- Analyze inpatient cases and assign ICD-10 diagnostic and PCS procedural codes for reimbursement and compliance.
- Utilize coding nomenclature to ensure accurate MS-DRG/APR-DRG/SOI/ROM and POA assignments.
- Evaluate documentation issues and communicate with clinical documentation specialists and providers via queries.
- Monitor assigned work queues daily to facilitate billing within established timeframes.
- Review medical records including histories, examination findings, and treatment plans for accurate coding.
- Maintain high accuracy in code assignments to minimize claim denials and billing errors.
- Adhere to AHIMA ethical coding standards and HIPAA privacy regulations.
- Participate in ongoing training, education, and meetings related to DRG mismatches.
EHR