Job Responsibilities:
• Includes diagnostic and procedural data, important reportable components, and
problems in the coding and abstracting of patient interactions.
• Conduct research and analyze data to be reimbursed.
• Analyses medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation that supports diagnoses, procedures, and treatment
results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate documentation supports
services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursements, research and compliance with regulatory
requirements utilizing guidelines.
• Follows coding conventions. Serves as coding consultant to care providers.
• Identifies discrepancies, potential quality of care, and billing issues.
• Identifies reportable elements, complications, and other procedures.
• Serves as resource and subject matter expert to other coding staff.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Provides ongoing training to staff as needed.
• Handles special projects as requested.