PF Concepts

Responsible for reviewing provider documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. The role ensures compliant coding, timely charge capture, and collaboration with billing teams to resolve claim rejections.

Responsible for auditing inpatient coding and DRG assignments to ensure accuracy and compliance with official guidelines. The role involves identifying compliance risks, providing education to coders, and supporting external audits.