Perform detailed quality audits of coded medical records to ensure accuracy, compliance, and adherence to official coding guidelines and payer-specific requirements.
Review and analyze clinical documentation for completeness and accuracy in assigning CPT, ICD-10-CM, and HCPCS codes.
Identify coding errors, trends, and areas for improvement; provide actionable feedback and recommendations to the coding team.
Collaborate with coding managers and training teams to support process improvement and coding education initiatives.
Stay current with updates to coding standards, payer regulations, and compliance requirements.
Must be an expert
Team handling skill set
Working in Quality team is an added advantage.
Inventory management and planning
Motivate and guide team to achieve production and quality goal set
Follow project related protocols and instructions
Handling team clarification
To be proactive in handling team issues
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