Coding experience with relevant certification
Expert-level knowledge of ICD-10-CM, CPT, and HCPCS Level II
Solid knowledge of medical terminology, anatomy, and physiology
Demonstrated sound judgment and practical problem-solving skills
Ability to think creatively
Basic proficiency in Microsoft Excel (filters, VLOOKUP, etc.)
Familiarity with CMS and payer-specific guidelines
Proven ability to interpret complex clinical documentation
People management skills and client engagement experience
Experience managing a market/portfolio and supervising 2-3 coders
Presentation skills (creating and presenting)
Strong DRG knowledge and experience
Comparison of different DRGs and support in writing assessment reports
Input and output files clinical audit/coding sense checks
Provide clinical support in the analysis of claims data to derive actionable clinical insights
Engagement with internal stakeholders for any clarification, updates, etc.