Accurately codes and abstracts outpatient medical records using ICD-10-CM and CPT-4 guidelines for reimbursement and statistical purposes. Responsibilities include reconciling charges, initiating physician queries for ambiguous documentation, and maintaining a minimum accuracy rate of 95%.
Nuvance Health
3 Remote Job Openings at Nuvance Health
Analyzes and codes complex inpatient records using ICD-10-CM and PCS to ensure accurate reimbursement and compliance. Acts as a subject-matter expert leading DRG validation, revenue integrity analyses, and mentoring junior coders.
Conducts high-volume internal audits of physician medical records to ensure documentation and coding accuracy. Provides educational sessions for coders and clinical staff based on audit findings to optimize revenue and maintain compliance.