Stephanie Wilson

Perform clinical coding auditing review to ensure accuracy of medical coding and utilizes clinical expertise and judgment to determine correct coding and billing.

Report findings in a clear, concise, and effective manner using AHA Coding Clinic Guidelines, ICD 10 CM/PCS coding rules and guidelines that includes knowledge of and the ability to: identify the ICD-10-CM/PCS code assignment, code sequencing, and discharge disposition, in accordance with CMS requirements, Official Guidelines for Coding and Reporting, and Coding Clinic guidance

Clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if the clinical documentation is reflective of the quality of care outcomes and reimbursement compliance for acute care services provided. Worked closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation reviews for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions, and documenting the findings.

Conducted acute inpatient coding reviews of medical records and supporting documentation against submitted claims, to determine accurate DRG assignment and payment. Serve as a coding resource and provide coding expertise and guidance to entire investigation and revenue cycle team.