Overview:
Assigns appropriate medical codes to diagnoses, procedures, and services for accurate billing, reimbursement, and data reporting.
Core Responsibilities:
- Translate medical documentation into ICD-10, CPT, and HCPCS codes.
- Ensure coding accuracy for inpatient, outpatient, or professional services.
- Validate codes to maximize reimbursement while maintaining compliance.
- Collaborate with providers and clinical teams to clarify documentation.
- Conduct coding audits and assist with resolving discrepancies.
- Stay current with coding updates, payer requirements, and regulatory changes.