The coding specialist is responsible for accurately coding medical records using ICD-10-CM/PCS and CPT standards while ensuring compliance with regulatory guidelines. They must also maintain productivity standards, perform DRG/MSDRG assignments, and communicate effectively with CDI specialists.
The Inpatient Coding Specialist is responsible for accurately coding medical records using ICD-10-CM/PCS and DRG guidelines to ensure proper reimbursement. They must also abstract clinical data, maintain productivity standards, and participate in ongoing educational sessions.
The consultant performs compliance audits of inpatient and outpatient medical records to ensure coding accuracy and regulatory adherence. They also conduct exit conferences with hospital administration and coding staff to present findings and recommendations.
Performs compliance audits based on CMS, CPT, and ICD-10 guidelines while presenting findings and recommendations to clients. Conducts summation conferences with administration and staff to provide educational feedback and ensure accurate diagnosis and procedure reporting.
Collaborate with healthcare staff to improve the accuracy and specificity of clinical documentation. Review medical records to ensure appropriate DRG assignment and validity of severity of illness and risk of mortality.
