Reviewing and confirmation of assigned codes for resubmission and denials for reimbursements needs, pertaining to coding errors.
Responsible for reviewing, abstracting and analyzing clinical information fro-----------dical records and relevant documents, translating the information into diagnostic and operative procedure codes in accordance with the clinical coding system using 3M, ICD -10-CM (Clinical Modification), for diagnostic coding and ICD-10-PCS (Procedure Coding System) and MS-DRG Medicare Prospective Payment System requirements for Inpatient Hospital Coding.
Codes all diagnosis and procedures inpatient medical records by using 3M, ICD -10-CM (Clinical Modification), for diagnostic coding and ICD-10-PCS (Procedure Coding System) for Inpatient Hospital Coding and CPT.
Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.
Reviewing and analyzing inpatient medical records to ensure all applicable patient data is available for coding.
Abstracting pertinent information from patient records and assigning and creating the relevant codes.
Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
