This role involves executing complex medical coding by abstracting critical clinical data from medical records to accurately assign ICD-10-CM/PCS, CPT, and HCPCS codes for proper DRG and APC groupings. The position also focuses on optimizing reimbursement and compliance by maintaining strict adherence to AHIMA Standards of Ethical Coding and evolving federal guidelines to ensure seamless claim processing and document retrieval. Additionally, the role drives quality and physician queries by proactively querying healthcare providers to clarify ambiguous documentation, maintaining high industry productivity and quality accuracy standards. The position also involves leading audits and provider education through comprehensive chart audits to enforce documentation requirements and deliver targeted coding education to physicians and clinical associates.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED