Review and interpret clinical documentation to assign accurate diagnosis, procedure, and evaluation and management (E/M) codes. Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and modifier coding guidelines in accordance with official coding conventions and regulatory requirements. Code physician services for inpatient, outpatient, and ancillary encounters. Ensure compliance with CMS, Medicare, Medicaid, commercial payer, and client-specific coding requirements. Identify documentation deficiencies and communicate within the appropriate channels regarding coding clarification needs. Consistently meet established turnaround times, productivity standards, and quality expectations while managing workload independently. Participate in coding audits, quality reviews, education sessions, and process improvement initiatives. Stay current on coding updates, regulatory changes, payer policies, and industry best practices. Collaborate with coding leadership, auditors, and client representatives to resolve coding-related issues. Support revenue cycle optimization through accurate and timely coding practices.
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Career Level
Mid Level
Education Level
No Education Listed