Memorial Healthcare

Responsible for the accurate collection, abstraction, and management of cancer data for research, quality improvement, and regulatory compliance. This role ensures the integrity of data submitted to state and national registries and supports program accreditation.

Assigns and sequences diagnosis and procedure codes for inpatient encounters using electronic medical records and computerized encoders. Validates ADT data, performs clinical validation queries, and ensures adherence to official coding guidelines and CMS regulations.

Reviews medical record documentation to assign appropriate diagnosis, procedure, and modifier codes to ensure proper billing and compliance. Collaborates with insurance companies and healthcare providers to resolve coding errors and maintain data accuracy.

Reviews medical record documentation to assign appropriate diagnosis and procedure codes for billing and compliance. Collaborates with healthcare providers and billing departments to ensure accuracy and resolve coding edits.

Responsible for auditing inpatient and outpatient medical records to ensure coding accuracy and compliance with regulatory guidelines. Provides education and training to coding staff and physicians while resolving claim denials with the Revenue Cycle Department.

The role involves reviewing medical record documentation to assign complex ICD-10 CM and CPT codes for outpatient encounters to ensure accurate coding, billing, and compliance. Responsibilities include correcting coding errors, reviewing chargemaster codes, maintaining coding knowledge, and adhering to strict patient confidentiality standards.