and meet deadlines.
- Excellent verbal and written communication skills, and the ability to communicate on all levels, fostering positive relationships to further benefit the Company.
- Current AAPC Certified Professional Coder (preferably CPC).
- Must maintain active coding credentials.
43. BS in Kinesiology with 1 year of Experience
- General knowledge of medical practices.
- Exceptional interpersonal skills.
- Ability to organize and effectively work on multiple projects at one time.
- Ability to communicate effectively orally and in writing.
- Excellent telephone skills.
- Must demonstrate the ability to work as a team member.
- Must demonstrate a positive attitude and helpful demeanor.
- General knowledge of standard office equipment such as computers, fax machines, photocopiers, etc.
44. BA in Business Administration with 3 years of Experience
- Proficiency in ICD and CPT Codes.
- Must have good experience in procedures and modifiers of a particular specialty.
- Sound knowledge of Medical terminologies.
- Certification in Medical Coding.
- Be a good subject matter expert and support technical teams.
- Demonstrated problem-solving, analytical, organizational, and time management skills.
- Ability to legitimately and objectively challenge the substance of beliefs and biases of observations.
- Ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
45. BS in Nutrition Science with 2 years of Experience
- Experience working with CPT, ICD-10, and HCPCS codes.
- Strong understanding of coding guidelines.
- Must possess a CPC certification.
- Knowledge of computer applications and word processing.
- Working knowledge of Epic.
- Demonstrated flexibility and ability to work well in a team environment.
- Excellent verbal and written communication skills.
46. BA in Social Work with 4 years of Experience
- Proven medical coding experience.
- Pathology coding experience.
- Knowledge of physiology and corresponding medical coding.
- Proficient in computer skills.
- Ability to resolve accounts on time.
- Ability to identify account problems along with trends and patterns.
- Excellent organizational and communication skills.
- Strong organizational skills and the ability to multitask in a fast-paced environment.
- Able to work independently and meet established deadlines.
47. BS in Pharmacy Studies with 2 years of Experience
- Coding work experience in a medical office environment.
- Must be willing and able to learn other specialties.
- Medical terminology knowledge.
- Multiple task-oriented, ability to work independently, and prioritize work.
- Excellent PC Data entry/typing skills.
- Working knowledge of Epic, Practice Management/EMR, and Microsoft Outlook.
- Excellent interpersonal skills/ability to work well with people, projecting a positive image for the Hospital.
- Excellent organizational, communication, and detail skills.
- Ability to remain calm and function well in stressful situations.
48. BA in Public Administration with 1 year of Experience
- Must be AAPC certified and submit a current membership card for CPC-A or CPC.
- Previous medical coding experience.
- Knowledge of the medical coding process.
- Ability to code for multiple providers and specialties.
- Strong attention to detail, ability to multitask.
- Good time management skills.
- Ability to follow HIPAA policies and procedures
- Can respect and maintain patient confidentiality.