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Reporting to the Manager Medical Group Revenue Cycle Site Operations, Fresno, this position is responsible for to perform medical record audits including, but not limited to analysis of medical record documentation; validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Monitor’s accuracy of centralized coder’s charge capture and coding with proper International Classification of Diseases 10th Revision (ICD-10), Current Procedural Terminology (CPT), Healthcare Common procedure Coding System (HCPCS), as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation, and compliance.
