- Reviewed inpatient medical records for accurate coding and compliance.
- Assigned appropriate ICD-10 CM and PC codes for diagnoses and procedures based on clinical documentation.
diagnoses and procedures.
- Collaborated with clinical documentation staff to resolve documentation and coding queries, enhancing coding accuracy.
- Utilized electronic health record systems for coding data management, streamlining data entry processes.
- Maintained up-to-date knowledge of coding guidelines and healthcare regulations.
- Assigned ICD-10-CM and PCS codes to diagnoses and procedures in accordance with accepted coding principles.
- Conducted periodic quality assurance reviews on coded data, ensuring compliance with coding standards.
- Utilized electronic health record systems for coding and data entry tasks.