- Analyze medical record documentation for accurate coding.
- Review inpatient coding (ICD-10-CM and ICD-10-PCS) to ensure accuracy and completeness.
- Validate ICD-10-CM/PCS codes, principal/secondary diagnoses, and DRG assignment.
- Review physician documentation to identify query opportunities for improved coding accuracy.
- Maintain knowledge of regulatory standards including CMS, OIG, and AHA.
- Consult with client organizations and department heads.
- Collaborate with team members to support service line growth and operational improvement.
EHR