- Perform chart scrubbing and clinical documentation audits to ensure completeness and accuracy.
- Review records to validate ICD-10 diagnosis coding and supporting clinical documentation.
- Ensure compliance with PDPM (Patient-Driven Payment Model) and CMS guidelines.
- Identify documentation gaps that may impact coding, reimbursement, or compliance.
- Prepare audit findings and provide recommendations for documentation improvement.
- Collaborate with clinical, coding, and compliance teams to resolve discrepancies.