About the role
- 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.