Oversees coding and CDI operations, chart auditing, audits accuracy and staff feedback process
Develops, refines, implements and performs internal auditing as needed, verifying accuracy, completeness and precision of ICD-10 CM/PCS and CPT coding and clinical documentation integrity
Reviews and appeals all external DRG and clinical validation denials
Works closely with coding/CDI management team to report audit findings, trends, benchmarking data, staff remediation, re-education, and reassessment as needed
Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, productivity and quality monitoring, and staff training and education initiatives
Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from medical documentation and ensuring accurate billing and coding compliance.
Responsibilities
Abstract provider services into billable codes
Post and reconcile hospital setting charges daily
Communicate inefficiencies and coding issues to supervisor
Reference coding and payer resources
Assist AR Specialist with coding denials and appeals
